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HomeMy WebLinkAboutSEP1972-00031ae., , 07 7`13 ON FERSON COUNTY PU BLI C HEALTH Always Working for a Safer and Healthier Jefferson 8�rr�o� July 13, 2006 Shirley Murphy 12055 SE 313 #1103 Auburn, WA 98032 RE: Evaluation of existing septic system 111 Deer Rd, Quilcene SEP72 -31, Septic System Corrections Required Dear Ms. Murphy: An evaluation of the exis6g sewage - disposal system (EES) was completed on June 26, 2006 by Dale Wurtsmith.. This inspection found that there is evidence of recent driving over your septic system drainfield. No parking, driving, or other land- disturbing activities are permitted on septic drainfields or reserve areas, per Washington Administrative Code 246 -272. Please erect permanent barriers to protect the drainfield from being damaged by future driving. The barriers can take a wide range of forms including, but not limited to: logs or railroad ties staked down with rebar; hedges or other landscaping; fences; or boulders. If you have further questions please contact this office at 385 -9444. Sincerely liV Daniel Nidzgorski Environmental Health Specialist cc: Dale Wurtsmith; Linda Tudor COMMUNITY ENVIRONMENTAL DEVELOPMENTAL HEALTH HEALTH DISABILITIES (360) 385 -9400 (360) 385 -9444 (360) 385 -9400 615 Sheridan Street, Port Townsend, Washington 98368 fax: (360) 385 -9401 web: www .jeffersonoountypublichealth.org NATURAL RESOURCES (360) 385 -9444 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368 (360) 379 -4450 Evaluation of an Existing Onsite Sewage System (EES) Draw on the back of this sheet a current plot plan showing location of: Buildings, Drainfields, Septic Tanks, Wells, etc OR attach a current plot plan identifying these items. ALL SPACES MUST BE FILLED IN. If information is not available enter (NV) or not applicable (NA). Type of Evaluation C. Evaluation of on -site sewage system ❑ Evaluation of drinking water ❑ Evaluation of on -site sewage & drinking water Office Use Only Date Q C16 Fee & °O Recpt� 'g-a(PLIS Check o_ Case # 10 -31 Reason for Evaluation ❑ Routine Operation and Monitoring Inspection Real Estate transaction ❑ Complete a Permit # ❑ Building Permit Review and/or no septic permit on file ❑ Other, explain Date of evaluation_ Q (*242 0(o Inspected by WUtMft (EMOC11116C14 L,M `}, Tax Parcel # �[O \�3, \(a Permitted System .dyes no Permit/case # SEP Subdivision, Division, Block and Lot(s) Lot Size Acres or Dimensions ku I-X k50 �h Current Owner 4 Site Address \\ C'� o. _ " i� x E V.,E Owner Phone Previous property owner name(s) - (NN if not known) iv/a Directions to Date System Installed Age of Dwelling \ a1-11 # Bed House Occupied ves no, vacant how long? -;k *WA A-�J— Who installed system? S� Send completed report to: Owner Name Mailing Address &55 Realtor or Other Representative rieaT�O�� Mailing Address V b. Phone /ema' /fa-x-)?,Cgn= 'q(- EES Evaluation Form 07- 30- 04i_pdf L -)L , - "G yr /6 �10 page 1 of 5 i Include the following items on your plot plan: • Property boundaries • Names of adjacent streets ❑ Driveways and parking spaces ❑ Surface water (ponds,creeks, etc) ❑ Buildings(residence, sheds, garages, etc) PLOT PLAN -date prepared 4 (,0(,_ 17 ®4 �'? 10 IW 9 a ❑ Wells ❑ Septic tank ❑ Drainfield (enter NN if unknown), ❑ North Arrow ev \J-7 f,l ki * %3 W -715" 9o¢fA UDu. i 74 co l �jp R � J MST IMI NOT TO SCALE ENVIRWCHECK, L.LC. 1612 Hastings Ave. W. Port Townsend, WA 98368 Permit # or Parcel # Sip l d," 1 Evaluation of an Existing Onsite Sewage System _07 /30 /04 _pdf L Mski UM page 2 of 5 Date of Inspection Inspected by Water Supply (fill in only if water supply is being tested in this evaluation) Sample was taken Yes No Sample Results Well casing 12" above ground Yes - No Sanitary Seal in place Yes No Public: offsite onsite Name of System Individual: offsite onsite Is well more than 100' to drainfield /disposal component _yes_ no, if not, distance Is well more than 50' to tanks and effluent transport line _yes_ no, if not, distance ONSITE SEWAGE SYSTEM # Bedrooms /gallons per day indicated in County