HomeMy WebLinkAboutSEP1973-00069KATHERINE NEGRON
28520 SE 58TH ST
ISSAQUAH WA 98027-8813
'i5 Sheridan $tree',
Port Townsend, WA 98368
�—Jeff—County?uaGCHe dh.org
A-Pci�- \3 2016
RE: NOTICE AND ORDER TO CORRECT - Septic System Corrections Required
Septic System Monitoring Inspection
SITE ADDRESS: 81 MUNCIE AVE
PARCEL NUMBER: 991200207
CASE #: SOM73-00069
Dear: KATHERINE NEGRON
On July 16, 2014 a monitoring inspection was completed on the above referenced property.
The following issues identified require correction:
SECOND NOTICE
1. There was an indication that the tank may be leaking. WAC246-272A requires a tank to be
watertight. Contact a Licensed Designer.
Items identified above may cause damage to, or premature failure of the onsite sewage system and
constitute a violation of the following section of JCC 8.15:
> JC Code 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 an Onsite. Wastewater Treatment Designer, or a Professional Engineer to inspect the
septic system components to verify their condition and;
> 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 the Jefferson County Public
Health, Environmental Health Division for review, and, if needed,
> If required by code obtain a Sewage Disposal Permit from Jefferson County Public Health
pursuant to JCC 8.15.080.
> Contact this office at 360-385-9444 to inform me of the actions you are taking.
Please be advised that you also need to comply with other sections of Jefferson County Code, and may
need to apply for the following if applicable:
> building permit
This is obtained through the Jefferson County Department of Community Development. They can be
contacted at (360) 379-4450.
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 violation may result in the issuance of a civil infraction notice to you pursuant to section
180 of said regulations. The civil infraction 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,
a��- dti. /V
Environmental Health Specialist
Jefferson County Public Health
360-385-9444
c: File, O&M Provider
Pnc List of DPsinnPrs
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
\\tidemark\data\forms\F_SOM_CorrReq_yio. rpt
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
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.
KATHERINE NEGRON
28520 SE 58TH ST
ISSAQUAH WA 98027-8813
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
October 26, 2015
RE: NOTICE AND ORDER TO CORRECT - Septic System Corrections Required
Septic System Monitoring Inspection
SITE ADDRESS: 81 MUNCIE AVE
PARCEL NUMBER: 991200207
CASE #: SOM73-00069
Dear: KATHERINE NEGRON
A review of our records shows that the inspection completed July 16, 2014 indicated that there are
potentially serious problems with this system.
The following issues identified require correction:
1. There was an indication that the tank may be leaking. WAC246-272A requires a tank to be
watertight. Contact a Licensed Designer.
Items identified above may cause damage to, or premature failure of the onsite sewage system and
constitute a violation of the following section of JCC 8.15:
> JC Code 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 an Onsite Wastewater Treatment Designer, or a Professional Engineer to inspect the
septic system components to verify their condition and;
> 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 the Jefferson County Public
Health, Environmental Health Division for review, and, if needed,
> If required by code obtain a Sewage Disposal Permit from Jefferson County Public Health
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 violation may result in the issuance of a civil infraction notice to you pursuant to section
180 of said regulations. The civil infraction may result in a fine of up to $513.00 per violation per day to
be assessed to you. In addition, your continued failure to comply may result in a Notice of
Non -Compliance being filed to the property title. Removal of the notice reauires correction of the items
identified and payment of the fee per this adopted fee schedule, currently $S4S,00.
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,
69L--,�jr,_ A+P_tV-,,S
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.
in. 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.
44
\\tidemark\data\forms\F_SOM_CorrReq yio.rpt 10/12/2015
t
(krt dii
Public Health
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCour)tyPublicHealth.org
FEDERAL NATIONAL MORTGAGE ASC May 1, 2015
PO BOX 650043
DALLAS TX 75265-0043
RE: NOTICE AND ORDER TO CORRECT - Septic System Corrections Required
Septic System Monitoring Inspection
SITE ADDRESS: 81 MUNCIE AVE
PARCEL NUMBER: 991200207
CASE #: SOM73-00069
Dear: FEDERAL NATIONAL MORTGAGE ASC
On July 16, 2014 a monitoring inspection was completed on the above referenced property.
The following issues identified require correction:
F=INAI NOTICE
1. There was an indication that the tank maybe leaking. WAC 246-272A requires a tank to
be watertight. Contact a Licensed Designer.
