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HomeMy WebLinkAboutWAI2026-00017 - WAI Health Waiver - 3/13/2026 r ' z MASON 'COUNTY ; - Publc Head & Human Setiiitet WRZ2w6" Oco/ 7- P0 Box 1666,415 N 6th Street, Bldg 8,Shelton WA 98584, Shelton:(360)427-9670 ext 400 ❖ Belfair:(360)275-4467 ext 400 ❖ Elma:(360)482-5269 xt 400 FAX (360)427-7787 Application for Waiver/Appeal r Amount Paid: � 2`'�� lull MAR 0 6 2026 !;i�� Receipt Number: c CQ- p — �0 aid By {f Instructions �� --- :1 Complete Parts 1 and 2 No dctexm nation can be made until these parts are full.completediE : 2 Fees may lac billed far�vatv ers n ad appeals;based on the Environmental Health Fee Schedule :: 3 :....Submit completed apphcatlon with attachmen s to Mason County Public Health for revie y:.; ::.iis PART 1.Applicant/Parcel Identification Name of Applicant 5Ir'-2i-L ? Telephone JO- C-( O3"1 Mailing Address of Applicant '---(0S0 SC ¢ V-04►tIk. - City State kA.R Zip c. 6Sli- 12-digit Tax Parcel No. Z Z co 3 O __ I 3 __ `) © O 3 Site Address 3 Subdivision Name and Lot PART 2: Nature of Waiver/Appeal ❑ Class B Reduction in Vertical Separation 0 Food Sanitation Requirements ❑ Building Permit Review Policies O Group B Water System Regulations ❑ Location,WAC 246-272A-0210 0 Water Adequacy Requirements El Holding Tank WAC 246-272A-0240 O Enforcement Timelines ❑ Mason County Onsite Standards 0 Departmental Determinations ❑ Contractor Certification Requirements ❑ Other (Installer,Pumper,O&M Specialists) Description of Waiver/Appeal(include justification,additional material may be attached.): Install Holding Tank for Recreational/Part-time Use(RV) `t% et cApt s - 73 10 7 % s Meets RSnGs for Holding Tank Design and is on state approved list. Tracking of maintenance through Mason County maintenance database, Carmody Inc. &t..e$'S Ki%-k--\/•-k v� tot— . `-f 0 3,-e , pr 1�o t 'E' Applicant Signature: Date: 3 Revised 12/12/2014 This form may be scanned and available for public view on the Mason County Web site. Page 1 of 2 i PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: Type of Onsite Waiver(if applicable) ❑ Appeal 'Waiver O None required 'Class A ❑ Class B ❑ Class C 2. Identification of Specific Code/ Standard/Determination (include date of determination or latest Code/Standard revision) WAC246-272A-0240(2) 3. Nature of Appeal: ALLOW HOLDING TANK FOR RECREATIONAL (RV)- PART-TIME USE 4. Hearing Official: ❑ Board of Health O Health Officer ❑ Pollution Control hearing Board O Public Health Director ❑ Certified Contractor Review Board Environmental Health Manager 5. Mitigating Factors: 1. 1200 GALLON TANK, ON WASHINGTON STATE APPROVED LIST OF SEWAGE TANKS 2. INSTALLATION BY A MASON COUNTY CERTIFIED INSTALLER 3. LETTER FROM OWNER AGREEING TO REGULAR PUMP OUTS 4. NOTIFICATION TO FUTURE OWNERS RECORDED ON PROPERTY/PARCEL Oh 72. 