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Home My WebLink AboutSEP1970-00078YVONNE HALSTEN 140 APPALOOSA DR BRINNON WA 98320 RE: Septic System Monitoring Inspection Report SITE ADDRESS: 140 APPALOOSA DR PARCEL # 966900012 CASE #: SOM70-00078 Dear: JOCK TITTERNESS A review of our files for the above referenced property shows that when the title was transferred on or about February 23, 2015 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, X6� Environmental Health Specialist Jefferson County Public Health 360-385-9444 c: File, O&M Provider 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 8.15.150 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. 1\tidemark\data\forms\F_SOM_no_inspection.rpt 1/27/2016 903 EastCaro-line Port Angeles CLYMPIC HEALTH PISTRICT Permitl'No. / 7. Fee Pad SEWAGE DISPOSAL PERMIT APPLICATION Submit in .Uu�a.:i c�.�:e .,.. �� LEGAL DESCRIPTION-/— DIRECTIONS ESCRIPTION. DIRECTIONS FOR LOCATING SITE. APPLICATION IS HEREBY MADE TO.: INSTALL,NEY SYSTEM REPAIR EXISTING SYSTEM ,� EEDF BUILDING NO* OF BEDROOMSBASEMENT SITE SIZE N OF INSTALLER ON THE REVERSE STD , DRAW A,DETAILED PLOT PLAN .GIBING THE FOLLOWING INFUffDF 0 1. Property lines 7. Driveways, patios,',carportt etc. 2. Location of building. 8. Streams or bodies of water nearby. 3. Location of septic—tank 9, Location of percolation tgst holes 4. Location of drainfield 10. Septic tank size -, L gallo a 5• Slope of land 11. Length of proposed drainfield 6. Water lines & well(if applicable) 12. Depth.to water if encountered. PERCOLATION TEST RESULTS Depth Time require to"Percolation rate 14T pe of soil - Peres No, 1 - of hole seep last 6 in. (divide time by 0 ,� Perc. No. 2 d Pere* No. 3. DRAINFIELD LENGTHWIDTH DEPTH N0. IOF LINES Irl-- .+++.sa Guar na.ua+ y+r ..••+_�__-_. AS DESIGNED AND APPROVED ON THIS APPLICATION. ' APPROX. DATE OF INSTALLATION immature of Appycant SANITARIAN'S COMMENTS: �s F c� �� 6a f a p l � �, I►�, � I've 2. c k I S. Qt lc-hS/ ' . lnaa�e t� t`%s�,� �+at2fa� P' L�� ¢� 6reaP�jj bo., Ac,%)'C7 ie. 4 ia Jaw THIS CONSTITUTES A Pj�:IT=Wi.:;HEATH: oPFIVtrNamTrRF APPFpRS AS AFPROL'.� PLAN APPROVED1 DISAPPROVED DATE INSPECTED_ SANITAK REMARKS: 5-.68 .II DATE -/- 76 EImr SII m II PC { sl Screen: 01 Parcel # 000966900012 Geo Cd 260233111441 LAZY C RANCH DIV 1 LOTS 13 & 14 Mode: INQUIRY Auto Roll4 OFF Nbad Cd 1375 * Taxpayer Cd FOX* 0325 FOX, CHARLIE UP Chg Dt 7/18/2001 * Title Owner UP Chg Usr JODI Tax Code 0440 Status Tx TAXABLE Land Use 1101 MH-REALW/LND Affidavit 89783 Vol/Page / C/U Code S/C Cd 1 1 A Tnr% P% IP IAA A 1 ATII pLAZY l C E C E 0 V E Ld CT - I 2DOI L; V;f id A leo. iv,; of DEPT. 0 MMUNITY DEVELOPMENT 97 AVOP tK 0 W Ila 0ae 9 0 Aft 10 uQ 9-0 .0 04V +61 4v \ `off GGV 0 jr, *4 Isle SC 0 Ga. Z,7 0 6 A/ f,44 14 ci Is to 0 0 0. (0 iv, a pa0 0 f 81 1p I Ab co w ul 4tv : mtZ 0 S4 1'/777, 0 19 IS Jeffdrson County Department of Community Development 621 Sheridan St, Port Townsend WA 98368 (360) 379-4450 Evaluaf Ern=hMn ge System Attach plot plan showing location of: ; a Weil, etc ALL SPACES MUST BE FILLED IN EX $ NOTED. Indicate 1 e U Information is not available (NV) or not applicable - Type of Evaluation ® Evaluation of on-site sewage system ❑ Evaluation of Drinking Water ❑ Evaluation of on-site sewage & Drinking Water Date of this inspection L26f b / Owner or representative, report to: Name/Address/Phone Current owner Wt iLl 2'4 � Site Address _ I �jzo f t0#0# 1- t, -S to Owner Phone #8&6 -89-4 4 6L ® Previous property owner name (S) if known Parcel # 2&6!00 61 Z. Subdivision, division, block and lot(s) % � ZI V , :r -/-14-Z 7 e (2A1Ue# Permitted System yes no Permit/case # Date system installed 1 Ct `7 $ ? Age of dwelling_ 101 $1 #bedrooms House occupied vesno, vacant how kmg? 6?