HomeMy WebLinkAboutSWG2023-00211 - SWG Application / Design - 5/30/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
.= SHELTON:360-427-9670,EXT 400
'1�••• BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00211
APPLICANT WHITE DAVID A & PAMELA SUE Phone:
Address: P 0 BOX 315 GRAPEVIEW, WA 98546
OWNER WHITE DAVID A & PAMELA SUE Phone:
Address: P 0 BOX 315 GRAPEVIEW, WA 98546
SEPTIC DESIGNER Connor Pelzel-Septic designer Phone:
Address: PO BOX 731069 PUYALLUP, WA 98373
SEPTIC INSTALLER SEAN PHILLIPS-Advanced Sewer Phone: 253-259-6957
Solutions
Address: 21314 164TH AVE E GRAHAM, WA 98338
Site Address: 183 E STRETCH ISLAND RD NORTH
Primary Parcel Number: 121081200200
Permit Description: Repair 3bd OscarXO2
Permit Submitted Date: 05/30/2023
Permit Issued Date: 06/05/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 06/01/2024 (based on date of inspection)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS.
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
--- OFFICIAL USE ONLY
DATE RECEIVED: 3 O I � C
MASON COUNTY
COMMUNITY SERVICES AMOV TRECENED: RKENED fiY: cn
W m
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Public Health(Community Health/EnvironmentalHealth) C N
360-427.6670,err.403 or 360.275 4467,err.400 ill 0
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415 N.6tA Street Sftelton,WA 965a. S W G 0.0�.3 — (0 0 2-1\ Z X
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ON-SITE SEWAGE SYSTEM APPLICATION
315— rn m • )
APPLICANT PHONE
DAVID WHITE iic,r(cmg7'mHi360-801-6921 Akk 11e-� wfik- C - c..,
c
MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE II c
PO BOX 315 MAY 3 0 202Q, L GRAPEVIEW WA 98546 co
SITE ADDRESS-STREET.CITY.ZIP CODE
183 E STRETCH ISLAND 146:N- GRAPEVIEW WA 98546
NAME OF DESIGNER PHONE ( N
CONNOR PELZEL 253-313-8195
0
NAME OF INSTALLER PHONE
ADVANCED SEWER SOLUTIONS 253-259-6957 _Z
PERMIT TYPE(select one) DRINKING WATER SOURCE
RMq{{ - I O
071 RESIDENTIAL OSS COMMUNITY OSS COMMERCIAL OSS 5 PRIVATE INDIVIDUAL WELL I-I PRIVATE TWO-PARTY WELL Z I CO
TYPE OF WORK(select one) 2 PUBLIC WATER SYSTEM
I
p
bi NEW CONSTRUCTION/UPGRADES DaIREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ElTABLE IX REPAIR I --a
SUBMITTALSMIp SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE
FA
t]7IDESIGN FORM(REQUIRED) !J SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE 1 I N
�WAIVER(S)(IF APPLICABLE) I 3 68,824.8 0 '
DIRECTIONS TO SITE AND SITE CONDITIONS (ex.locked gate)
ENTER ONTO STRETCH ISLAND AND CONTINUE STRAIGHT UNTIL 4-WAY STOP. I o
TURN LEFT ONTO E STRETCH ISLAND RD N. CONTINUE STRAIGHT TO GRAVEL r I N
4-WAY, TURN LEFT. RESIDENCE WILL BE ON RIGHT. o
Ic
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I
CD
OFFICUr, ,,Sr.ONO. t,t.::,:' IrI:,I.Ir:L
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
\ ; O�l� L I +- fvt-a
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b-tk) UPS k 4--covy\pct-
0 -'( S— —/ . — c, r-efr—
RECORD DRAVv1NG AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE — DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
ikilAMA. CP i 1'2:3 I1.!'? 1 6 (s72 -3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 1 0 8 -- 1 2 -- 0 0 2 0 0
A design will be reviewed when 3 copies,of each of the following are submitted:
0 Completed design form that has been signed and dated. °Scaled layout sketch,including all applicable items on checklist
°Scaled plot plan,including all applicable items on checklist. o Cross-section sketch,including all applicable items on checklist.
