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HomeMy WebLinkAboutSEP2016-00012 61,1,91,;, 1— ()?-N- fle,T sPIZ-/V include the following items on your plot ptanc-. o Property boundaries f3 Wells V Names of adjacent streets 9/Septic tank C O [IL.- 1 a' Driveways and parking spaces a Drainfield(enter NN if unknown) o Surface water(ponds,creeks,etc) North Arrow O Buildings(residence,sheds,garages,etc) No / re -SEc.1C'. 4 Seem " U, / ASS l�c.Tc_ / PLOT PLAN-date prepared 2 ,/(: s/�/- ° 0 \fJc.Lbc ,13 'N c) ta, RA, � 67 '1,0/6 i -"---,.. \ rm) _._ ''''\\\ \ t i,-)e c ,/ P ,-___ ° .--- Plot Plot plan submitted by 1 ` '`Q' as a part of a Monitoring inspection Not reviewed or approved by JCPH. Shed' A f isi 00 0` ``. /< f �' ? It �erc' ,e,,c1)Q , c 1/1-A Permit#or Parcel# 90\ 6©9101 R - 0)05-2- Evaluation )UEvaluation of an Existing Onsite Sewage Ste'rstem_07!30104 adf pge 'of 5 • ; 120'I Goodman,Inc. 476- / 2495 Cape George Rd --T 'f �%/ 380485-7155 Port Townsend, WA 98368 PROPERTY INFORMATION Location:2160 Dabob Post Office Rd Quilcene �., Tax ID:701091007 Mail To: Mary Kay ELDRIDGE ` .7 2160 Dabob Post Office Rd J :1 Use:Residential,Single Family Quilcene,WA GENERAL SYSTEM TYPE:Gravity Owner-Mary Kay ELDRIDGE ON ID:SOM12-01052 Fold ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT . Fold Here Here Inspected:01/26/2016 - Inspection Type:PROPERTY SALE - Correction Status:Some Corrections Made Company: Certification-Level 1 Work Performed By: Submitted 02/01/2016 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 01-26-2016.Risers were installed.No permit on record.New site drawing to H.D. GENERAL SITE&SYSTEM CONDITIONS The General Site and System Conditions were: Fully Inspected All Components accessible for maintenance,secure and in good condition: YES 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(If NO,describe NO-See Comments in notes). 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 1 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-See Comments ONSITE SEWAGE SYSTEM INSPECTION DETAIL TANK:Septic Tank-2 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): 20 Effluent filter/screen needed cleaning on arrival N/A Compartment 1 Sludge accumulation(Inches,if other specify): 18 Compartment 2 Scum accumulation(Inches,if other specify): 1 Compartment 2 Sludge accumulation(Inches,if other specify): 8 Pumping needed: YES See Comments Approximate Gallons to be pumped(if needed)by Certified Pumper: 1000 ReportlD:490118 View inspection reports online at www.onlinerme.com Page 1 of 2 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• r j �r 7osaa+oaa 5 r� voire_,!.....- , , I , 6 70,50200 Legend _ JC_Roads 70,097002 Parcels-1 DM FP Stream Pt Classification ♦/ wf.fiFIN,Nabiat rI B J- N-Non•fsn Nalaat Ig Np-Nen-felt Nab/att•Par mel N. Nwo-rsh+W64.4.00.11 gS•bwNoned ,:%9 ONR Streams A/ Two ` . Two,S Jf„JTom♦ Type Typo J 'II g Type Otlw 1 ■ Wetlands j - 2015 Aerial Photos I a 1091006 t0111T.iaY;;: ; \tmzrn+daf�s'1...,iCorMjry Cairn SoM1rss G4S FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect o its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. ue A•r 05 08:50:47 2016 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=o... 4/5/2016