HomeMy WebLinkAboutSEP2017-00053 Monitoring Inspection Site Plan Update S
Include the following items on the site plan Case# `,,'r'0� / 7 -0005-3
Property boundaries > Drainfield area if known Parcel# !r.�'�Q2e 02'0
y Names of adjacent streets ➢ Septic tanks and/or Pump chamber Address 4"2 id
i' Driveways and parking areas ➢ Wells w/distance to OSS components Prepared by l# 1°'
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i> Surface water(ponds,creeks,etc) Y Buildings-residence,sheds,garages,etc Date Prepared C-29-17
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Shod Excavating Inc.
PO Box 179 360-385-0480
Port Hadlock, WA 98339
PROPERTY INFORMATION •
Waterfront residence
Location:426 WAWA POINT RD
Brinnon
Tax ID:602242020
Med To: Current Resident
521 N LEES CREEK ROAD Use:Residential,Single Family
PORT ANGELES,WA
98362 GENERAL SYSTEM TYPE:GRAVITY
ON ID:SOM17-00053
Fold , ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold
Here Here
Inspected:05/24/2017 - Inspection Type:FOLLOW UP - Correction Status:All corrections made
Company: Certification-Level 2 Work Performed By: Submitted 05/30/2017 by:
Shold Excavating Inc. Martin Fugere Martin Fugere
This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development.
COMMENTS&GENERAL INSPECTION NOTES
No Deficiencies Noted
JETTED DRANFIELD AND LEVELS IN TANK DROPPED THERE WAS A PLUG IN THE LINE 5'FROM OUTLET
GENERAL SITE&SYSTEM CONDITIONS
The General Site and System Conditions were: Partially Inspected
All Components accessible for maintenance,secure and in good condition
Surfacing effluent from any component(including mound seepage):
Components appear to be watertight-no visual leaks:
Improper encroachment(roads,buildings,etc.)onto component(s)
Component settling problems observed:
Abnormal ponding present for one or more of the disposal components:
Subsurface components adequately covered
Owner compliance issues noted
Site maintenance required(e.g.Landscape maintenance)If yes,describe in comments:
Occupant compliance problem(occupant not operating the system properly). If YES,describe in notes:
If deficiencies were identified on last inspection were they corrected before or during this inspection?
(If NO,describe in notes,NA=no deficiencies on last report):
OSS Components,structures and appurtenances located per as-built/record drawing(reference Septic
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, YES
describe in notes):
The house/structure was vacant or used infrequently,assessment of the drainfield was not possible.
Is the SEP case in a finaled/completed status?(if NO explain in comments)
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
ANK:Septic Tank-2 Compartment
This component was: Partially 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):
Effluent Filter Cleaned(N/A=Not Present):
Compartment 1 Scum accumulation(Inches,if other specify):
Effluent filter/screen needed cleaning on arrival
Compartment 1 Sludge accumulation(Inches,if other specify):
Compartment 2 Scum accumulation(Inches,if other specify):
Compartment 2 Sludge accumulation(Inches,if other specify):
Pumping needed:
Approximate Gallons to be pumped(if needed)by Certified Pumper:
ReportlD:596453 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:596453 View inspection reports online at www.onlinerme.com Page 2 of 2