This form may be scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG O,a - 00 2 \ Designer's Name: CONNOR PELZEL
Applicant's Name: DAVID WHITE p �, 253-313-8195
PO BOX 315 L ' ' PO BOX 731069
Mailing Address: D r • .� s:
GRAPEVIEW, WA 98546 MAY 3 0 2023 c, PUYALLUP WA 98373
City State Zip City State Zip
DESIGN I >jtAMETERS
Treat LmD3eTnt YSevice
❑Glendon Biofilter 0 Sand Filter SI Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model OSCAR X02 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class OSCAR X02 MOUND
Daily Flow:Operating Capacity 270 gpd Length ft
Daily Flow:Design Flow 360 gpd Diameter in
Septic Tank Capacity 1250 gal Number
Receiving Soil Type(1-6) TYPE 4 Separation ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Square Footage 600 ft2 Total Number of Orifices NETAPHIM DRIP
Designed Square Footage 600 ft2 Diameter 1/2"NETAPHIM-EMITTERS in
Percent Reduction Taken N/A % Spacing 6" in
Trench/Bed Width 15 ft Manifold
Trench/Bed Length 40 ft Schedule/Class SCH 40 PVC
Elevation Measurements Length N/A ft
Original Drainfield Area Slope 20 % Diameter 1" in
New Slope,If Altered N/A % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-slope + 6" SAND in Transport Pipe
from Original Grade Down slope + 18" SAND in Schedule/Class SCH 40 PVC
Designed Vertical Separation 12+" in Length 90' ft
Gravelless Chambers Required? 0 Yes El No 0 Optional Diameter 1" in
Pump Required? ®Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 360
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 1 gal
Orifice 12.25 ft Chamber Capacity 1250 gal
Uppermost Orifice 0 Higher 181 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity a%Total Pressure Head 6.2 gpm ISTimer ®Elapse Meter ®Event Counter
Calculated Total Pressure Head 7.06 ft If Timer: Pump on 22 SEC ,Pump off 3:38 OFF
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 1 0 8 -- 1 2 -- 0 0 2 0 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
® Test hole locations ® Drainfield orientation and layout Reference depth from original grade:
® Soil logs ® Trench/bed dimensions and ® Septic tank
® Property lines critical distances within layout ® Drainfield cover
® Existingand proposed wells ® D-BoxNalve box locations
Reference depth from original grade
within 100 ft of property ® Septic tank/pump chamber and restrictive strata:
® Measurements to cuts,banks,and locations ® Laterals,trench/bed,top and
surface water and critical areas ® Observation port location bottom
® Location and orientation of ® Clean-out location 0 Curtain drain collector
curtain drain and all absorption ® Manifold placement 0 Sand augmentation
components ® Orifice placement Other cross-section detail:
® Location and dimension of 2 Lateral placement with distance ® Observation ports/clean-outs
primary system and reserve area to edge of bed
® Buildings Other Information
® Audible/visual alarm referenced Yes No
® Direction of slope indicator ® Scale of drawing shown on scale 0 El Design staked out
® Waterlines bar 0 ® Recorded Notices attached
® Roads,easements,driveways, 0 ® Waiver(s)attached
parking 0 ® Pump curve attached
® North arrow and scale drawing ® 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ® Waste strength
❑ ® Flow
DESIGN APPROVAL
The undersigned designer must be noti by installer t ti e of installation 0 Yes 0 No
05-24-2023
Signature of D igner Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
VA'NoIc4n c ( i
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. �'� ��L�
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is:
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
Please Note: The system must be installed by a certified installer,
unless prior authorization is obtained from Mason County Public Health.
An Installation Fee is required.
This form may be scanned and available for public view on the Mason County Web site.
Updated Date: 12/12/2014
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265'E STRETCH ISLAND M NORTH
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121087590E i<
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12 08710011
Parcel Number:121081200200
Parcel Number: 121081200200
Legal Description:
E STRETCH ISLAND RD NORTH TRACT 20 OF GOVT LOT 8&INT IN TR 16 GI
8(SEE 12108 12 00160 FOR COMM BEACH)
Size in Acres: 1.58
View Scanned Property Records
Check if permits are available
Information may be outdated,please visit
laxsifter for up to date information.
