HomeMy WebLinkAboutSEP1971-001179/10/2012
GOOd/O1Hh //I�
2495 Cape George Rd 360-385-7155
Port Townsend, WA 98368
PROPERTY INFORMATION
Location: 11 PARADISE COVE
BRINNON
PARCEL (APN): 502293002
Mail To: �� ► 1i�s.•iQ�6�i
�t� J Use:
Lill t Owner.
not m• enna74_n1)417
Fold
Here
IISITE SEWAGE SYSTEM INSPECTION REPORT
)ected: 0812912012 - Inspection Type: PROPERTY SALE - Correction Status: Corrections in progress
COMMENTS & GENERAL INSPECTION NOTES
Deficiencies Were Noted: Corrections Era Ir
Tank was pumped on 08/29/2012. House was used infrequently, assessment of drainfield was not po �Grr SYY qk yv
abandond
OSEP 12 201?
Jefferson County
Environmental Health
ted
ES
NO
ES
NO
NO
NO
ES
NO
NO
NO
WA
'ES
NO
'ES In Progress
SERVICE INFORMATION
Company: Certification -Level l Work Performed By., Submitted 0911012012 by.'
Goodman, Inc. Doug Nebel Doug Nebel
This report indicates certain characteristics of the onsite sewage system at the time of visit. in no way is this report a guarantee or operation or future performance.
ReportlD: 266494 View inspection reports online at www.onlinerme.com Page 1 of 2
Fold
Here
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
F4 T t y,
SIR
]efferson Cuty
Environmental Health
This report indicates certain characteristics of the onsite sewage system at the time of visit. In no way is this report a guarantee of operation or future performance.
ReportPD: 266494 View inspection reports online at www.onlinerme.com Page 2 of 2
TANK: Septic Tank - I Compartment
This component was:
Fully Inspected
Component appears to be functioning as intended:
YES
Effluent level within operational limits ('If NO explain in comments)
YES
All required baffles in place (N/A = No baffles required):
YES
Effluent Filter Cleaned N/A = Not Present):
N/A
Compartment 1 Scum accumulation (Inches, if other specify):
4
Effluent filter/screen needed cleaning on arrival
N/A
Compartment 1 Sludge accumulation (Inches, if other specify):
10
Pumping needed:
YES In Progress
Approximate Gallons to be pumped (if needed) by Certified Pumper:
750
�Drainfield: Gravity
This component was:
Fully Inspected
Component appears to be functioning as intended:
YES
Ponding Present:
NO
F4 T t y,
SIR
]efferson Cuty
Environmental Health
This report indicates certain characteristics of the onsite sewage system at the time of visit. In no way is this report a guarantee of operation or future performance.
ReportPD: 266494 View inspection reports online at www.onlinerme.com Page 2 of 2
rJf
Caroline
-ort. •AnVIes
OLYMPIC HEALTH DISTRICT Kermit No.��
Fee Paid $_ '5
SEWAGE DISPOSAL PERMIT APPLICATION
Submit. in -Duplicate
o�P II
ADDRESS 6-1141 ��` .2k.94 ` E
rlil�l�wl 1 V✓i��l�il■Il�.A..�.i�l� �1.1�11�.� I � I f
_IXGAL DESCRIPTIONF 4 ` l,; �� _ 'fZ 0> PHONE
....�.��.�. .1,1......... ..1.1.��...1.-.—
DIPMTIONS'FOR LOCATING SITE
APPLICATION IS HEREBY MADE TOS INSTAILL NEW SYSTEM
YPE OFrLDING �i0 0
F BEDROOMS BASEMENT SITE SIRE
U- THE REVERS .:SID DBAW � DETAI N GIVING Tt
NAME OF INSTA FRJ
•'r �1-rTetn..TATTi /1 TRO �•T.l1
- , LED PLOT --II�
1'-Pr�`'t7- lines 7, Driveways, patios, carportf ecce ---
2. Location of buildisig 8. Streams or bodies of water ne rby
3...._Locatlon of septic tank 9, Location of percolation test 2 oles
4.- Location of drainfield 10. Septic tank aiue QS$ " e
5.. -Slope of land 11. Length of proposeA-drainld'
6„..Ma:ter lines & well(if applicable) 12. Depth to water if encountered�l
PERCOLATION TEST RESULTS
-_.F%'" lzme required t
of hole seep last 6 in.
Pore.. No,,1
Pereo No, 2
Perc, No-, 3.
DRAITIFIELD LENGTg5' " WIDTH
Percolation raze
(divide time by 6)
DEPTH c"/ NO. NO. OF LINES
a. s,..^+ "-"idLi-K%xrmzw_ TUAT THE PROPOSED INSTALI
,U -DESIGNED AND APPROVED ON THIS APPLICATION.
