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SEP2017-00084
r � ,(kir‘' fk". 4 Monitoring Inspection Site Plan Update include the following items on the site plan Case# / 7 - 0 /1 0 2 > Property boundaries > Drainfield area if known Parcel# 7: 1'0 (32.6 ,( > Names of adjacent streets > Septic tanks and/or Pump chamber Address(rLh 6tr`y t .„._., 4 , u PA,,, ca' > Driveways and parking areas > Wells w/distance to OSS components Prepared by / - c.-i� ' > Surface water(ponds,creeks,etc) > Buildings-residence,sheds,garages,etc Date Prepared 5 -2 5/7 v North Arrow / .4/0 7-- 1-0 S L-�.t..l C, ,I s .S .r e'n / r•0(.:,r r 0iyi{,A.s 13(v'c _ .� 1 7 4 I ,J4r kr`n 4 • t ..4r.9 l� VW eC 0 U4Z ?�Lwd� /,li...rh G. !c rain • 21 a Oa yv njiJkGN 1 el'it 54.w1aLe, i , (` A 0 4/ 1\_ � it 0r f l� r c ' �' ! f: I CD 0 -3-A e A i , A); . r IcV cLa Plot •Ian submitted by ilk.'. 1 ' A I as a •.:rt of a Monitoring inspec ion I o ,pi-- Not reviewed or approved by JCPH. 8-0? CI-qq 5.5 a eriJcr P PuC c Port T,r r , d, ARMOND G SWANSON June 5, 2017 662 OLYMPUS BLVD PORT LUDLOW WA 98365-9415 RE: NOTICE AND ORDER TO CORRECT-Septic System Corrections Required Tank Pumping Report SITE ADDRESS: 650 OLYMPUS BLVD PARCEL#: 978900003 CASE#: SOM12-01028 Dear ARMOND G SWANSON: On May 25, 2017 a tank pumping report was completed on the above referenced property. The following issues noted below require correction: 1. There is reported surfacing sewage around site components. You will need to contact a licensed Designer immediately. 2. Access risers must be screwed down securely for safety. 3 Baffles were renorted to he in noor condition and must he renlaced_ Because the sewage effluent is not being properly treated or disposed of, the observed discharging of sewage to the surface of the ground or to the waters of the State of Washington constitutes a violation of the following section/s of Jefferson County Code 8.15: > JCC 8.15.070 (1) No Discharge to Ground or Surface > 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: > Immediately prevent sewage from discharging to the ground surface; > Hire a licensed Designer to further evaluate the conditions and submit a plan for correction; > Submit the plan/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, l n Environmental Health Specialist Jefferson County Public Health 360-385-9444 c: File, O&M Provider enc List of Designers Code References JCC 8.15.060(3) Adequate sewage disposal required. Any new or replacement residence or commercial structure,or any expansion,as that term is defined in Section 8.15.050 of this Code,may be connected to a pre-existing on-site sewage system only when the pre-existing system has hydraulic capacity,sufficient vertical and horizontal separation,an adequate reserve area and satisfies all other requirements to be in compliance with current code. JCC 8.15.080(1) On-site sewage system permit. No person shall install or cause to be installed a new on-site sewage system nor perform any modification,extension,repair,relocation,or connection to an existing on-site sewage system without a valid permit issued by the health officer. JCC 8.15.170(1)Appeal-Hearing. Appeal of Public Health Action-Health Officer Administrative Hearing.Any person aggrieved by the contents of a notice and order to correct violation issued under this regulation,or by any inspection,permit issuance or enforcement action conducted by public health under this regulation,may request,in writing,a hearing before the health officer or his or her designee.The appellant shall submit specific statements in writing of the reason why error is assigned to the decision of public health.Such request shall be presented to the health officer within 10 business days of the action appealed;except in the case of a suspension,the request for a hearing must be made within five business days.Upon receipt of such request together with hearing fees,the health officer shall notify