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HomeMy WebLinkAboutSEP1974-0005811 ri JEFFERSON COUNTY PUBLic HEALTH 615 Sheridan Street • Port Townsend • Washington • 98368 wvm.jeff-ersoncountypublicheakh.org VINCENT F GALLUCCI April 15, 2014 BETTY J GALLUCCI 5041 17TH AVE NE SEATTLE, WA 981054212 RE: Septic System Monitoring Inspection Report SITE ADDRESS: 240 FRANKS LN PARCEL # 992600009 CASE #: SOM74-00058 Dear: VINCENT F GALLUCCI A review of our files for the above referenced property shows that when you purchased the property on or about October 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. Sincerely, 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. C. 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_no_inspection.rpt 4/15/2014 Jefferson County Department of Community Development 621 Sheridan St„ Port Townsend WA 98368 (360) 379-4450 G� J Evaluation of an Existing Onsite Sewage vt1, m Draw on the back of this sheet a current plot plan showing location of: Buildings, Drainfields, Septic Tanks, Wells, etc OR attach a current plot plan identifying these items. ALL SPACES MUST BE FILLED IN. If information is not available enter (NV) or not applicable (NA). X Type of Evaluation Evaluation of on-site sewage system Evaluation of drinking water Evaluation of on-site sewage & drinking water Office Use Only Date-11kokoF Fee Recpt Check Q Case # �® Reason for Evaluation ❑ Routine Operation and Monitoring Inspection ' a Real Estate transaction ❑ Complete a Permit # ❑ Building Permit Review and/or no septic permit on file ❑ Other, explain Date of evaluation \03\0'S I Inspected by Dale Wuds6th (EnVmxt#ack, LLC) Tax Parcel #AA �L I�QCX2Cq Permitted System dyes no Permit/case # SEPI !:} –S8 Subdivision, Division, Block and Lots),WOW LdT y�-g(ua�lyo��dyl,) L T Lot Size 4.o(."-11^"Cror Dimensions 100 X Vinci Current Owner -�nL- S1�AtalaoA F l� R a T Site Address– QI gQ ,�1E.s L►a.. v Lair Owner Phone #_ Previous property owner name(s) - (NN if not known) Iu A Directions to Site ftv. Q S�,F� .�w� 2.0 -s I$�1� 1� E k04' S1 R 50- P6iaL?V•j SkR 7-%A cu. % S=- V -Q. F-' Ir ERAhAA Lti . Date System Installed S -7S Age of Dwelling l`ls-1 # Bedrooms =,"L— House Occupied ves x no, vacant how long? -Z Who installed system? j u nn Send completed report to: Owner Name Rom -k Mailing Address OtSc>c> 5 jive. Sw . S 'try�.E ,"90 13to Phonelemailtfax Realtor or Other Representative EES Evaluation Form_07-30-04_pdf page 1 of 5 a Include the following items on your plot plan: v ❑ Property boundaries ❑ Names of adjacent streets ❑ Driveways and parking spaces ❑ Surface water (ponds,creeks, etc) ❑ Buildings(residence, sheds, garages, etc) ❑ wells Li Septic tank ❑ Drainfield (enter NN if unknown) ❑ North Arrow Permit # or Parcel # Evaluation of an Existing Ons to Sewage item _07/30/04_pdf NOV IWF too Date of Inspection \o 3 l coS Inspected by Dale Wurtsmith (Envirocheck, LLM 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 _res_ 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 —I'SO gal. -c _single compartment two compartment S Qfi"&IE material Riser to grade on inlet ves_ no. Riser to grade on outlet yes X no Condition of tank )C good needs repair, describe 1st comp. Scum (top layer) �_in. sludge (bottom layer) in. 2nd comp. scum in. sludge in. Was ground water observed leaking into tank ? ves X- no If yes, where was water observed? Condition of baffles: Inlet: 1c 69956 needs repair material4"v ,Concrete) Outlet: needs repair