HomeMy WebLinkAboutSWG Onsite Survey - 7/28/1995 �I MASON COUNTY
DEPARTMENT of HEALTH SERVICES
Shelton,Washington 98584
(360)427-9670•Bedolr.275-4467
ENVIRONMENTAL HEALTH PERSONAL HEALTH WATER QUALITY
P.O. BOX 1666 303 N.FOURTH P.O.BOX 1666
July 28, 1995
Phil Bayley
P.O. Box 270
Shelton, WA 98584
RE: Parcel Number: 32235-32-00010
Site Address: 8791 Hwy 106
Dear Mr. Bayley,
We want to thank you for your cooperation with the Mason
County Department of Health Services, Office of Water Quali-
ty, sanitary survey of your on-site septic system.
Your septic system was not found to be failing. If problems
were observed during the survey that had the potential to
shorten the life of your septic system, they were noted by
field staff. The purpose of this letter is to inform you of
the non-failing status of your system, and to advise you of
any such problems.
The following are observations our staff made on 7/27/95
while surveying your property:
The septic system appeared to be functioning at the
time of dye testing.
Attached are some general comments about on-site sewage
treatment/disposal systems. If you have any further ques-
tions, please do not hesitate to contact me at (360) 275-
8733 .
Sincerely,
6Af
Grant A. Holdcroft, R.S.
Lower Hood Canal Lead
9 RecyUed
ON-SITE SEWAGE SYSTEM SURVEY
LOWER HOOD CANAL CLEAN WATER DISTRICT
/^ Project: LHC Area: #8 UNION Date:2-21-95
OWNER INFORMATION:
Tun c '7w t.L 1 3 10 4r11 " V- l a td
BAYLEY ET UX PHIL C
PO BOX 278
SHELTON WA 98584
SITE INPORMA77ON: 11
Parcel#: 32235-32-00049 Owner's Phone: 47(-Q713
Ate• 8791 Higghway . #106 City: Union State: \� Ar _ zip: go,a?
Bung Type:.(F-Full Tuna Residence; S -Seasonal Reaidmce; C -Commem el;
M-Multi-family Residence; V-vacant)
St)fio System Type: S (S - S'taoda[d tank and dtainfield: P-Preasue Distawtion;
F- sand Filter; M-mound; T - Deep Trench; H-Out House;
O - Other; U - uvlaown)
Installation Date: l v 7 r; Year Last Pumped: i 4 u s ra n (EN r Year or U- Urfarown)
System Location: 13 (F-Front Yard; B - Back Yard; S -side Yard; A- Adjacent Lot;
U - Unknown)
Number of Residents: i Shoreline(Y/N): Y
OCCUPANT INFORMATION(complete only if different than owner):
Occupant's Title: _(am, affis, ars) First Name: Last Name:
Occupant's Phone:
Would you like Information on Water Conservation? *, (Y/N)
Would you be interested in a Community Workshop? rj (Y/M
PERMISSION FOR ACCESS TO INSPECT THE SEP77C SYSTEM- y (Y"
SIGNATURE: Date: 2-22-95
Comments:
ON-SITE SEWAGE SYSTEM SURVEY
LOWER HOOD CANAL CLEAN WATER DISTRICT
Project: LHC Area: #8 UNION Date:2-221-95
OWNER INFORMATION :
Tun c J`um_. 13 16 4fi1 &kt c, I aaj
BAYLEY ET UX PHIL C
PO BOX 278
SHELTON WA 98584
SITE INFORMATION :
Parcel # : 32235-32-0008H Owner's Phone: 4?6-9713
Address' 8791 Highway #106 City: Union State: WA Zip: gRcR?
Building Type:_ (F-Full Tina Resde ; S - Saso.1 Resdenca; C -Cum--d;
M - Multi-family Residence; V-Vacant)
Septic System Type: S (S - SW deal tmk.ed drawfidd; P -Prossme Distrtlwtie.;
F-s.nd Fdter; M -Mouod; T- Deep Trench; H-Out House;
O - Other; U-U-k-o n)
Installation Date: t 9 7 6 Year Last Pumped: l 9 R c a n (Enter Year or U- ih ben )
System Location: B (F-Front Yard; B -Back Yard; S -side Yard; A-Adjscent Lot;
U-Unlmoam)
Number of Residents: i Shoreline(Y/N ): Y -
OCCUPANT INFORMAHON(complete only Ndifferent than owcer):
Occupant's Title: _(an; Hens, ea) First Name: Last Name:
Occupant's Phone:
Would you like Information on Water COnSerVatlOn? (Y/N)
Would you be interested in a Community Workshop? ra (YIN ) ..
