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SEP1972-00066
ecovi 615 Sheridan Street Port Townsend,WA 58368 • wwwdeffersonCountyPubticileatth.org ARNOLD PACKER June 22, 2015 REBECCA PACKER 19602 100TH ST E BONNEY LAKE, WA 983915961 RE: NOTICE AND ORDER TO CORRECT-Septic System Corrections Required Septic System Monitoring Inspection SITE ADDRESS: 280 KELLY RD Parcel #: 981002222 CASE#: SOM72-00066 Dear ARNOLD PACKER: On May 3, 2006 a monitoring inspection was completed on the above referenced property. The following issue noted below requires correction: 1. A hole was observed in the top of the septic tank and there also appear to be cracks. A septic tank is required to be watertight. Additionally this presents a severe safety hazard and must be corrected immediately. The tank cannot be used in this condition. The holes must be sealed and a Designer must be contacted to determine corrective actions needed OR the septic tank pumped and properly decommissioned. Items identified above may cause damage to, or premature failure of the onsite sewage system and/or constitute a violation of the following section of Jefferson County Code 8.15: > JCC 8.15.080(1)On-Site Sewage System Permit Required > JCC 8.15.150(1)Operations, Maintenance and Monitoring Jefferson County Public Health hereby gives you notice to correct the violations identified above within thirty days of the date of this notice by doing the following: > Hire a licensed professional as noted above to complete the required corrections; > Submit the inspection report to Jefferson County Public Health, Environmental Health Division for review to determine if additional actions are required OR submit a design for corrective actions that complies with state and local code to Jefferson County Public Health, Environmental Health Division for review, and, > If required by code, obtain a Sewage Disposal Permit from Jefferson County Public Health prepared by a licensed designer pursuant to JCC 8.15.080. > Contact this office at 360-385-9444 to inform me of the actions you are taking. This letter is intended to serve as formal notice that no further approvals shall be granted until corrections are made and approved by Health Department staff. Failure to comply with this notice and order to correct may result in the issuance of a civil infraction notice to you pursuant to section 180 of said regulations. The civil infraction notice may result in a fine of up to$513.00 per violation per day to be assessed to you. A permit is required for any repair or modification of an onsite sewage system, per Washington Administrative Code 246-272A and Jefferson County Code 8.15. A list of designers that have submitted work here is enclosed.The code sections referenced are attached for your information. The purpose of proper maintenance is so the County,for the benefit and protection of the public's health, is assured by this department that these systems are designed, installed and maintained in a proper manner. We appreciate your prompt attention to this matter and if you should have further questions please contact this office at 385-9444. Please note that pursuant to JC Code 8.15.170 of the above regulations that any person aggrieved by the contents of a Notice and Order to Correct Violation issued under this regulation,or by any inspection or enforcement action conducted by Jefferson County Public Health under this regulation may request, in writing,a hearing before the Health Officer or his/her designee. Such request shall be presented to the Health