materialoe�,concrete) 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 , < no Effluent level at outlet (mark level on circle) If effluent is below the outlet, indicate when tank was last pumped: ( eg: 9 ) (3 Does system include a pump? yes If yes, complete the next section �_ no (if no skip to section 3) #2 - Pump Chamber Tank size gal. Material. Riser to grade? ves no Condition of tank good needs repair, describe Solids in Tank (see 8.15.150) yes no scum in. sludge in. Was Ground water observed leaking into tank ? ves no If yes, where was water observed?. Screen around pump? no ves, condition clean dirty/clogged Shroud around'pump? no ves Electrical Components Pump operating ves no, describe High water alarm functions ves 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: tires no Permit # or Parcel #�,;��� Evaluation of an E)dsting Onsite Sewage System _07/30/04_pdf q - 0 #3 - Drainfield Appropriate Vegetation in area _)C_yes no. Describe vegetations D��S Indications of surfacing sewage (check one) ___yes, if yes, describe and diagram on plot plan X 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 ves, # of inches of ponded effluent no Repair area is? Available as shown on permit 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): c�Tlt►�Q-- A . O>, 4R1nt� E�„s e7 s�S�p pof-`t'b �cm�3�� , S1Et� t�c7i'�Q DY1�i+�E1� wtic. a .ana•�so�� A �,a�w ��L� Ic1�s SF. ..l►�..TALLtV t&& -t- From rather f$) The house/ dwelling was unoccupied sono assessment ®fdrainfield could be.mt b. SEE ATTACHED ADDENDUM cgNe9CA' Was a System Problem Identified? Yes if yes, what section #. kA) 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 th information rovided is based on a review of County records and my direct observations at the time of inspection. _ 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.. �.'p �{ 4— 98 Evaluation of an Existing n0 site Sewage System _07/30/04_pdf page 4 of 5 ADDENDUM Enviro Check, L.L.C. Company Disclaimer DATE ��S ADDRESS amu.. FA Ar. -S I -P. 6pk-�� OWNERt 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.t. will not be held responsible in anyway for information being undisclosed (intentionally or unintentionally) by property owner, representative or other parties of interest. All parties are encourages -to check county records for any information regarding properties. Comaanv Enviro Check, LLC. 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. Dale R Wurtsmith Co -Manager Weather Conditions SAMPLING (Septic tank) Date - PH Result - DO Result - Temp. Result - MEASUREMENTS Counter Settina- Hour Meter - Water Usage (Ave -GPD) Mete Squirt Height (In feet I' 903 E. Caroline OLYMPIC HEALTH DISTRICT �OiPermit No. Port Angeles _ SWAGE DISPOSAL PERMIT APPLICATION Submit,.in Du licate Builder. Court House 3;t-305, 100. PA S Port Tgwnsend.o3' Date 01,lNER ADORESPHONE.Z 2 3 DIRECTIONS FOR LOCATING SITE `�C�� `�� �;.�., 7�KNZNL• 5 C.�,i,.. APPLICATION IS H=- Y MADE TO; INSTALL N-34 SYSTEM lam. AIR EXISTING SYSTEM 77 _j YPE OF BUILDING N0. OOMS BASEMLtT SITE S� NAME OF INSTALLER ;c DRAINFIELDGTH `3 !!IDTH f 7� DEPTHa2Y 34 #LINES oA SEPTIC TANK SIzE QTS© DRAW A DETAI P T P \N BE wd. SEE INSTRUCTIONS. SOIL TYPE si-� Si. Sc�P L PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE DATE OF INSTALLATION SIGNATURE OF APPLICANT IV APPROVED DATE //L//% INSPECTED BY DATE SANITARIAN'S COMY15US: I CERTIFY THAT THIS S - EM . "AS It\?ST 4 LLED I MAP1N APPROVED BY THE HEALTH DEAPRT t { C' .