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HomeMy WebLinkAboutSWG2004-00063 - SWG As-Built - 7/8/2006 Jul 17 06 10: 55a Bob & Patty Paysse 360-427-2353 P. 3 AS—BUILT FORM Rz-vised,==-;,4.19 %+`:�i"•'•�%r.?^�: ?:9£.•::a:....,}y_....4$isrr'.•la x`�:. .': :rir .�':<:i•':r:S•:."✓w-, tyc: :c;,,.. k5v'wa. .� `:•�`}�."x }:.}.:E::K a -:kqw 2 •t�'w.. ,;•a:t. x.a:' :>�'•..;� •`?f• '9 x.�'-.--:..'.✓ifit•: ::; ..#: .�.`,:. .. rS.:::'ix%•:%:b { o• ';...,.�ikyrY.r `,�j...,' -2 :#xF2' �$r.-'.:�t$''!4.?+c;2.. :' ^'i •"'•)':or.•':::r ;r.: .:•'•-'o- ..•..:. ,i:.e -...:...:. ,•exr..:.:-r:r:...:,.,.,,....,}..,fr:g.,.� .aYA':•...�•-.:::�•::r ..>.- -.:- ..t. •4:.:.i,:.,,- ..{:.,3: ..:.. ..�• �: :•}�tRC�DEI!�iiG.�C�rl;�c}N .#'...h..,s..�):; •r.. ..) •~�. ,:K!t4':.. -...•,,,.)«•.•aY+n}:F{ ..-[..` y::.. .{; 5 %`) ..SS..:,p,4er..rr.4.t-• ,.;,c:,.,,-,. , ,•rz:.. �ti;:<,•.t)..}l.rc,.,:?� �'��,;,.s...'.-.-.u� .,r,r.,✓;- Applicant ft\&f ew 6, P,7z s:-r. *> Assessor's - Parcel 9 Permit Number SWG oP0 Crwelve--01gitNumber) Installer ���' _{' �.�: lot- : Subdivision �--� (Namef0hftJcr/8tockLat) Designer 's �^ µ..••ti,=,,_...-:;;v `�:•r'L,�} ,}Y•}•:�J):•}"c via.. +a \ - Y.,w!r •>.A f...r. ...e-. 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L..•............ {.v W{��m:`4.'t f.2?-:... d:•W.✓ riC•fi': NIA Yes Prior to Compleffon 1. SEPTIC TANK A) >5 ft_From foundation? . ......... . . ... . . ..... .. . .. . . .. ... . . ...... ❑ ❑ C9' B) >50 ft from wet r s and surface water? . . .. . . ...... . . . . . . . . .. . . . . . . .. . ❑ ❑ C) Bldg stub-out to septic tank clean-out if not 1-2%? . .. . . . . .. . . . . . . . ... . ❑ L� C D) Ba$les intact and clean? . . ...... . . . . . . . . . ... . . . . ... . .. . . . . . .. . .. . ❑ C E) Dividing wall intact?.. . . .... . .... . . . . . . . . . ...... . . . . .. .. . . . ... . . . ❑ F) Risers iasmIled for access? ........ . . . . • _ . r, . . . . . C G) Tank Size: 1 APO gal.;Manufactt:re /%cl�? 11. 0-Box A) Leveled with Ovate:? . . . . . . . .. . .. . . . . . . . . ... . . .. .. . . . .. . . . . . .. . . . . ❑ r- B) Speed leveler used? . . . . . ... .. . . . . . . ... . . . .. .. .. . . . . . . . . . . . .. . . . . III. DRAINFIELD A) >10 ft from foundation and>5 ft from property Lees? ... .. . . . . . .. . . . .. . ❑ C B) >100 ft from wells and surface water? .... . . ... .. . . . . . . . . .. . . . . . ... . . ❑ C' C) >10 ft from potable water lines? ... . . . . . .. .. . .. ... . . . . . . . . . . . .. . .. . ❑ G D) Laterals Ievel to T I inch&end caps present if net locoed? . .. . . .. .... .. . ❑ �� C E) Graveness chamoets utilized? ........ ... .......... . . ... . .... . . .. .. G C F) System dimeasfcns the same as shown on the design` .. . . . . . .. ....... . . . C �� C G) GraveI clean,properly sized, and prove:depth? . . ... . . . . . . . . . . . .. . . . . . ❑ Lr� C H) PRE=URa Sys-,-r-ms 1) T:1rIC-:,3? .... .. . . .. . .. ..... . . . . . . . . .. .. - ❑ G C 2) Head he; t unif man - .c= ae= . . G ❑ C 3) Clean-outs and obserrat on ports pr . . .. . .. . . . . . . . . . . . ❑ Cs C 4) Mound: Side Slope 3;,L?.