Officer within 10 business days of the action appealed. Such a hearing, if requested by you, will be your sole opportunity to present live testimony and witnesses in support of your position. Sincerely Environmental Health Specialist Jefferson County Public Health 360-385-9444 c: File, O&M Provider enc List of Designers Jefferson County Department of Community Development Office us On y 621 Sheridan St, Port Townsend WA 98368 (360) 379-4450 Date < �))/�(,� Evaluation of an Existing Onsite Sewage System (EES) Fee Recpt cz 116 Draw on the back of this sheet a current plot plan showing location of: Check e95-7a Buildings, Drainfields, Septic Tanks, Wells, etc OR attach a current plot plan identifying these items. case# ALL SPACES MUST BE FILLED IN. If information is not available enter (NV) or not applicable (NA). Type of Evaluation Reason for Evaluation ❑ Routine Operation and Monitoring Inspection g Evaluation of on-site sewage system j& Real Estate transaction ❑ Evaluation of drinking water ❑ Complete a Permit # ❑ Building Permit Review and/or no septic permit on file ❑ Evaluation of on-site sewage&drinking water ❑ Other, explain Date of evaluation oSo' ,(o Inspected by Dale Wwfst t (Envirocheck, i Tax Parcel # c1/42Aco`a, ,0"), Permitted System X yes no Permit/case # SEP cri Sub "vision, Division, Block and Lot(s) C'�l.y M���C�N+.�,. kooi'Tto>J ;RLk p.a.4.OTag P of Size Acres or Dimensions 4051 X k Current OwnerTicAtgi claCUSAtL L.)A¢irA,,,CTQNI s.0 v^ }0, Site Address psi2,0 kFL� �.0 ZWL .11.3(1) 7 Owner Phone# -$(0°` Previous property owner name(s) - (NN if not known) )v,p Directions to Site rt i,,,.'in-.1 SVp, �w,�i_ap S`g \;;, n. kbk k U.) • cknQush RU. 5 g Date System Installed lo Age of Dwelling 1.401.1E # Bedrooms o House Occupied yes . no, vacant how long? \‘101— Who installed system? t.\v1..10E1-N RI C E,Jf V E it Send completed report to: V a 2: Owner Name m (HER`L JEFFERSON Mira I.[ ii Mailing Address 8310 0,,.N Ro.) ..(kE`C1`LVA-gam hon email/fax 84A 5 (sE. csv4b3 � Eu:NAaft C°.tiEzk Ut� Realtor or Other Representative Name EP��E.EE`\-\cx0nCA S (61411 S't wAt�t� Mailing Address . .o.toX -100 Qv��CE�E:`1,...11/4.14)31(c. Phone/ema"/fax �G,b 1GS--3taa, 6• E,st' 0>o3o(D , • Include the following items on your plot plan: O Property boundaries o Wells o Names of adjacent streets o Septic tank o Driveways and parking spaces o Drainfield (enter NN if unknown) o Surface water(ponds,creeks, etc) 0 North Arrow U Buildings(residence, sheds, garages, etc) PLOT PLAN-date prepared 05030(0 , 1A.sto.1...1-11 ef.er t`Si‘ N Ow ,--------7.- --'-,..,-'-----2.„,, ..,..,..ci, ....._....e,V---.Ciedlerh■WALL - , *----------- RDERFAriNRFTE0Ljip;ARIF,An: ip - iv a • —I. ic. •sl- , , -40e---) r , , , ,,' /; 0 0 -c r ituc / < t'i / '' ' : / v•,. /'" 2 1.) ,/' ; „ . / /.. Y a .4 , VoLt, , ' • ,/ z„, me, * / geo- u-welit kt 040 _ j t': '''' // / ” / / . , a 04 K,,^ / ac-y-iPt, 41 ct.9) REC FIVE') 2: . RFEERSI M "INI'? 1.;, NOT TO SCALE ENVIRONICHECK, L.Le. 1612 Hastings Ave.W. Port Townsend, WA 98368 ......