the person of the time,date,and place of such hearing, which shall be set at a mutually convenient time not less than five business days nor more than 30 business days from the date the request was received.The health officer will issue a decision upholding or reversing public health's action.The health officer may require additional actions as part of the decision. WAC 246-272A-0200 Permit Requirements. Prior to beginning the construction process,a person proposing the installation, repair,modification,connection to,or expansion of an OSS,shall report the following and obtain a permit from the local health officer: (a) General information... (b) The soils and site evaluation as specified under WAC246-272A-220 (c) A dimensioned site plan... (d) A detailed design... JCC 8.15.150 Operation,Maintenance and Monitoring (1) Responsibility of Owner(s). The owner of every residence,business,or other place where persons congregate,reside or are employed that is served by an OSS,and each person with access to deposit materials in the OSS shall use,operate,and maintain the system to eliminate the risk to the public associated with improperly treated sewage. Owners'duties are included, without limitation,in the following list: a. They shall comply with the conditions stated on the on-site sewage permit. b. They shall employ an approved pumper to remove the septage from the tank(s)when the level of solids and scum indicates that removal is necessary. The septic tank shall be pumped when the total amount of solids equals or exceeds one-third(1/3) the volume of the tank. The pump and/or siphon chamber(s)shall be pumped when solids are observed. c. They shall not use water in quantities that exceed the OSS's designed capacity for treatment and disposal. d. They shall not deposit solid,hazardous waste,or chemicals other than household cleaners in the OSS. e. They shall not deposit waste or other material that causes the effluent entering the drainfield to exceed the parameters of residential/household waste strength. f. They shall not build any structure in the OSS area or reserve area without express,prior consent of the Health Officer. g. They shall neither place nor remove fill over the OSS or reserve area without express,prior consent of the Health Officer. h. They shall not pave or place other impervious cover over the OSS or reserve area. i. They shall divert drains,such as footing or roof drains away from the area of the OSS. j. They shall comply with inspection requirements in JCC 8.15.150 and WAC 246-272A k. They shall complete maintenance and repair of the OSS as recommended by the monitoring entity. 1. They should not dispose of excess food waste via a garbage disposal. m. They should not drive,park or store vehicles or equipment over the drainfield or reserve area. n. They should not allow livestock access to the OSS area or reserve area. o. They shall comply with WAC 246-272A-270. (2) Breach of Owner's Responsibilities. An owner's or occupier's failure to fulfill any of the responsibilities in 8.15.150(1) shall be a basis for a Notice of Violation and for the Health Officer to decline to issue approval for further development on the parcel. \\tidemark\data\forms\F_SOM_surf_sew_vio.rpt 6/5/2017 TANK PUMPING REPORT Site Name: Location:650 Olympus Blvd Service Company: Port Ludlow P y� Tax ID:978900003 Goodman, Inc. owner:Armond Swanson 2495 Cape George Rd use:Residential,Single Family Port Townsend,WA 98368 Jurisdiction ID:SOM12-01028 360-385-7155 Serviced:05/25/2017 by: Doug Nebel Submitted 05/26/2017 by:Doug Nebel Dump Location:Bio-Recycling COMMENTS ANK:Septic Tank-1 Compartment Tank Pumped: YES Tank Size(Gallons)(Number only,no text): 1000 Effluent level within operational limits(if NO explain in comments): YES Total Gallons pumped from tank(Number only,no text): 1000 Effluent returning back into tank after pumping: NO Tank depth below grade(inches): 14 Access Risers installed to