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HomeMy WebLinkAboutSWG2018-00139 - SWG As-Built - 6/13/2024 ' RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number SWG 2018-00139 Assessor Parcel # 31903-41-00060 Applicant Name MICAH LOHMEYER Subdivision (Name/Div/Block/Lot) Applicant Address 50 SHADY LN City, State, Zip SHELTON, WA 98584 Installer Name GOLDY SEPTIC SERVICE Site Address '' pil BE LYNCH RD Designer Name ADAM HUNTER INSTALLATION CHECKLIST ® Full System Installation ❑ Septic Tank Only ❑ Drainfeld Only ❑ Repair System Type STANDARD PRESSURE Pretreatment Type N/A >5 ft.from foundation? - - - - - - - - - - - - - - - - - - -- - - - - - - - ❑ NIA [ YES ❑ NO >50 ft from wells? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ [a ❑ 2 >50ft.from surface water? - - - - - - - - - - - - - - - - - - - - - - - - El ❑ HCleanout between building and tank? - - - - - - - - - - - - - - - - - - - ❑ Q ❑ L) Tank baffles present? - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ Qi ❑ d24"access risers over each compartment?- - - - - - - - - -- - - - -- ❑ ® ❑ W Effluent filter installed?- - - - - - - - - - - - - - - - - - - - - - - - - - ❑ ❑ ❑ rn Septic tank size 1500 gal Manufacturer HAGGERMAN PRE-CAST 0 D-box water level and speed levelers used? - - - - - - - - - - - - - -- UN/A ❑ YES ❑ NO DO Manifold/D-box accessible from surface? - - -- - - - - - - - -- - -- ❑ [� ❑ °?Z Check valves installed? - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ © ❑ OQ Transport Line Size 2" Schedule/Class 200 Bedrooms Installed (check one) ❑ 2 ❑3 ❑4 X 5 ❑6 >10ft. from foundation?-- - - - - - - - - - - - - - - -- - - - - - - - - ❑ N/A EYES ❑ NO O >100 ft. from wells?- - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ ❑ ❑ W >100 ft. from surface water? - - - - - - - - - -- - - - - - - -- - - - - - ❑ ® ❑ M >l0ft. from potable water lines?- - - - - - - - - - - - - - - - - - - - -- ❑ E ❑ Z >5ft. from property lines and easements?- - -- - - - - - - - - - - - ❑ Q K >30 ft from downgradient curtain/foundation drains? - - - - - - - - - - ❑ Drainfield level and observation ports present - - - - - - - - - - - - -- ❑ ® ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?- - - - - - - - - - - - -- - - - -- ❑ L� ❑ Pump lank setbacks consistant with septic tank? - - - - - - - - - - - - - ❑ N/A ® YES ❑ NO Y Pump tank size 1500 gal Manufacturer HAGGERMAN PRE-CAST Z 24'access risers) and accessible from surface?- - - - - - - - - - - - - ❑ ® ❑ ~ El ® ❑ d Alarm or Control Panel Installed? - - - - - - -- - - - - - - - - - - - - Control Panel equipped with Timer I ETM /Counter- - - - - - - - - - - ❑ ® ❑ 7 d Pump installed in ❑ Bucket or ® On Block or ❑ Other Pump Make/Model ZOELLER N 153-C [N Floats or ❑ Transducer M Tank draw down 1.5 in/min Pump capacity 33 gpm Squirt Height 2, ft� D Pump on time 2 MIN pump off time 4HRS Daily Flows 60 GPDI 4 By-�' RECORD DRAWING (ASBUILT) pg. 2 MASON COUNTY PUBLIC HEALTH RECORD DRAWING mnnmeld a manifold onentation a layout Trencttlbed dimensions and mrdal distances within layout SEE ATTACHED DRAWING ❑ Septiclpump tank placement Location of buildings ❑ Observation ports a clear-out locations Location of wells. surface water a roads Undisturbed native oil between trenches North Arrow If the designer or installer feel the need for additional information/comments, it may be attached. Record drawing may also be on a separate page attached. No. Pages Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER I certify that l 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 Masan County Public Health and meet all and Mason County Codes. State and Mason County Codes I further certify that all information contained on this I further certify that all information contained on this form and ���attached /�Record Drawing is accurate. form and attached Record awing is accurate. p;l I 4 ' a!Slg on oflnstaller � Date Jaffa C��Y Printed Name of Si ee MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and Record Drawing on behalf of Mason County Public Health F' IIIt O� 6l��la� �� Signature FfEct.rcurebmterfecoth Specialist Date (designer's stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE O A 3 ___ m _ —ll 1 J _� � � � � < I� �\��R i z ]] �� _ `� o �� � —� D � � - _ , �, - _ - s � � n z � I —_---------,� -- - _- -� -a n w O —_—_ � N n0 __ m ��� _ q�< T � ��� ��� \� .�j\ o �'� ��NSF� � ��� D �90� � ����� D �_ � � o r # o i v a c 3 3 Z x 1 _ 1 - � I Q d�P'.I n 1� m , o � 4 .•� k � �� � i, �e-�rY i �� n� o �o �� 6� � \ L _ ��� � � � r _ N mD (<s- S & o ��� �' � �p �ya � m �— o �- i A � $ n � O O - p x 5 � p z � _ p �� v 0 � � � O � a� � O O ➢ � D +� V _ N T Z � O �N N� r � y h L � S� 3 L