5. HIGH WATER AUDIOVISUAL ALARM, RISERS TO SURFACE,WATER-TIGHT FITTINGS 6. I have received this waiver/appeal request. It is complete and mitigation required by the state and local policy has been submitted. "IP/ ZS^Staff Signature: Date: 3 /Z(Zd PART 4: Determination of the Hearing Official SZ),- The hearing official has determined that approval of this request will not adversely affect public health and is hereby granted. This decision is based on the following findings and conditions: O The hearing official has determined that approval of this request could potentially adversely effect public health and is hereby denied. This decision is based on the following findings and conditions: Heating Official Signature: Date: 3 >ry Z Revised 12/12/2014 This form may be scanned and available for public view on the Mason County Web site. Page 2 of 2 ' Granting Waivers from State On-Site Sewage System Regulations Chapter 246-272A WAC Effective Date: July 1,2007 Revised April 2017 On-Site Sewage Systems (Chapter 246-272A WAC) Request for Waiver from State Regulations Section) (completed by applicant) Name: (1) iiii:iiiiiiiii!iiiiisiii.gi7iiii,1:iii,,,,i7iiiilini,,,7ilti, Local Health Department/District (2} Address: S�\ —._.-- (se to atraehon "' S 030 5 _ Telephone:p (No) i_f_a o,- (0 3cl Signature: `-C— 3— Zc- Property Identification: (3) — -c--i O (jN e." I o/1l Pc-L.t. € - ESLA*-O k-2-$ S 2(01 el-k2- 1 -Pa-rt .2'1-0. -- \ 10'03 k C ..C.,I°r 714t1-'1)1Q ) Z t t .Section I (completed by applicant) WAC Number: (4) _ WAC Requirement: (S} Waiver Sought: (6) 246-272A— 0240(2) holding tank used for pernament holding tank used for part-time recreational use Subsection: commercial uses for RV e„A, ‘.Rb .c..c.. = E(O,2c4, $S Justification(mitigation measures to he provided): (7) see local waiver form for full outline of mitigation measures: 1. Design criteria consistent with RSnGs for Holding Tank Sewage Systems S. 1.).+.ejOs .ice.(f,,,k_.- - 4 e_- S. , 2. Tracking through Online RME (Mason County OSS maintenance database) '-(2) oLF3, kac-i e-Ug e-r- -Po Section nT _I (completed by health officer) �—"`O% Review Criteria: (8) --_ --- Mitigation Measures(in addition to those proposed)`(9) Comments/Conditions: (10) S p®((S t� te LQ('(' 1 _ Type of Waiver: (11) Class A [ ] Class B [ ] Class C—Request DOH review before granting? Yes_ No Neighbor Notification: ( 2) Required? Yes_ NoL If needed, are agreements, easements, etc.properly filed? Yes _ No_ Section A (completed by health officer) This Request For Waiver From State Regulations has been reviewed according to the provisions of Chapter 246-272A WAC On-Site Sewage Systems. The review criteria applied,and the mitigation measures proposed and/or required,have been evaluated for their ability to provide public health protection at least equal to that provided by this chapter WAC. [ ] Denied 174 Approved/Granted—Subject to all comments,conditions and requirements noted in Sections TI and III. Local Health Officer (13) Date: ///d9�2- DOH 337-021 Page 26 of 32 • APR'lira%vs V0L-ac.- P9 ai -. si.A# a► - 19 DESCRIPTION yE O I _ RESULTING PARCELS I AND 2 CF BOUNDARY LIME ADJUSTMENT NO. ,AS RECORDED UNDER /} i DIRECT CF Cal-WITT AUDITORS FILE ND, ,RECORDS CF DEVELOPMENT MASON COUNTY,ILL49NII 5TCN. I I /- AVM I7 32 8'it ri TOGETHER WIN AND SUBJECT TO EASETIENTS, ,../...."