grade(N/A if not present): NO Access Risers securely fastened(N/A if no riser present): NO Deficient Tank Construction Material: Concrete Tank Condition Good: YES Roots or ground water observed leaking into the tank or around the risers: NO Baffles in good condition(N/A if not present): NO Deficient Effluent screen cleaned(N/A if not present): N/A Effluent surfacing around site components(N/A if not checked): YES Deficient Tank abandoned after pumping: NO Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO Compartment 1 Scum accumulation(Inches,if other specify): 6 Compartment 1 Sludge accumulation(Inches,if other specify): 22 Drainfield was vacuumed or hydro-jetted?(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:297144 View pump reports online at www.onlinerme.com Page 1 of 1 6/8/2017 Goodman,Inc. 2495 Cape George Rd 360-385-7155 Port Townsend, WA 98368 PROPERTY INFORMATION Location:650 Olympus Blvd Port Ludlow Tax ID:978900003 Mail To: Current Resident 662 Olympus Blvd Use:Residential,Single Family Port Ludlow,WA 98365 ON ID:SOM12-01028 Fold ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT r Fold Here Here Inspected:05/25/2017 - Inspection Type:ROUTINE - Correction Status:Some Corrections Made Company: Certification-Level 1 Work Performed By: Submitted 06/07/2017 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.Tank was pumped on 05-25-2017.Outlet baffle needs to be replaced.Outlet pipe is broken 3 inches outside tank.Surfacing effluent in drain field,see drawing.Garage addition is over a part of septic tank,too close for riser install.No D-box,one line drain field.Customer made repairs at time of inspection,Out let pipe was replaced.outlet baffle was replaced.Broken pipe in drain field was repaired.New site drawing sent 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: NO-See Comments Surfacing effluent from any component(including mound seepage): YES-See Comments Components appear to be watertight-no visual leaks: NO-See Comments 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-See Comments 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-See Comments 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): NO See Comments Effluent Filter Cleaned(N/A=Not Present): N/A Compartment 1 Scum accumulation(Inches,if other specify): 6 Effluent filter/screen needed cleaning on arrival N/A Compartment 1 Sludge accumulation(Inches,if other specify): 22 Pumping needed: YES See Comments Approximate Gallons to be pumped(if needed)by Certified Pumper: 1000 ReportlD:598769 View inspection reports online at www.onlinerme.com Page 1 of 2 grainfield(disposal):Gravity This component was: Fully Inspected Component appears to be functioning as intended: NO See Comments Ponding present?If YES explain in comments: YES See Comments 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:598769 View inspection reports online at www.onlinerme.com Page 2 of 2 TANK PUMPING REPORT Site Name: Location:650 Olympus Blvd Service Company: Port Ludlow Tax ID:978900003 Goodman, Inc. use:Residential,Single Family 2495 Cape George Rd Port Townsend,WA 98368 360-385-7155 Serviced:05/25/2017 by:Doug Nebel Submitted 05/26/2017 by:Doug Nebel Dump Location:Bio-Recycling Jurisdiction ID:SOM12-01028 COMMENTS ANK:Septic Tank-1 Compartment Tank Pumped: YES Tank Size(Gallons)(Number only,no text): 1000 Effluent level within operational limits(if NO explain in comments): YES Total Gallons pumped from tank(Number only,no text): 1000 Effluent returning back into tank after pumping: NO Tank depth below grade(inches): 14 Access Risers installed to grade(N/A if not present): NO Access Risers securely fastened(N/A if no riser present): NO Deficient Tank Construction Material: Concrete Tank Condition Good: YES Roots or ground water observed leaking into the tank or around the risers: NO Baffles in good condition(N/A if not present): NO Deficient Effluent screen cleaned(N/A if not present): N/A Effluent surfacing around site components(N/A if not checked): YES Deficient Tank abandoned after pumping: NO Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO Compartment 1 Scum accumulation(Inches,if other specify): 6 Compartment 1 Sludge accumulation(Inches,if other specify): 22 Drainfield was vacuumed or hydro-jetted?