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Evaluation of an Existing Onsite Sewage Sys
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tit 615 615 Sheridan Street
Port Townsend, WA 98368
Public vwvw.JeffersonCountyPublicHealth.org
WILLIAM A NYE JanuaryII, 2016
BARBARA A NYE
PO BOX 659
CHIMACUM WA 98325
RE: Septic System Monitoring Inspection Report
SITE ADDRESS: 2480 ANDERSON LAKE RD
PARCEL#901101035
CASE#: SOM87-00019
Dear: WILLIAM A NYE
On October 12, 2015 a monitoring inspection was completed on the above referenced property.
This inspection found the following item/s of concern that require correction:
1. Water was found to be leaking into the septic tank around the lids. This must be
repaired to prevent any leakage into the tank.
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 further approvals may be withheld until this work
is completed and approved by Health Department staff. Postponing correction may result in
premature failure of the septic system. 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.
Sincerely,
4+k
Environmental Health Specialist
Jefferson County Public Health
360-385-9444
c: File, O&M Provider
Community Health Environmental Health
Developmental Disabilities Water Quality
360-385-9400
360-385-9444
360-385-9401 (f) (f)360-379-4487
\\tidemark\data\forms\F_SOM_CorrReq_novio.rpt
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.
Theyshall neither place nor remove fill over the OSS or reserve area without express,prior consent of the Health
g.
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.
10112;2015
Goodman,Inc.
2495 Cape George Rd 360-385-7155
Port Townsend, WA 98368
PROPERTY INFORMATION
Location:2480 ANDERSON LAKE RD
Chimacum
ID:90
Tax D:90
lUf Ta1101035 OCT
Mail To: Bill Nye
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0/5( (5 / G
f 9 3 Use:Residential,Single Family
System Design Flow:360 ,Enz'rsot. ,CFA GENERAL SYSTEM TYPE:GravditrnmOW)*eDte' y
OwnerBill Nye Hee/
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ON ID:SOM87-00019
Fold ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT s Fold
Here
Inspected:10/12/2015 - Inspection Type:ROUTINE - Correction Status:No corrections made Here
Company: Certification-Level 1 Work Performed By: Submitted 10/12/2015 by:
Goodman,Inc. Doug Nebel Doug Nebel
This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development.
COMMENTS&GENERAL INSPECTION NOTES
Deficiencies Noted:deficiencies must be corrected to ensure proper longevity of the Onsite Sewage System.
Risers are mandatory on next inspection.new site drawing sent to H.D.Water entering around septic tank lids.
GENERAL SITE&SYSTEM CONDITIONS
The General Site and System Conditions were: Fully Inspected
All Components accessible for maintenance,secure and in good condition: NO-Deficient
Surfacing effluent from any component(including mound seepage): NO
Components appear to be watertight-no visual leaks: NO-Deficient
Improper encroachment(roads,buildings,etc.)onto component(s): NO
Component settling problems observed: NO
Abnormal ponding present for one or more of the disposal components: NO
Subsurface components adequately covered YES
Owner compliance issues noted NO
Site maintenance required(e.g.Landscape maintenance)If yes,describe in comments: NO
Occupant compliance problem(occupant not operating the system properly). If YES,describe in notes: NO
If deficiencies were identified on last inspection were they corrected before or during this inspection? N/A
(If NO,describe in notes,NA=no deficiencies on last report):
OSS Components,structures and appurtenances located per as-built/record drawing(If NO,describe NO-Deficient
in notes). If no as-built exists or changes made,state NO and provide record to Health Dept:
Alterations made to the OSS(valves adjusted,timer settings modified,ports installed,etc.)(If YES, NO
describe in notes):
The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. NO
Is the SEP case in a finaled/completed status?(if NO explain in comments) YES
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
•rainfield:Gravity
This component was: Fully Inspected
Component appears to be functioning as intended: YES
Ponding present?If YES explain in comments: NO
TANK:Septic Tank-2 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): 0
Effluent filter/screen needed cleaning on arrival N/A
Compartment 1 Sludge accumulation(Inches,if other specify): 8
Compartment 2 Scum accumulation(Inches,if other specify): 0
ReportiD:470674 View inspection reports online at www.onlinerme.com Page 1 of 2