HomeMy WebLinkAboutAFTER THE FACT - SWG As-Built ,
AFTER THE FACT RECORD DRAWING, pg 1 MASON COUNTY PUBLIC HEALTH
PARCEL IDENTIFICATION `
Owner Name CALVIN CLEMMONS Assessor Parcel# 22004-75-00010
Mailing Address 200E WILLCHAR BLVD O/M Specialist Name
City, State, Zip SHELTON, WA. 98584 Installer Name FRANK DEMIERO
Site Address SAME Designer Name
Please complete this checklist to the best of your knowledge. If items are unknown leave blank.
INSTALLATION CHECKLIST
System Type GRAVITY Pretreatment Type
Drainfield Ln. Ft. 130 Drainfield Sq. Ft. 390 Drainfield depth
>5 ft.from foundation? - �; '-i ❑ N/A Fa YES ❑ NO
>50ft.fromwells? % �---�1 ❑ ® ❑
• >50 ft.from surface water? - �`, ❑
Z . 8 ,Zzz�- n »
HCleanout between building and tank? -- - -�Qp.L� ❑ 0
U Tank baffles present? - ❑
H 24"access risers over each compartment?- - - - ❑
a-
W Effluent filter installed?- - 0 // ❑ E0
to
Septic tank size 1 1 co gal Manufacturer Fr_c�
0 D-box water level and speed levelers used? - - ❑ WA El YES JR NO
�-' El ❑ Of
O Manifold/D-box accessible from surface?- -
m Z Check valves installed? - - ❑ 0 .®
Li
E Transport Line Size b Schedule/Class w c/1 k&o wv
Bedrooms installed (if known) 0 2 ,®3 ❑4 ❑5 ❑6 ['Commercial/Other
>10 ft.from foundation?- - ❑ WA JZI YES ❑ NO
I o >100 ft.from wells?-
- ❑ 0
W >100 ft.from surface water? - - ElEl
a >10 ft.from potable water lines?- ❑ IA ❑
Z >5 ft.from property lines and easements?- - 0 0 ❑
d >30 ft.from downgradient curtain/foundation drains? • - a 0 0
Observation ports present? - - 0 ❑
121
❑ Graveless chambers or A Clean gravel used? (check one)
Proper cover installed over drainfield?- - 0 IX 0
Pump tank setbacks consistant with septic tank? - - ❑ N/A 0 YES Ea NO
• Pump tank size gal Manufacturer
Z 0 0 0
< 24"access riser(s)and accessible from surface?-
F- Alarm or Control Panel Installed? - - ❑ El I:a
• Control Panel equipped with Timer/ETM/Counter- - 0 0 0
a Pump installed in ❑ Bucket or ❑ On Block or ❑ Other •
n'• Pump Make/Model ❑ Floats or 0 Transducer
a.
a Tank draw down in/min Pump capacity gpm Squirt Height ft
Pump on time Pump off time Daily flow set at gpd
Updated 229(2018 \\jc
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AFTER THE FACT RECORD DRAWING, pg 2 Assessor Parcel# 22004-75-00010
RECORD DRAWING
ig Drainfield&manifold
orientation&layout
w/dimensions for
re-location.
ZTrench/bed
dimensions and
critical distances
within layout
0 Septic/pump tank
Location w/dimen- ttt
sions for re-location G 9 1 eli'Q f hJcJ /17 � i f J r
4 I
Location of buildings existing/proposed i
iA a Qtcv�, i 12-PC.
Observation ports, 6. /
clean-out locations,
&manifolds/d-boxes KQtJr "/, G it/ ,- �..p.._ • SPeCrCA.P L
„pr Location of wells,
surface water,roads,
&waterlines.
iki Reserve area(s)
sOr North Arrow
If needed drawing may be attached on a separate page No. Pages Attached
CERTIFICATION OF INSTALLATION
DESIGNER/APPROVED O/M SPECIALIST
I certify that the infor t' n contained in this document is accurate to my knowledge. The drawing and information
ha eeipob a ed t r g co ocating practices.
t)- !iNAV lZ - ( Z — 22
(Ai Oci/i'sce,df-
Signature of Designer or Approved DIM Specialist Date
MASON COUNTY PUBLIC HEALTH
This is an after the fact record drawing, which may or may not include a county inspection. This information is to only
document an existing OSS location and components. (-A
Signature of Environmental Health Specialist Date
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE upOate02252016
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MASON COUNTY HEALTH DEPARTMENTI" "'i 7
428 WEST BIRCH STREET
SHELTON, WASHINGTON 98584
PHONE (206) 426-5561
�'7r-- �S9i J ECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM _ v
OWNER ADDRESSeax GIJ $_ ZOt.f..J? r, S'a S4.4Ma4�c 9f/6s"
.h►�LQERr/�. G,�a�NaR
THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. LEGAL
DESCRIPTION
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER At-L rhA7 ft..r 1 afv 1/y f S'EG 9 - rwti .Zo v
WITH PROPER MAINTENANCE AND CAREFUL USE OF j
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- Ih 1 k/ 11/M.
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS TA,,,0y �a.4M 4 44vi41
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FIELD X
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR
NO. SIZE
FAULTY FIXTURES. DEPTH TO MONTH
WATER TABLE OF YEAR f- I. - f G
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY INSTALLER
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE F� p E K J6 R a
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND SIZE
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SEPTIC TANK (S) pro fp L'4 i. _ /-i,e c C
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR-
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS LENGTH CS" /3 a
CARRYING OVER INTO THE DRAINFIELD. CALL THE TRENCH AREA SQ.
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF 3 ' 3 9 O
4 LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE TILE
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS DEPTH /f ❑ RI
CORRUGATED GID ❑ CEMENT
RECORD WHEN HE COMES. ROCK DEPTH 2 TOTAL
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. f 1— L/ BPIP 4DEPTH
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING - + NORTH
ARE LATER CONTEMPLATED.
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE __e_
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED.
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE a; I 1
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE r %.
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- I
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. la I
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT
EQUAL TO ONE HALF INCH OF RAIN PER DAY.
FOOTING DRAINAGE, DOWNSPOUTS AND WATER
SOFTENER RECHARGE WATER SHOULD NOT BE CON-
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE si rd
DRAINFIELD AREA.
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD `
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF \,/�\
RE-
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY
CHANGING THE CHARACTERISTICS OF THE SOIL. THE
NORMAL USE OF BOWL CLEANERS OR CLEANING COM- ) (
SOUTH 4
FOUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW
DOWN THE OPERATION OF THE SEPTIC TANK. n Q
THIS IS AN IMPORTANT DOCUMENT D APPROVED
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