Owner:
WHITE,DAVID A&PAMELA SUE
PO BOX 315
EW 1 RD GRAPEVIEW WA 98546
Range:1W
Towns
Ex)E STRETCH ISLAND RD NORTH Zoom top 21N
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20017
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F3 E STRETCH ISLAND 'J� NORTH
APPROVED
JUN 0 c 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
60ft
1 MASON COUNTY It luTtniumv
JwASHINGTON I/ TAXSIFTER
IMPLE SEARCH SALES SEARCH REETSIFTER COUNTY HOME PAGE CONTACT DISCLAIMER PAYMENT CART(!
Patti McLean
Mason County Assessor 411 N 5TH ST Shelton, WA 98584
Assessor Treasurer Appraisal MapSifter
Parcel
Parcel#: 12108-12-00200 Owner Name: WHITE, DAVID A & PAMELA SUE
DOR Code: 11 - Residential - Single Family Addressl: P 0 BOX 315
Situs: 183 E STRETCH ISLAND RD N, GRAPEVIEW Address2: :� P R O /E �y
98546 \/ u
Map Number: City, State: GRAPEVIEW WA JUN 05 2023
Status: Zip: 98546 ,AAsoN cro l';N EN'iIRONMEytAI HEALTH
Description: TRACT 20 OF GOUT LOT 8 & INT IN TR 16 GL 8 (SEE 12108 12 00160 FOR COMM BEACH) Der
Comment: r�C
2023 Market Value 2023 Taxable Value 2023 Assessment Date
Land: $97,010 Land: $97,010 District: 0080 -Tax District 0080
Improvements: $373,010 Improvements: $373,010 Current Use/DFL: No
Permanent Crop: $0 Permanent Crop: $0
Total $470,020 Total $470,020 Total Acres: 1.58000
Ownership
Owner's Name Ownership % Owner Type
WHITE, DAVID A & PAMELA SUE 100% Title Owner
Sales History
Sale Date ;Sales Document '# Parcels Excise # ;Grantor Grantee
05/15/20 2130773 1 20-44330 WHITE, DAVID A & DIANE EST WHITE, DAVID A $0
05/15/20 2130774 1 20-44331 WHITE, DAVID A WHITE, DAVID A & PAMELA SUE $0
01/03/12 1983525 1 WHITE, DAVID A & DIANE EST $0
10/26/87 473692 1 198710040 3 ELIZABETH C. GHARRET DAVID A. & DIANE WHITE $80,000
05/26/87 467445 1 198798642 ELIZABETH C GHARRETT PR ELIZABETH C GHARRETT $0
Building Permits
Permit No. net c Description .
14-34 1/21/2014 DUCTLESS HP @ 100% $3,000.00
Historical Valuation Info
Year Billed Owner ;PermCrop Value Total 'Exempt Taxable
2023 WHITE, DAVID A & PAMELA SUE $97,010 $373,010 $0 $470,020 $0 $470,020
2022 WHITE, DAVID A & PAMELA SUE $64,950 $379,635 $0 $444,585 $0 $444,585
2021 WHITE, DAVID A & PAMELA SUE $49,960 $339,645 $0 $389,605 $0 $389,605
)nln 1AI-1TTF fA1/Tn A R. DAMP A CI IF cei fl' c')OA Ran to 4 Q e7R an Q"2zR a7c
MASON COUNTY
•
GENERAL SERVICES DEPARTMENT
,P.O.BOX 186 • 428 WEST CEDAR • SHELTON,WA 98584
PHONE(208)427-9670
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM 275-- (..!7)D
OWNER 06tA '•6'.. ` g yz ADDRESS 6" 4473 214 A iu ,
THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. r
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER CITY J ZIP
/Dl• ?en-4/4
PROPER MAINTENANCE AND CAREFUL USE OF LEGAL D i ESCR ION �- 7
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- 1 2 111 A - I.2 -DO.2DO _. tl4e,1/2O'.OY
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTSty.{
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FIELD .,
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. 30 C3 see --
FAULTY FIXTURES. DEPTH TO , MONTH A 7 Z
,
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE OF YEAR
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER - 1 �'`��
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND ice... ���,�" J
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SIZE .1
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR-
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD /23 FEET
CARRYING OVER INTO THE DRAINFIELD. CALL THE LENGTH
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA 3( '1 SQ. FT.