� • ZQ",/� Designer Installer ®CcSV!-erz _. -VA-q-) Office Use Only Date Fee (DD Recut qLbM2t Check,_ 15-13 case #20 --? T y, t., woY— 1 Reason for Evaluation ii �:,�r,�,f��sr:: i . r --,Ir_�lH��• ❑ Complete a Permit # ❑ Building Permit Review and/or no septic permit on file ❑ Other F'a,,A vYaiter supply Sample was taken Yes,„ No Sample Results Well Iasi 12" above ground Yes No Sanitary Seal in puce Yes No Public: offsite onsite. Name of System Individual: offsite onsite Is well more than 100' to drainfield/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 #1 - Se Dtic Tani Tank size ,j�-` gal. compartment two compartment material, Riser to grade on inletes _I- no. Riser to grade on outlet ves °'� no 1"� CSW Condition of tank_( good needs repair, describe _ 1st comp. Scum (top layer 1 in. sludge (bottom layer) ' in.� til L� 2nd comp. scum P in. sludge in. -:kU M Was ground water observed leaking into tank ? yes —„ no c' euf e F LU If yes, where was water Condition of baffles: inlet Outlet Septic tank needs to be pumped (per Jefferson County code 8.15.150 (1) (b)) yes Effluent level at outlet (mark level on circle) FAM If effluent is below the outlet, indicate when tank was last pumped: Onsite Sewage System inspection Report Page 1 of 3 a Parcel # q W �00 21-11 Owner Name Does system include a pump? yes `"V–M If yes, complete the next section. #2 - PumD Chamber Tank size gal. Material. Riser to grade? as no j Condition of tan aoocl 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 mirdsec. Timer Settings mm/sec on min/hrs off Floats secured yes no #3 — Drainfield O/lW6 Appropriate Vegetation in area — yes no. Describe vegetation Indications of surfacing sewage yes , if yes, describe and diagragm on plot plan no overgrown/ not observable Signs of parking/driving in area yesno Ground settling or erosion vesno overgrown/not observable Monitoring Pat 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 w leer rw w s w w w w w w w w w w w w �t wR rr+ w w err rrr w� Complete this section if system is permitted but did not receive an OK to ever or final approval OR there was no septic permit on file. Describe materials ofserved in drainfield construction: D -box present yes if yes, material no Drainlines rigid PVC corrugated flex pipe day the concrete file seepage pit or cesspool other Drainfield dimensions length width # of drain lines Do observations coincide ide with permitted system requirements/conditions? _____,,,yes no Comments: Onsite Sewage System Inspection Report Document8 p E b F 9 W wor =`1 Tool �J.I.II^v 'UNITY DEVELOPMENT Parcel # Owner Name #4 - Treatment Unit (Sandfilter, Proorietary Device. etch Appropriate Vegetation in area Yes no. Describe vegetation Indications of surfacing sewage —yes, if yes, describe and diagram on pbt pian no overgrown/not observable Riser to grade? ves no Signs of parking/driving in area yes no Ground settling or erosion Yes no overgrow hint observable Monitoring ports in good condition _yes no none present/no port found Monitoring Port Observations Residual Head yes, 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 yes no, if no, describe High water alarm functions yes no, if no, describe Elec. Panel condition good needs repair, describe Pump cycle drawdown J inches. Time for pump cycle minisec. Timer Settings miMsec on mini off Floats secured yes no COMMENTS 'A", V )MQ ),Q- ak* IaQ i 1 •.jam ProblemWas a System I certify