•APPR'OX. . DATE OF INSTALLATION Bidnature of Appiicanz
SANITARIAN IS COMMENTS .�S-P"k
'=ALTH OFFICER'S SIGNATURE APPFt1RS AS APP OW-
PLAN_APPROVET?ISAPPROVED DATE
REMARKS:
5-68
L_
Mi
port Townsend# Washington
Jame 711
Kenneth Nelson
8
I place South
2 * C " - 51 ingtou 98002
Aub-"ra j Wash
Dear Mr. Nelson
mvred- what
W,h.: le surVeyi ng
some lots an T4*" Canal 6,. I diect
'A. 6ur wit
appears to be aseptic tankalOng side It t Yoamuppearshouse h there is
the outlet
pointing towarits the Ual We st also maintain.
andno room for a drainfield on your eld Hood Canal*
50 feet between tankt drainfi
Would you please contact me as.goon as possible so ?-we may
try to work out this problem.,problem.,Vq number is 385-0720
oym-pic,nealth DirO
jeffereon County, through the
1 1 -permitlfor jnstelat
tlin O
ofstritto sewage
quires a sewage disPOsa--
systems*
Sincerely
Randall M* Durant,
District -Sanitarian
RMID/sa
74�
Q0
Parcel Print
Parcel Number: 502293002
Owner Mailing Address:
KENNETH N NELSEN
C/O ]ANE NELSON
9034 BANNER RD SE
PORT ORCHARD WA 983679763
Site Address:
11 PARADISE COVE
BRINNON 98320
05/14/2007
Section:
29
School District:
Brinnon (46)
Qtr Section:
SWI/4
Fre Dist:
Brinnon (4)
Township:
25N
Tax Status:
Taxable
Range:
2W
Tax Code:
441
Planning area:
Brinnon (11)
Sub Division:
Land Use Code:
1100 - HOUSES
(single units, non-farm)
Property Description:
S29 T25 R2W I LOT 4 (E 100') TL TX F I I I
Page 1 of 1
http://www.co jefferson.wa.us/assessors/Parcel/parcelprint.asp?PARCEL NO=502293002... 6/16/2008
Assessor Detail Building #1
Assessor Detail Building #1
Parcel Number: 502293002
Building Number
Year Built
Year Remodeled
1
1960
1985
Building Exterior
Building Area
Building Interior
Building Type: HOUSE
1st Floor Area: 1016
nt. Walls (Cabin):
Building Style: 1 STY
2nd Floor Area: 0
Heat: ELECTRIC BB/WALL
Foundation: CONCRETE PERIM.
3rd Floor Area: 0
WOOD STOVE
Exterior: PLY/T1-11
Loft Area: 0
Floor Cover (1): VINYL
Roof Cover:ROLL
Attic Area: 0
Floor Cover (2): NONE
Total Area: 1016
Basement Area: 0
Building Rooms
Mobile Home
Garage
Bedrooms: 2
Make:Type:
Full Baths: 1
Model:
Area:,O
Half Baths: 0
Length:
Exterior:
Width:
Roof:
Year Built:
Carport Square Footage: 0
Skirting:
Area: 0
1st Addition
2nd Addition
Type: ShedType:
Area: 120Area:
0
Year Built: 0
Year Built: 0
Exterior: Ply/T1-11
Exterior:
Roof: Roll
Roof:
To view another building associated with this parcel.
Select building: 1 2 3
Best viewed with Microsoft Internet Explorer 6.0 or later
Windows - Mac
Page 1 of 1
http://www.co jefferson.wa.uslassessors/parcellassessordetail.asp?Parcel NO=502293002 6/16/2008
HIP 5
loll F
0 8
-2W).
d � ,tea s
o�
2
o a
c7 ®0
\,uz�•
p
�
-
d A
y
�c
�
i Z z
�
Y
d C
SEE
d
p
t fFypypyp2i
Z
e Z A
m
A = bl
poA
P $
�2
�
V
�>x.
�il
28).42' 1 4.72'
279.12'
317,i8'
Z
1324,12'
318.79'
i
1@ A
I
N
1324.12'
r�
b `riP
N
r
e N
M y
d
>o�o
�vA
<
o�
8
gp
A
�
0-1
Y
8
(SEI/4 30 -28N
-2W).
d � ,tea s
o�
2
o a
c7 ®0
\,uz�•
6 °v
t
c d
ti
n
z .
-
d A
y
�c
J
�
Y
d C
SEE
d
TAX as tax 36
m
A = bl
poA
P $
�2
�
V
�>x.
�il
28).42' 1 4.72'
279.12'
317,i8'
Z
1324,12'
318.79'
i
1@ A
I
N
1324.12'
r�
b `riP
r
e N
M y
d
>o�o
�vA
<
�
0-1
Y
8
7
a
yWo mo
N
�
RV
O
8
2
p
(•B1n o5.1)e 6
v
nr3s•47•e
Ln
N
(SEI/4 29
-25N -2W)
p
P
m
N
W
m a
j m y
sN
m
-u n
3 `s a
s ffi
N>IN
\
i h
z
pm
IN)IN
Z