_ Permit#or Parcel# SEQ.... Evaluation of an Existing Ohsite Sewage System_0 7/3U/04_pd f page 2 of Date of Inspection OSb30(o Inspected by (En*whack' LW) 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 l \,' .O #1 - Septic Tank Tank size `7Sc) gal. y, single compartment two compartment Cu../ lt. material Riser to grade on inlet yes c, no. Riser to grade on outlet yes )c no Condition of tank good )C. needs repair, describe "roQ VkS \taLE f 0...RkalN6 1st comp.Scum (top layer) d in. sludge(bottom layer) \rj in. L siwa) 2nd comp. scum in. sludge in. Was ground water observed leaking into tank? yes X no ABdm If yes,where was water observed? Condition of baffles: Inlet: _ ,.... needs repair material (PVCncrQ Outlet: ')c ...i needs repair material (PVC,1 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 k no Effluent level at outlet(mark level on circle) 0 If effluent is below the outlet, indicate when tank was last pumped: ( e g: © ) Does system include a pump? yes If yes, complete the next section R1 +6-1 L,lo/i ois t ection 3) #2 - Pump Chamber l' Tank size gal. Material. Riser to grade? yes ,no r ° Condition of tank good needs repair,describe Y - 5. Z...,: Solids in Tank(see 8.15.150) yes no scum in. sludge in. Was Ground water observed leaking into tank? yes ngFCEC�Cahl �(111�(^, If yes,where was water observed? �JCr L J IV CH F' Screen around pump? no yes, condition clean dirty/clogged Shroud around pump? no yes Electrical Components Pump operating yes 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# <,E� °C1'— .41 Evaluation of an Existing nsite Sewage System r,.,;,,',4 , �; ;,V _,_ #3 - Drainfield • Appropriate Vegetation in area yes )C, no. Describe vegetation L.M 4E Le-V-5 16,ILASS Indications of surfacing sewage(check one) yes , if yes, describe and diagram on plot plan no X drainfield area is overgrown ant obse y b Signs of parking/driving in area yes k. no drainfield area unknown Ground settling or erosion yes no overgrowr�r/�iToTserva� Monitoring Port Observations(if present): Residual Head yes, #of inches no Ponding in trench yes, #of inches of ponded effluent no Repair area is? Available as shown on permit )C None evaluated or shown on permit Addendum (page 5) is attached for evaluation of Treatment Unit or detailed evaluation of drainfield yes )C no COMMENTS(attach additional sheet if necessary): #1-A. Risers are mandatory on next inspection. wicrERS ` ■5 gent ,..:NGLAU.. C.-"VoR of 7141-* BAs p, \ko \N .T Aup at -k4*G-i�vibl�1E. -t ' 9Q 4,cE"\-uNk. o9.,TOR UO w►TH V5141rigtobrr' �e144)sf 13E`Tt,�EEN'11v41-A"9+N6w \s \\ovse ANP 4>1SCeM NRS t.367.Kie.Ei-►vSE0 FoR.$oMEll tnE . TK'tR-EF0RE, kt..1 tcsessMevst CbvW tJ 'Z6IYADE. g•zT 4QEAQ.s LRRC,E Rucks k{A■ • ow D¢.AMNFiELO. Iwo IT S DoT eAse-Mair3LE. goc Cavt.o EM9ACC Wh\l4F1El.D. Se g C o m►.s fi L S�P 4k71-9g1 Folk MoRe- 10FORZV 40.b. SEE ATTACHED ADDENDUM Was a System Problem Identified?Yes )( if yes,what section#.164E4 I1 S U N C L Ii T• 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 information •rovided is based on a review of County records and my direct observations at the time of inspectio _ - 11.1- �••� SC)30(0 Name/Signature Date No guarantee of future onsite sewage system performance is implied or granted based on the information contained in this report. This report constitutes a summary of findings only. Permit#or Parcel# S E p (ki- Evaluation of an Existing nsite Sewage System_O7/30/ozl__pdf : s r 4 ,, DATES Sa3o� ADDENDUM ADDRESS Re '54'6'14 Enviro Check,L.L.C. Company Disclaimer ��E�—�I�! _ 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 function 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 lines/boundaries 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. . e •.Wurtsmith Co- SAMPLING (Septic tank) MEASUREMENTS pp 'i N 1 i n Date- Counter Setting- J E F f E R S Q N C Q U ' [ T PH Result- Hour Meter- DO Result- Temp.Result- ,. <Je-MI- otil .. Jefferson County Permit Center FOR OFFICE USE 621 Sheridan St Date ,.4,1 / q Port Townsend WA 98368 Fee $ / 1 360-379-4450 Check # 1 1� g 0TH # (EES) EVALUATION OF EXISTING SYSTEM INDIVIDUAL SEWAGE DISPOSAL AND/OR WATER SUPPLY SYSTEM Information Requested: 'X Individual Sewage Disposal System _ Water Supply 34e_iib-3214__ Public _ Private APPLICANT NAME BRAD rLPo SS/C 5 Mail Completed Report To: Mailing Address '5e.,.. &ACS` Pot vJ ) /Z AmG ' " ' qi firtl I Phone %L3 N yr ON f t n sk, 9f32 / Cvrv"TA-Cry°a OWNER Name 3a-4-O CIS-05✓ G e Mailing Address L'tO Kati /( ••( ) 30- Lict o - 2. 