HomeMy WebLinkAboutSWG2025-00336 TANK ONLY - SWG Application / Design - 8/25/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
J` 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
On-Site Sewage System Tank Only Permit: SWG2025-00336 CO (J/
APPLICANT MEUCCI ET UX ROBERT JOSEPH Phone:
Address: WENDY KATHERINE HULETT ISSAQUAH, WA 98027
OWNER MEUCCI ET UX ROBERT JOSEPH Phone:
Address: WENDY KATHERINE HULETT ISSAQUAH, WA 98027
SEPTIC DESIGNER Alex Paysse Phone: 3605071546
Address: 3089 E Mason Benson Rd Grapeview, WA 98546
Site Address: 727 E STRETCH ISLAND RD SOUTH
Primary Parcel Number: 121084390071
Permit Description: Replace septic tank with NuwaterBNR500 (TLB)with mitigation for
reduced surface water setback
Permit Submitted Date: 08/25/2025
Permit Issued Date: 08/29/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/25/2028 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Other
Surfacing Sewage? No Existing Failure? Yes
Shoreline? Yes Horizontal Setbacks Met? No
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: Replace septic tank with NuwaterBNR500
Permit Conditions:
1 Approval of this septic permit does not approve the building location. Building location is
subject to approval from all applicable departments and regulations.
2 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
5 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
3 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
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/OR 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.
MASON COUNTY 415 N 6TH STT,SHELTON, E,E 400 98584
SHEREE 427 967XT
L REE BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
6 Installer to use Class A mitigation for tank to surface water reduced setback if possible: 1)
Extra protection of integrity of tank and joints 1a) Waterproof surface barrier applied to
concrete tank consistent with Manual of Concrete Practice ACI 515.1 R. Flexible rubber
boots or compression seals meeting ASTM C 1644, or flexible couplings meeting ASTM C
1173 used for inlet and outlet connections to provide flexibility in case of tank settlement
while still maintaining a watertight seal. 2) Performance testing of tank 2a) Concrete tank
tested for water-tightness consistent with ASTM C 1227. 3)Accessibility of tank for ease
of operation and maintenance 3a)Access openings at or above finished grade with
lockable lids or secured to prevent unauthorized entry.
If Class A mitigation is not possible due to limited access for concrete tank install, installer
may use a poly tank installed in 30m1 liner.
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/OR DESIGN
APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/healthlenvironmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
DATE RECENED:
MASON COUNTY dr - ,: c)
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OrCOMMUNITY SERVICES AMOUNTRECENE�� �7U RECEIVED 11Y /�C/( ( 1 W
- Public Health(Community Health/Environmental Health) �(�Tyy t��� VVV����((( < (I)
360.427.9670,eat 400 or 360.275.4467,eat.4C0 S W G /�^ ///��� L iiifff () O
415 N.6th Street.Shelton WA 98584 )r, J - /'�03 /c O 7)
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ON-SITE SEWAGE TANK ONLY APPLICATIO
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APPLICANT P-ONE �� m
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ROBERT MEUCCI �J z
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MAILING ADDRESS-STREET.CITY.STATE,ZIP CODE �� / E
03
PO BOX 1971 - ISSAQUAH, WA, 98027 Q kz,) m
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SITE ADDRESS-STREET.CITY.ZIP CODE v
727 STRETCH ISLAND RD SOUTH - GRAPEVIEW, WA 98546 j��•.� �;
NAME OF DESIGNER PHONE L_ L/] Q" I fV
ALEX PAYSSE 360-507-1546 //
NAME OF INSTALLER PHONE '�
TBD
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TYPE OF WORK(select one) DRINKING WATER SOURCE
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❑ NEW CONSTRUCTION/UPGRADES ® REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z I
COMPONENT(S)TO BE REPLACED/INSTALLED 0PUBLIC WATER SYSTEM COMMUNITY WELL(GROUP B?)
® SEPTIC TANK ❑ PUMP TANK ❑RV HOLDING TANK BEDROOMS LOT SIZE 14.