-:-`-`:. . ... . . .. .. . . . . . . . . . . . . . . . . . . .. . C C �) Cnxaer iafctmed"e1Je ricai tonne wcns must be made lbi_ er or licensed electrc;an and inspected by L&:I? . . . . . . . . . . . . . . ❑ G G IV. PUMP/PUMP CHAMBER A) Spa o or effluent ffiter(circle one) 1=11ee . . . . . . .. . . . . . .. . . .. C B) Riser fi=Ild for .... ..... .. . . . . ... ..... ❑ C C) Alar=Installed? . .. . . . . . ... . .... ... .......... . ...... ... . C C C D) P•=p mak- Carew:si= g^.I; g mch; Cbz.—cc:Manu&=rr F) G) P-m=tmls: cwu inches per mint^:; Fe?gat of Cm; ofr bettcm ofp=p c =b (cr)Fapsd T'mce Matte (circle If installed); l;der s ssd:P•.m:o Ca P=,r_ 07/17/2006 MON 10: 58 [JOB NO. 5231] 10003 i Jul 17 06 10: 55a Bob a Patty PatIsse 360-427-2353 p. 4 -Y ,{,}t r r; x:ifvr.,a�y�• Oct ..YNi Y::i d# .Y,'.-.. ..kt,...Y.r > 5. CREcxLrsr t:x.; :;d`�;�:.:tc:.dS.a.,S::,T, .�'. .}�•'.,: :??_. s�� .l {.. r t. ,,y ❑ Drainfield&manifold orientation &layout CI Trenclvw di neasions and critical distances _ .within layout — - O Septic/pump tank placement. Q Location of buildings. Cl Observation port&clean- out location. 0 Location of wells& roads. 0 Undistu ed native soil be:we=tr-aches. Q North arrow CAUMON:Minor ads—^ts to septic tame locadca and dminae:d orcnwion made in zc field by the sa ac.--jtable:o both:a and 7te d=%=biro could?a=twin escs co=ramise:he viability of the ryssca It is the i--Twle;>s tsspcastbility to oaten prior wrtrtea app:nvai ze -c bettdt demos or he da per before maic•;ng sty d_-viaticns�m fire design that u'te--:hc system viability. Any deviations hm the approved :�;;= 5c shown above. { t .c—rci[FlCATICF1OFIN5tALi.ATIOIV Irs�iler - _ a bcx from,Row"A"and"B",silts and date the ce titi�oa A. I c a that I in=Iled:he syr:em without any Cl I czni: that all deviations Rota the design deviaden f1 um the design stamped"A2pam O" by "AP?ROV'•O"by MCDF.S are shown above. lvtCDI;S B. O I certify tl:at I contacted the desiZ.:er, and left dhe did not comet the designer prior to fiaaI cover bees-e !e system open for insre Ica up to 43 h.s;;:or to ' desi=er waived f.!:e ac8cadoa reV_iremeat. cover. 1 6=!!er c"--dit that all informadca tannin ed on this ferm is ac.^,:rate. 1 sad...^:mod that if the infcr:.zatica contained hc;-i:.'s act the..will be jts cause for im>s.^....?-•c sus;easion of my insmIler ccr-.;ncation. v7 tg!tat,n 6,t ' er Dam ine nndc:sigred approves this ks=1 r:en on be alf of Mason County De-- eat of F. th S=vicss. _ - ale III 07/17/2006 MON 10: 58 [JOB NO. 52311 12004 Jul 17 06 10: 55a Bob a Patty Paysse 360-427-2353 p. 5 (� 2A -fv Cw DE?7-- _ � I F0 6 O ? s � 1 � v � ( i f � E 31 4r TraN[[ LIDS a2� FKr�sfD TV 5UPPOCf retz VKy f1[c£ss A+uD ioCaTte� p,— 8 —C = y8 r 0=3y yl, — E :- 13 t L�LL. 6 -NAf 2 U 65 I t-f5'f14L.£ 0 't0 UJ2 1 G zia4 L 311 nfS�4►-� f 10 r 0C- - �4 4 C 07/17/2006 NON 10: 58 [JOB NO. 5231] Q005