11 3 Phone 61Q-I N NOS , tAh -i ' 3 W Previous Owner Occupied? Yes 010 If Vacant, How long? g etio Number of Bedrooms Z- Year Installed 4 Septic Permit Number r No IQ e. Itn�f ae .4 t' 1� `� c12(63-.) SiteAddress: : 'o keLH b i (JZ4(1N°A,r • 4 C 3 O Legal Description: Parcel Number 9 'I -009-- g e9)-- S /é T .25- N, R t..,.J Plat Name: vi,�vwerl, CAJA't. TVA-a---s Division 14 Block 9a Lot(s) Directions to property �tc. /0/ To D i4e k4-&t51‘. Pawl !i4eaJ. taeST Tf+lk, 15 F1Lcrl it R.,.,t)s t/tiro ke ..L--1 Rioct.A , Attach plot plan showing location of structures, drainfield & septic tank. FOR HEALTH DEPARTMENT USE ONLY- DO NOT WRITE BELOW THIS LINE SEWAGE DISPOSAL SYSTEM* Permitted system X yes no Installed prior to per i requirement? yes y, no Sewage noted on ground'aT time of inspection* yes )L no —7--, -Tf C.., House is unoccupied therefore an evaluation of drainfield perfofmance is not possible at this time. Health Department records indicate that this system was designed to service a 1 bedroom residence. Septic tank giould be pumped if gt done within past 3 - 5 years. Septic tank: . volume 1 compartment 2 compartment Baffles: X good condition inlet missing outlet missing Repair areh:' adequate limited X( none available WATER SUPPLY Well casing 12" above ground yes no Well 100 ft from drainfield yes no Sanitary seal in place yes no Water sample taken yes no Sample results Comments: S9pIrit, �� j1 . • L o rte- r,• • 1 /Vo , ■ `--,mac: OVER,/ a Date ►C hit Time Environmental Health Specialist i241 ,------>- * This report does not constitute a guarantee, either written or implied, that the sy tern will continue to function properly. This report constitutes a summary of findings only. H:\home\pIncntr\infohhh\eee.frm 2/95 Ow( 691/...ik Dew/4;1.4a , 9.6. Z - 2°■ StAs6vazt4 .14(4thiteArvvvOt caw& 40,fru;L_I AY-014vefiz6/1 a_ ovvviaww,Af ku-ft424, co61- f2fuebart-cA oxtagx_ 5671 ZADetiVVVvalCi. /11.4. �- 5 Nam .6iiklis640,9,itivttii/vavv•avA Aka 16€ /et 04)1A - Pavti Avtalzute\ AdO/b ivtdudeA ,65pTce: ,b,vvk 11Yy4.M/Hn P"'vl •I J •Lb / AfiVCIALq 44024.624/1 61,044-0.- P-t1144:4 Wit, , o .PE-4 (04vra,15t, 9L --"Cn .66pACA b ov () - tIVV/( 1/° 1(56- itkaj* ejj 01\ ACTIVITY REPORT FILE NAME/NUMBER S P l 1 OP( PARCEL # 9 / 60)- NAME 3/kd C(IL) 1 ADDRESS ag) • I Health Department Staff: ----- Date: /0/Aa---- NARRATIVE: rSiusti CorM&14 ".39-Q Pip t ire o x,11 5�, t ef C64419 sT dr DF --� } Actions : � �� Jl�l�• nv��0� 1. La 4 l , 14 ---k &ad C .!' 45 A g et D .1 No /____ _ _.a► •i ..,� ♦ a,I r 1/d ,14\- tlAt , • I1A r 0 410# 044 .. .A a Tee a « .,� „� ,�' r - a ary - I �' r � ��tr � v�k � � v 3 • I Se k;4 A ' 5 A r mtiR , QF' S�TI' � . 3.. OFy3111)',**; r o OfENT S " SZ$ *,A • ' .8. St aura"OF-tio0 I O Wtt C� -w to +. t@lt s ,w ed �?, Series ' �' -'" ' 1 Nr + 11. .le�h ;of pr.: 12. Depth to water' er ds SST 'ALTS. x r 1° 9 P p q o "ere* sit !It e b r :Of ah `sop last 6 t*. tdlv3.`« .tiase b . IIIxPI► I, 7 't r r i ND:.A O RCti E ► QN 1S1 AtppLZCAPtON Pr 4 ; ///V��^j Ai.i "- IMF ,INS .: y * AFO .. "ISAPF VET A� ° l 1`7' ttiar * $ T'44:41.4 ', t T 1R . }'' iOV 't DPI �1) TE