I' OTHER NUWATER BNR500 2 0.50 CO
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST 7 I W
CISURFACING SEWAGE 0 EXISTING FAILURE Ili SHORELINE III 100FT+PUBLIC/COMMUNITY WELLS n I
SUBMITTALS 0 SOFT+PRIVATE WELLS.SURFACE WATERS.STREAMS.RIVERS
® PLOT PLAN(REQUIRED) Ill TANK CROSS SECTION(REQUIRED) ® 10FT+DRINKING WATER SUPPLY LINES I O
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) UI 5FT+PROPERTY/EASEMENT LINES,FOUNDAT ONS,FOOTINGS
PLOT PLAN CHECKLIST r I CD
I3 PROPERTY LINES AND EASEMENTS ® EXISTING/PROPOSED STRUCTURES III EXISTING/PROPOSED OSS COMPONENTS AND LINES -
▪ WELLS WITHIN 100FT In WATER SUPPLY LINES m DRIVEWAYS/PARKING I SURFACE WATERS,STREAMS,RIVERS,ETC... I - 1
III DIRECTION OF SLOPE/CONTOURS In PERIMETER/CURTAIN DRAINS ® NORTH ARROW II SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS.(ex locked gate)
NORTH HWY 3. RIGHT ON GRAPEVIEW LOOP RD. AT FIRE STATION CONTINUE
STRAIGHT ONTO STRETCH ISLAND. ACROSS BRIDGE TURN RIGHT ONTO STRETCH
IS. RD SOUTH. CONTINUE JUST PAST SUND DR TO SHARED DRIVEWAY AT HARD
TURN. CONTINUE DOWN DRIVEWAY TO SITE ADDRESS.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE!FAILURE SOURCE(tor reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER:
COMMENTS/CONDITIONS
cw\ p
9 mat, 5e.)- -FrAnv___ to t\J‘jiNk\-(47ANADO
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SEWAGE TANKS MUST BE LISTED U D R DOH'LIST OF REGISTERED SEWAGE TANKS". TA S MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS.EQUIPPED WITH RISERS
AND LIDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE) RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED!ISSUED BY DATE
......----- b f?A k? (4° jcl.\kit/4(60 '4( (7M h<_ --
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/72015
l
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 1 0 8 — 4 3 — 9 0 0 7 1
A design will be reviewed when 3 copies of each of the following are submitted:
'"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. 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 -11111
Permit Number: SWG Qi9W' —04:93.1(e. Designer's Name: ALEX L. PAYSSE
Applicant's Name: ROBERT MEUCCI Designer's Phone Number: 360-507-1546
Mailing Address:
PO BOX 1971 Designer's Address: 3089 E MASON BENSON RD
ISSAQUAH WA 98027 City State Zip GRAPEVIEW WA 98546
City State Zip Designer's Email alex@alpinesepticdesign.com
DESIGN PAR'TERS ".
Treatment Device
0 Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATU LJ Other
Treatment Level(check all that apply): 0 A ❑ B ❑C 0 BL1 ❑BL2 0 BL3 0 E ❑N
Drainfield Type
'Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class EXISTING
Daily Flow:Operating Capacity 180 gpd Length - ft
Daily Flow: Design Flow 240 gpd Diameter - in
Septic Tank Capacity(working) BNR500 gal Number -
Receiving Soil Type(1-6) 4 Separation - ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area - ft2 Total Number of Orifices -
Designed Primary Area ft2 Diameter - in
Designed Reserve Area 600 ft2 Spacing - in
Trench/Bed Width - ft Manifold
Trench/Bed Length - ft Schedule/Class -
Elevation Measurements Length - ft
Original Drainfield Area Slope - % Diameter - in
New Slope,If Altered - % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-slope - in Transport Pipe
from Original Grade Down-slope - in Schedule/Class 3034
Designed Vertical Separation - in Length 10 ft
Gravel-based Drainfield Required? 0 Yes 0 No Diameter 4 in
Pump Required? 0 Yes It No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day -
Diff. in Elevation Between Pump&Uppermost Orifice - ft Dose quantity - gal
Drainfield Squirt Height/Selected Residual(head) - ft Chamber Capacity(flood) - gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head - gpm 0 Timer 0 Elapse Meter 0 Event Counter
