HomeMy WebLinkAboutSWG2021-00617 - SWG As-Built - 9/20/2023 RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH
PARCEL IDENTIFICATION
Permit Number SWG Zo 2.1 - 00(. 17 _._ Assessor Parcel # y Z 1 Z 7 - t`1 " t-e-
Applicant Name uri k/r,rr-t. _ Subdivision (Name/Div/Block/Lot) ?Li-0 13
Applicant Address 7062 66..1, 5+-, tin 4-1
City, State, Zip (.,e.eet 1___4vu. `'t 6 5 13,,, Installer Name �` 4._✓ ilk
Address 90 0 �1 C�\ �i�12.r(
_f-cPr �t, Designer Namerr t-f,n.N., I 1 kLttY\ !VA
INSTALLATION CHECKLIST SEN 2 72023
g Full System Installation U i:+nt(S.1 Only ❑ Drarntield Only ❑Repair ❑ Oth:r RECF!VED
System Type 5e4b-,-d i ,vu ci PAS S Vir eC&retreatment Type
>5 ft from foundation? - - - - - ❑ NIA Q YES ❑ No
'-50ft from wells? - - - - - - - - - - ❑ ❑ ❑
Z -50 ft. from surface water? - - - - - ❑ El
Q Cleanout between building and tank? • - - - - -- - - - ❑ V ❑
U Tank baffles present? - - - - - - •
❑ d ❑
t- 24' access nsers over each compartment?- - - - - • - - - - -- ❑ VI ❑
a
W Effluent filter installed?- - - -- - - - ❑ Q
rn
Septic tank size 1 ZS'o gal Manufacturer errn.4t",
O D-box water level and speed levelers used? [ 3 N/A ❑ YES ❑ NO
x0 O Manifold/D-box accessible from surface?- - - - - • - - - - - - - - - - - ❑ Z ❑
CO, Z Check valves installed? • ❑ ❑ 0
o< ,. yo
a Transport Line Size Z Schedule/Class
Bedrooms installed (check one) ❑ 2 0-3 ❑4 ❑ 5 ❑6
>10 ft. from foundation? ❑ N/A VI YES ❑ NO
>100 ft. from wells?- - ❑ ❑ ❑
o
W >100 ft. from surface water? ❑ U ❑
ti >10 ft. from potable water lines? - - ❑ 0 ❑
z > 5 ft. from property lines and easements? - - - - LI 1] ❑
Q ,,t
Q > 30 ft. from downgradient curtain/foundation drains? - - U ❑ ❑
0 - - -
Drainfield level and observation ports present ❑ in ❑
0 Graveless chambers or ❑ Clean gravel used? (check one)
Proper cover installed over drainfield?- - ❑ VI Cl
Pump tank setbacks consistent with septic tank? • - - -- - - - -- - - - - - ❑ N/A Q YES ❑ No
• Pump tank size 12 Sb gal Manufacturer
< 24' access riser(s)and accessible from surface? • ❑ ❑ El
~ Alarm or Control Panel Installed? - -- - ❑ ❑ ❑
a
2 Control Panel equipped with Timer/ETM /Counter- - - - - - •. - - - ❑ r iC ❑ ❑
a Pump installed in ❑ Bucket or Q On Block or ❑ Other
a' Pump Make/Model L1 b-t' 2-0 0 Floats or ❑ Transducer
cL cL Tank draw down 2 in/min Pump capacity �� gprn Squirt Height ___`.ft
Pump on time 1 2 Zec Pump off time G hr$ Daily flow set at �`7o gpm
Updated 12112R014
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CERTIF ICAT,ON OF UNSTALLATION
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