HomeMy WebLinkAboutSWG Onsite Survey - 7/12/1996 a
MASON COUNTY
\JAIDEPARTMENT of HEALTH SERVICES
Shelton,Washington 96584
rw (360)427-9670•Beltalr:275-4467
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PERSONAL HEALTH WATER QUALITY
ENVIRONMENTAL HEALTH 303 N.FOURTH P.O.BOX 1666
P.O.BOX 1666
July 12, 1996
Edward Knutson
2120 SW 122ND Place
Seattle, WA 98146
KALiw CAM * 3
RE: Parcel Number: 22330-50-00203
Site Address: 1850 Tahuya-Blacksmith Rd
Dear Mr. Knutson,
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 7/10/96
while surveying your property:
The septic system appeared to be functioning at the
time of the inspection; no obvious problems were
observed.
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) 427-
9670.
Sincerely,
•
Mark Tompkins
Water Quality Program Manager
•
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Project: L.HC • 0- \ �7y '1111 TOONERVILLE Date:,
OWNER INFORMAT7OO:I-
EDWARD 0 ICNUTSON TRUSTEE KNUT1Q0 T961463007 1594 03/02/q5
2120 SW 122ND Place KNUTSON
10613 W CHERRY HILLS DR W
Seattle WA 98146 SUN CITY AZ 65351-3750
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SITE INFORMATION :
22330-50-0D7O F.,'2- --.?d-t' 1S7 1
Parcel# : Owner's Phone: 2-c-6 Z4"3 I-7 85
Address: City: State: WA Zip:
Building Type: `/ (F-Full Time Residence; S - Seasonal Residence; C -Commercial;
M - Multi-family Residence; V - Vacant )
Septic System Type: (S - Standard tank and drainfiekl; P- Pressure Distribution;
- Sand Filter; M - Mound; T - Deep Trench; H - Out House;
Q \'( Uvi - Other; U- Unknown)Installation Date: -7 1 Year Last Pumped: I ` (Enter Year or U- Unknown)
ii
SySteM"LoCatiOfl (F-Front'Yard; B - Back Yard; S -Side Yard; A - Adjacent Lot;
U- Unknown)
Number of Residents: CD Shoreline (YIN):
OCCUPANT INFORMATTON(complete only if d;fferent than nwnrr): {
Occupant's Title: (tot, Nets, Ms) First Name: Last Name:
Occupant's Phone:
Would you like Information on Water Conservation? ►J (YIN)
Would you be interested in a Community Workshop? N) (Y/N)
PERMISSION FOR ACCESS TO INSPECT T SEPTIC SYSTEM: \/ (Y/N)
' 7-0-•`-.3--..—(Z) .
SIGNATURE: Date: { l(C---
O �=r 203 1- J v/�-c�\
Comments:
P.1ZXT/-1p,c t o y� -
M.
Or
LOWER HOOD CANAL FIELD INSPECTION FORM
OInitial Information:
•
Area: To noel Added to database(Y/N): y
v, 11G Permission to Inspect?: Y
Owner Name: 1 rn d nufs0 ?: 1\f.
Site Address: Tak A.- AppointmentR e c: f�
Parcel!#: 11330- SiV- 00�3
Occupant Name:
Inspections: Level 2:
Level 1:I')a/9 6 Level 1C:,� �2
Inspection Team:
,, Updated database(Y/N): y
Inspection Ranits: ink (ft)
Distance between septic tank and surface water: (�)
Distance between septic tank and well:
Distance between drainfield and surface water: ►1 D-(ft)
(ft)
Distance between drainfield and well:
Occupancy(occupants/bedrooms):
Other(Larger on-site,business..etc.:.):
t/ The septic system appeared
to be functioning at the time of the iaspe Lion; no obvious
problems were observed.The drainfield area may be compromised due to vehicular traffic.(i.e.:parking'
There are indication}of poor system maintenance.(Le.:lack of regula 'leaky
plumbing,slow drains,excessive chemical dumping,-high water usage)
Construction was noted in the drainfield area.
Sewage was observed critain8 since avatar;oon8rmed by viivaTdye and fecal eolform
• count of>200&/100mL.
An unpermitted outhouse was observed.
Other.
•
Additional Comments:
System Classification: Fail: Su :
Pass:ass: ✓
Failure Priority:
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