Calculated Total Pressure Head - ft If Timer: Pump qtl P P-R O V E1D -
Comments ��''11 11 I_ `/ G V
AUG 292025
MASON COUNTY ENVIRONMENTAL HEALTH
RET Revised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 1 0 8 — 4 3 -- 9 0 0 7 1
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
10 Test hole locations Drainfield orientation and layout Reference depth from original grade:
21 Soil logs 21 Trench/bed dimensions and 21 Septic tank
P1 Property lines critical distances within layout 0 Drainfield cover
21 Existing and proposed wells D-Box/Valve box locations Reference depth from original grade
within 100 ft of property lid Septic tank/pump chamber and restrictive strata:
10 Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and
surface water and critical areas g Observation port location bottom
Location and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption sti Manifold placement 0 Sand augmentation
components g Orifice placement Other cross-section detail:
lid Location and dimension of 54 Lateral placement with distance 0 Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
Buildings 21 Audible/visual alarm referenced Yes No
WI Direction of slope indicator Ig Scale of drawing shown on scale 0 21 Design staked out
21 Waterlines bar 0 21 Recorded Notices attached
21 Roads,easements,driveways, 0 Elevation benchmark and relative 0 C1 Waiver(s)attached
parking elevations of system components 0 21 Pump curve attached
21 North arrow and scale drawing 21 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ C1 Waste strength
❑ I1 Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation 64 Yes 0 No
,�qQe.✓_�D�� 8/18/2025
Signature oalpesigner 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:
(4\9114A19(04/1 bloc (z�
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved" by Mason County Public Health. (-?"1
Drainfield✓ 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. Revised:4/14/2025
/
/ PROJECT SUMMARY:
/ PUMP OUT&ABANDON
/ EXISTING/CRACKED
COMMUNITY WELL SEPTIC TANK. INSTALL
NUWATER BNR500.
_150' 3" RECONNECT TO
_ EXISTING OUTLET&
- - - - DRAINFIELD. ESTABLISH
I SUITABLE FUTURE
\ I �T RESERVE LOCATION.
\\ I
;' I
II . , % -'1
SHED - APPROX. WATERLINE
1
\ �\ \
\\ DRIVEWAY ,'�-
-' n
\ & PARKING•
\ 1 (D 1
I rn
\ \\ ~,
1 m ,o0,
N \ i
/
m /
\ /
I \ I / /
\ ,�
� ' � /
\ i i /
I 1 //
EXISTING HOME \/1
I ,
\\--.-- -r
(TO BE REMODELED) -
AI A -�--
EXISTING TANK & 1 TABLE 10
\ / /i \
RESERVE
PROPOSED ATU e 1
„\ / I.
(600SF SHOWN)
EXISTING DRAINFIELD ' FIREPIT
)-' /
(PER COUNTY RECORDS ,Xi
& KNOWN TANK LOCATION) `'� �O I
.d 1
S''+ APPROXIMATE 'N, \ P ‘RD
VED
.*:I;#4 TOP OF BANK \ AUG 2 12025
r, !o \\ „`,MASON COUNT? ENVIRA4.MENTAL HEALTH
�'' ,.•',• + APPROXIMATE 7 �\
: :��� t, , + SHORELINE \\ , . RET
•. >1+ (OHWM CASE INLET) \\
1 • ALEz LOUI S P*T5SE + N
-
i� 1'N \� \\\ -
N
AN ASBUILT/INSTALL SIGNOFF FEE WILL \ -,
BE CHARGED AT TIME OF INSTALLATION
CUSTOMER: ROBERT MEUCCI TEST HOLE 1 TEST HOLE 2 TEST HOLE 3 /
0-12 GSL 0-20 GSL NA
PARCEL: 12108-43-90071
`/�
I.. 12+TILL 20+TILL
ALPINE SEPTIC SITE: 727 STRETCH IS.RD S ROOTS-12 ROOTS-20
—DESIGN—
ALEX L PAYSSE,DESIGNER SHEET: SITE PLAN SCALE: 1"=30' DISCLAIMER: THIS IS NOT A SURVEY. REFERENCES INCLUDE'APPLICANT/COUNTY PROVIDED PLATS OR
3089 E MASON BENSON RD SURVEYS FIELD MEASUREMENTS AND COUNTY GIS. DESIGN INTENDED FOR SEPTIC PURPOSES ONLY
GRAPE VIEW WA 98546 ` PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER DEPARTMENT/AGENCY REVIEW. DESIGNER NOT
360-507-1546 la IC 5 11 12 RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS.
NUWATER CONTROL PANEL
/ ELECTRICAL WORK DONE BY
LICENSED ELECTRICIAN
i( AIR PUMP
• (PER MANUFACTURER)
0
I j jr..--i0000 '
p
O-
-
1116-1 —
�-
/ ■• °' I■
INLET OUTLET
41.
r1
• . _ NUWATER
• BNR500 .
a
d
i .• •. ••
•
0 O
d. .