� DATES9td- I RS N —Q O Q --O Jefferson County Department of Community C 621 Sheridan St., Port Townsend WA 98368 Evaluatio_ n of a_sn_ l-Anaff _St glot aRshowing -location-6h ALL SPACES MUST BE FILLED IN EXCEPT AS N "'is not available (NV) or not applicable (NA). T e fLa t 0 " `� Evaluation of on- a wag,*sten 2001 0 Evaluation of Dri ing ater NTY 0 Evaluation of Date of this inspection q 1-7401 Owner or representative, report to: Name/Address/Phone Office use O ly Date "I Fee ;Q /� Recpt Check Case #SCI% Reason for Evaluation 0 Routine O & M Inspection % Real Estate Transaction 0 Complete a Permit # 0 Building Permit Review and/or no septic permit on file 0 Other Current owner SCiV1�2� Site Address o��/a cKkS Owner Phone # `? — IMI I Previous property owner name (S) if known Parcel #_Wol Subdivision, division, block and lot(s) Permitted System_ es no Permiticase # Date system installed_ // ,'�t3)'71V ,Age of dwelling # bedrooms 42 occupied ly __yes o, vacant how I Designer Installer -TO Water supply 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 I Is well more than 100' to drainfield/disposal component _yes °? no, if not, distance Is well more than 50' to tanks and effluent transoort line ves '>e no. if not. distance 'Z ONSITE SEWAGE SYSTEM #1 - Septic Tank Tank size gal. single compartment two compartment �terial Riser to grade on inlet ves no. Riser to grade on outlet ves no Condition of tank X good needs repair, describe 1st comp. Scum (top layer) T_in. stud a (bottom layer) Z- in. 2nd comp. scum p � �� in. sludge 11 in. Was ground water observed leaking into tank ? ves _ L no If yes, where was water observed? Condition of baffles: Inlet 71- good needs repair material (PVC,Concrete) Outlet: _good needs repair material (PVC,concrete) Screened Outlet no _yes, condition clean clogged/dirty Septic tank needs to be pumped (per Jefferson County code 8.15.150 (1) (b)) yes X_no Effluent level at outlet (mark level on circle) If effluent is below the outlet, indicate when tank was last pumped: (eg: 0 ) (D Onsite Sewage System Inspection Report Page 1 of 3 .d .,i._ �� .. � ,.. ,. �. —. �f. r .."; k :a .. {i � .. G. - t , ; �:. 4 k- .. . ,; .. � - - - �.... } -. _ .. �, � 4 :', f `. - . a.-.. , � -. ' _ i _ - . :.: A - '. '.,. .. �: ,.: .- � �. .:; A Parcel # 9q?- (06000 Owner Name JOU -n;�E i2 Does system include a pump? yes _2 no If yes, complete the next section. 42 - Puma Chamber Tank size gal. Material. Riser to grade? yes no . Condition of tank good needs repair, describe Solids in Tank (see 8.15.150) yes no scum in. sludge in. Was Ground water observed leaking into tank ? ves no If yes, where was water observed? Electrical Components Pump operating ves no, describe High water alarm functions ves 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 ves no #3 — Drainfield Appropriate Vegetation in area _yes 11 no. Describe vegetation [® E0-9�> Indications of surfacing sewage es, if yes, describe and diagragm on plot plan no overgrown/ not observable Signs of parking/driving in area ves J� no Ground settling or erosion yes—no overgrown/not observable Monitoring Port Observations: Residual Head ves, # of inches no Ponding in trench ves, # of inches of ponded effluent no Repair area is adequate _limited none available, describe Complete this section if system is permitted but did not receive an OK to cover or final approval OR there was no septic permit on file. Describe materials observed in drainfield construction: D -box present yes if yes, material