HomeMy WebLinkAboutAFTER THE FACT - SWG As-Built - 8/6/2024 AFTER THE FACT RECORD DRAWING, pg I __MASON COUNTY PUBLIC HEALTH
PARCEL_ IDENTIFICATION - _
Owner Name TAMMY BEAUVAIS Assessor Parcel u 32026-76-90141
Mailing Address 26709 BRISTOL COURT O/M Special st Name
City, State, Zip KENT WA 98032 Installer Name
Site Address 330 SE NOBLE GLEN DR Designer Name
Please complete this checklist to the best of your knowledge. I/items are unknown leave blank.
INSTALLATION CHECKLIST _-�
System Type GRAVITY Pr treatment Type-._
Drainfield Ln. Ft.�ZJ Dminfleld Sq_FL_ � �2 y Dralnfleld depth_
>5 ft. from foundation? - - - - - - - - - _ N,A
>50 ft. from wells? - _ - . _ - - - _ � a M T n U T �f�'JJJI _ I] NIA a NO
Z >50 ft.from surface wate0 - - - - - - - - - _ - - Iy L
H building �/ ❑
Cleanout between and tank? - - - .1oC -31 {N4. ❑ r� ❑
U Tank baffles present? . - - - - - - _ _ _ _ _ _ 1 _ _ _. _ - ❑ i-y ❑
0. 24'access risers over each compartmen "�Y - _ _ _1F . .. ❑ 4❑n �.
W Effluent filter installed?- - - - - - - - - - - - - - - - . . _ _ _ .. _ - 17 ❑
Septic tank size [eesn gal Manufacturer
r
O D-box water level and speed levelers used? - - - - �_ hJr
O� Manifold/D- - - . - . . rlo NIA L,YES NO
box accessible from surface? - - ❑ -.✓
Check valves installed? - - - - - - - - - - - - - - -
Z
o — — ❑ CJ
Transport Line Size_ /j b Schedule/Class
Bedrooms installed(if known) LR< D3 ❑4 ❑; []6 ❑CommerciaUOther
sluff from foundation? - - - - - _ - - . - - - I-] NIA F'YES ❑ NO
0 >100 f from wells?- - - - - - - - - - - - - - - - - - - - I� �r
C
J >100 ft from surface water? - - - - - r �. ❑
W _ . . _ _ _ .. _ _ _ .. - - - .. .
T >10H. from potable water lines? - - - - - - - - - - - .
Z ❑ ❑
$ > 5 N from property lines and easements?- - _ ❑ r� ❑
R > 30fl_from downgradlent curtaindoundalion drains? -- ----- -- ❑ ❑
Observation ports present? - - _ _ _ _ _ _ _ .. _ _ - f] ❑
3raveless chambers or [.Clean gravel used? (check one)
Proper cover installed over drainfield?- - - - - - _. - _ n ❑
Pump tank setbacks consistent with septic tank? - - - - - - - - ❑ NIA ❑ YES VNO
Z Pump tank size_ gal Manufactumr
--
41(
F 2C access riser(s) and accessible from surface? -- - _ _ _ _ ❑ El ❑
a Alarm or Control Panel Installed? - - - - - - - - _ - - _ _ _ _ - _ - �� ❑
jControl Panel equipped with Timer/ETM i Counter- - - - - - - h, ❑ ❑
a Pump Installed In ❑ Bucket or ❑ Ce Block or L] Other
4' Pump Make/Model
❑ Floats or Transaucer
p, Tank draw down inhnln Pump Capacity__qpm Squirt Height h
Pump on lime - Pump off time _ Oaliy flow set at gpd
AFTER THE FACT RECORD DRAWING, Pg 2 Assessor Parce:
RECORD_DRAWING
Oraln(eltl&manifold �.`
onenlation 8layout
wldlmensions for
relacelion.
�Trenchlded
dimensions and
crlllcal distances
within layout
dSeplidpurnp lank
Location wldimen
-
sionstorre-localinn
Location of buildings
evlslingtpmposed
dObservation ports,
clean-oof locations.
8 manifoldsld boxes
Location of ed wena.
solo water.roads,
&waler4nes S�r/L� �a, �QU 4q
Reserve greets) f �J
Nodh Arrow
If needed drawing may be ada client an a sepa a le page No Pat es Attached ,
CERTIFICATION OF INSTALLATION
DESIGNER/APPROVED DIM SPECIALIST
I cedify that the information contained in this docunm't is arCllrate fu my knolvlr,-dgc. The di rwing and Intormahon
has be 0;Imed ut, co ninon Iocaung practices-
Signature o esigrer or Approved O/M Specialist Dare
MASON COUNTY PUBLIC HEALTH
This is an after the fact record drawing. which may or'ray... include a rounry inspochnn. This rnloroichou ism only
document an existing OSS locafiort and components
(21
Signature o/Envrronmental Health, eouh l Catc
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