Items identified above may cause damage to, or premature failure of the onsite sewage system and
constitute a violation of the following section of JCC 8.15:
> JC Code 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 an Onsite Wastewater Treatment Designer, or a Professional Engineer to inspect the
septic system components to verify their condition and;
> 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 the Jefferson County Public
Health, Environmental Health Division for review, and, if needed,
> If required by code obtain a Sewage Disposal Permit from Jefferson County Public Health
pursuant to JCC 8.15.080.
> Contact this office at 360-385-9444 to inform me of the actions you are taking.
Please be advised that you also need to comply with other sections of Jefferson County Code, and
may need to apply for the following if applicable:
> building permit
This is obtained through the Jefferson County Department of Community Development. They can
be contacted at (360) 379-4450.
\\tidem ark\data\forms\F_S0M_CorrReq_vio.rpt 5/1/2015
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 violation may result in the issuance of a civil infraction notice to you pursuant to
section 180 of said regulations. The civil infraction may result in a fine of up to $513.00 per
violation per day to be assessed to you. In addition, your continued failure to comply may result in a
Notice of Non -Compliance being filed to the property title. Removal of the notice requires correction of
the items identified and payment of the fee per the adopted fee schedule, currently $525.00.
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,
ri',I kyVIS
7 /�.,, / Lf
Environmental Health Specialist
Jefferson County Public Health
360-385-9444
c: File, O&M Provider
enc List of Designers
\\tidemark\data\forms\F_SOM_CorrReq_vio. rpt 5/1/2015
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(l) 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.
in. 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_CorrReq_yio.rpt 5/1/2015
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
FEDERAL NATIONAL MORTGAGE ASC January 7, 2015
PO BOX 650043
DALLAS TX 75265-0043
RE: NOTICE AND ORDER TO CORRECT - Septic System Corrections Required
Septic System Monitoring Inspection
SITE ADDRESS: 81 MUNCIE AVE
PARCEL NUMBER: 991200207
CASE #: SOM73-00069
Dear: FEDERAL NATIONAL MORTGAGE ASC
On July 16, 2014 a monitoring inspection was completed on the above referenced property.
The following issues identified require correction:
SECOND NOTICE
1. There was an indication that the tank may be leaking. WAC 246-272A requires a tank to be
watertight. Contact a Licensed Designer.
Items identified above may cause damage to, or premature failure of the onsite sewage system and
constitute a violation of the following section of JCC 8.15:
> JC Code 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 an Onsite Wastewater Treatment Designer, or a Professional Engineer to inspect the
septic system components to verify their condition and;
> 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 the Jefferson County Public
Health, Environmental Health Division for review, and, if needed,
> If required by code obtain a Sewage Disposal Permit from Jefferson County Public Health
pursuant to JCC 8.15.080.
> Contact this office at 360-385-9444 to inform me of the actions you are taking.
Please be advised that you also need to comply with other sections of Jefferson County Code, and may
need to apply for the following if applicable:
> building permit
This is obtained through the Jefferson County Department of Community Development. They can be
contacted at (360) 379-4450.
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 violation may result in the issuance of a civil infraction notice to you pursuant to section
180 of said regulations. The civil infraction may result in a fine of up to $513.00 per violation per day to
be assessed to you. In addition, a Notice of Non -Compliance being may be filed to the property title.
Removal of the notice requires correction of the item's identified and payment of $517.00 per the fee
schedule.
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 PUBLic HEALTH
615 Sheridan Street • Port Townsend - Washington • 98368
www.jeffersoncountypublichealth.org
FEDERAL NATIONAL MORTGAGE ASC
PO BOX 650043
DALLAS TX 75265-0043
August 29, 2014
RE: NOTICE AND ORDER TO CORRECT - Septic System Corrections Required
Septic System Monitoring Inspection
SITE ADDRESS: MUNCIE AVE
PARCEL NUMBER: 991200207
CASE #: SOM73-00069
Dear : FEDERAL NATIONAL MORTGAGE ASC
On July 16, 2014 a monitoring inspection was completed on the above referenced property.
The following issues identified require correction:
1. There was an indication that the tank may be leaking. WAC 246-272A requires a tank to
be watertight. Contact a Licensed Designer.