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE
i CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE '' ❑ CORRUGATED L�-RIG� ❑ CEMENT
RECORD WHEN HE COMES. R DEPTH
DEPTH
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU.00K 1 1 BELOW / i/ TOTAL
YDS. , PIPE (/ DEPTH
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: 100 70 SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING
ARE LATER CONTEMPLATED. 4 NORTH
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE V'
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. '4 r�r l.� �'.
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE e ' S .
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE `,J
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE MI 4 :;[
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX!
CESSIVELY WATER THE LAWN IN THE DRAINFIELD ARE• i -
WATER EVAPORATION FROM THE DRAINFIELD IS A:• . •�'C~ I .I i'JICE
EQUAL TO ONE HALF INCH OF RAIN PER DAY. y
FOOTING DRAINAGE, DOWNSPOUTS AND W• R
SOFTENER RECHARGE WATER SHOULD NOT BE •N-
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE 'f
DRAINFIELD AREA. s•
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE ri
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD It
4,
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE-
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK `)c
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE i"
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY q
CHANGING THE CHARACTERISTICS OF THE SOIL. THE ��
NORMAL USE OF BOWL CLEANERS OR CLEANING COM-
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW SOUTH
DOWN THE OPERATION OF THE SEPTIC TANK. /�/f�
j/ 44irdil SIO RE OF INSTALLER
PrintedT Unty D �r ) I
K�WI"H DEED T ✓/' /9 \ t
f fint�! fi kNrot&unly DMS DATE tt SIGNATURE OP INSPECTOR
. MASON COUNTY
GENERAL SERVICES DEPARTMENT 17 y (.)
P.O. BOX 186•303 NORTH 4th STREET•SHELTON,WA 98584
PHONE(208)428-5561
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM
OWNER
DA ado wN r/TG ADDRESS ,i5' 2/d- -/?A4 PE a w j,t4
THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. CITY ZIP 9c f y‘
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER
WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL DESCRIPTION
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- BRAdT 19 1 Ci !�T F, R I - ?'wA, Z/; ,re-c S
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS L c., H y ik A-A
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FIELD X
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. SIZE
FAULTY FIXTURES. DEPTH TO MONTH
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE OF YEAR /2 / 1-9/ l
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER /
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND t+ a e tiPE R D
SIZE S uecrw+%
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SEPTIC TANK (S) Re- I7A/R r L. 0 DA/L /C.t1
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR-
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS LENGTH 3 2 ' 90
CARRYING OVER INTO THE DRAINFIELD. CALL THE TRENCH AREA SQ. FT.
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF -3; z 20
i LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE ❑ CORRUGATED Cry-RIGID ❑ CEMENT
DEPTH /
RECORD WHEN HE COMES.0. ROCK DEPTH 2 TOTAL HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. !t-•- // BELOW----'
G DEPTH
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
I RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING f NORTH
ARE LATER CONTEMPLATED.
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE Ho Mc I
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. Ir—
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE
i SUCH THAT SURFACE WATER IS NOT POCKETED ON THE
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE ' v
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX-
0 CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA.
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT /
EQUAL TO ONE HALF INCH OF RAIN PER DAY. i p
FOOTING DRAINAGE, DOWNSPOUTS AND WATER Z�, Al Fir,.o 1 i a r
SOFTENER RECHARGE WATER SHOULD NOT BE CON- rl
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE3 2-DRAINFIELD AREA.THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE-
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY
CHANGING THE CHARACTERISTICS OF THE SOIL. THE
NORMAL USE OF BOWL CLEANERS OR CLEANING COM- SOUTH 4
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW - —
DOWN THE OPERATION OF THE SEPTIC TANK.
P ri nted TEsTAA1MaSiolacCou nty 34) si c--4,, 9,..1.4_,
SIG T OF ALLER
n
ttKEeftER WITH*ROAM 91-WpR M S /1-- -- 3,-Fr,? ,10(,+, .