Health Dept. records for this case_ #1 - Septic Tank Tank size \ 10 00 gal. ,single compartment two compartment _ tAtnk- e�'i� material Riser to grade on inlet ves_X no. Riser to grade on outlet ____yes _.k no Condition of tank k. good needs repair, describe 1 st comp. Scum (top layer) �_in. sludge (bottom layer) qt in. 2nd comp. scum in. sludge in. Was ground water observed leaking into tank ? yes no If yes, where was water observed? Condition of baffles: Inlet: X -&i-needs repair material (PVC,6 Outlet: needs repair material (PVC, cret Screened Outlet C _no _yes, condition clean clogged /dirty Septic tank needs to be pumped (per Jefferson County code. 8.15.150 (1) (b)) yes \6 no Effluent level at outlet (mark level on circle) If effluent is below the outlet, indicate when tank was last pumped: (eg: 9) 0 Does system include a pump? yes If yes, complete the next section_ no (if no skip to section 3) #2 - Pump Chamber Tank size gal. Material. Riser to grade? yes no Condition of tank good needs repair, describe Solids in Tank (see 8.15.150) yes no scum in. sludge in. Was Ground water observed leaking into tank ? yes no If yes, where was water observed? Screen around pump? no yes, condition clean dirty /clogged Shroud around pump? no yes Electrical Components Pump operating ves no, describe High water alarm functions _yes no, if no, describe Elec. Panel condition good needs repair, describe Pump cycle drawdown inches. Time for pump cycle min /sec. Timer Settings min /sec on min/hrs off Floats secured: yes no Permit # or Parcel # n D� 3k Evaluation of an Existing Ohsite Sewage System _07/30/04_pdf ,age 3 of 5 #3 — Drainfield Appropriate Vegetation in area x ves no. Describe vegetation _(Z-&&ss Indications of surfacing sewage (check one) yes , if yes, describe and diagram on plot plan )c, no drainfield area is overgrown and not observable Signs of parking /driving in area ves k no drainfield area unknown Ground settling or erosion ___yes �_no overgrown/not observable Monitoring Port Observations (if present): Residual Head ves, # of inches no Ponding in trench yes, # of inches of ponded effluent no Repair area is? Available as shown on permit _None evaluated or shown on permit Addendum (page 5) is attached for evaluation of Treatment Unit or detailed evaluation of dramfield _yes_C no COMMENTS (attach additional sheet if necessary): *1 -a. Risers are mandatory on next inspection. 3 _ , 'TN\*_" WA.. Reece A "TILA WP-� s aEi�l.p �'R -+~I� . ��A�1�r �,..i�i��.e (h�ovi �.+6 ost'• �AKfiA <lE -�06 �Q Els AI xl s,%T JSeaY V icl��C�1i i`� Ta Rtme. -1T ! � � VoSv*qLr_- p¢.ZmrriS., other W The house /dwelling was unoccupied so no assessment of drainfield could be made. 1•�a'� E— C,av' -Svy Q-E 9_ps 'SKdw R 2%9juK \\ovbE A�-'0 A I QORM Sq1-K $ySTeAr►• SEE ATTACHED ADDENDUM Was a System Problem Identified? Yes if yes, what section #. No >C,_ This report on the existing onsite sewage system is valid for the permitted or historic (if installed prior to permit requirements) use of the system only and does not constitute assurance of future County approvals (such as building permits) on this parcel. Any future application will be judged separately by the rules and laws in effect at that time. I certify that the i formation provided is based on a review of County records and my direct observations at the time of inspection. Name i re Date No guarantee of future onsite sewage system performance is implied or granted based on the information contained in- this repork This report constitutes a summary of findings only. Permit # or Parcel # '5�'E S7 �aw3� Evaluation of an Existing O site Sewage System _07/30/04 _pdf nape 4 of 5 DATE o (o aloa(c ADDENDUM ADDRESS Ali D�51 Enviro Check, L.L.C. Company Disclaimer OWNER •SRO* Based on what we were able to observe and our experience with on -site wastewater technology, we submit this Sewage treatment Inspection /Evaluation Report based on the present condition of the on -site sewage treatment system. Enviro Check, L.L.C. has not been retained to warrant, guarantee, or certify the proper functioning