Items identified above may cause damage to, or premature failure of the onsite sewage system and
constitute a violation of the following section of JCC 8.15:
> JC Code 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 an Onsite Wastewater Treatment Designer, or a Professional Engineer to inspect the
septic system components to verify their condition and;
> 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 the Jefferson County Public
Health, Environmental Health Division for review, and, if needed,
> If required by code obtain a Sewage Disposal Permit from Jefferson County Public Health
pursuant to JCC 8.15.080.
> Contact this office at 360-385-9444 to inform me of the actions you are taking.
Please be advised that you also need to comply with other sections of Jefferson County Code, and
may need to apply for the following if applicable:
> building permit
This is obtained through the Jefferson County Department of Community Development. They can
be contacted at (360) 379-4450.
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 violation may result in the issuance of a civil infraction notice to you pursuant to
section 180 of said regulations. The civil infraction 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 Specialist
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(l) 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.
I. They should not dispose of excess food waste via a garbage disposal.
in. 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_CorrReq_yio. rpt 8/29/2014
Jefferson County Department of Community Development
621 Sheridan St., Port Townsend WA 98368 (360) 379-4450
4
Evaluation of an Existing Onsite Sewage System (EES)
Draw of the back of thls sheet a current plot plan showing location of:
Buildings, Drainfields, Septic Tanks, Wells, etc OR attach a current_ to plan
identifyingth®se items.
Office use Only
Date
Fee
Recpt__
Chedc_y__,__
ALL PAC. MUST BE FILLED IN.
If Information isnot available enter (NV) or not applicable (NA). r
AUG 2003
Type of Evaluation Reason for Y0,11"ti� � p4
VRoutine Operatib and'Mbriitaring inspeon
/Evaluation of on-site sewage system Real Estate transaction
D ' Evaluation of drinking water 0 Complete a Permit #
0 Building Permit Review and/or no septic permit on file
0 Evaluation of on-site sewage & drinking water 0 Other, explain
Tax Parcel #-112L-2 07 Permitted
Subdivision, Division, Block and Lot(s)
Lot Size Acres or Dimensions_,
Current Owner Ua& S R06,,4CH r4 S
Site Address Ff/ M (40 0 E A V E
Owner Phone # 765- 3 5 5
Previous property owner name(s) - (NN if not
yes no Permit/case # SEP 7 3 - 000 69
Directions to Site 0 0 I L -C EnE TO L► vJ 6En L(MES TO /M w o c i E on X 1 Mr
Date System Insta
Age of Dwelling U r4 Kouvo # Bedrooms2— /-YPi?m
House Occupied. (Zlees no, vacant how long?
Who installed system? 131 C HARD S 0 h
Send completed report to:
Owner
Name_ ,diel? I f %3U 6/+ CHS S
Mailing Address_1;1 - M o o c i t AVE CE 'I It 5C-11 78'37 6
Phone%maiWax _7 6 5� 3 S S
Realtor or Other Representative
Name
.....per.,., W, an x'Sung onsite Sewage System
Date of Inspection Inspected by
Water -sitii.(fill in only if water supply"is being tested in this
Sample was taken Yes No Sample Res
Well casing 12° above ground Yes No
Sanitary Seal in place Yes_No
Public: ' soffsiteonsite -Name of Systei
Individual. " ''offsite ------ - onsite - Is well More than -1 00' to drainfield/disposal component
Is well more than 50' to tanks and effluent transport line
is
AUG 1 gnna a
ONSITE SEWAGE SYSTEM
# Bedrooms%gallons per day indicated in County Health. Dept records for this case
#1 = S9RtIc Tank
Tank size 004 • gal.single compartment two compartment CO,0t HC-rlr PNOW0 � �
Riser to grade on inletate
_yes nal
o. Riser to grade on outlet –yes no
Condition of tank good needs repair, describeAfflE R 5 r9K
1st comp. Scum (top layer) – 2 0 t in, sludge (bottom layer) ;Z 0 t in.
2nd comp. scum in. sludge —II/A— in.
Was ground water observed leaking into tank ? _yes
If yes, where was water observed?
