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Monitoring Inspection Site Plan Update (�
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0 Driveways and parking areas 0 Wells w/distance to 055 components Prepared by y ' 6/72/,(4,f/e/
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6/22/2017
Goodman, Inc.
2495 Cape George Rd 360-385-7155
Port Townsend, WA 98368
PROPERTY INFORMATION •
Location:2350 East Quilcene Rd
Quilcene
Tax ID:701194011
Mail To: Current Resident
545 Lincoln St Use:Residential,Single Family
Port Townsend,WA
98368
ON ID:SOM12-01049
Fold '- ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT . Fold
Here Here
Inspected:12/05/2016 - Inspection Type:ROUTINE - Correction Status:Some Corrections Made
Company: Certification-Level 1 Work Performed By: Submitted 12/19/2016 by:
Goodman,Inc. Doug Nebel Doug Nebel
This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development.
COMMENTS&GENERAL INSPECTION NOTES
Deficiencies Noted:deficiencies must be corrected to ensure proper longevity of the Onsite Sewage System.
Tank was pumped on 12-05-16.Risers are mandatory on next inspection.No permit on record.House is used infrequently,No assessment of
drain field could be made.New site drawing sent to H.D. Inlet pipe was repaired.Drain field area unknowen
GENERAL SITE&SYSTEM CONDITIONS
The General Site and System Conditions were: Fully Inspected
All Components accessible for maintenance,secure and in good condition: NO-See Comments
Surfacing effluent from any component(including mound seepage): NO
Components appear to be watertight-no visual leaks NO-See Comments
Improper encroachment(roads,buildings,etc.)onto component(s): NO
Component settling problems observed: NO
Abnormal ponding present for one or more of the disposal components: NO
Subsurface components adequately covered YES
Owner compliance issues noted NO
Site maintenance required(e.g.Landscape maintenance)If yes,describe in comments: NO
Occupant compliance problem(occupant not operating the system properly). If YES,describe in notes: NO
If deficiencies were identified on last inspection were they corrected before or during this inspection? N/A
(If NO,describe in notes,NA=no deficiencies on last report):
OSS Components,structures and appurtenances located per as-built/record drawing(reference Septic NO-See Comments
Permit#in notes). If NO,describe in notes and if no as-built exists or changes made,state NO and
provide record to Health Dept:
Alterations made to the OSS(valves adjusted,timer settings modified,ports installed,etc.)(If YES, NO
describe in notes):
The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. YES-See Comments
Is the SEP case in a finaled/completed status?(if NO explain in comments) NO-See Comments
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
TANK:Septic Tank-1 Compartment
This component was: Fully Inspected
Component appears to be functioning as intended: YES
Effluent level within operational limits(if NO explain in comments): YES
All required baffles in place(N/A=No baffles required): YES
Effluent Filter Cleaned(N/A=Not Present): N/A
Compartment 1 Scum accumulation(Inches,if other specify): 1
Effluent filter/screen needed cleaning on arrival N/A
Compartment 1 Sludge accumulation(Inches,if other specify): 8
Pumping needed: YES See Comments
Approximate Gallons to be pumped(if needed)by Certified Pumper: 1000
ReportlD:561968 View inspection reports online at www.onlinerme.com Page 1 of 2
This component was: Fully Inspected
Component appears to be functioning as intended: YES
Ponding present?If YES explain in comments: NO
This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance.
ReportiD:561968 View inspection reports online at www.onlinerme.com Page 2 of 2
TANK PUMPING REPORT
Site Name:
L°cati°n:2350 East Quilcene Rd Service Company:
Quilcene p y�
Tax ID:701194011 Goodman, Inc.
use:Residential,Single Family 2495 Cape George Rd
Port Townsend,WA 98368
360-385-7155
Serviced:12/05/2016 by: Doug Nebel Submitted 12/06/2016 by:Doug Nebel
Dump Location:Port Townsend Compost Facility Jurisdiction ID:SOM12-01049
COMMENTS
Water observed around lids.
TANK:Septic Tank-1 Compartment
Tank Pumped: YES
Tank Size(Gallons)(Number only,no text): 1000
Effluent level within operational limits(if NO explain in comments): YES
Total Gallons pumped from tank(Number only,no text): 1000
Effluent returning back into tank after pumping: NO
Tank depth below grade(inches): 0
Access Risers installed to grade(N/A if not present): N/A
Access Risers securely fastened(N/A if no riser present): N/A
Tank Construction Material: Concrete
Tank Condition Good: YES
Roots or ground water observed leaking into the tank or around the risers: YES Deficient
Baffles in good condition(N/A if not present): YES
Effluent screen cleaned(N/A if not present): N/A
Effluent surfacing around site components(N/A if not checked): NO
Tank abandoned after pumping: NO
Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO
Compartment 1 Scum accumulation(Inches,if other specify): 1
Compartment 1 Sludge accumulation(Inches,if other specify): 8
Drainfield was vacuumed or hydro-jetted?(If YES,explain in comments) NO
This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance.