---- 11 /'' RESTRICTIONS AND RESERVAT1O1J9 CF RECORD. '• `• '' // /' O /� / n CI a -.'Ill-IV t NOTE /' �' __p., 111° o SEE SPORT FLAT 4949 RECORDED , t I I' w INDER AUDITOR'S FILE 491034. \ r ; h C ..--/ ' � ,j LUg b SEE SURVEY BY LONTT VOL.1,FG.D. L. 1S C 8 / d 6h 35 n GEE PRE'WOLL9 SURVEY VOL.IA F .Ea ' AND VOL.24 FG.108 ,...,<',' ALL RECD DS OF 114904 COMM / \ \ t- - 814SOINGTON. \ ` �•�0 1 it,•` -�.. ice; 3'CURTIAN./f DRAM Cb0 . ‹ I 9 ,\\\ O I . _SCALE: I'-50 FEET � � �_ i i.'ii •\\ ' o 0 5 5 100 ` \ ' ^ R I RESULTING = RESUL TING PARCEL 2 3 PARCEL I {.E END \`�, I LS9 ACRES In h 8 CIO ACFE9 OU/NERS ADDRESS '1 WEST LINE JEAMNE OBANION •.9,1 'CAP WI PLAISTIG 9W 1i4,NE U4 I 8 YELL ;CpAP SET a z 3 ?945 lath AVE M/1 ,--O.'k CD RURVt1;UILE I 5. P. 0LYI'7PIA,WA 90807 f 0IIJERGU19E^�0TED I S -,^- "' 5$P�IC clean= <‘. i ' CO' PARCEL 2•22030-13-9003I0. i PARCEL I•22030-G-90032 =I \ • O . / APT x h WELL II BNED zi \ `,\,•\ ,i•0,110 } • I;r j NOUIR9EJT AND Praoc 30,00 701.81 ` 37.00 23.58 128.66 \ \' /6164 ` raUfFIE,IL LIETl•eEPp TIECDCLIT2 J♦ 238.81 N 0911'04'EJ-2.09 153,25 ' ` 1.041471.. . W WIN ECM 2CO.C.ALTDRAIED 0411 FOND LOVITT SOUTH LINE -'W. w' ,FIELD 7RAYE,87G PIPE AND CAP LOVITT PIFE AND CAP 6W V4,NE V4 00-ITIA00G AT SW CORNER SW 1/4,ME V4 00-171.941 14O1-MAN I ASSOCIATES 4.19:311 003 CORVCAIN e1R.rrat'e CERflMATE I I `' naTre8Ia1AL LYD eua EMOS �1..,. Me 00* MS.. fgl871311V7�Bl1e A 6iaivtY N40C Or PE LW SURVEY uoi a.T11IC own& Falb Kit RCCC16:,11100/8 7.DAI�"�^M Ai AT....IL N LIVER ITT ORM-MN N CCNtlNIMCr OD,TIM II.0IIlO1R • FOR 6NELTOK A WNW BMX.a.4.L7<- `�Ar.MOL•.44:..AT IRE IMEl7 CP Cr DE TK�a mACT Ar51' Cr JEANNE OIHANION I 1411- I ,.7,-2a5FAN P44118.I.IL'Lf1AN JEAME OPOMANION IN O Or DATE JON NO. 9W 1/4,NE I/4 .1-1D APR.7001 00-l71 A�,MSS.kleN- d .ri•y N•A •1a®1• SECTION 30,TOIW4GHIP 20 NORTH,RANGE 2 VEST WM. CM" ALIXTO1 ie No.ean Dal I•-50' I eV I •�O,'AL . • S CAL. 1 °P9 FL VT PL14 \' 0 le 60 010 Is° "").1\ .�D �� _ S!-IEl..L`I A' JER�. ��\�2�,�� `LJr(�e�° Ffr2LCCZZo3o-I -goD,1 5630 5� -IV\c-kDtiR RD _. / ' 51A-ELToN� v3ft cr X5$4 tif- ��'�° t PI g wEE Ni d • �w E xzs-C-Nn - . 14- a . too' ' , Q•I`tl\-. `PwArc.. - CMcs,_ r M Li--s 1,..Q . Wr-wa i. 5 p' Pro-,�csc1� , .. Ca`s .o s-fir-f-V Pg-A- y`- 'QLV -Eplba '-+�.--tc w Wc.�.l, @--L- �_ S e rs L i--c� 4-0 S c o 0(.. SL -{cols_/45`24-''-&- 2 se •g,4' 1--• e �� 1.r10 r $ i GL CJIrL s — a 7•-E8 s:L`. �i,1. e`lam," .s1- . •(tee-`.c......re. `^eaks . .s 'D f ��r o ff- 1±3.0 3'f s..c... .tir,it-:_. ' 1. V Ore- ki.D v- lJy'fC0._Itvaplksev — r4'PAULA JOY JOHNSGN `� Shelly Mary 5630 SE Arcadia Rd Shelton,WA 98584 February 25,2026 Mason County Department.of Health Services 415 N 6th St Shelton,WA. 98584 RE Shelly Avery RV Holding Tank, Parcel#22030-13-90031 Dear Inspector. As part of the application process for installation of an RV Septic Holding Tank located at 5630 SE Arcadia Rd;:Shelton,'WA 98584 we agree to have the tank pumped on a:regular basis with a minimum of annually_ The tank will have a high-level alarm and we will engage a local septic pumping company to be on standby for regular pump-outs. If you have any questions, please:feel free to get in touch at my phone number listed below: Sincerely, Hell `�(� ia S y Ave-ry (360)490-103.9 Holding Tank Sewage Systems-Recommended Standards and Guidance Effective Date:July 1,2021 Introduction A Holding Tank Sewage System (HTSS) is an alternative to a conventional on-site sewage system with very special and limited applications. Simply,the HTSS provides a means to collect and temporarily store sewage from a facility or dwelling, for subsequent removal and transport to an approved treatment and disposal site. Depending upon the facility served or the particular set of circumstances surrounding the use of a HTSS, the expense of sewage pumping, hauling, and disposal at an approved facility can be very costly, especially on a long-term basis. In addition, the potential for operational/management problems with resulting public exposure to raw sewage is significant. For this reason, use of a HTSS must be closely regulated by the local health agency. A HTSS is an on-site sewage system that incorporates a holding tank, the services of a sewage pumper/hauler, and the off-site treatment and disposal of the sewage generated at the site served by the HTSS. Figure 1. Longitudinal-Section of Typical Holding Tank Sewage System. Warning Light and Audible Alarm Access Riser with secured Pumping Access Port with gas tight lid lisloped concrete pad V V ._ ` y Inlet 1 ' ` I from->O structure Inlet pipe Reserve Storage Volume Normal Operating Volume *Septic tanks with plugged outlets are not allowed.Tank must not have an outlet. DOH 337-006 Page 6 of 17 I . 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I � =,M"�,=.,_==.,,qO'=.aaaMayn======.4.H n �� OVr9wr rir�D OA".D1e1,Ieier�Al 5ruCCirt.c.ID• a =_y===>rIa,��= `�' Q.I,4.= -_e:=�. 6 Data '�•—TPc===�= d L.v11LCS511072IOlII IIC'CI..11.10 AHDL'11 P211n1tIS TO2c CV/To:M N TIC COIICMC 111CADCP.0.11,1 Mr 110 J10IITAL RCEAr. p, (1- 5000 P51 CpnCf:Cm TANK 51Di'.WALL DETAIL rOIOARDs Ton 00199.4 or MC w1f, 50co P241 rrnlaxhrr TANS.END WALL DETAIL Ica. V/ALL:TNIC0rIC55=.1.2145 WALL,Ir115Y•ut55 VAPJC9 119 - PAGE: 4 2,500 15,.MAY..wnrlL I.OAD AT WORST CASE LOCATION (10.000 II,POP:'.T'MCIDPL5)- - \\ 120*110%01' - --• -- - r•I, - H• 78' . .- / FINAL I C' `21 55' _ II'' �+ ) �- F HAGERhIAN PRECAST ,\ GRADE fA �' -Z4" ,Y O'/ O O O U 1 \ IF c O LO TANK MODE: 1500 X-Y. --- ,_( )__. Ln r. u DATE MANUFACTURED:XX/XX/XX r 7 ••_ ---_ � -_ L co 1 MAX.DEPTH OF COVER: 3 FT. II Ii/ , n (5 Ci)35'tvM ; 1 /-iC) 'WALL.Tr' O = DETAIL OP I.D.TAG(LOCATE �L r I I'MIN. LC) LO TAG 111510E 51505.00 \ 1 ) —E AIR..GAP r ACCESS OPCIIWGI ) • -i'I SOD 5 '500 I' ___i_ _; l%'1500 S�T 1 15UO I'T \.,-.._-_._.,.,,.,tires,�_.�.J._rr_..s._•......... w���.,r ."„�r.....,• .-...