(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:297144 View pump reports online at www.onlinerme.com Page 1 of 1 Parcel Print Page 1 of 1 Parcel Number.978900003 03/21/2016 Owner Mailing Address: ARMOND G SWANSON 662 OLYMPUS BLVD PORT LUDLOW WA 98365-9415 Site Address: 650 OLYMPUS BLVD PORT LUDLOW 98365-9415 Section: 4 School District: Chimacum(49) Qtr Section: NW1/4 Fire Dist: Port Ludlow(3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: 98365-9415 Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: 9789 - OLYMPUS BEACH Land Use Code: 1101 - Residential - MH W/Land 98365-9415 Property Description: OLYMPUS BEACH 6 & 7(W1/2 OF EA) http://www.co.j efferson.wa.us/assessors/parcel/parcelprint.asp?value=978900003 5/17/2017 Jefferson County Assessor& Treasurer - Property Details - 95 ARMOND G SWANSON for Year 201... Page 1 of 2 Jefferson County Assessor & Treasurer 36095 ARMOND G SWANSON for Year 2016 - 2017 Property Account Property ID: 36095 Legal Description: OLYMPUS BEACH 6&7(W1/2 OF EA) Parcel Number: 978900003 Agent Code: Type: Real Tax Area: 0231-1-49F3E3H2L1 Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: 28N Section: 4 Range: 1E Location Address: 650 OLYMPUS BLVD Mapsco: PORT LUDLOW,WA 98365 Neighborhood: BASALT BCH,N LUDLOW BCH,OLYMPUS BCH;EDSALL/GREEN/BERNARD SP Map ID: Neighborhood CD: 3310 Owner Name: ARMOND G SWANSON Owner ID: 28504 Mailing Address: 662 OLYMPUS BLVD %Ownership: 100.0000000000% PORT LUDLOW,WA 98365-9415 Exemptions: Pay Tax Due Taxes and Assessment Details Values Taxing Jurisdiction Improvement/ Building Improvement#1: Manufactured Home State Code: 11 850.0 sqft Value: $15,687 Bathrooms (#): 1 (FULL) Bedrooms (#): 2 Exterior Wall: METAL Floor Construction: FRAME Foundation: PO&BL Heating/Cooling: ELBB Inside Verify: YES-FIX Roof Cover: METAL Type Description Class Sub Year Area CD Class CD Built MA Main Area 3 MSG 1962 850.0 MDECK MH Deck 2 * 1962 296.0 MRPO MH Roof Porch 2 * 1962 427.0 GARAG Garage(Table Not Dep) 2 * 1962 520.0 http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2016&prop_id=36095 5/17/2017 Jefferson County Assessor & Treasurer - Property Details - 95 ARMOND G SWANSON for Year 201... Page 2 of 2 Sketch Property Image Iftrir 4r mow: 4 Land Roll Value History Deed and Sales History Payout Agreement This website is under active development. Some functionality is not yet available and data is not guaranteed. Assessor Home Page Treasurer Home Page County Maps Permits Disclaimer Website version:9.0.40.29 Database last updated on 5/17/2017 3:44 AM ©N.Harris Computer Corporation http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2016&prop id=36095 5/17/2017 ArcGIS Web Map act - i. :. ,, A. voilibt4) 97890°115 7890011J (gyp .Y b • �.� t t. F ' > , r. n ,-- 89003• Oyiaq .r it 4110 i":01; 44. x7890[100 ,.- .„.":.:41:# ifi i I, (J4 97890000 l* •'' ' ' 14 jok 97 acs T. 978900135 .42,°: 0 ''''' ioolt'* ": 0. . 978900007or T 4 X08 .. , " F, 7 May 17, 2017 1:1,128 0 0.0075 0.015 0.03 mi Tax Parcel Stream or River Dam or Weir �� 0 0.015 0.03 0.06 km Other Parcel Canal or Ditch Tax Parcel Labels ® County Boundary ► .,- Connector;Pipeline Tax Parcel Road Centerline Labels Waterbodies Reservoir Jefferson County,FEMA Road Centerlines Bon ty joss Source: ECounm, D , ogrb Streams Swamp or Marsh DS,e s USDA USGS,AeroigitalGbbeGRID,IGN,andthe GISEarthstar UsGee Commuraphies,nityCNESJAi Coastline Ice Mass Web AppBuiderforArcGIS Quantum Spatial,DigitalGlabe,Microsoft Washington DNR,Jefferson County NAIP,Jefferson Cou My I Jefferson County,FEMA Jefferson County Jefferson GeoEye,County,WA.,Pm-West&Associates,Inusc.