HomeMy WebLinkAboutSEP2017-00083 .. .. - f,,, pidi— fie,...„„ .
lA6lm!
Monitoring Inspection Site Plan Update
Include the following Items on the site plan Case# i ° / h
Property boundaries lad Drainfield area if known Parcel# 0C 2 •3.5 Z. —0/
e Names of adjacent streets g Septic tanks and/or Pump chamber Address .49i ( OP:K..,',-,-(Le,- /1,`6.(te
Driveways and parking areas > Wells w/distance to OSS components Prepared by -2P-
,
`4=7�"tf
> Surface water(ponds,creeks,etc) Buildings-residence,sheds,garages,etc Date Prepared `1-S / 7
North Arrow .---2 l
ir LI
,/1/r, r To .-- c.,(-).,1c A.c cen (i i? /f9--'f Zo'c<rC-
eldG=,,,ic1..,e v ,gid
1 I
6,7 i
7 `IJTt
l>Z /c'ad
f„9
1 t8t.0 C‘I
Plot plan submitted byW -
cam/ ,.�r
as a part of a Monitoring inspection
Not reviewed or approved by JCPH.
S��
6/23/2017
Goodman, Inc.
2495 Cape George Rd 360-385-7155
Port Townsend, WA 98368
PROPERTY INFORMATION •
Location:2451 Old Gardiner Rd
Sequim
Tax ID:002352013
Mall To: Current Resident
2451 Old Gardiner Rd Use:Residential,Single Family
Sequim,WA
GENERAL SYSTEM TYPE:Gravity
ON ID:SOM11-01057
Fold '- ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold
Here Here
Inspected:05/25/2017 - Inspection Type:ROUTINE - Correction Status:No corrections made
Company: Certification-Level 1 Work Performed By: Submitted 05/26/2017 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.
No permit on file.New site drawing sent to H.D.Septic tank is 5 ft deep,No access to outlet to locate drain field Size and adequacy of drain field is
unknown,Riser on outlet side of septic tank is mandatory on next inspection
GENERAL SITE&SYSTEM CONDITIONS
The General Site and System Conditions were: Fully Inspected
All Components accessible for maintenance,secure and in good condition: NO-Deficient
Surfacing effluent from any component(including mound seepage): NO
Components appear to be watertight-no visual leaks: YES
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-Deficient
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. NO
Is the SEP case in a finaled/completed status?(if NO explain in comments) NO-Deficient
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): 5
Effluent filter/screen needed cleaning on arrival N/A
Compartment 1 Sludge accumulation(Inches,if other specify): 5
Pumping needed: NO
Approximate Gallons to be pumped(if needed)by Certified Pumper: 1000
ReportlD:596217 View inspection reports online atwww.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.
ReportlD:596217 View inspection reports online at www.onlinerme.com Page 2 of 2