HomeMy WebLinkAboutSEP1970-00124t� JEFFERSON
OUHTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend • Washington • 98368
www.jeffers gncountypu blic health, org
JOHN GARDINER
STACIA DESHON JTWROS
1051 LUDLOW BAY RD
PORT LUDLOW, WA 98365
RE: Septic System Monitoring Inspection
SITE ADDRESS: 1051 LUDLOW BAY RI
PARCEL # 969000023
CASE #: SOM70-00124
Dear: JOHN GARDINER
A review of Jefferson County Auditor records for
purchased the property on or about June 21, 201
for the onsite sewage system serving the resider
a monitoring inspection in compliance with the fr(
transfer of property,
A list of O&M Specialists and a copy of the record
convenience.
The purpose of proper maintenance is so the Cou
is assured by this department that these systems
manner. We appreciate your prompt attention to
please contact this office at 385-9444. The code
This letter is intended to serve as formal notice tY
monitoring inspection is completed and any requi
Department staff. A permit is required for repair
Washington Administrative Code 246-272A and .
Sinc rely, l
Environmental Health Specialist
Jefferson County Public Health
360-385-9444
File, O&M Specialist
February 20, 2013
e above referenced property shows that when you
identified below a monitoring inspection was not on file
Jefferson County Code 8.15.150(7)d.iii. requires that
uency identified in code be on file prior to the sale or
your system, if available, is enclosed for your
for the benefit and protection of the public's health,
designed, installed and maintained in a proper
> matter. If you should have further questions
;tions referenced are attached for your information,
t no further approvals shall be granted until a
�d corrections are made and approved by Health
r modification of an onsite sewage system, per
fferson County Code 8.15,
Code References
8.15.150 OPERATION, MAINTENANCE AND MONIT,
(1) Responsibility of Owner(s). The owner of every resit
or are employed that is served by an OSS, and each person,
maintain the system to eliminate the risk to the public assoc
included, without limitation, in the following list:
a. They shall comply with the conditions stated on the or
b. They shall employ an approved pumper to remove the
indicates that removal is necessary. The septic tank shall b
one-third (1/3) the volume of the tank. The pump and/or si
c. They shall not use water in quantities that exceed the (
d. They shall not deposit solid, hazardous waste, or chem
e. They shall not deposit waste or other material that cau:
residential/household waste strength.
f They shall not build any structure in the OSS area or rt
g. They shall neither place nor remove fill over the OSS c
Officer.
h. They shall not pave or place other impervious cover o%
i. They shall divert drains, such as footing or roof drains
j. They shall comply with inspection requirements in JC(
k. They shall complete maintenance and repair of the OS.
1. They should not dispose of excess food waste via a gar
m. They should not drive, park or store vehicles or equipn
n, They should not allow livestock access to the OSS arez
o. They shall comply with WAC 246-272A-270.
(2) Breach of Owner's Responsibilities. An owner's or oc
(1) shall be a basis for a Notice of Violation and for the Hea
on the parcel.
business, or other place where persons congregate, reside
access to deposit materials in the OSS shall use, operate, and
with improperly treated sewage. Owners' duties are
,ite sewage permit.
-ptage from the tank(s) when the level of solids and scum
pumped when the total amount of solids equals or exceeds
hon chamber(s) shall be pumped when solids are observed.
;S's designed capacity for treatment and disposal.
;als other than household cleaners in the OSS.
s the effluent entering the drainfield to exceed the parameters of
:rve area without express, prior consent of the Health Officer.
reserve area without express, prior consent of the Health
:r the OSS or reserve area,
way from the area of the OSS.
8.15.150 and WAC 246-272A
as recommended by the monitoring entity.
age disposal.
;nt over the drainfield or reserve area.
or reserve area.
)ier's failure to fulfill any of the responsibilities in 8.15.150
Officer to decline to issue approval for further development
\\tidemark\data\forms\F_SOM_no_inspection.rpt 2/20/2013
.APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEM REPAIR EXISTING SYSTEM
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411
YPE OF BUILDING NQ, OF BEDROOMS BASEMENTIT ISE ME S E GT NA OF INSTALLER
ON THE REVERSE SIDE, DRAW A DETAILED PLOT PLAN GIVING THE FOLLOWING INFOR1111AT01
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7.
903 East Caroline
OLYMPIC HEALTH J)iJ%j
Permit No. �
Port Angeles
8.
Fee Paid__.�:....,�,
3.
SEWAGE DISPOSAL PEZI'112 APPLICATION
�/y� ry I Submit in Dupli cafe
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of septic tank
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ADDRESS _ . �' r
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: JJ DATE
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LEGAL DES IPTION V
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PHONE
Septic tank size gallck2s
-
DIRECTIONS FOR LOCATING
SITE
land
11.
_ _,._.,..rr...,
Length of proposed drainfield
.APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEM REPAIR EXISTING SYSTEM
�-
411
YPE OF BUILDING NQ, OF BEDROOMS BASEMENTIT ISE ME S E GT NA OF INSTALLER
ON THE REVERSE SIDE, DRAW A DETAILED PLOT PLAN GIVING THE FOLLOWING INFOR1111AT01
.,,
Property
lines
7.
Driveways, patios, carport! etc.
2•
Location
of building
8.
Streams or bodies of water nearby
3.
Location
of septic tank
9•
Location of percolation test holes
4*
Location
of drainfield
10.
Septic tank size gallck2s
-
5.
Slope of
land
11.
_ _,._.,..rr...,
Length of proposed drainfield
6.
Water lines & well(if applicable)
12.
Depth to water if encountered.
PERCOLATION
TEST RESULTS
j LJeptn Time required to Percolation rate
of hole seep last 6 in. (divide time by 6i
Ferc. No. 1
Pere. No. 2
Pero: No. 3.
Type or 8011
DRAINFIELD LENGTH 4!!�O� WIDTH DEPTH - NO, OF LINES
IT IS HEREBY AGREED THAT THE PROPOSED INSTALL TI WILL BE MADE IN THE MANNER
AS DESIGNED AND APPROVED ON THIS APPLICATION.'
i ature of Appl ant
APPROX. DATE OF INSTALLATION
SANITARIAN !S COMMENTS.: '
THIS CONSTITUTES A PERMIT
WHEN HEALTH OFFICER S SIGNATURE APPEARS AS APPROVED
/
PLAN APPROVED Y /' `ri__;,i DISAPPROVED DATE
DATE INSPECTED "` SANITARIAN
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REMARKS: _ D
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- SKETCH PLAN ON GRID BELOW
CCILE-10 FEET BETWEE14 LINES INDICATE NORTH