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HomeMy WebLinkAboutSWG2022-00042 - SWG As-Built - 8/9/2022 RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number SWG -Z('22'-66 d(kL Assessor Parcel # \ 5Z\( 0 `0 Applicant Name —"Zan IkAvt - Subdivision (Name/Div/Block/Lot) Applicant Address `� (� v. City, State, Zip A 'St1 \N4 V -"\ Installer Name \413. c4 Site Address (05?)2- I u vlt4,J Loop resigner Name n�.h� INSTALLATION CHECKLIST [Full System Installation ❑ Septic Tank Only ElDrainfield Only ElRepair � System Type s�C,��'(A,re. Pretreatment Type >5 ft.from foundation? - • ❑ N/A AYES ❑ NO >50 ft.from wells? - ----, ---N - ❑ 1 0 >50 ft.from surface water? • fl - El8i ❑ ,ec Cleanout between building and tank? - 1) J? 0 P 0 V Tank baffles present? - LJU 9 24�� �U' - ❑ 'j 0 a24" access risers over each compartment?- \ - El ® 0 W Effluent filter installed?- By--- ` - ❑ g ❑ r,^,l `ZQ-}�, Septic tank size �,�J�.1 gal Manufacturer © D-box water level and speed levelers used? - - ❑ N/A 0 YES 0 NO OwElManifold/D-box accessible from surface?- - 0 0 a?Z Check valves installed? - - 0 0 0 Q Schedule/Class n Transport Line Size Bedrooms installed (check one) ❑ 2 0 3 (g,4 ❑ 5 ❑6 >10 ft.from foundation?- - 0 N/A 14 YES 0 NO 0 >100 ft.from wells?- - 0 EL 0 W >100 ft.from surface water? - - ❑ ® 0 i. >10 ft.from potable water lines?- - 0 El 0 Z > 5 ft.from property lines and easements?- - 0 FA 0 Q 0 CC > 30 ft. from downgradient curtain/foundation drains? - - 0 EiJ Drainfield level and observation ports present ❑ n ❑ N Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?- - El ❑ Pump tank setbacks consistent with septic tank?- - 0 N/Ala YES ❑ No Pump tank size 'vSc) gal Manufacturer .<0 Z - ❑ j31 Q 24"access riser(s)and accessible from surface?- ❑ 0 ~ Alarm or Control Panel Installed? - - ❑ in a 0 `� Control Panel equipped with Timer!ETM 1 Counter- - 0 M Q- Pump installed in ( Bucket or 0 On Block or 0 Other � Pump Make/Model ��c�� � '\p Z.� ®� Floats or 0 Transducer i I in/min Pump capacity 44.2S gpm Squirt Height ft Tank draw down ��_� Pump on time I [i - 2-7S— Pump off time , I Daily flow set at 2T��— gpm revised 1122/2014 RECORD DRAWING (ASBUILT) pg. 2 MASON COUNTY PUBLIC HEALTH ��" RECORD DRAWING / N Orainfield& manifold orientation &layout W t` �'I- Trench/bed dimensions and critical distances within layout � Y� V Septic/pump t 1 \ placement i'• V-t L O n _`C:12- c2-43: Location of it Got (...\t 6Ao ' buildings 3� A - \�tLir' Observation ports& [7 ` -L clean-out locations t 0 Location of wells. t�y, surface water,& J v,t;N3 roads ' 0 Undisturbed native 2..sot between , trenches �II North Arrow • � 'tom If the designer or installer feel the need for additional information/comments,it may be attached. Record drawing may also be on a seperate page attached. No.Pages Attached CERTIFICATION OF INSTALLATION - INSTALLER DESIGNER i certify that I installed the system in accordance with I certify that the system has been installed in accor- the septic design stamped"APPROVED"by Mason dance with the septic design stamped"APPROVED"by County Public Health and that any deviations shown Mason County Public Health and that any deviations here have been cleared/approved by both the designer shown here have been cleared/approved by both and Mason County Public Health and meet all State myself and Mason County Public Health and meet all and Mason County Codes. State and Mason County Codes 1 further certify that all information contained on this i further certify that all information contained on this f a d att hed eco Drawing is accurate. form and attached Record Drawing is accurate. Signatu of Installer Date �lrlIP ` �, Oa r'-‘ \ Rt W\Iti 41.1.ktk . %Sit Printed Nth a of Signee �,;-s'� -�_ �s `� .of d�1 g':ch i MASON COUNTY PUBLIC HEALTH 70F. 6fa?-8 The undersigned approves this Installation Report and ;,6RA0'•G;, !?F,p1" I,',' j W,:= ' N.t't t Record Drawing on behalf of Mason County Public ✓,- .:: _ _ 1; f ..; Health: E?'y.,ic:;3 J J. f2Ze...., Cl11 C61 (6( I11 signature ofEnvimnmen l Heaith Specialist Date (designer's stamp, signature end date) a. . THiS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE mvisaa 1R2rt014 6382 Grapeview Loop RD setup info D/D 1.25 =41.25 gallons per minute On time 1:27 minute Off time 3 hours 60 gallon per dose 8 doses per day for a total of 480 gallons Squirt height 6' Run time counter:03 Cycle counter 3 OkO\Irx? 1ti �PSONC4 1 ,a. t r ■r■rm.....1re rr ■r _■■■r_ — . .1 11 ■ r - r ■_ _. st,-:(1) C\?., -- A1I I ,t—I ,....-..,. ......-„ ■a111l rr __--___1::i.: _,2r49,t7 a)1,R•_4oFvr) r 1‘ F tA 512k*.‘'1A 1k-,_---Th--1i1--T_-- (-ta„:o.;\Pcxil•\P0e,)\Y',iP0,"_,:.i`,"-pc2A"'. 1 Pd " n -IL„ ! + t • i , . _____..„ 0 . .co NI 0) / ,- -' r7;-- 17,..t..._ ._. i 9 ? no g ,-• '-'d V C co _ g .. : 'g - ,---- ' t , - .....,..,,:ii...1. \--\.- (r) cr i1Ii4 Fi 71. i til;61116 cl . tt ,_ h '`< a, i ....0 , , . °' i� v 0 it t, 0 g° 4 t t) .0 c4 , N p3 \ •,,,, r4-. V-- § E v ). .; E1-. oi I 1 -- 6 t ,. ,c) ri) . CO g t if 'S . N \ ' pd 7\A,, .4.3 ...i !'. &Ir.! SI 0 6. ' -._\,. \ . 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