• �. e e e • ••V.` 0 • e 0
•
• TANKS MUST BE ON STATE DOH APPROVED LIST OF SEWAGE TANKS.
• INSTALL TANKS/ATU PER MANUFACTURER INSTRUCTIONS.
• RUN INLET/OUTLETS OUT ONTO ORIGINAL/COMPACTED SOILS TO AVOID
SETTLING PROBLEMS.
• ENSURE ALL RISERS. LIDS. AND PIPING ARE WATER-TIGHT.
• INSTALL 4" SWEEPING "T" CLEANOUT BETWEEN HOME AND TANK.
• EXTEND ALL ACCESS POINTS TO FINISHED GRADES FOR FUTURE 0/M.
PROJECT SUMMARY: APPROVED
PUMP OUT&ABANDON EXISTING/CRACKED SEPTIC 0
TANK. INSTALL NUWATER BNR500. RECONNECT TO AUG 2 9 2025 :'►
o EXISTING OUTLET& DRAINFIELD. ESTABLISH SUITABLE ��
FUTURE RESERVE LOCATION. MASON COUNTY ENVIRONMENTALRET ' '�" �!4
��'
,IA �e•• ')"• r
CUSTOMER: ROBERT MEUCCI lal�' 4 . :A-1,
(..................................I PARCEL: 12108 43 90071 AV 1101013 *Si
In MIMEAla
ALPINE SEPTIC SITE: 727 STRETCH IS.RD S
. � ��` } N
—DESIGN—
ALEX L PAYSSE,DESIGNER SHEET:ATU DETAIL SCALE: NA
3089 E MASON BENSON RD AN ASBUILT/INSTALL SIGNOFF FEE WILL
GRAPEVIEW WA 98546 360.507-1546 10 105 li Iz BE CHARGED AT TIME OF INSTALLATION
Installation & System Notes
1. Installer must contact designer for final inspection of the installation prior to cover. All components, including tanks, lids,transport
line, drainfield, and water lines must be open for inspection. An asbuilt fee will be charged for time involved with the inspection of
the installation and creation of the record drawing. The designer reserves the right to charge additional fees if multiple visits are
needed due to installation errors or inaccessible components.
2. This septic design must be installed by a certified installer with the local health department. All components shall be installed
according to state, county, and manufacturer requirements. For Homeowner Installs,the owner must get approval from the designer
and local health department prior to attempting installation.
3. Designer is not a surveyor. Installer must familiarize themselves with property line locations prior to installation. Any confusion or
conflicts with line locations should be reported to the property owner. A licensed surveyor may be necessary prior to installation to
confirm all line locations. Any discrepancies found must be reported to the designer immediately.
4. Drainfield area may only be cleared by a licensed installer familiar with sensitive drainfield area preservation. The builder, lot
developer, or property owner shall not clear the drainfield area. Any clearing required for drainfield installation shall not remove or
disturb any top soil in Primary and Reserve areas. Removal or disturbance to drainfield soils could render design void.
5. The property owner and installer are responsible for locating all underground utilities(ex.water, gas, electric) prior to installation.
Any utility locations shown within design drawings are likely approximate and may not be exact.
6. All proposed tanks must be installed on original soils or compacted gravels. Extend all tank connection lines out onto original soil
to avoid settling issues. Risers and lids must be brought to finished grade and left accessible for future operations and maintenance.
Component manufacturers (ex. ATU, Glendons,) may have other requirements not listed within this design.
7. All electrical wiring shall be done by a licensed electrician or homeowner(if allowed)and must be permitted through Labor and
Industries. Designer not responsible for electrical permitting or other electrical specific code requirements.
8. The proposed septic system should be installed in dry weather conditions. Any failed attempts at installation during wet weather
conditions may render this design void.
9. Maintain 10ft to waterlines with all septic components. If less than 10ft is required, sleeving in sch.40 pvc is required. If sewage
transport lines and waterlines must cross, waterline must be 18" above sewage line with one of the lines sleeved in sch.40 pvc 10ft
in each direction of crossing.
10. This design may include waiver applications with specific mitigation measures pertaining to installation, operation and
maintenance of the proposed components.
11. Stormwater runoff, footing drains, roof drains must be diverted away from any septic system components. No curtain.
foundation, perimeter drains shall be installed 30ft downslope and 10ft upslope of drainfield areas.