-------- CAPACITIES(GAL.) J- H ACCESS AND RISERS NOTES r -d'CA)T•A•SCAL GA5KCT 4-DIA.PA55-7120 X�7 L t- OR LOUIV,WATER 11 GNT OPERATING 497 m CENTERED IN WALL - ZZ p CONNECTION AT EACH TOTAL(PL0001 975 Lp w0 I/THE ONE 10'0 ACCESS OPENING PER 2 1107 TO 111111.rERFORATl071,TYi'. W MC DISTANCE UEnVECN ACCESS OPCMNG8 IS NOT TO - \J \ Jr �,• N` L di w LXCECD 10.0'CENTER TO 0571505. —— = ,- 1: J 21 POSERS MUST OE A MINIMUM OP Z3'115105 DIAMETER. r� CAPACITIES(CAI-.1 A V\rr).4„1-',....., ,`"r I— < Q I 3)RISER.TO.TAIIIT AND RI5LR-TO•AoQnlnO!IAL SECTIONS OF = OYEYJ.7INC• IDS'S ,L s�Ojr,�'E' y�G��i O (n • RISER CONNECTIONS MUST INCORPOPATl1 JOINT GROOVE) 9 -_ - OR ADAPTERS TO PREVE11T LATERAL MOVEMENT AND i°O _ 5000 PEA CONF.CTE TOTAL 1PL000),121. in F p REMAIN WATCRTIGtIT. 7— a FERRAc15-Z WALLS.TYr. E? • -y L g Al ACCESS AND RISER OPENINGS MOOT CC CC`/Ef`,L'DYIRH A P m b I,) ��a L LOCKA.DLC I ID OR OT 1011.STOuF:f.D I ID r 13 3 i ...j;', .,:o �1'. 5!ACCESS P.'3L'f5 AND LIDS MUST DL'STRUCYUPALLY 500110 2 1/2'T111C1:'DROP IN ui y�O,Y, DOAa9811 43 ''• .Q CD TO 0111312110 ANTICIPATED 31TE:5PCCIfIC LOADS, °AIJEL 1/ITN JE-T•5ET m TO 4 1/2'THIC,AT ADH551VC CV'•5NAPEO ,'1O T F`��G ' s r-,- e..... `°— DOTTOM or VAALL,TYP. POI;P MODELS) �;V.. c;� a: CO SEALS AND GASKETS NOTES ( -t 3-I I .. (n 2 II SEALS MO GA5SP-5 FOR MI ET,0.111 El,AND IIITCRCOIAPARhAEtITAL'111n7G5 MUST Be P.ESIII&1T, -\ .\— Z v WA1C1TIGH1,COF:R03101J•I:E/ISTN71,AND PL W ULt. i%,'•%/`f' ir: 21 SEAL)MECTIIIGQ AOT.M C•16.14 Cl EOUIVALCIIT ML4E.T LIE 2 I/2'TAPER e'THICK SOOO PAI � �. �,G'1 /y/ Q U5CD AT TNT TANK WAI I•ro.evC P:PING INTLRI'ACE TO TYICAL .:I/,4r �_!1 L.� 'PEVEur LEAr.AGt. CONCRETE act-w. /• TOldt•FRCC NATIVE Sun OR COMIPACTCD SAND LLI � LL -- - OVI:L:iI ON',"S(711 U•! CO r151'ALLATIOI•:INSTRUCTIONS j r HIGH WATER,TABLE AND Q _ I BAFFLE NOTES , TRAFFIC LOADING NOTES m I)C:CAVATC 02117.HOLE WPH VE'TTICAi V/AILS TO 2 PEST 1A1GER THAN TANF.ON ALL SLOES. DOT TOM O° I l IIRT:T5 TO StIT:C TAIJK5:41151 51111:110 AT'EAST U'DELO'N TrIE LIQUID LEVEL I)TOP.1Al1O MODF.IT5 1500 5 1 1 500 P. CD s HOLE 1,11.151 CC PLAT.ISVI:L,AND PRE[OP WATER. HOLE MOOT,'SLOPE DOWN 3'TO CEIITCO OPTAN.. 21 OUTLETS TO50 110 TANKS MOOT EY1 LND 0CLOW THE LIQUID LEVEL Al'LEA51 A):s+Axe,IUM WATER you:AT TOP OP 1.4) LD Ce") CD 2)INSTALL 0'MINIMUM OP 2'MINUS MATERIAL OR.SAND ON OOTTOM Or EXCAVATED HOLE. 30'),DUT NOT I/ORI:I I IAII•1O;G. SI mAY..MUM TnArrJC 01101110 HOT TO EXCEED 2.300 ID cO 3)INSTALL TANK IN CENTER.0^HOLT,KCPP1NG MINIMU,LM I FOOT VOID SPACE ON ALL SIDES 5)WIN AND 0111113 ULVICCS 111181 NAVE A MIIIIMO,M 1415/DP.DIAMETER Or 4' COPJCI:NTPATPD IOA.( X7 O 41 INSTALL REsr or SY-i(TM,AND AFFIX RISERS AS REQUIRED 01100111.IUP.ISDICTIO:J 4ND BC COIJS TICUCIED or rvC OR AC3,CONIORMI^IC TO D7.C%Ctl'OIIIC T!;_ 2)5(IR TANK MUOCL3 1$CO 5.T 1 1501.I O 5)UPON APPROVAL 10 F7ACILFIL L.nil VOID SPACE AROUND TA:IK WITH COMPACT GRANULAR(SANDY)SOIL 214110,21)3201'ASTM 1)303.1 OF:/81 M❑:1010,RESPECTIVELY. • m w Al MATER IM Il.AT C;RO1211 13 110 z PP.CC or LARGO CLUMPS or CLAY AMU P•GCr.