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HomeMy WebLinkAboutSWG2018-00253 - SWG As-Built - 4/14/2025 RECORD DRAWING (ASBUILT) pg.1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number SWG 2018-00253 Assessor Parcel If 32031-21-90010 Applicant Name Garrett iohnson Subdivision (Name/Div/Block/Lot) Applicant Address 8639 salty Dr NW City, State,Zip Olympia WA 98502 Installer Name Garrett Johnson Site Address 90 w kingfisher In Shelton WA 98541 Designer Name Jim Hunter INSTALLATION CHECKLIST SjFull System Installation ❑ Septic Tank Only ❑ Drainfeld Only ❑ Repair System Type atment Type >5 ft.from foundation? •------- -- - - ❑ NIA ®YES ❑ NO >60 ft.from wells? ------- ---- B �T}�- -- - ❑ © El Y >50 ft.from surface water? -- --- - - El F0 El FCleanout between building and tank? - _QPR Q.g�'g�--y-- ❑ ® ❑ O Tank baffles present? ---------- - ----= - - ❑ x❑ ❑ a24"access risers over each compartmen y-- --- --- Elf1 El NEffluent filter Installed?---- -------------- ------- -- -❑ ❑ ❑ Septic tank size oal Manufacturer Hagerman Precast 0 D-box water level and speed levelers used? --------------• ® NIA ❑YES El No 0kLL Manifold/D-box accessible from surface?-- --- ------------ ® ❑ ❑ 0 heck valves installed? ----------- - ------------ -- ❑ ® ❑ i Transport Line She 2" Schedule/Class sod 40 Bedrooms installed(check one) 2 3 4 6 Bedrooms Totalled o hack on --- - ' p-J a 4-F. ❑ NIA [c]YES ❑ No >100 ft.fromwells?--------- _____________ - ❑ Ul ❑ w >100ft.fromsurfacewater?---- APR-I-&2A25-- ❑ p ❑ u. >10 ft.from potable water lines?-- MAS6N COUMYEN71 ONAENTA APAtTH❑ 0 ❑ ? >5 fL from property an ty lid easements?-----JgW__ ❑ El----- ] a 4 >30 ft.fromdowngradlentcurialn/foundation drains?---------- ❑ {] ❑ Drainflekl level and observation ports present ---- - ❑ )1 ❑ © Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfleld?------ ---------- --- ❑ I❑ ❑ Pump tank setbacks consistent with septic tank?------------- ❑ NIA El YES ❑ No `1 Pump tank size 1000 at Manufacturer Hagerman Precast Q24"access dser(s)and accessible from surface?--- - ----- ---- ❑ 0 ❑ n~. Alarm or Control Panel Installed? ------ ----- - --------- ❑ ] ❑ jControl Panel equipped with Timer I ETM/Counter--- --- ---- - ❑ ® ❑ IL Pump Installed In ❑ Bucket or ® On Block or ❑ Other a' Pump Make/Model Myers Me3h-11 [9 Floats or ❑Transducer a Tank draw down 2 in/min Pump capacity 34 gpm Squirt Helght3'+ ft Pump on time 90 seconds Pump off tim(li minutes Daily flow sQ60 opm i RECORD DRAWING (ASBUILT) pg. 2 MASON COUNTY PUBLIC HEALTH RECORD DRAWING El DminfieW& manifold orientation &layout Trenohbed dimenslons and odllrel distances with n layout Septfolpump tank placement ❑ Location of buildings ❑ Observatton pads& dean-out locations Location otw.11s,wa surface ter,& roads Undlslwbed nature ei h P P R O V E b . trenches APR 161015 North Arrow MASON COUNTY ENVIRO If the designer or Installer feel the need for additioral lnformallon/comments,It con ched. FI Record drawing may also be on a seperete page attached. No.Pages Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER 1 cerbfy that I installed the system In accordance with I cerUly 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 cleared/approved by both the designer shown here have been cleared/approved by both 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 all information con* fined on this I furthercertity that all/nfomnatiorr contained on this form and attached Record Drawl s accurate. form and attached Record Drawing is accu te, 11 41-2025 Signature oflnsteller Date r� Garrett Johnson Printed Name ofSlgnee MASON COUNTY PUBLIC HEALTH y�r r i �+rasA The undersigned approves this Installation Report and JAW A.m wfat Record Drawing on behalf of Mason County Public UCLT45CO nfilCAdEB Health: EMRM!ES: 05122rC4 Q' Slg efu nvironmental 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 | . , s » \ � . ) § $ : con a \