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Port T WA 68
ALLEN SIMMONS De.CQ2rnber 29, 2015
NICOLA FORD
20012 87TH AVE SE
SNOHOMISH WA 98296-7971
RE: Septic System Monitoring Inspection Report
SITE ADDRESS: 481 FOREST DR
PARCEL#971100322
CASE#: SOM05-00284
Dear: ALLEN SIMMONS
A review of our files for the above referenced property shows that when the title was transfered on or
about May 5, 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,
Aeik.. i7d4-L3
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.
\\tidemark\data\forms\F_SOM_no_inspection.rpt 10/29/2015
Jefferson County Assessor& Treasurer - Property Details - 93 ALLEN SIMMONS for Year 2014 - 2015 Page 1 of 2
Jefferson County Assessor & Treasurer
34793 ALLEN SIMMONS for Year 2014-2015
Property
Account
Property ID: 34793 Legal Description: MARSHALL ADDITION BLK 3 LOT 21
Parcel Number: 971100322 Agent Code:
Type: Real
Tax Area: 0441-1-46F4E4H2C1L1P2 Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Township: 25N Section: 31
Range: 2W
Location
Address: 481 FOREST DR Mapsco:
BRINNON,WA 98320
Neighborhood: MARSHALL&WILLIAMS ADDITON Map ID:
Neighborhood CD: 1295
Owner
Name: ALLEN SIMMONS Owner ID: 93550
Mailing Address: NICOLA FORD %Ownership: 100.0000000000%
20012 87TH AVE SE
SNOHOMISH,WA 98296-7971
Exemptions: SNR/DSBL
Taxes and Assessment Details
Property Tax Information as of 10/29/2015
Amount Due if Paid on: M. NOTE:If you plan to submit payment on a future date,
make sure you enter the date and click RECALCULATE to obtain the correct
total amount due.
Click on"Statement Details"to expand or collapse a tax statement.
Year Statement ID First Half Second Half Penalty Interest Base Paid Amount Due
Base Amt. Base Amt.
Statement Details
2015 24571 $350.04 $0.00 $0.00 $0.00 $0.00 $350.04
E Statement Details
2014 24675 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Values
Taxing Jurisdiction
Improvement/Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Deed Excise Deed
# Date Type Description Grantor Grantee Volume Page Sale Price Number Number
1 05/05/2015 SWD Statutory Warranty Deed BONNIE OSBORNE ALLEN SIMMONS $62,000.00 123137
34794 ALLEN SIMMONS MARSHALL ADDITION BLK 3 LOT 22
2 10/14/2014 MH Mobile Home 122040
3 11/10/1998 WD Warranty Deed OSKAM,JAMES/PEGGY OSBORNE,SMITH WESLEY/BONNIE 0 0 $60,000.00 85765 0
34794 ALLEN SIMMONS MARSHALL ADDITION BLK 3 LOT 22
http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2014&prop_id=34793 10/29/2015
Jefferson County Assessor& Treasurer -Property Details - 93 ALLEN SIMMONS for Year 2014 - 2015 Page 2 of 2
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