of the system for any period of time in the present or future. Because of the numerous factors (usage, soil characteristics, previous failures, etc.) which may affect the proper operation of a septic system, as well as the inability of our company to supervise or monitor the use or none visible areas of the system, this report shall not be construed as a warranty by our company that the system will fimction properly for any particular buyer or owner. Enviro Check, L.L.C. disclaims any warranty, either expressed or implied, arising from the inspection/evaluation of the septic system or this report/evaluation. We are also not ascertaining the impact the system is having on the groundwater or environment. Enviro Check,L.L.C. does not make any claim, warranty or guarantee as to where property linestboundaries of properties are located. And does not warrant or guarantee any encroachments from on site sewage systems on to adjacent properties. Any indications of possible property lines/boundaries are approximations and do not indicate legal property lines or boundaries. Enviro Check, L.L.C. will not be held responsible in any way for information being undisclosed (intentionally or unintentionally) by property owner, representative or other parties of interest. All reports, including E.E.S. inspection reports are subject to any change by Jefferson County Environmental Health Department. Enviro Check, LLC is not liable for any such changes. All parties are encourages to check county records for any information regarding properties. Company Enviro Check, L.L.C. 1612 Hastings Ave. W Port Townsend, Wa. 98368 360- 379 -9400- I acknowledge that I have studied the information contained herein and that my assessment is honest, done in accordance with Jefferson County Ordinances, and to the best of my ability, correct. D CaManag SAWLING (Septic tank) Date - PH Result- DO Result- Len. Result- MEASUREMENTS Counter Setting- Hour Meter- K 0031 OI M._HEAJTH DISTRICT PeTsit. No,, Fee Pal&- f'77 ZZ. SEWAC#E DISPOSAL PERMIT APPLTCATION' Submit in Duplicate �. pssSE 3►ao,a --W -1103 1. ZEAL DESCBTPTIONTCT PHONE,,, DIRECTIONS 'FOR. LOCATING SITE APPLICATION IS HEREBY MADE TO: INTAU NEW SYSTEM.. L -,REFAIR EXISTM SYSTEM,.;. E OF DUILDING 60. OF HFDROQMS BASEMENT SITE SIZE NAME OF INSTALLER THE RS S D , DRAW A DETAI PLOT P N GIVING THE FOLLOWING INFORMATIC J)epth Time required to Percolation rate Type of soa.l of hole seep last 6 in. (divide time by19 Pere. No, Pere,. No. Pero. No*, 3. DRAINFIELD LENGTH � _W DTII DEPTH �a-3 `� N0. OF ZINES 1 T -.IS HEREBY AGREED THAT-THE PROPOSED INSTALLATION.WILL BE MAD IN THE MANNER ALIGNED AND APPROVED ON THIS APPLICATION. Sign ore or app-."Gunt, APPROX., _DATZ OF INSTALLATION +�gwirs�. rr�rrw� SANITARIAN •S COMMENTS: cc t iPPROiD` - DISAPPROVED DATEE 3 ? — - REMARKS 10ERTIFY THAT THIS DEPA.RTKOT . 544 IN THE MANNI APP OV r D BY TP 1U4.LTE D E Driveways! -patios' carport, etc. 24- Loeation ;oT 'buu ldin r y $. Streams or bodies of water nearbg 3,,Location of< septic tank 9. Location of percolation test holes 4.,Loeation of 'drainfield 10. Septic tank size r Sal_lo= 5-- .Slope of im* 11. Length of proposed drainfield "a-ter lines &`:well(i.f applicable) 12. Depth to water if encountered. PERCOLATION TEST RESULTS J)epth Time required to Percolation rate Type of soa.l of hole seep last 6 in. (divide time by19 Pere. No, Pere,. No. Pero. No*, 3. DRAINFIELD LENGTH � _W DTII DEPTH �a-3 `� N0. OF ZINES 1 T -.IS HEREBY AGREED THAT-THE PROPOSED INSTALLATION.WILL BE MAD IN THE MANNER ALIGNED AND APPROVED ON THIS APPLICATION. Sign ore or app-."Gunt, APPROX., _DATZ OF INSTALLATION +�gwirs�. rr�rrw� SANITARIAN •S COMMENTS: cc t iPPROiD` - DISAPPROVED DATEE 3 ? — - REMARKS 10ERTIFY THAT THIS DEPA.RTKOT . 544 IN THE MANNI APP OV r D BY TP 1U4.LTE D E � I sx=R 4 P GRID B=OW Ott- I SCALE 1© itEi OWEEN :LINES � ��t �', � ��9 3 ' � •a, • `war '�w,^4,"r ,� -: >s � �"� �:'� y� � �_,� vm;..����, �' � � � � � "'�" Z '�, �� tir,'�'�'� �n� ��. a II L' � � � i I� I I f ! ,r �� '� I U ,)rte �,i 9 �%•�R �' � �I Ih ��� If �I 9 I I I I