ESSENTIAL PAPERS. DATE SIGMA OF INSPECTOR
HEMLEY'S SEPTIC TANK CLEANING, INC
9303 Bujacich Road Nw 253-851-3432
Gig Harbor, WA 98332 Fax:253-851-2749
PROPERTY INFORMATION
Location:183 E STRETCH ISLAND RD NORTH
Grapeview
Tax ID. 121081200200
Mai To DAVID A&PAMELA SUE WHITE
P O BOX 315 Use:
GRAPEVIEW,WA
98546 GENERAL SYSTEM TYPE:Conventional (Non-Pressurized)
ON ID: 121081200200
County Area: Case Inlet
r°'° '- ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fort
Here Here
Inspected:04/28/2023 - Inspection Type:ROUTINE - Correction Status:No corrections made
Company. Work Performed By. Submitted 05r04/2023 by:
HEMLEY'S SEPTIC TANK CLEANING, INC Derek Malast Julia Christman
COMMENTS& GENERAL INSPECTION NOTES
Deficiencies Noted:deficiencies must be corrected to ensure proper longevity of the Onsite Sewage System.
Exploratory into laterals.Dug into laterals found beds completely root bound.Pipe is also solid full of roots.
System will no longer take water.Advised owner to contact designer.
GENERAL SITE&SYSTEM CONDITIONS
The General Site and System Conditions were: Not Inspected
Components accessible for service:
All required service performed(If no-specify omitted inspection items In notes): _
Surfacing effluent from any component(including mound seepage):
Components appear to be watertight-no visual leaks:
Improper encroachment(structures/impervious surfaces)
All riser lids securely fastened upon departure:
Electrical repairs needed. If YES describe in comments:
Inspected components appear to be in good physical condition:
Root intrusion on any components. If YES describe in comments:
Settling problems observed. If YES describe in comments:
The house/structure was vacant or used infrequently,assessment of the drainfield was not possible.
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
•istribution:0-Box
This component was: Not Inspected
D-Box in good condition:
D-Box outlets set to allow e•ual effluent distribution:
TANK:Septic Tank•2 Compartment
This component was: Notes
Effluent level within operational limits(if NO explain in comments):
All required baffles in place!N/A=No baffles required):
Compartment 1 Scum accumulation(Inches,if other specify):
Compartment 1 Sludge accumulation(Inches,if other specify):
Compartment 2 Scum accumulation(Inches,if other specify):
Compartment 2 Sludge accumulation(Inches,if other specify):
Pum•in•recommended:
Irainfield(disposal):Gravity
This component was: Fully Inspected
Component appears to be functioning as intended: NO Detir ent
Ponding present?If YES explain in comments: NO
Drainfield was vacuumed,flushed or hydro-jetted?(If YES,explain in comments) YES
This report indicates tenet,cheractenshc5 of the on site sewage system at the time of visit In no way is this report a guarantee of operation or future performance.
ReportlD: 1179479 View inspection reports online at www.onlinerme.com Page 1 of 1
Ili' A/Jason LOUf1L�l VVH 171J !vidson county noniepaye I 1
Tr l �'�- 265 E STRETCH ISLAND RD NORTH J
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I I Search by Parcel or Addres Q
111 121087690020
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1 E WLKES RD
`�`� 121087590013
~ • 121067590012
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---\...
12108 75 90011 \ .
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/12108 1200000
Parcel Number:121081200200
Parcel Number: 121081200200
Legal Description:
183 E STRETCH ISLAND RD NORTH TRACT 20 OF GOVT LOT 8&INT IN TR 16 GI •
• 8(SEE 12108 12 00160 FOR COMM BEACH)
108120 130 Size in Acres: 1.58
View Scanned Property Records
Q 12 108 12 0020ti
Check if permits are available
9
10 1200/130 Information may be outdated,please visit
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4.•
Owner:
WHITE,DAVID A&PAMELA SUE
PO BOX 315
E W ES RD GRAPEVIEW WA 98546
•
Range: 1 W
/ 181E STRETCH ISLAND RD NORTH Township:21N
• Zoom to
121081200170 APPROVED
JUN 0 g 2023 1;
MASON COUNTY ENVIRONMENTAL HEALTH
RET
113 E STRETCH ISLAND RD NORTH 121081200180
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