that the information provided is based on a review of County records and my direct A' observations at ft time of inspection. i PIA t I ,. r Name/Sw- r • /.. No guarantee of future performance is implied or granted based on the ink i t�nfdII IS report. This report constitutes a summary of findings only. 1 OCT - 1 2001 Onsite Sewage System Inspection Report Pa O&O.30F 61II NiTYy®EVELOPMENT Document8 Jeferson County Health 6 -Human Services k-� CASTLE HILL CENTER - 615 SHERIDAN - PORT TOWNSEND, WA 98368 Charlie & Shirley Fox November 14, 2001 P.O.B. 1552 Forks, WA 98331 Re: Notice of violation letter sent November 6th, 2001 Dear Mr & Mrs. Fox: Recently I sent you -a letter regarding your septic system at 140 Appaloosa Dr. The letter stated that the septic system is in violation of state and county codes. Last Thursday Linda Tudor informed me she had a copy of your septic permit from 1970. I have reviewed the septic permit issued for lot 14 and found the permit application to have been approved September 1, 1970, however, the septic permit was never given a final approval nor an "OK to cover" as was customary during that time period. As a result the septic permit will remain in an incomplete status. To receive a final approval on your septic permit today you would need to uncover the distribution box or "T" and one end of the drainfield and have this office verify that the system was installed as designed on the permit application. I also stated that you could not obtain future building permits until resolved. This statement remains true until a final approval is given on the septic permit. Fortunately due to the 1970 septic permit the property is no longer considered by this office to be in violation of any septic regulations. I apologize for any grief my previous letter may have caused. If I can be of any help or answer any questions please do not hesitate to call ;%;P01 xl�� Randy Marx Cc: Linda Tudor FAyWf Al Scalf Acting Building Official HEALTH ENVIRONMENTAL DEVELOPMENTAL DEPARTMENT HEALTH DISABILITIES 360/385-9400 360/385-9444 360/385-9400 ALCOHOL/DRUG ABUSE CENTER 360/385-9435 FAX 360/385-9401 uman Services 'TOWNSEND, WA 98368 Charlie & Shirley Fox November 6, 2001 P.O.B. 1552 Forks, WA 98331 Re: Notice of Violation, 140 Appaloosa Dr., SEP01-186, 966900012 Dear Mr & Mrs. Fox: This office recently completed a site visit on your property referenced above to evaluate your septic system for a real estate transaction. Unfortunately a septic permit could not be located for the property and it appears that the system was installed after permits were required for septic system installations. It is a violation of state and county on site sewage codes to install an on-site sewage system without a permit. I researched building permit records to see if the building permit from 1981 indicated approval or had some sort of sign off by the health department allowing the residence. If this were the case then we would honor it today as well. Based on available information we were not able to find any building permits for this property. Therefore I must inform you that the on-site sewage system was installed in violation of state and county codes. Please be advised that no future building permits will be allowed until the violation is resolved. Further you should be aware that Jefferson County Ordinance 8-0921-00. On Site Sewage Code 8.15 states: "Every residence, place of business, or other building or place where people congregate, reside or are employed shall be connected to an approved public sewer. If no public sewer is available, the