12. This design is site specific and intended to meet state and county requirements that are related to the system components being
proposed. Any placement of proposed buildings, proposed wells or other non-related items on these drawings may or may not meet
other requirements.
13. All onsite septic systems require regular maintenance to verify satisfactory operation. The system owner/operator is responsible
for the continuous operation and maintenance of the system per WAC 246-272A. For operation and maintenance information, refer
to Mason County Public Health Homeowner's Manual, which should be received after installation a4rfllp R O V E D
14. System owner should be cautious of landscaping around septic components. Root intrusion
can cause premature failure of the drainfield area. In addition, bushes and trees should be kept AUG 29 2025
away from lids and other septic maintenance points. MASON COUNTY ENVIRONMENTAL HEALTH
15. Changes made at time of installation may impact designer calculations, pump sizing, and 0.,+ RET
compliance w/county and state requirements. Contact designer prior to install w/any S I�
proposed variations from design. Changes may result in additional fees and permitting. '' : $!{'
i'
� CUSTOMER: ROBERT MEUCCI ph'
'a # P.,/
(..,..., PARCEL: 12108-43-90071
ALPINE SEPTIC SITE:727 STRETCH IS.RD S mom
d! • AL EX LOU!NOISE f
-DESIGN-
ALEX L PAYSSE,DESIGNER - 1,4sMEN, N ••
3089 E MASON eENsoN RD SHEET: SYS.NOTES SCALE: NA
GRAPEVIEW WA 98546
360.507-1546 0 105 II 12
Royal Flush
P.O.Box 1336, 23820 N. U.S. Hwy 101 360-790-3021
Hoodsport, WA 98548
PROPERTY INFORMATION
Location:727 E STRETCH ISLAND ROAD S
Grapeview
Tax ID- 121084390071
Nail To ROBERT JOSEPH MEUCCI ET UX
PO BOX 1971 Use:
ISSAQUAH,WA
98027 GENERAL SYSTEM TYPE:Conventional (Non-Pressurized)
ON ID: 121084390071
County Area: Case Inlet
Fold — ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold
Here Here
Inspected:07/24/2025 - Inspection Type:ROUTINE - Correction Status:Some Corrections Made
Company: Work Performed By Submitted 07/24/2025 by:
Royal Flush Darin Ogg Darin Ogg
COMMENTS& GENERAL INSPECTION NOTES
Deficiencies Noted:deficiencies must be corrected to ensure proper longevity of the Onsite Sewage System.
roots have compromised baffles and tank top
tank leaking-tank level 8"below outlet baffle
water tested drain field with meter and 200 gallons-no return at time of service
GENERAL SITE&SYSTEM CONDITIONS
The General Site and System Conditions were: Fully Inspected
Components accessible for service: YES
All required service performed(if no-specify omitted inspection items in notes): YES
Surfacing effluent from any component(including mound seepage): NO
Components appear to be watertight-no visual leaks: NO-See Comments
Improper encroachment(structures/impervious surfaces) NO
All riser lids securely fastened upon departure: N/A
Electrical repairs needed. If YES describe in comments: NO
Inspected components appear to be in good physical condition: NO-See Comments
Root intrusion on any components. If YES describe in comments: YES-See Comments
Settling problems observed. If YES describe in comments: _ NO
The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. YES
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
Distribution:D-Box
This component was: Not Inspected
D-Box in good condition:
D-Box outlets set to allow-•ual effluent distribution:
TANK:Septic Tank-2 Compartment
This component was: Fully Inspected
Effluent level within operational limits(if NO explain in comments): NO See Comments
All required baffles in place(N/A=No baffles required): YES
Compartment 1 Scum accumulation(Inches,if other specify): 4
Compartment 1 Sludge accumulation(Inches,if other specify): io
Compartment 2 Scum accumulation(Inches,if other specify): 0
Compartment 2 Sludge accumulation(Inches,if other specify): 7
Pum•in•recommended: NO
.rain field(disposal):Gravity
This component was: Fully Inspected
Component appears to be functioning as intended YES
Ponding present?If YES explain in comments: NO
Drainfield was vacuumed,flushed or hydro-jetted?(If YES,explain in comments) NO
This report indicates certain characteristics of the ons to sewage system at the time of vi5,t.In no way is this report a guarantee of operation or future performance.
ReportlD:1428522 View inspection reports online at www.onlinerme.com Page 1 of 1