no Drainlines rigid PVC corrugated flex pipe clay tile concrete the seepage pit or cesspool other Drainfield dimensions length width # of drain lines Do observations coincide with permitted system requirements/conditions? _yes no Comments: P rZA-1/U F1 1ELD 1.1�z) LO eA7 L—11D 60 110 �D 0 U (-:. W e Lk-- l,E;��S 7941U 1 Cb t -rO -rtA- E i -V 1 b t-1 TANt i LDCA-TSD cw`' 't- W -W 1 %� U 7 U 6 lj 15Ll_, N b bar' lVVkL FU,(U ('_T)&A) LJJ E /J0 T &-l�-'> A -T TO1 C by a n Onsite Sewage System Inspection Report MAR Document8 JEFFEI DEPT. OF COMI QU *X 9 2001 Page 2 of 3 DEVELOPMENT Parcel # �97 �� 7 Owner Name p�5 Ute/ 1!r- 1 #4 - Treatment Unit (Sandfilter. Proprietary Device, etc) `Appropriate Vegetation in area yes no. Describe vegetation Indications of surfacing sewage ves , if yes, describe and diagram on plot plan no overgrown/not observable Riser to grade? ves no Signs of parking/driving in area ves no Ground settling or erosion ves no overgrown/not observable Monitoring ports in good condition ves no none present/no port found Monitoring Port Observations Residual Head ves, if yes, # of inches no. If no, notify Owner immediately Ponding in trench ves, if yes, # of inches of ponded effluent no Electrical Components Pump operating ves no, if no, describe High water alarm functions ves 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 ves no COMMENTS T 1 E 01A\ E; L D UJ-4� d`\ P 2TZO V E C-'�) 1'0 C & U -6 (:5Jv ,31 �� � e !L 0 9t--t)efZU E Q reA �-N 1` ( L t> UJA-'=> "4 f- uT U cam,' IEV AA V -,-N T UJI L. �- aA. �I�� �b b ��IIS �vUr2 J v 2 TD TT GLH E `i----) U i -LID /'1 6JU I7-D4�-7-�N C �1TIE w 11,U r�E W Was a System Problem Identified? Yes if yes, what section #. No -t2eT e710(CTRzP atu Uj S L I certify that the information provided is based on a review of County records and my direct observations at th a of inspection,141 b H ul�PeO/� Name/Signature Date l% No guarantee of future performance is implied or granted based on the information contained in this report. This report constitutes a summa of findings only. ` D Lff. VIAR a 2001 Onsite Sewage System Inspection Report Page 3 of 3 Document8 JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT FOR OFFICE USE ONLY FOR FINAL ORFIINAL INSPECTION INFORMATION AND APPROVAL SYSTEM INSTALLED BY !_ i C C ABSORPTION AREA: DRAINFIELD TRENCH TRENCH TANK NUMBER LENGTH WIDTH DEPTH SIZE BEDROOMS PRESSURE TEST OBSERVED APPROVED SPECIALIST DATE COMMENTS: raw ng Not To Scale l �� 1✓ ���1-24 }}O M E Z� b �ir (o or P�(2ig (C Ilk t r �xu rlF NAME PERMIT 1 j PERMIT NUMBER hAhomo%p1wnuVnfohlth%asbuUtftn Lk 1pa Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368 (360) 379-4450 MONITORING INSPECTION CERTIFICATION The system serving �i f% �� ►�% �L� �1�Iy parcel # Z -(PM recently inspected Jefferson County Code 8.15.150. Permit # 1 was most by '0!�? u-:�7-!Ly P�2-ro as specified in The above referenced system is in compliance with the Monitoringrnspection schedule identified in Table 1 of Jefferson CounCode 8.15. See report completed 5 Q for information on the condition of the onsite sewage system. REQUIRED OR RECOMMENDED REPAIRS/MODIFICATIONS TO THE SYSTEM ARE F-1 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 '_ f 0 Table 1 requires that this system receive an inspection: Annually Every 3 years Every 6 years 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. SigKature of Jefferson County Employee H:\env—health\linda\GD\FORMSXMONITORING INSPECTION CERTIFICATION.doc alb Date