building sewer shall be connected to an on-site sewage system approved by the Health Officer. " If you would like to discuss this or have additional information that refutes this departments finding, please don't hesitate to call. Sin rely 11Y andy Marx Cc: Linda Tudor Al Scalf Acting Building Official HEALTH ENVIRONMENTAL DEVELOPMENTAL ALCOHOL/DRUG DEPARTMENT HEALTH DISABILITIES ABUSE CENTER FAX 360/385-9400 360/385-9444 360/385-9400 360/385-9435 360/385-9401 Welcome to Jefferson County, Washington Assessor Detail Building #1 Parcel Number: 966900012 .- odeled 1 1981 0 . •. Off• . • • • Building Type: MOBILE list Floor Area: 0 Int. Walls (Cabin): Building Style: SINGLE MOBILE HOME 2nd Floor Area: 0 Heat: FORCED AIR Building Quality: FAIR + 3rd Floor Area: 0 Fireplace Grade: AVERAGE Building Condition:AVERAGE Loft Area: 0 Floor Cover (1): VINYL Foundation: POST & BLOCK/PIERS Attic Area: 0 Floor Cover (2): CARPET Exterior: METAL (RIBBED) Total Area: 924 Roof Cover: METAL Basement Area: 0 Bedrooms: 3 Make: HILLCREST Type: Full Baths: 1 Model: Area: 0 Half Baths: 1 Length: 66 Exterior: Width: 14 Roof: Year Built:1981 Carport Square Footage: 0 Skirting: Wood Area: 924 e . •.� ..LIUMMMMMMMMM Type: Additions Type: Area: 160 Area:0 Year Built: 0 Year Built: 0 Exterior: Ply/T1-11 Exterior: Roof: F/G Roof: M1 I ill Ill. I Iffir'11".101-• • - • • • cst vieve d 4v;th Microsoft osoft I.Ilte net Windows - f�'iar, Page 1 of 1 .. G u a TO. Munk flumfmild Cra � Prim M X r: lease may I have the old stuff on this place ,w-,, fan.. , -•u - - -' .' a � _ � � :. ,• ' .. ._ff 4 toe. 4 C ` Thanks Randy Y, �• P el Num .7W 2 ik, y 3 V%mex AU Address: v CIMLIE FOX :`. SHIRLEY ESC PO BOX 1552 FORKS W498331 v Site Address: ri U20 �1}4p6NA�FTPA��.Op�r�SA -- SCJR,4i1J11::73 ; Qtr Se tWal ME1 f 4 fid) Township; 2bN '�aa�c x :2W Tax 440 Mapped A 6 1) e' Sub DivisW= LAZY C RANCH VIV 1 �, ., Viand Use Code: 1161- MOVU I IQIa' (ows m� & w Property D"cription::, W f , ^ 1115101 u 0 Page 1 of 2 os' Randy Mark To: Mark Burnfield (� Subject: RE: G C �� • Hey Mark / Could you look one more time for me under the name of LOHNEIS. Sh bought the property in 1980 and moved a trailer on in 1981, (per accessor records.) IF it was done illegally then it changes lots of things for us and the two parties involved in the purchase. Thanks alot Mark Randy iqle� D - Ps; I will come over and get it if you find anything. % e . F -----Original Message----- �D C From: Mark Burnfield Sent: Tuesday, November 06, 20019:11 AM To: Randy Marx Subject: RE: Sorry Randy. Could not find any building permits for this address. Looked in the old (pre -1984) stuff under the owner name and came up empty there too. -----Original Message ----- From: Randy Marx Sent: Monday, November 05, 20014:48 PM To: Mark Burnfield Subject: Hey Mark Purtty please may I have the old stuff on this place. Thanks Randy Parcel Number: 966900012 Pr Owner Mailing Address: CHARLIE FOX 1110 SHIRLEY FOX PO BOX 1552 11/6/01 Welcome to Jefferson County, Washington L. Parcel Number: 966900012 Owner Mailing Address: CHARLIE FOX SHIRLEY FOX PO BOX 1552 FORKS WA 98331 Site Address: 140 APPALOOSA DR BRINNON 98320 Sectio! . 33 Qtr Section: NEI/4 Township: 26N Range: 2W Mapped Acreage: 0 School District: Brinnon (46) Fre Dist: Brinnon (4) Tax Status: Taxable Tax Code: 440 Planning area: Brinnon (11) Sub Division: LAZY C RANCH DIV 1 Land Use Code: 1101 - MOBILE HOMES (owns mobile & land) Property Description: LAZY C RANCH DIV 1 1 LOTS 13 & 14 1 1 1 Notes: Click on photo for larger image. No NJ ��l6 ill .Vii€i2S)� Printer c"r',Gr,,cHy Pagel of 2