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Home My WebLink AboutSWG2014-00025 - SWG As-Built - 7/10/2017 (2) l RECORD DRAINING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number SWG yod4-c z5- Assessor Parcel# t z 3S I -5/-ow 2c� Applicant Name k-YA1u�S LL C- Subdivision (Name/Div/BlocklLot) Applicant Ad dress Pogo% 8552 City,State,zip PoiLT' Oec"n WA 900, Installer Name Maa-rat 44v-YAOL41S Site Address 11.0 o riea DR Designer Name n+.we..., f1*YAkbL4S INSTALLATION CHECKLIST p Fwi system insWuauon ❑Tan(s)onir ❑Drainfiem onN ❑Repair ❑Mer System Type Preheati-rent Type .! >5 ft.rm B,m foundation? -_________________________- ❑WA Es ❑ *a I >SOft.from wells? ------------------------------ Q^ ❑ ❑ Y >50ft.from surface weteR ------------------------ [Er ❑ Cl____-__. HCdeanout between building and larYCt ------------------- ❑ [�^ ❑ t3 Tank baffles present? --------------------------- ❑ �' ❑ I24waccess risers over each compeffilr d7-______________. ❑ []' ❑ W Effduem fitter installed?-_________________________-- ❑ ❑' ❑ 00 Septic tank size 125p ml WnWeCpxar lt6&iM+Nf'/ 0 D-box water level and speed levelers used? -------------- - E3�Nak ❑ ao YES ❑ O0 Mani/old/D-box accessible from surface?---------------- - ❑ Er ❑ `?Z Check valves installed? - ------------------------- ❑ ❑ not 2 Transport Line Size 7 SchedUarpaes 4D Bedrooms installed(check one) ❑2 E�3 ❑4 ❑5 ❑8 ❑CommerciaVOther >10 R frgm foundation?-------------------------- ❑WA ❑,'FEe ❑ W G >100 ft from welts?----------------------------- (W ❑ ❑ W >100 N.from surface water?----------------------- - Gr ❑ ❑ 2 >10ft.from pmable water lines?--------------------- - ❑ B, ❑ QQ >5ft.from property lines and easements?---------------- ❑ Nr ❑ K >30ft.from downgmdient curtain#oundation drams?---------- Er ❑ ❑ O � painfield level and observation ports present ------------- ❑ r0 Bs ❑ ff] Graveless chambers or ❑ Clean gravel used? (duck ane) Proper cover installed over dminfield?------------------- ❑ ly ❑ Pump tank setbacks consistent with septic tank?------------ - ❑ WA arm ❑ eo Y Pump tank size tOOU wl Manufacturer kMfAAmAh� 24'access risers)and accessible from surface?-_______-___- ❑ E3� ❑ ~ ❑ ❑ 6 AWnn or Control Panel Installed? -------------------- - f Control Panel equipped with Timor/ETM/Counter----------- Pump installed in ❑ Bucket or Lp On Bock or ❑ Other ILPump Make/Model '�F2�0 ❑ Floats or ❑Transducer y Tank draw down ( Nmin Pump capacity Zo qqn Squirt Height 1 S ft Pump on time 3 era.+ Pump off time $•5'7 Daily flow,set at 3b0 gpd �bd+m ranrm�s Printed from Mason County DMS MCPH RECORD DRAWING (ASSUILT) pg. 2 A,,,SSOn Pamela 12331-Sl-mozo RECORD DRAWING or®mh Alo,� I\VI w/dGnensiort fa � c• relamlian f�oMt Tmhd�bed lr NIIBILm6enE ^^.JI aittwi�fGR 7✓ MkNk� D ✓ A MMVL ^ �Sepik/pherp pnk 5 dL�alm aIIGeMkgs 5 e � � M rAw rro a wee sufare aaNr.�, 6 xa�lv�. Reserve areas) �� /NS7N/-ClriJ �E'�t 17E'�'/�•� VOW designer or knlaler feel ea reed for additional IMomatladocrwnenfs,it may be attached. Record drawing may also be on a seperate page attached. No.Pages Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER I car*that I instated the system in accordance with I rmN/y that the system has been installed in accor- fhe septic design stamped-APPROVED-by Mason dance will the septic design stamped"APPROVED-by County Public Heath and that any deviations shown Mason County Public Heath and that any deviations here have been cleared/approved by bath Me desrgoor shown here have been daemd/appmved by both and Mason County Public Heath and meet all State mysetand Mason County Public Heath and meet all and Mason County Codes. State and Mason County Codes I further cerli/y that all information contained on this I former certify that all mforcrumon contained on this form and attached Record Dmwing is accurate. form and attached Record Drawing is accurate. -7-g-i d rnsfaler Data V�1;L Alrq/, M"ry A-t�M)`-Of No Pnoted Name of Sgnee z MASON COUNTY PUBLIC HEALTH a O11 The undersigned approves this Installation Report and AR "rl61. ht Record Dmwirgonbehatof Mason County Public Z.Gy/uA':>,L t`�` .�Nv Health: CZ. L -4 -7//t � SIVNItUrVol'54vomnentattleaft,specialist Date (designara stamp, signature and date) TMIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COLaDY WEB SITE Printed from Mason County DM Page 1 of 2 Allan Borden - SWG2006-00163 From: Loretta Swanson To: Borden,Allan; Waite, Cindy / Date: 3f7/201310:45 AM Subject: SWG2006 00163 �q p R IIIC( MwA CC: Clevenger,Dave Hi all, You will probably receive a call from Jeff Buxman(?)who is looking to develop a lot in Beard's Cove at 160 Saber Drive (tax parcel#123315100020). Alan-would the drainage running through the property be considered a Critical Area and have associated buffers/setbacks? What needs to be done to determine that? Cindy-Jeff will want to know about the permit process for re-submitting a septic design, potential for Glendon system,or other options. Loretta T13315100009 �'�� 15100010 Q3315100025 12331510W 18 12331510W11 R3 31510 0 0 24 _5233151W012 T23315100021 12 15100023 233151W013 1233151OW20 123315100022 1 Ye 31510W 18 99430 �.•` 12331510W11 E �BFg t)R 1233151W130 123315100135 t510W15 IIP R33151 W084 123316100083 12331510W82 file://C:IDocum�and SettingslAhblLocal SettingslTemplXPgrpwiisee\5"1`386FC2Masonmail1001626A6811DC6... 3/7/2013