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Home My WebLink AboutSEP1971-00055JEFFERSON (COUNTY PUBLIC HEALTH 615 She riclan Street •Port Townsend • " ,;'ashincJton • 98363 term. jeffe rsotic ountypu blichealth.o rrg HOLLE K KNUDSON KNUTE K M KNUDSON PO BOX 11126 BAINBRIDGE ISLAND, WA 981105126 RE: Septic System Monitoring Inspection Report SITE ADDRESS: 532 SCHWARTZ RD PARCEL # 021282008 CASE #: SOM71-00055 Dear: HOLLE K KNUDSON/KNUTE M KNUDSON December 16, 2013 A review of our files for the above referenced property shows that when you purchased the property on or about June 25, 2013 a monitoring inspection was not on file for the onsite sewage system serving the residence. Jefferson County Code 8.15.150(7)d.iii. requires that a monitoring inspection in compliance with the frequency identified in code be on file prior to the sale or transfer of property. A list of O&M Specialists and a copy of the record for your system, if available, is enclosed for your convenience. 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. If you should have further questions please contact this office at 385-9444. The code sections referenced are attached for your information. This letter is intended to serve as formal notice that no further approvals shall be granted until a monitoring inspection is completed and any required corrections are made and approved by Health Department staff. A permit is required for repair or modification of an onsite sewage system, per Washington Administrative Code 246-272A and Jefferson County Code 8.15. Sinc rely, Environmental Health Specialist Jefferson County Public Health 360-385-9444 c: File, O&M Specialist Code References 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 8.1:5.150 and WAC 246-272A k. They shall complete maintenance and repair of the OSS as recommended by the monitoring entity. I. 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_no_inspection.rpt 12/16/2013 i Jefferson County Department of Community Development Once use only 621 Sheridan St., Port Townsend WA 98368 (360) 379-4450 Date -5-1 8 "1 Q MONITORING INSPECTION Fee Aq Also known as Evaluation of an Existing Onsite Sewage System (EES) Recpt 1 1-7-71 q �lq Draw on the back of this sheet a current plot plan showing location of: Check Buildings, Drainfields, Septic Tanks, Wells, etc OR attach a current plot plan Case #�� identifying these items. 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 ❑ Evaluation of on-site sewage system ❑ 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 Q' Other, explain SPAAD Date of evaluation 27 April 2010 Inspected by S. Martin Tax Parcel # 021 282 008 Permitted System j/ yes no Permit/case # SEP 71-00055 Subdivision, Division, Block and Lot(S) Lot 2 (No. 165' of So. 660' Lot Size +/-5acre Acres or Dimensions X - Current Owner Lyle & Ruth Knudson Trust agreement P)--e� 5 Site Address 532 Schwartz Road-Nordland, WA 98358 I/ / Owner Phone # (360) 385-6038 "3�1t a; Previous property owner name(s) - (NN if not known) Directions to Site 532 Schwartz Road- labelled, down driveway, home to North, chainlink fence around Date System Installed August 1971 Age of Dwelling +/-35 y/o # Bedrooms o House Occupied ✓ yes no, vacant how long? Who installed system? Lindsay Send completed report to: Owner Name Lyle Knudsoon Mailing Address 532 Schwartz Road-Nordland, WA 98358 Phone/email/fax 385-6038 Realtor or O herepresen, ti e Name n/a Mailing Address Phone/email/fax s� HAWEMONSITMO-W2009 Onsite Inspection Form 11-23- Page 1 of 4 Include the following items on your plot plan: Property boundaries 16 Wells Names of adjacent streets [( Septic tank 3( Driveways and parking spaces Drainfield (enter NN if unknown) 0( Surface water (ponds,creeks, etc) North Arrow d Buildings(residence, sheds, garages, etc) please see permit 97-00177 & SPAAD submittal for overall site map _ PLOT PLAN -date prepared 5 May 2010 7-N 0 W W SCALE 1 "=30 FEET North Pr —Boundary 17 t 4 aseptic tank Sr=P71-0055 .-- ®R -�raitsfteldarea-rsfer to permit. 0 �� 6 „.� , ex. home R100--�' R50 ddV.6 8c , /ddrq.ar6a-a -� a pa e4 �% 50 e w. arnr4a wait-� g I c rrent,'potable water supplyt x. carport R100—� 1{}( Q ex. cig well . ff -not in use -u if decommissioned .. � ex. garage Ai !South Prdperty Bounda --w : i 062 j from SW prop. cor. Permit # or Parcel # SEP71-055; SEP97-00177; parcel #021282008 Page 2 of 4 Monitoring Inspection - Evaluation of an Existing Onsite Sewage System Date of Inspection 27 April 2010 Inspected by Suzanne Martin 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: x offsite onsite Name of System Individual: offsite onsite Is well more than 100' to drainfleld/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 1 ono gal. ✓ single compartment two compartment Concrete material Riser to grade on inlet ✓ Yes no. Riser to grade on outlet V_yes no Condition of tank ✓ good needs repair, describe 1st comp. Scum (top layer) 