On-Site Septic System Property Transfer Report

Transcription

1 8/16/2018 7:34:20 AM On-Site Septic System Property Transfer Report Application Summary: Submitted: 8/16/2018 7:33:45 AM Completed: 8/16/2018 7:33:45 AM Addresses Applicant's Address Mike Stuth Stuth Company, Inc. PO BOX 950 Maple Valley, WA OSM #: 086 Property Owner Jean Pokrzyk SE 384th St Enumclaw, WA Application No: Contact Methods Phone: Contact Methods Phone: Property Being Reported Tax Parcel Number Assessors Parcel Number: Seller's Agent Contact Methods Buyer's Agent Contact Methods Title or Escrow Company Contact Methods Application ID: On-Site Septic System Property Transfer Report Applications powered by the SkipThePaper

2 Property Address SE 384th St Enumclaw, WA Questions Overview Q: Is the house occupied? A: Yes Q: The Construction Record Drawing included is A: Existing Q: Water Supply A: Municipal Q: Approved bedrooms according to site design A: 3 Septic System - General Q: Date tank pumped last (N/A if unknown) A: 6/25/18 Q: Tank accessibility (If tanks are not accessible, the Title 13 code at the time of system approval shall apply) A: All of the tanks are accessible. Q: At the time of this inspection were any risers or monitoring ports installed? A: No Q: Upon evaluation of the septic system were any repairs made? A: Yes Q: Explain the repairs in detail. A: Installed New Tank, Permit ON Gravity Septic Systems Q: Is the septic system gravity? A: Yes Q: Condition of D-Box A: Working properly Q: Performance Evaluation: Amount (Gallons) (N/A if not gravity) A: 450g Application ID: On-Site Septic System Property Transfer Report Applications powered by the SkipThePaper

3 Q: Performance Evaluation: Duration of test (Time) (N/A if not gravity) A: 1h Q: Did the system accept the water from the stress test without backing up A: Yes Pressure Distribution Septic Systems Q: Does the septic system utilize pressure distribution? A: No OSM Certification Q: I certify to the best of my knowledge, that this inspection report is true, accurate and complete. A: Yes Service Summary Service OSS operation and maintenance program fee $ Processing Fee. TE: this charge is from OnlineRME, LLC. $10.00 Payment Log Date Amount Description Bank Response Fee Total charges for application: $ /16/2018 $ Application Fee This transaction has been approved. 8/16/2018 $10.00 Processing Fee This transaction has been approved. Total amount Paid: $ Application ID: On-Site Septic System Property Transfer Report Applications powered by the SkipThePaper

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9 8/16/2018 OPERATION / PERFORMANCE MONITORING REPORT Environmental Health Division, SE Eastgate Way, Bellevue, WA 98007, Tel. (206) Inspection Type: PROPERTY SALE - Correction Status: No corrections needed Tax ID: Inspection Date: 08/02/2018 GENERAL SYSTEM TYPE: Gravity Site Address: SE 384th St City: Enumclaw Mail Address: City: Zip: OSM Company: Stuth Company, Inc. OSM Name: Mike Stuth (086) OSM Tel#: Submitted 08/16/2018 by: COMMENTS & GENERAL INSPECTION TES No Deficiencies Noted Main House: Installed new 1500 gal tank, Permit ON , connected to existing Dbox and drainfield. 450 gal. stress test to drainfield, no back up ADU: Pumped 1000 gal. septic tank 6/25/18, 450gal. stress test to drainfield, no back up Risers to surface on all components GENERAL SITE & SYSTEM CONDITIONS The General Site and System Conditions were: All Components accessible for maintenance, secure and in good condition: If a dye test was performed, did the dye surface? (N/A if no dye test) Effluent leaking onto the surface of the ground from any component? (If yes, explain in comments) Improper encroachment (roads, buildings, etc.) onto component(s): Component settling problems observed: Subsurface components adequately covered Period average daily flow (gallons per day) Site maintenance required (e.g. Landscape maintenance) If yes, describe in comments: Occupant compliance problem (occupant not operating the system properly). If, describe in notes: Structures connected to onsite sewage system occupied. If explain in comments: Alterations made to the OSS (valves adjusted, timer settings modified, ports installed, etc.) (If, describe in notes): Risers and lids secured: OSS Working Properly Pre-failing Signs Record Drawing Modified Record Drawing New N/A N/A ONSITE SEWAGE SYSTEM INSPECTION DETAIL TANK: Septic Tank - 2 Compartment main Effluent level within operational limits (if explain in comments): All required baffles in place (N/A = No baffles required): Effluent Filter Cleaned (N/A = Not Present): Compartment 1 Scum accumulation (Inches, if other specify): 0 Compartment 1 Sludge accumulation (Inches, if other specify): 0 Compartment 2 Scum accumulation (Inches, if other specify): 0 Compartment 2 Sludge accumulation (Inches, if other specify): 0 Pumping needed: ReportID: View inspection reports online at Page 1 of 2

10 Distribution: D-Box main Component appears to be functioning as intended: Drainfield (disposal): Gravity main Component settling problems observed: Surface water, downspouts diverted away from drainfield: Load test performed with satisfactory results (N/A = Not Performed): Evidence of vehicular traffic or livestock over drainfield: Observation ports present and accessible: A method, such as aeration, was used to reduce clogging of the biomat in this component (If yes, provide detail in comments): TANK: Septic Tank - 2 Compartment adu Effluent level within operational limits (if explain in comments): All required baffles in place (N/A = No baffles required): Effluent Filter Cleaned (N/A = Not Present): Compartment 1 Scum accumulation (Inches, if other specify): 0 Compartment 1 Sludge accumulation (Inches, if other specify): 0 Compartment 2 Scum accumulation (Inches, if other specify): 0 Compartment 2 Sludge accumulation (Inches, if other specify): 0 Pumping needed: Distribution: D-Box adu Component appears to be functioning as intended: Drainfield (disposal): Gravity adu Component settling problems observed: Surface water, downspouts diverted away from drainfield: Load test performed with satisfactory results (N/A = Not Performed): Evidence of vehicular traffic or livestock over drainfield: Observation ports present and accessible: A method, such as aeration, was used to reduce clogging of the biomat in this component (If yes, provide detail in comments): N/A N/A 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: View inspection reports online at Page 2 of 2