Condition of baffles: Inlet /nood needs. repair �Sr iRen material (PVC,Concrete)
Outlet: f ood needs repair I Asr /Rog material (PVC ncrete)
Screened Outlet ---L-o _yes, condition cleanclog dirty
Septic tank needs to be pumped (per Jefferson County code 1 b ye 8.15.150 ( no
Effluent level at outlet (mark level on circle)
If effluent is below the outlet, indicate
w
e9� hen tank was last pumped:
( )
Does system include a pump? yes If yes, complete the next section
#2 - Pump Chamber ,Q /no (if no skip to section 3)
Tank /Y
size gal. --7 Material. Riser to
Condition of tank grade? es no _
g� needs repair, describe
Solids In Tank (see 8.15. 150) yes no scum
Was Ground water observed leaking into tank ? v� ---�n' sludge In.
If yes, where was water observed? no
Screen around Pump? ------Yes no Shroud around pump? _yes no
Electrical Components
Pump operating describe
High water alarm functions ves_____
Elec. Panel condition no, if no, describe __ 9 _needs repair, describe
Pump cycle drawdown inches.
Tune for um
Timer Settings _1 pump pY miNsec.
sec on miNhrs off Floats secured: -ves=no
Permit#or Parcel# SIP 73 - 000 6 ±i•:
9'
Downed
3 of 4
'. i .''�.i'" 1', 7 - 1 i.; [ y '.;„ S F } # •. -� o — '�F'+o-w1'.l . +✓
Evaluation of an Existing Onsite Sewage System
#3 - Dralnfleld
Appropriate Vegetation in area ---,-L/Ses no. Describe vegetation G9/} SS
Indications of surfacing sewage (check one) yes. if yes, describe and diagram on plot plan
drainfield ea is overgrown and not observable
Signs of parking/driving in area yes_7z drainfield area unknown
Ground settling or erosion ves �nO overgrown/not observable
Monitoring Port Observations (if present): n ` a
Residual Head vas, - !y / 7 # of inches no
Ponding in trench ves, # of Inch of ponded effluent no
Repair area is? Available as shown on permit 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): O V 58 A hF Fol? P H m P 1 H 6,
ViTTEK LGEVEL- l m OyTLeT MAY I npic tTE ,��i1=1FcD ?g0'g1Em,
F013T 6R l0SI'ECrIoh OF PIST1 807-laP9 13OX WunD 8F
8600/l3E.n Tv PE'rE1.tMitiE '/F PgAl l, FlFt-n 15
FE417C7-1OnW6 jo/�O EMI y,
PORCHA5,FK 5 HOOLD & AWAIJE OF JEFFITlorti C o00ry
0A 91 t'Ifi FIC E- Fa /SE Iy0 �V1CI.a�b�
/� ESPdhSt�31ee ry OF a wh�,ij. �
Cr
`pUSJ� F r � cw
Was a System Problem identified? Yes if yes, what section #. 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.
Include the following items on your plot plan:
roperly boundaries N V1 K h 0 V vl Vse
ells
Names of adjacent streets ptic tank
_. _.. _Driveways and parking spaces
m' Drainfield (enter NtV if unknown)
�.,. n a r v�Ki F�fD
M/. surface water (ponds,creeks, etc) ZQ N t G� ��t X SER m� North Arrow `
tr BuUdings(residence, sheds, garages, etc)
1 f It V
Randy & Heather Calkins,
Owners
601 Werner Road
Port Ludlow, WA 98365,
RECOMMEND NEXT PUMPING BY
norm bouna
NAME07
,A N
Septic Service
ADDRESS rA ,^ C r
_)437-0706
,L pumping Inspection
}
1 f It V
Randy & Heather Calkins,
Owners
601 Werner Road
Port Ludlow, WA 98365,
RECOMMEND NEXT PUMPING BY
.
7 X03
NAME07
,A N
ADDRESS rA ,^ C r
CITY, STATE. ZIP
Q C41 LC E- 149 IV
MARCoiftpai m6- - St3conii Corripartrnertt s � Pump Chamber
Scum
�df IVIC11
Sludge
Needs Repair ' ; �: Repalred Other
Inlet
Center
Outlet
Septic Tank Water Level: Correct^^-�
Ground Water Intrusion: 60", Yes
Effluent Running Back From Drainfield: No Yes
igh Low
Risers 0 G
Screens o d
OTY
DESCRIPTION
AMOUNT
PEP
300
-P
TAX
RECEIVED BY
TOTAL
This receipt reflects condition of septic tank, baffles, and drain field at time of service. Many factors could change frIe
results of an Inspection at a different time. This Is not a guarantee or warranty that the system will continue to
function property. A more comprehensive inspection is available from the Jefferson County Environmental Health
Department or to Public Utility District (PUD).