ReportiD:278081 View pump reports online at www.onlinerme.com Page 1 of 1
Parcel Print Page 1 of 1
Parcel Number.701194011 03/21/2016
Owner Mailing Address:
JENNIFER A LITTLE
JAMES F LITTLE
545 LINCOLN ST
PORT TOWNSEND WA 98368-4412
Site Address:
2350 EAST QUILCENE RD
QUILCENE 98368-4412
Section: 19 School District: Quilcene(48)
Qtr Section: SE1/4 Fre Dist: Quilcene(2)
Township: 27N Tax Status: Taxable
Range: 1W Tax Code: 0321
Planning area: 98368-4412
Sewer: Drainage:
Bank: View 1:
View 2: Zoning 1: RR-5 - Rural Residential
Zoning 2: Zoning 3:
Sub Division:
Land Use Code: 1100 - Residential - Single Unit
98368-4412
Property Description:
S19 T27 R1W TAX 18
http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?value=701194011 6/22/2017
Map Output Page 1 of 1
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FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with
respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its
collection. Thu Jun 22 10:14:32 2017
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 6/22/2017
Jefferson County Assessor& Treasurer - Property Details - 49 JENNIFER A LITTLE for ... Page 1 of 3
Jefferson County Assessor & Treasurer
17449 JENNIFER A LITTLE for Year 2016 - 2017
Property
Account
Property ID: 17449 Legal Description: 519 T27 R1W TAX
18
Parcel Number: 701194011 Agent Code:
Type: Real
Tax Area: 0321-1-48F2E2H2C2L1 Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Township: 27N Section: 19
Range: 1W
Location
Address: 2350 EAST QUILCENE RD Mapsco:
QUILCENE,WA 98376
Neighborhood: S19T27R1W(W OF BAY)/QUIL BAY VISTA/QUILCREST/HOY/BATCHELDER Map ID:
Neighborhood CD: 2340
Owner
Name: JENNIFER A LITTLE Owner ID: 20954
Mailing Address: JAMES F LITTLE %Ownership: 100.0000000000%
545 LINCOLN ST
PORT TOWNSEND,WA 98368-4412
Exemptions:
Pay Tax Due
Select the appropriate checkbox next to the year to be paid.Multiple years may be selected.
Year-Statement ID Tax Assessment Penalty Interest Total Due
2017-7207(Balance) $882.25 $29.30 $0.00 $0.00 $911.55
Total Amount to Pay:$
'Convenience Fee not included
Taxes and Assessment Details
Property Tax Information as of 06/22/2017...F
Amount Due if Paid on: . NOTE:If you plan to submit payment on a future date,
make sure you enter the date and click RECALCULATE to obtain the correct
total amount due.
Click on"Statement Details"to expand or collapse a tax statement.
Year Statement ID First Half Second Half Penalty Interest Base Paid Amount Due
Base Amt. Base Amt.
Statement Details
2017 7207 $911.66 $911.55 $0.00 $0.00 $911.66 $911.55
Statement Details
2016 7247 $861.65 $861.53 $0.00 $0.00 $1723.18 $0.00
Values
Taxing Jurisdiction
Improvement/ Building
http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2016&prop_id=17449 6/22/2017
Jefferson County Assessor & Treasurer - Property Details - 49 JENNIFER A LITTLE for ... Page 2 of 3
Improvement#1: Residential Bldg State Code: 11 696.0 sgft Value: $67,804
Exterior Wall: SI/ST Fireplace: DBL 2-AVG
Floor Construction: FRAME Foundation: CONPR
Heating/Cooling: ELBB Roof Cover: COMP
Sub
Type Description Cess Class year
Area
CD
MA Main Area 3+ 1S 1958 696.0
HDECK House Deck 3 * 1958 304.0
BSMTU House basement unfinished 1 * 1958 696.0
GARAG Garage(Table Not Dep) 1 * 1958 750.0
GARAG Garage(Table Not Dep) 1 * 1958 750.0
GARAG Garage(Table Not Dep) 2 * 1958 308.0
GARAG Garage(Table Not Dep) 2 * 1958 308.0
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http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2016&prop_id=17449 6/22/2017