The URL can be used to link to this page

Home My WebLink AboutBLD Letters / Memos - 2/27/2023 c .c 415 N 6TH STREET,SHELTON,WA 98584 MIL % MASON COUNTY SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467, EXT 400 Public Health & Human Services ELMA:360-482-5269, EXT 400 FAX:360-427-7787 ENVIRONMENTAL HEALTH REVIEW OF BUILDING PERMIT GAINES WILLIAM A& SUZANN F 02/27/2023 PO BOX 64549 TACOMA, WA 98464 Applicant: GAINES WILLIAM A&SUZANN F Parcel Owner: GAINES WILLIAM A& SUZANN F Site Address: 2575 E Pickering Rd Primary Parcel Number: 221345000017 Permit Number: BLD2023-00217 Permit Description: ADD ROOF OVER EXISTING DECK Permit Submitted Date: 02/27/2023 Permit Review Date: 02/27/2023 The above mentioned building permit has been reviewed by Environmental Health and found more information is required. A satisfactory septic O&M inspection from within the last year is required. According to our records, the system was last inspected 9/13/2021. Please submit a current satisfactory septic O&M inspection. If you have any questions or concerns let us know. Sincerely, [ ] Rhonda Thompson, EH Specialist 360-427-9670, Extension 581 rhompson@masoncountywa.gov ___----43 [ ] Jeff Wilmoth, EH Specialist 360-427-9670, Extension 543 �jdljV jwilmoth@masoncountywa.gov �Z°Z Dave Anderson, EH Specialist 5� NJ u /360-427-9670, Extension 353 �J 0(\)0\e danderson@masoncountywa.gov I . 4D \\\(\VUI t( )90\:°\ ' Y'12L-;ZM(-rA- 117 .Jchr( i - _-32O23-�2( 7r -2/ 7 3 AAA Septic LLC Septic Service Report (t\cp atisfactory Li Unsatisfactory Property Owner ✓`)\\1 ((,� )A � Phone# 7_0(0 • (CC)(' - z f Site Address /7 " )--1 G� I C\ f c\ F 1 City 1'1c ;(-1 Tax Parcel# ( `-R 1 3 4 -- " ` C c__) 0 I '7 For Sale? ❑ YeT(..)Vo Septic Inspection )) Tank Size o 500 o 750 0 1000;Z-1200❑ 1500 Effluent Level o High ONormal o Low #of Compartments o One A Two o Three Tank Condition ( i Satisfactory o Unsatisfactory Tank Material Concrete o Metal o Fiberglass o Poly Tank Pumped o Yes c'No Inlet Baffle <i Satisfactory o Needs Repair Outlet Baffle X Satisfactory o Needs Repair Center Baffle f Satisfactory❑ Needs Repair❑ N/A Baffle Repairs •o-Repair-Made_o Repair-Needed— Effluent Filter 'Cleaned ❑ Not Cleaned o N/A Risers Td Yes o No Tank Depth Risers To Grade o Yes,zf No Pump Chamber Yes ❑ No P/C Gallons o 1000 o 12009;, jr Operations& Maintenance Inspection Is the pump functioning? (0 Yes o No Type/Model of pump JP- 50 • Tested gallons per minute flow Is alarm functioning as intended? -o-Yes-❑fNo Were the lateral lines flushed? figS Yes❑ No Average squirt height (in feet) o rd Not Performed Ponding present? ❑Yes p'No Components accessible for service? n Yes ❑ No All required service performed? ,.0 Yes o No Surfacing effluent from any component (including mound) o Yes c No le �Components appear to be watertight Yes o No Improper encroachment, cover, or settling problems o Yes 4)No ,� r / , n All riser lids securely fastened upon departure lr Yes❑ No g''i,Cj� P71- - Electrical repairs needed (if yes, describe in comments) o Yes No 8y �42�� Root intrusion (if yes, describe in comments) o Yes,r7No Settling problems observed (if yes, describe in comments) o Yes.Q'No House was vacant or used infrequently, assessment of o Yes$No drainfield was not possible Septage Measurements 1st Comp. Scum -I) -- -2: 2nd Comp. Scum f> 3rd Comp. Scum / P/C Scum \ I _ -l` 1st Comp. Sludge j' `I 2�d Comp. Sludge i, Z ' 3`d Comp. Sludge P/C Sludge 1 i Total Gallons Pumped �J Disposal Facility ❑ Biorecycling ❑ Other Required Repair 1:-_-A-F'\-L\ l Lc,�� V-C\(� (11�) 04--�� --4-, �_ t t111\ t� 1 Suggested Service Maintenance z' /( a Serviceman Signature'(---- 2,-- ,,- -! Date of Service 6 5 - 7`1- :5 / V �'