PERMISSION FOR ACCESS TO INSPECT THE SEPTIC SYSTE&E (Y/N )
SIGNATURE:,/' e, % Date: 2-22-95
Comments:
LOWER HOOD CANAL FIELD INSPECTION FORM
Initial Information:
Area: $ U,rr,f o- - Added to databwe(Y/I): Y
Owner Name: Ptw.lu lair Permission to Inspect 7:
Site Address: -, 1 6/- Appointment Required 7: 7
Parcel#: 3_y Z 3!r-3.2- oDo 16 Appointment Date: b s4-
Occupant Name:
Inspections:
Leven: to F S Level IC: Level2: 6 13 Rs-
Inspection Team: LH L 9- Updated database(Y/I):
Inspection Results: `�+rinagcc� pf �ACC5
Distance between septic tank and surface water: - G. 100 (ft)
Distance between septic tank and well: tti (ft)
Distance between drainfield and surface water: L t M (ft)
Distance between drainfield and well: In (ft)
Occupancy(occupants/bedrooms): t
Other(Larger on-site, business..etc...):
The septic system appeared to be functioning at the time of
The drainfield area may be compromised due to vehicular traffic. (i.e.: parking, driving)
There are indications of poor system maintenance. (i.e.: lack of regular pumping, leaky
plumbing, slow drains, excessive chemical dumping, high water usage)
_ Construction was noted in the drainfield area.
Sewage was observed entering surface water, confirmed by visual dye and fecal coliform
count of>2000100m1.
_ An unpemutted outhouse was observed.
Other:
Additional Comments:
System Classification*
Pass: 7-�1- 95 Fail: Suspect:
Failure Priority:
eaa,u�
1: .3: N =rtlMc w YwY gc,awnq wl( w .4: a umw cp k auth : ac t[Yfwah W Vul Scy. wg
mK J: 9a.5:Prmu* fl@Imf ml mwruL w1f�aa.wYu.�:00ca uwcugiabk k•Wletiaw;oWmiUm�y fuller ry�lmaaat mining
.uR wYa.S:Pe�•dy wWain(odaf)
LOWER HOOD CANAL FIELD INSPECTION FORM
Initial Information:
�+ Area: g a-- Added to database(Y/I):
Owner Name: Pki l -aai.la,u Permission to Inspect?: —�
Site Address: r- 1 I #4utu 10�_ Appointment Required?: —�
Parcel#: 3 2 Z 3 S-2 2. - 000 I G Appointment Date:
Occupant Name:
Inspections:
Level 1: b 8 S Level IC: Level 2: 13 `q/g—
Inspection Team: Lff L-I- Updated database(Y/1): 7'
Inspection Results: `80 ,a a4c yiM cl 11),y cc 5 TT
Distance between septic tank and surface water: G. 10 0 (ft)
Distance between septic tank and well: w 00
Distance between drainfield and surface water: L t M (R)
Distance between drainfield and well:
Occupancy(occupants/bedrooms): I
Other(Larger on-site,business..etc...):
The septic system appeared to be functioning at the time ofa a'
The drainfield area may be compromised due to vehicular traffic. (i.e.: parking, driving)
There are indications of poor system maintenance. (i.e.: lack of regular pumping, leaky
plumbing, slow drains, excessive chemical dumping, high water usage)
_ Construction was noted in the drainfield area.
Sewage was observed entering surface water; confirmed by visual dye and fecal coliform
count of>200fc/100m1.
_ An unpermitted outhouse was observed.
Other:
Additional Comments:
System Classification:
Pass: Fail: Suspect:
Failure Priority:
eria
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S}ny.): Sufret ksPe[tla�ml col aNaet wvfvc wYsr.<:Uhcr we«Wbb owll,iiw�:�nmxvmdY(Wet tl��mE«mG
,uA'rc wtla.5:Ptim,�y rMha4c,(oJw)
Sr1 iAGRAM— .-
IP 2sto,a
--f CA<
167p
l ytd 3/QS DYE PACKET RESULTS
mod Suia 1 Ae4iew Sm.]Rdri $erin 3 Retrieve
sitr
NumLv Dae Datc RauW Dale Date RaulY Datc Dote RwW Date Date AmW
Plead RNicve Placed Retrieve Placed RWieve Plead Retrieve
BACTERIOLOGICAL RESULTS
Site Date Results
Number