HomeMy WebLinkAboutSWG2024-00259 - SWG As-Built - 10/16/2024 Mason County 088lnatallation Report pg. 1
APPLICANT/pI RI I O
INFORM T NON C
Permit Number SWG 2024.00259
AppllcantName Pal52004-50-0004
CRA10/0 BORAH KELLYSubdivision
4ZOl 9 l
AppllcantAddreas PO13 (8437—�` Subtlivislan(NameDlvlt3lo at
CIIg State,Zip UNIVERSITY PLACE W
SIteAddreee q, ggg64 Installer Name EXCAVATI
C�
481 W NgyygiZEL BEACH DR
Designer Name CINDY WAITS ON
IN37101LLATION CHECKLIST
®Full 8Ill Instal ❑Tankp)onl
Syatem Type y ❑f 7^e y lnfleltl Onl ElRepelr
OSCAR y ❑OthOtherZQ
>5 III from foundation? -_______ Pretreatment Type
E!
>50R. fromwells? -----------------------------
Y�
❑WA
x >50R. from Surface Water? •----_---- -_-._. ❑ ®
fillClean t between building and lank? , ____ "-• ❑ ❑
Tank baffles present? --- -- ------___---------- . ❑ ■ ❑
24'access nears over each compartment?--____-__ ❑ ❑
H Effluent filter Installed?. ________ _______ '- -------• ❑ ❑
Sal tank capacity(working) 1255 __----_---- ® ❑ ❑
s eel Manufacturer 14 � Pn �4S4
D-box wafer level end Speed levelers used? •___ ________
Wq Men"old/D-box acceaelble from surrace?--__-______ ®wA
OM Check valve,In fall --- ® ❑Yea ❑ No
Schedule/Class $' / / ❑ ❑
Bedrooms Installed(check one) 112 ❑S 13+ ��0
>10 ft.from foundation?- __ ______- ❑a ❑- ❑Commercial/Other
>100 ft. from wells?- -- ------- _- ❑wA
. from
ce
m YES ❑W$ ah water aline.?- --- --`-----------------------
NO
>10 R from ❑ ❑
>6R.h°m property lines and easement,?-------------- ® ❑
G >30 ft.from downfiredlent curtaln/foundation drams?----------
❑ ❑
® ❑
Dralnfleld level and observation ports present --- --- E
❑ O ❑reveleea chambers ar ❑ Claan grevel used? (cheat one) ❑ ® ❑
Proper cover Installed aver drainfield?--_____ ❑
Pump tank setbacks Ccnslstent with'al tank?---____-___ ❑
X*UMP tank capacity(flood)- ]Ll °al ' - ❑ N/A ® YES ❑ No
F 24"access rlaw(8 and accessible from su .aAaanuteoturor a.� �- a64•
d Alarm or Control Panel Installed?•-___ �� 0
RControl Panel equipped with Timer/ETM/Counter----------- ® ❑
1 Pump Installed in ❑ Bucket or ❑ On Block ❑ ® ❑
j,Pump Make/Model °r ® Othsrkl. b L 'K I W l i a X02 V'3
�.es.�,^ala - - Kt 4- I I w p r11�,,f Lo+lO
III Tenk drew down ll—�._.In/min p Floats ar ❑Transducer
Pump on time $ ,Ac ump capacity 70 apm Squirt Hall ul=R
Pumpofltime
C0ni 001 flow set at ZZo $pd
�N' Inq,S
Moon County 038 IlnhlI RSPcrk Pa. 2
' Percel;r 22007-60.00028
wen INdemp septic �ANOONMENT RECORD
dPlS,000 deers@« abtrgssay a Pert of this Prgew --
11
VAN@ W oBHrpwm*PIRIPed a"and PmPlIII abmldenld Pe 11 r WAIONW 409007 •_____ Y!e NO
13 yes_.
❑ No
Tam a a Warar araawaprr asraRsyr RECORD DRAWING
aaas.arae orriaaaa�alaYaa �w+R.npyRya,yrsl.IR sd Rara
"+r'°°r"`s°'InKare.4rroer�eran.�p1bAmwe.mn.xmnrror.m.r.a aawmr.,a u.w raep,,,,s *wmi R.am
IRNIL tiaRW-Rapti PnapYRaU'aab adtlW II,bFtlIWyRapV as aWRFndY.
�Racord DrI Mmchad
WtTALL[R CE FIGATION OF INSTALLATION
No 04 a dWP akAwd%wpROLEO rdty that the byffiem has been!
nSfaMed Cbmw hfa PssaMlt and ON arty dsys drum III the septic asafgn s "I EVED-by
�bY �°oWfaner am" Mason County PI Healm End that anydsutsdorts
ww Mum oft*Ahk Homo and mast ay&a<e shown hem have been clearad4Mmusdbyboth
Mwr 6LaraylboYe. YSSI/and Meson County pubao H..lxp
meet as
'AwwoarwmwSR&*mwft state and Meson County Codes ..,d
.hrN ands ��d N non this I yudher,,rt ,that aw tnwmmaon carten«td on
ton"and attached RecWd Drawing is accumts.
tNp�WlaaWlseWrr I '
Dan
�.qlf�._ C' 1_ a •....
YIA[ON COUNTY PUBLIC HEALTH
77m In
Ffa an bs NaofAllmot�puW 6ucers ooeeln 1
�II �l/i/I/ 1 ✓I� �i I ��I��Z�� III � kAPofF ih
ahNfula aythvaannewtt♦r Gu�a_u_. WIC
THIS FOIU)NAV BE aaANNEa WbAV V ("n'P,sDnsfum and date)
(ABLE FOR PUBLIC VIEW ON THE alAeaH COUNTY WES 617E uNN Ntmn
lot
52ooy_.S-n_ ooa,�J i CJ r I
1. Proposed RV
2. Storage/shower
3. Audio visual alarm
4. Clean out
5. 1200 A02 tank r V
6. 1200 gallon pump tank I h VI
7. Supply and return V
line
8. Head works P
9. Aerator /
10. Drainfield
11. Owners well
12. Neighbors well
13. Neighbors well
xi a-�4 MASOCT 2% A pR QED
ONCCUNIY 4 313
�P P ENhRONMEN
RET �trN
3 E AIE PRO YE n o
4CENS'y O I ESpNEN /J '
%VIN[5 UYtb JUN 9 O L�
MASON COUNTY ENVIRONMENTAL HEALTH,
JBW