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Permit#or Parcel# (3021 I rt ( 055 51 gO "6063 I
Evaluation of an Existing Onsite Sewage System_07130/04_ud1
3/26/2015
Goodman,Inc
2495 Cape George Rd 360-385-7155
Port Townsend, WA 98368
PROPERTY INFORMATION •
House
Location:3135 OAK BAY RD AR 3 0 2015
Port Hadlock
Tax ID:921191035
Mail To: Chris Malan
6127 Canyon Creek Lane Use:Residential,Single Family
Conroe,TX COpV System Design Flow:240
77304 GENERAL SYSTEM TYPE:Gravity
Owner:Chris Malan
ON ID:SOM80-00031
Fold ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold
Here
Inspected:03/25/2015 - Inspection Type:FOLLOW UP - Correction Status:All corrections made Here
Company: Certification-Level 1 Work Performed By: Submitted 0326/2015 by:
Goodman, Inc. Orville Wise Doug Nebel
This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development.
COMMENTS&GENERAL INSPECTION NOTES
No Deficiencies Noted
GENERAL SITE&SYSTEM CONDITIONS
The General Site and System Conditions were: Fully Inspected
All Components accessible for maintenance,secure and in good condition: YES
Surfacing effluent from any component(including mound seepage): NO
Components appear to be watertight-no visual leaks: YES
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? YES
(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 YES
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
ANK:Septic Tank-2 Compartment 1,000 gal
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):
Effluent filter/screen needed cleaning on arrival N/A
Compartment 1 Sludge accumulation(Inches,if other specify): 2
Compartment 2 Scum accumulation(Inches,if other specify): 0
Compartment 2 Sludge accumulation(Inches,if other specify): o
Pumping needed: NO
Approximate Gallons to be pumped(if needed)by Certified Pumper:
ReportlD:429788 View inspection reports online at www.onlinerme.com Page 1 of 2
grainfield:Gravity Fully Inspected
This component was:
Component appears to be functioning as intended: YES
Ponding present?If YES explain in comments: NO
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.
ReportiD:429788 View inspection reports online at www.onlinerme.cam Page 2 of 2
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