HomeMy WebLinkAboutAFTER THE FACT AS-BUILT - SWG As-Built - 5/16/2013 MASON COUNTYPUBLIC HEALTHAFTER THE FACT RECORD DRAWING(ASBUILT
Owner's Name lDG.V kv,, Assessor's Parcel# 3aa3y -L6- oo 19 0
(Tvelve-Digit Number) v�Owner's Address C��35 IOgft, NE Site Address
City, State,Zip Llr I 9 9 6001-1 Designer's Name
`'=r s - , INSTAL>�Ll�"CHE��L'IST ";�-. +"`- - • " 1 '�`` ,°`� ��
1. TYPE OF SYSTEM kaJr!V
2. SEPTIC TANK No . YES
>5 ft. From foundation?............................................................. ur, ❑
>50 ft from wells? .................................................................. ❑
>50 ft surface water? ................................................................ ❑
Building stubout to septic tank: cleanout if not 1-2%? ............ ❑ ❑
Risers installed for access?........................................................ ❑
Tank size: gal.
3. DRAINFIELD
>10 ft from foundation?........................................... El
>5 ft from property lines and easement lines? ......................... ❑ d
> 100 ft from wells?............................................................ ❑
> 100 ft from surface water? .............................................. ❑
>1 ft from potable water lines?............................................. ❑
Clean-outs and observation ports resent?......................... ❑
4. PUMP/PUMP CHAMBER d ❑
'CERTIFICATION OF;INSTAI LATION,�_`-,
This attached record drawing was created by Mason County Public Health using information obtained from available records
and a site inspection. All locations are approximate.
Environmental Health Specialist Date
Revised May 2013
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