White copy to CuNortrer • Yellow Dopy to North Saar! • Pink copy to Health Department 7/��. ^� vu
M
AUG -1
JEFFERcc CO�JPJTY
pEFT C '`��1P�1' DEVELOP A rdT
ss,
SEP 73-" 0467
903 E. Caroline OLYMPIC HEALTH DISTRICT `1°50 Permit No.
Port Angeles SEWAGE DISPOSAL PERMIT APPLICATION
.. _ _.__ __�. . Submit :in -Duplicate - --Builder—
Court
- BuildCourt House
Port Townsend Date
OLJNER ADDRESS 9�rb PHONE
DIRECTIONS FOR LOCATING SITE Q E ti - `� r �•� ��
APPLICATION IS HMMY MADE TO: INSTALL Nerd SY'STE'M! REPAIR EXkSTING
19IMNG
I
I
YPE OF
NO.�OF: BEDROOM.S�t
BASEMENT SITE SYZ NAME OF INS ALLER
GRAINFIELD LENGTH4:►17TS1 DEPTH #LINES SEPTIC TAN!{ SIZE vSX�o�
DRAW A DETAILED PLOT' PLAN RM W. .Arr. TN1qTRT1r1rT0NG _ cZOTT. rPVPr. (0,
ANY CHANGE IN BUILDING OR`SLI.AGE DISPOSAL PLANS, LOCATION OR SITE, INVALIDATES IS
PERMIT UNLESS PRIOR APPIROVAL OBTAINED FROM THE HEALTH DEPARTMENT.
DATE OF INSTALLATION SIGNATURE OF APPLICANTS ..�,e
APPPIOVED �+ DATE'7_ 19?31NSPECTED BY 1ZA ,�k,,Z7,DATE .2,
SANITARIAN'S COMMENTS:
I CERTIFY THAT TRISiS �L-4
:. IN THE MANNER AFPROVID BY THE.
HEALTH DEAPRTMEWT-:w.,4;W s. DATE
MIST Rs NAME
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JEFFERSON COUNTY PERMIT CENTER
621 Sheridan Street, Port Townsend, WA 98368
FAX TRANSMITTAL
DATE: �n � �' � not (a
A'
TO: 3bh ti
PHONE: ( ) % 4 Go
FAX:
NUMBER OF PAGES z
1 • s -
JEFFERSON COUNTY PERMIT CENTER
PHONE: (360) 379-4450 * 446
FAX: (360) 379-4451
SUBJECT: -602 CL o -c-' 6%Ac— 5 '
COMMENTS: ®C-) ?_44 -T Sj-N l kR 9i 2 W
Building
Building Permits
379-4450
Inspection Hotline
379-4455
1-800-831-2678
Environmental Health
Septic Permits
Water Review
379-4450
Development Review
Subdivision, Zoning
& Shoreline Permits
379-4463
Public Works
Road Approach
Permits & Addresses
379-4450
FAX: (206) 379-4451
Jefferson County Department of Community Development
621 Sheridan St., Port Townsend WA 98368 360 379-4450 t, n
MONITORING INSPECTION CERTIFICATION
The system serving 51i I 1� on
parcel #�7-permit # i was most
recently inspected on --03 by'E co as specified in
Jefferson County Code 8.15.150.
The above referenced system Is In compliance with the Monitoring/inspection schedule
Identified In Table 1 of Jefferson County Code 8.15.
F1See report completed for information on the condition of the
onsite sewage system.
REQUIRED OR RECOMMENDED REPAIRSIMODIFICATIONS TO THE SYSTEM ARE
LISTED ON THE INSPECTION REPORT DATED . Failure to
complete repairs or modifications to the system as listed on the report may result in
premature failure of the system.
The next inspection required for this system is in 7-00%
Table 1 requires that this system receive an inspection:
Annually
Every 3 years
Every 6 years
LJ Other as specified in the sewage disposal permit conditions -
An inspection will be required at the time of sale If the system does not comply with the schedule set
by Table 1 as described above.
The above information is based on review of the file and does not imply or grant a guarantee of
current or future system performance.
Signature df Jefferson
Employee
H: em_health\linda\GD\FORMS\MONITORING INSPECTION CERTIFICATION.doc
/0 /t5-103
Date