On-Site Septic System Property Transfer Report

Transcription

1 4/5/2017 3:30:33 PM On-Site Septic System Property Transfer Report Application Summary: Submitted: 4/5/2017 3:29:52 PM Completed: 4/5/2017 3:29:52 PM Application No: Addresses Applicant's Address DANIEL DALGLEISH Contact Methods RTHRUP CONSTRUCTION INC/PAYLESS Phone: PUMPING & SEPTIC SERVICES Woods Creek RD MONROE, WA OSM #: 24 Property Owner CRAIG BALLEW TH PL NE CARNATION, WA 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 TH PL NE CARNATION, WA Questions Overview Q: Is the house occupied? A: No Q: When was the house vacated? (N/A if unkown) A: MARCH 2017 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: 04/03/2017 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: No Gravity Septic Systems Q: Is the septic system gravity? A: Yes Q: Condition of D-Box A: Inaccessible Q: Performance Evaluation: Amount (Gallons) (N/A if not gravity) A: 450 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: 2 HRS 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: $ /5/2017 $ Application Fee This transaction has been approved. 4/5/2017 $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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22 4/5/2017 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: 04/03/2017 GENERAL SYSTEM TYPE: Gravity Customer / Property Owner Name: CRAIG BALLEW Site Address: TH PL NE City: CARNATION Mail Address: TH PL NE City: CARNATION, WA Zip: OSM Company: Northrup Construction, OSM Name: Daniel Dalgleish OSM Tel#: Submitted 04/05/2017 Inc./PayLess by: Pumping & Septic Services COMMENTS & GENERAL INSPECTION TES 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 If a dye test was performed, did the dye surface? (N/A if no dye test) N/A 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 YES Period average daily flow (gallons per day) 80 Site maintenance required (e.g. Landscape maintenance) If yes, describe in comments: Occupant compliance problem (occupant not operating the system properly). If YES, 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 YES, describe in notes): Risers and lids secured: YES OSS Working Properly YES Pre-failing Signs Record Drawing Modified Record Drawing New ONSITE SEWAGE SYSTEM INSPECTION DETAIL Drainfield (disposal): Gravity This component was: 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): A modification/repair was completed on the component (If yes, provide detail in comments): Fully Inspected YES YES N/A ReportID: View inspection reports online at Page 1 of 2

23 TANK: Septic Tank - 2 Compartment This component was: Fully Inspected Effluent level within operational limits (if 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): 12" Compartment 1 Sludge accumulation (Inches, if other specify): 6" Compartment 2 Scum accumulation (Inches, if other specify): 1" Compartment 2 Sludge accumulation (Inches, if other specify): 2" Pumping needed: A modification/repair was completed on the component (If yes, provide detail in comments): Distribution: D-Box This component was: Component appears to be functioning as intended: A modification/repair was completed on the component (If yes, provide detail in comments): Fully Inspected YES 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