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HomeMy WebLinkAboutSWG2023-00285 - SWG As-Built - 7/31/2024 RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number SWG 'ZC7- 002,t J Assessor Parcel # 22121-21-90011 Applicant Name Sara Cards Subdivision (Name/Div/Block/Lot) Applicant Address 1022116th Avenue E olyviea,Lot City, State, Zip Tacoma Washington 98445 Installer Name skinner Excavation Site Address 20 E Olyview Place,Grapeview Designer Name Michael Staten(Envirotech Engineering) INSTALLATION CHECKLIST ® Full system Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑ Other System Type Gravity Pretreatment Type >5 f1 from foundation? - ® NIA ❑YES ❑ NO >50ft. from wells? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ 0 ❑ Z >50 ft. from surface water? ❑ ® ❑ FCleanout between building and tank? - - - - - - - - - - - - - - - - - - - ® ❑ ❑ U Tank baffles present? - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ 2 ❑ a24" access risers over each compartment? ❑ ® ❑ W Effluent filter installed?- - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ ® ❑ V) Septic tank size 1200 gal Manufacturer_Hagerman Precast O D-box water level and speed levelers used? - - - - - - - - - - - - - - - ❑ NIA ® YES ❑ No J Ou Manifold/D-box accessible from surface?- - - - - - - - - - - - - - - - - ❑ ® ❑ GQCheck valves installed? ❑ El ❑ t Transport Line Size 4 in Schedule/Class astm 3034 Bedrooms installed (check one) ❑ 2 ❑ 3 04 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation? ® NIA ❑ YES ❑ No C >100 ft. from wells? ❑ ® ❑ W >100 ft. from surface water? ❑ ® ❑ ILL >10 ft. from potable water lines? ❑ ® ❑ QZ > 5 ft- from property lines and easements? ❑ ® ❑ K > 30 N. from downgradient curtain/foundation drains? - - - - - - - - - - ® ❑ ❑ Drainfield level and observation ports present - - - - - - - - - - - - - - ❑ ® ❑ ® Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield? ❑ ® ❑ Pump tank setbacks consistant with septic tank? ® NIA ❑ YES ❑ No Y Pump tank size at Manufacturer Q24" access risers)and accessible from surface?- - - - - - - - - - - - - ® ❑ ❑ a Alarm or Control Panel Installed? - - - - - - - - - - - - - - - - - - - - - ® ❑ ❑ jControl Panel equipped with Timer/ ETM/Counter ® ❑ ❑ a Pump installed in ❑ Bucket or ❑ On Block or ❑ Other his fPump Make/Model Ala ❑ Floats or ❑ Transducer 1 Tank draw down - in/min Pump capacity - gpm Squirt Height - ft Pump on time - Pump off time - Daily Flow set at - gpd undated lamzou MCPH RECORD DRAWING (ASBUILT) pg. 2 Assessor Parcel# 32224-75-90142 RECORD DRAWING ® Dramdeld s mandold "SEE ATTACHED" orientation s layout w/ditrcnvonii fa n onabon ® Trend a ea dimensions and vNeal distances within layout ® Septuipump tank placement ® Location of buildings exislirg/poposed ® Ohservalion pods, dean-out locations, 8 manifoldsld-0oxes ® Location of weds. surface water,roads, ® Reserve area(s) ® NoMAmow If the designer or insider der feel the need for additional Informadonicommenls. it may be attached. Record drawing may also be on a sepente page attached. No Pages Attached T CERTIFICATION OF INSTALLATION INSTALLER DESIGNER I cerbly that I installed the system In accordance with I certify that the system has been installed m actor- 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 cleered/epproved by both the designer shown here have been clearedlapproved by both and Mason County Public Health and meet all State myself and Mason County Public Hearth and meet ail 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 Drawing is accurate. 's Signature of Installer Date :; st`CL 111E Printed Name of Slpnse Y r MASON COUNTY PUBLIC HEALTH �'U.v / •.aa.. The undersigned approves this Installation Report and f, r, "a`�/�; 718124 Record Drawing on behalf of Meson County public Health: 713JZti Signature of Environmental Health Specialist Date (designer's stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WE8 SIZE SCA E I INC. W fCO PROPERTY LINE 355 FT x PRIMARY DRAINFIELO <4 4' LATERALS B 60' EA., SPACED 2 5' OC. \\\\ RESERVE GRAINFIELD AREA 4- ASTM TRANSPORT 30 PIPE \\\\ 1200 GAL SEPTIC —� TANK. 2 DISTRIBUTION BOX o COMPARTMENT W/ SPEED LEVELERS I £ I a DRIVEWAY PROPOSED 4 DO BUILDING FOOTPRINT I I I I n EXISTING EASEMENT LINE WATER WELLS oI L - - - - - - - - - - - - - - - - - IOO PT WELL RADIUS ]ENTER NE RD 378 FT s APPROVED lU'I. 3 1 2024 ARE 4k$0'('�'._'�-`.. _ '�'".;44EIiT��aEAJh GRADE CLAMBER OMRVAIIM �9pAT WITH CLEANDIR �E pIA LATERAL ASTM 3034, R QATEO BACNCILL (NATIVE SOIU PROJECT/ OWNER/ LOCATION- I SEPTIC SYSTEM DESIGN uu 20 E OLYVIEW PLACE L0L I, OLYVIEW PARCEL NO 22121 21 90011 MASON COUNTY, WASHINGTON DESIGNER ENVIROTECH ENGINEERING 36' --� 431 PO BOX 981 BELFAIR. MASHING TON 98528 360-275-9374 DRAINFlELN 1 RHNUH CROSS SNC I'10A )1/rTA 11A� OiTI%N ASBUILT