`•OV'EP.2 INCtIL3 IN OIAMLTEP- SACKFUL CAREFULLY AIJD •1)INICTS AIJD OUiXLTS MAY BC IADVEU PROM THC IOChTIOIJ5 SHOWN('P.OVIOL'D Ill MAXIMUM.IKAI't'IC LOADING t101 10 I,XCCEO I G,DDD LB � Q. 141111Y IN IS'I!PIS, MAXI!.IUM SOIL COVER IS 35'. TI1C 11CIGHTS ARE NOT 011AJ'IGED AND Tt IC PR'L CCU-IRS 21.1 LCCAIC7 Al LLAST COIJCLIITP.ATI 0 LQAI)-,.AT I,1'1111VALS 11'220 SATINSI d x G)IF 1103) ED.WATER TESTING TO 01 COPE DY LOCAL JUCI_•DICTI JN OR COY SPECI^ICATION5 U'1X171.1 ANY E000 4110 AT LEAST•I.05O13A111 OEDAR. 31 TR/V'IC RATED 0151:1 ,MU01 131.1 1 OltLXC-tl U T!I!. a 71 FINAL GRACIE inl'SUFI2101 70 AVOID f.t1AWILI mG 5'JPl'M:C V/AnR TO'NnR05 TAVu:. 5121404P.DS or AS+TM 0.1 70 1171 Mh 1/5001 STANDARD PLAN 0.30.20.00. FP/MP NCJ COVI'R MU3T MCLI CR 1 1x0110111-:,IAIlDAR115 OF AS TM A'll,C.1.-,I1 TANK PUMPING REPORT Site Name: Location:5630 SEARCADIA RD Service Company: Shelton Tax ID:220301390031 AAA Septic LLC Use: PO Box 1460 Shelton,WA 98584 360-427-6110 Serviced:03/18/2025 by:Chris Floe Submitted 03/18/2025 by:Brett Taylor Dump Location:Bio-Recyding Jurisdiction ID:220301390031 COMMENTS Intake and effluent compartments pumped.Pump compartment levels did not warrant pumping. Effluent filter removed and cleaned.Baffles are securely attached and functioning properly at this time.No screws in all 3 lids upon arrival,2 screws placed in each before departure TANK:Septic Tank-2 Compartment Tank Pumped: YES Total Gallons pumped from tank(Number only, no text): 1200 Tank Size(Gallons)(Number only,no text): 1200 Tank depth below grade(inches): 12 Effluent level within operational limits(if NO explain in comments): YES Effluent returning back into tank after pumping: NO Access Risers installed to grade(N/A if not present): YES Tank Construction Material: Concrete Tank Condition Good: YES Baffles in good condition(N/A if not present): YES Effluent screen cleaned(N/A if not present): YES Effluent surfacing around site components(N/A if not checked): N/A Tank abandoned after pumping: NO Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO Compartment 1 Scum accumulation(Inches,if other specify): 8-10 Compartment 1 Sludge accumulation(Inches,if other specify): 6-8 Compartment 2 Scum accumulation(Inches,if other specify): 0-1 Compartment 2 Sludge accumulation(Inches,if other specify): 4-6 TANK:Pump Tank Tank Pumped: NO Total Gallons pumped from tank(Number only, no text): 0 Tank Size(Gallons)(Number only,no text): 1200 Tank depth below grade(inches): 12 Effluent level within operational limits(if NO explain in comments): N/A Access Risers installed to grade(N/A if not present): YES Tank Construction Material: Concrete Tank Condition Good: YES Effluent screen cleaned(N/A if not present): N/A Effluent surfacing around site components(N/A if not checked): NO Pump operating as intended: YES Controls operating as intended: YES Alarm working as intended: YES Tank abandoned after pumping: NO Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO Compartment 1 Scum accumulation(Inches,if other specify): 0 Compartment 1 Sludge accumulation(Inches,if other specify): 2-4 This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance. ReportiD:789921 View pump reports online at www.onlinerme.com Page 1 of 1