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HomeMy WebLinkAboutSWG As-Built AFTER THE FACT RECORD DRAWING, pg 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Owner Name STEVE CROFTS 32021-58-01015 Assessor Parcel# Mailing Address 2310 36TH AVE SE O/M Specialist Name City, State, Zip PUYALLUP, WA. 98374 Installer Name w4 kN6w pj Site Address 150 E KINGSTON WAY Designer Name Please complete this checklist to the best of your knowledge. If items are unknown leave blank. INSTALLATION CHECKLIST System Type GRAVITY Pretreatment Type Drainfield Ln. Ft. Drainfield Sq. Ft. Drainfield depth >5 ft.from foundation? ~� ❑ N/A �YEs ❑ NO >50 ft.from wells? - ECE1_ . >50 ft.from surface w - _ ❑ ❑ z water? -.APR j G 21�2�- - ❑ 1 ❑ Cleanout between building and tank? ❑ 15 ❑ U Tank baffles present? - El ElE. 24"access risers over each compartme ty-_ -G - _ __ _ ❑ 0 g fW Effluent filter installed?- ❑ ❑ Septic tank size 120 2 gal Manufacturer WWfi1 I<r/D 6,14 5 D-box water level and speed levelers used? - - ❑ N/A ❑YES fil NO oO Manifold/D-box accessible from surface?. _ El GCheck valves installed? - - ❑ 0 ❑ 2 Transport Line Size Al I e Schedule/Class MA/ /r+✓i M„l Bedrooms installed (if known) 2.2 ❑3 04 ❑5 06 ❑Commercial/Other >10 ft.from foundation?- - - - ❑ N/A 25 YES ❑ NO >100 ft. from wells? ❑ ❑ W >100 ft. from surface water? Elgal El Z >10 ft.from potable water lines?- - ❑ El Ocr C > 5 ft. from property lines and easements?- _ ❑ . ❑ > 30 ft. from downgradient curtain/foundation drains? - - .® ❑ El CI Observation ports present? RI - ❑ Graveless chambers or J.Clean gravel used? (check one) ❑ El Proper cover installed over drainfield?- - 0 lia- 0 Pump tank setbacks consistant with septic tank?- - ❑ N/A 0 YES 61 NO Y Pump tank size gal Manufacturer Z 24"access riser(s) and accessible from surface?- .• - 0 ❑ ❑ 0. Alarm or Control Panel Installed? - - ❑ 0 0 Control Panel equipped with Timer/ETM /Counter- - ❑ 0 0 a. Pump installed in ❑ Bucket or ❑ On Block or 0 Other 1 Pump Make/Model ❑ Floats or a. ❑ Transducer 14 a- Tank draw down in/min Pump capacity gpm Squirt Height ft Pump on time Pump off time Daily flow set at gpd Updated 2129/2018 AFTER THE FACT RECORD DRAWING, pg 2 Assessor Parcel# 32 G a1.. S'r G/ d&- RECORD DRAWING Drainfield&manifold orientation&layout wldimensions for re-location. Trench/bed dimensions and critical distances within layout Ea/Septic/pump tank Location widimen- sions for re-location COI V .t.0 ! -t Ail.B O Ai S'i t'P Location of buildings existing/proposed © au N q (� Oa m v'saJ t e�®mac, 6 �t iltOWservation ports, 5.,t p Z, Sci At•ml ( i^'ail- clean-out locations, &manifolds/d-boxes S'Co Pei ‘ ax, 1 b C +ea ciVe 'cation of wells, surface water,roads, &waterlines. � / 9A� �i `/ Y1 e *1 7 L. Reserve area(s) C� M(Norih Arrow aZ 0h A ,v/r-1( d. If needed drawing may be attached on a separate page No. Pages Attached Z' CERTIFICATION OF INSTALLATION DESIGNER/APPROVED O/M SPECIALIST I certify that the information contained in this document is accurate to my knowledge. The drawing and information has been o ained through common locating practices. yl p y (--ZOZ Signature of Desi ner or Approved O/M Specialist Date MASON COUNTY PUBLIC HEALTH This is an after the fact record drawing, which may or may not include a county inspection. This information is to only document an existing OSS location and components. zl1 Signature of Environmental Health Specialist Date `THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated2/29/2016 m.nrr► N • • - , Al• t t U `F w _ m Ca co Vk a \ ,1/4-- p w a. i o CO c, o Dr. , CO 03 00 �'ao i cn h } tr \\.\\O c r i N. + r t al ` i 7R' , J , A / .„-- , co w 5 \/! CL cn A C.A.) ry 71. •• 0 l�D X N CAD CD CI' Z3 3 17 co fa) 3 CD CD CD ta) Q — Q 13 CD N• 3133 fa) -fi 5 Cn A ci 0. • • ��P ��• 1.4 y 5100 8 �� 01 p� CINDY E.WAITE Lk "`iii 00 LICENSED DESIGNER I O EA'U LS .15�to, 31 O Z a■Mf+•w d.wtip.lr,LLC 301 E. Wallace Kneeland Blvd STE#224-332 Shelton, WA 98584 13.07902364 r.PROPERTY INFORMATION Location:150 E KINGSTON WAY Shelton Mall To: Steven and Molly Crofts Tax ID:320215801015 PO BOX 323 Use: PORT ORCHARD,WA 983660323 GENERAL SYSTEM TYPE:Conventional (Non-Pressurized) ON ID:320215801015 County Area:Oakland Bay MRA Fold .- ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold Here Inspected:04/07/2025 - Inspection Type:ROUTINE - Correction Status:No corrections needed Here Company: Work Performed By: Submitted 04/08/2025 by: Bamford septic Repair,LLC Thaddeus Bamford Thaddeus Bamford COMMENTS& GENERAL INSPECTION NOTES No Deficiencies Noted Used camera to locate drain field lines. Performed stress test using water meter to calculate gallons accepted by field in a 30 minute period. Calculated 194 gallons. Put pink flagging at corners of field for designer to create as built. No observed problems. GENERAL SITE&SYSTEM CONDITIONS The General Site and System Conditions were: Fully Inspected Components accessible for service: �. YES All required service performed(if no-specify omitted Inspection items in notes): _ YES Surfacing effluent from any component(including mound seepage): NO Components appear to be watertight-no visual leaks: —— YES Improper encroachment(structures/impervious surfaces) NO All riser lids securely fastened upon departure: YES Electrical repairs needed. If YES describe in comments: NO Inspected components appear to be in good physical condition: YES — Root intrusion on any components. If YES describe In comments: NO Settlingproblems observed. If YES describe in comments: NO -- The house/structure was vacant or used infrequently,assessment orthe drainflekt was not possible. NO ONSITE SEWAGE SYSTEM INSPECTION DETAIL TANK:Septic Tank-2 Compartment This component was: F nsperaed Effluent level within operational limits(if NO explain in comments): YES All required baffles in place(N/A=No baffles required): YES Compartment 1 Scum accumulation(Inches,if other specify): Compartment 1 Sludge accumulation(Inches,if other specify) Compartment 2 Scum accumulation(Inches,if other specify): Compartment 2 Sludge accumulation(Inches,if other specify): Pum•in•recommended: No Drain Iield(disposal)'Gravity This component was: Fully Inspected Component appears to be functioning as intended: YES Ponding present?If YES explain in comments: NO Drainfleld was vacuumed,flushed or hydro jetted?(If YES,explain in comments) NO 161 This report indicates certain characteristics or the ensile sewage system at the erne or vial.Is no wary is this report a guarantee or operation or tuturo pedormaace. ReportiD:1391068 View inspection reports online at www.onlinerme.com Page 1 of 1