HomeMy WebLinkAboutSWG Pumpers Report / Maintenance RECEIVED
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We Tank Pumpinp Report Form 426 W.CEDAR ST:
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LOWER HOOD CANAL FIELD INSPECTION FORM
Initial Information:.
Area: 7 U 4JtOA- _ Added to database(YRN): V
Owner Name: r Permission to Inspect 7:
Site Address: £ 1 AA d1m A- Appointment Required 7:
Parcel#: 32L31- Sn- Ig6n3 Appointment Date: _
Occupant Name:
Inspections-
Level 1: 31 G S Level IC: I S Level 2:
Inspection Team: LU L y Updated database(Y":
Inspection Results: -
Distance between septic tank and surface water:
Distance between septic tank and well: ($)
Distance between drainfield and surface water: { (R)
Distance between drainfield and well: (ft)
Occupancy(-site,(occupants/bedroom): "`—
Other(Larger on-site,busiaess..etc...):
The septic system appeared to be functioning at the time of the inspection; .ne-obvious-
e
_ The drainfield area may be compromised due to vehicular traffic. (i.e.: parking, driving)
There are indications of poor system maintenance. (.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>200fc1100ml.
An unpemmitted outhouse was observed.
v Other. a, ro�a�
MAib1G � AMf�O
Additional Comments:
System Classification:
Pass: ✓ Fail: Suspect:
Failure Priority:
_._
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S7E DIAGRAM
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DYE PACKET RESULTS
aarYo'o'md SaielRctricnl Soria lRchicvaf Si.3Rftiv
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Number D.le Dm RvuRa Dale Dtic RmW DJe DJc RmeW Dale DEc RauW
Mud Re6ieve Plod RNicc Yla«d Rc4icc Placed Retrine
BACTERIOLOGICAL RESULTS
Site Date Results
Number