4" in. sludge (bottom layer) 4" in. 2nd comp. scum in. sludge in. Was ground water observed leaking into tank ? ves ✓ no If yes, where was water observed? Condition of baffles: Inlet: ✓ good needs repair pvc material (PVC,Concrete) Outlet: ✓ good needs repair pvc material (PVC,concrete) Screened Outlet V no _yes, condition clean clogged/dirty cleaned Septic tank needs to be pumped (per Jefferson County code 8.15.150 (1) (b)) yes ✓ no Effluent level at outlet (mark level on circle) If effluent is below the outlet, indicate when tank was last pumped: Does system include a pump? yes If yes, complete the next section ✓ no (if no skip to section 3) #2 - Durno Chamber Tank size `.w gal. Material. Riser to grade? ves no Condition of tank it ood needs repair, describe Solids in Tank (see 8.15.150) yes no scum in. sludge Was Ground water observed leaking into ta`rliF.? yes no If yes, where was water observed? Screen around pump? no yes, co ' ion clean Shroud around pump? no yes Electrical Components Pump operating ves no, describe High water alarm functions ves no, if no, describ _ Elec. Panel condition good needs repair, describe Pump cycle drawdown inches. Time for pump cycle Timer Settings min/sec on min/hrs off Floats secured:_ dirty/clogged min %CV s no Permit # or Parcel # SEP71-055; SEP97-00177; parcel #021282008 Page 3 of 4 MONITORING INSPECTION -Evaluation of an Existing Onsite Sewage System #3 — Drainfield Appropriate Vegetation in area ✓ ves no. Describe vegetation grass Indications of surfacing sewage (check one) yes , if yes, describe and diagram on plot plan ✓ no drainfield area is overgrown and not observable Signs of parking/driving in area yes ✓ no drainfield area unknown Ground settling or erosion yes ✓ no overgrown/not observable 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 SEP97-177 _None evaluated or shown on permit Addendum is attached for evaluation of Treatment Unit or detailed evaluation of drainfield _yes ✓ no COMMENTS (attach additional sheet if necessary): liquid level slightly high in outlet. Baffle appears off level. Was a System Problem Identified? Yes `( if yes, what section #. 1 No 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 informaon provided is based on a review of County records and my direct observations at the time of inspection. ' 5 May 2010 Na / ignature 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 # SEP71-055; SEP97-00177; parcel #021282008 Page 4 of 4 _ 903 East Caroline OLYMPIC HE4LTTI DISTRICT Court house Port Angeles Port Townsend BUILDING SITE INi PnECTICJN APPLICATION OWNER -SSS C . �� k1DDRES �e o� a-�3 o�-`� ��.�� . DATE / LEGAL DIRECTIONS FOR LOCATING SITE "1 0 All`-RPPL%CAY:-EON'n REBY MADE FOR APPROVAL OF THE ABOVE LOCATION FOR A S'LOR'CTURE WHICH WILL BE SERVED BY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM. --- :L'r;uIDENCE ` ` COMMERCIAL BUILDING_ OTHER �� -S- 1 NO. BEDROOMSBASEMENT.. SITE SISOURCE OF WATER ® TYPE OF SOIL DEPTH DEPTH TO WATER TABLE_ LP AW A Si:CTC�f in the space below, indicating location of building in rel 4 on tc oth4o b�..i.ldings, property lines, well, streams or other bodies of water. Indicate proposed location of sewage disposal system. Date of Site Inspoction�l� f 2/ GNAT Approved* Disa roved I- Sanitarian * .See reverse side for remarks. &-%F) \� R'HIS IS NOT AN APPLICATION FOR A SEWAGE DISPOSAL PERMIT. A SEPARATE PERIIT IS NEC;ESSARY PRIOR TO THE INSTALLATION OF A SEPTIC TANK AND DRAINFIELD. s y. OLEIC HEALTH DTSTRT.OT E � Eat Ga i:ne� -. vTz IPIjPjrj Mwnqend,,qdaj,*gtojj �!3! eZ'Mit No. �..-9. .Angehea Pee Pairs 5.. .. ac SEWAGE DISPOSAL PERMIT APPLICATION Submit in Duplicate t,ADDRESS LEGAL DESCRIPTIONS. -AN��.,,1��c�� c�� .,�..��..``: "��►.� ��PHONE .rp ��r ■ DIREC71ONS 'FOR LOCATING SITE APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTE14 MAIR EXIST33G SYSTEM EE OAa a im, OF BEDROOMS BASEMENT sm-sIZE NAME OF INSTALL�'R � ANT S , D W A DETAILED PLOT PLAN GIVING TH FO WING FORMATIO>? I-• --Prope-rty- lines 7. Driveways) patios, carports etc. 2. Location of building 8,$ Streams or bodies of water nearby 3 --Location of septic tank 9* Location of percolation test holes +.-Location of drainfield 10. Septic tank size 10M Bal -low. . + ."lope of land lie Length of proposed drainfield 6,. 1,tater lines :& well(if applicablo) 12. Depth to grater if encountered. �� PERCO?�ATION TEST RESULTS ep Time require to ercolation rate ype of soil of hole seep last 6 in. (divide time by 0 Pere. No. 1��-ti�-�?.e Pere.. No. 2 Perc. No. 3. DRAINFIELD LENGTH WIDTH W' DEPTH 9-5 NO. OF LINES�� IT -IS HERESY AGREED THAT THE PROPOSED INSTA 0 WI BE MAD THE MANNER AS -DESIGNED AND APPROVED ON THIS APPLICATION. _ S ature o Pp cant •APPROX- DATE OF INSTAL htMON SANITARIANtS COMMENTS: 'Tk X �,-, r. - a� ► DATE DATE-SNSFF ITARIAN REMARKS I CERTIFY THAT THIS 'SYSTZI WAS INSTALLED IN :THE PIk E11 APPROVED BY THE H'lil I,Tli DEPABTK&IT. INSTALLJM, 18 NAME, 5.-68