HomeMy WebLinkAboutSWG2024-00433 - SWG As-Built - 3/14/2025 RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH
PARCEL IDENTIFICATION
Permit Number SWG 2024-00433 Assessor Parcel# 22030-10-04120
Applicant Name BILLY SARNO Subdivision (Name/Div/Block/Lot)
Applicant Address 11400 OLYMPUS WAY N/A
City, State,Zip GIG HARBOR,WA 98332 Installer Name GOLDY EXCAVATION
Site Address XX SE MCCOMS WAY Designer Name ADAM HUNTER
INSTALLATION CHECKLIST
❑✓ Full System Installation ❑ Septic Tank Only ❑ Drainfield Only ❑ Repair
System Type SUBSURFACE PRESSURE TRENCHES Pretreatment Type NIA
>5ft.from foundation? - ----------- ----------- ---- ❑WA ❑✓ YES ❑ NO
>50 ft.from wells? . ------ ---------------------.- ❑ ❑✓ ❑
Y >50ft.from surface wateR --- - --- ----------------- ❑ ❑
z
FCleanout between building and tank? ----- -- --------- --- ❑ ❑✓ ❑
U Tank baffles present? - - - - - - ----------- --- - - - - - -- ❑ ❑
a24"access risers over each compartment?- ------- ------- - ❑ ❑
W Effluent filter installed?---- --------- ----------- ---- ❑❑ ❑
to 1200 HOUSEBROTHERS
Septic tank size sal Manufacturer
O D-box water level and speed levelers used? -- ------------ - ❑J NIA ❑ YES ❑ No
0J
0 ManifoldlD-box accessible from surface?---------------- - ❑ ❑
o?Z Check valves installed? - - - - - - - -- - ------------- --- El ❑✓ El
G2 Transport Line Size 2" Schedule/Class 40
Bedrooms installed(check one) ❑ 2 ❑3 ❑✓ 4 ❑ 5 ❑8
>10ft.from foundation?-- - -- - - - - - - - -- --- --------- ❑ WA ❑s YES ❑ NO
>10011.from wells?-- -- -- ----------- ---------- - ❑ ❑° ❑
J >100 ft.from surface water?-- -- ---- -- ----- -- -- -- -- - ❑ ❑✓ ❑
W
rL >10ft.from potable water lines?-- ---- - ---- -- ------- - ❑ ❑✓ ❑
Qz >5 ft.from property lines and easements?-- -------------- ❑ ❑✓ ❑
K 130 ft.from downgradient curtain/foundation drains?- --------- ❑ ❑� ❑
t] Drainfield level and observation ports present ------ - - - - -- -- ❑ ❑✓ ❑
❑ Graveless chambers or ❑✓ Clean gravel used? (check one)
Proper cover installed over drainfield?-- ----- ------------ ❑ ❑✓ ❑
Pump tank setbacks consistent with septic tank?------------ - ❑ WA ❑✓ YES ❑ NO
Y Pump tank size 1200 pal Manufacturer HOUSE BROTHERS
z 24'access riser(s)and accessible from sudace?--- -- ----- --- ❑ ❑✓ ❑
r
ILAlarm or Control Panel Installed? ---- ----- ------ ----- - ❑
2 Control Panel equipped with Timer/ETM/Counter-- - - - - -- -- - ❑ ❑
7
Il Pump installed in ❑ Bucket or ❑✓ On Block or ❑ Other
a Pump Make/Model ZOELLER 152 [D Floats or ❑ Transducer
y Tank draw down 2'75 in/min Pump capacity 6- gpm Squirt Height 5 ft
Pump on time 1.3 MIN Pump off time 4 HRS Daily Flow set at 80 apm
RECORD DRAWING (ASBUILT) pg. 2 MASON COUNTY PUBLIC HEALTH
RECORD DRAWING
Dralnfield&
manifold orientation
&layout
Trencibbed
dimensions and
critical chancre.
within layout
sapticipump tank
placement
❑ Location of
buildings
Observation parts&
clean-out locations
Location of wells,
surface water,&
roads
Undisturbed native
..it between
trenches
rj North Arrow
If the designer or installer feel the need for additional infonnationicomments,it may be attachetl.
Record drawing may also be on a separate page attachetl. No.Pages Attached 1
CERTIFICATION OF INSTALLATION
INSTALLER DESIGNER
1 certify that I 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 cleaned/approved by both the designer shown here have been cleared/approved by bath
and Mason County Public Health and meet all State myself and Mason County Public Health and meet all
and Mason County Codes. State and Mason County Codes
I further certify that a/(ormation contained on this I further certify that all in/ormation contained on this
/ and attached Re I D wing is accurate. to=and attached Record Drawing is accurate.
M
3/12/25
S,gffimlu orlhabsi Date
JAKE GOLDY
Printed Name of Signee 3/14/25
MASON COUNTY PUBLIC HEALTH
The undersigned approves this installation Report and - '*
Record Drawing on behalf of Mason County Public tr�yy}}
Health:
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 WEB SITE
ream vivso+.
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