HomeMy WebLinkAboutAFTER THE FACT RECORD DRAWING - SWG As-Built - 5/8/2025 AFTER THE FACT RECORD DRAWING, pg 1
MASON COUNTY PUBLIC HEALTH
PARCEL IDENTIFICATION
Owner Name
amon40 Assessor Parcel # 4�3 i 8- ab -. OOP• Mailing Andress 9394b. t R.SE O/M Specialist Name��"1F440 Sg/� 1�Fav✓
' City, State, Zip 64110*
W A ISOM- Installer Name
i
Site Address
V5i ' ll� I ;G�1/, Designer Name
Please complete this checklist to the best of your knowledge. If items are unknown leave blank.
. INSTALLATION CHECKLIST Type . t /�
Sy
stem it Pretreatment Type N/'�
Drainfield Ln. Ft. Ve Drainfield Sq. FL Mai Drainfield depth a t
>5 ft. from foundation? - -- 0 NIA YES ❑ NO
>50 ft. from wells? - 0 0
• >50 ft. from surface water? - - ❑ 0
Z
HCleanodt between building and tank? - ❑
✓ Tank baffles present? lar ❑
a24" access risers over each compartment? • ❑ [3
CO Effluent filter installed? ❑ 0
i ve
060 al Manufacturer G U�1(J4
Septic tank size � •
0 D-box water level and speed levelers used? - - ❑ Nth 0 YES No
00 Manifold/D-box accessible from surface?- -. LJ
0
m Z Check valves installed? I.
- ❑ [304 -I Schedule/Class 544
� Transport Line Size
Bedrooms installed (if known) i 0 2 ❑3 1,_14 ❑ 5 0.5 ❑CommerciallOther
>10 ft. from foundation? - - - 0 N/A 15 YES ❑ NO
COMMU>100 ft. from wells? - �� y u ❑ lzr ❑
o W 0 ❑
>100 ft. from surface water? • •: 1 0
r. >10 ft. from potable water lines?- 0
Z > 5 ft. from property lines and easements?- - CI ❑
d > 30 ft. from downgradient curtain/foundation drains? - - - Nr 0 ❑
o
Observation ports present? - - - '' - ' ' - - ❑ 0 0
❑ Graveless chambers or teClean gravel used? (check one) d
Proper cover installed over drainfield? - 0 -- ke 0
Pump tank setbacks consistant with septic tank? - - svNIA ❑ YES 0 NO
Z Pump tank size gal Manufacturer
d 24"access riser(s)and accessible from surface?- - 0 0 0
l— Alarm or Control Panel Installed? - -- 0 CI Ela 2 Control Panel equipped with Timer!ETM/Counter• -
❑ 0 ❑
m
4. Pump installed in ❑ Bucket or ❑ On Block or ❑ Other_
n' Pump Make/Model ❑ Floats or 0 Transducer
a
• Tank draw down in/min Pump capacity gpm Squirt Height ft
Pump on time Pump off time Daily flow set at gpd
updated 2.2512016
?I ` Li V 3T - 40 w Jc Mik." Ku
t dsp�'wit
, .. .. . _ _ .. . + atsat
_.....
, 1 .
, . . . ... . ____
... , . _ f ' „
I 1- - .
i f
I - r dot. .
— I 1 A gyie t Like
I r r
i , 1
1
—..- 4�. I .
ram■-_ r - _
. Ill
IA Y ,
, !--- 1---- $. -
-v l
1 4
$AMFORD S'EPT!C REPAIR.LL .'�-- i
3D-1-E_WALLACE-RCNF FLAND3LVD �mi.- _ _
STE 224-332
I ObI Isa6 tom . .
5 1
e . I 1 A / 'r I ► I M A r"Y . , M
. N.. Phi-- i - . . ' ----100e-f--
---, , ►� r - i I
raoloor
Bamford septic Repalr,LLC
301 E. Wallace Kneeland Blvd STE#224-332 13607902364
Shelton, WA 98584
PROPERTY INFORMATION
Location:651 N POTLATCH DR
HOODSPORT
Tax ID:423185000085
Marl To. John Nahaku
28946 188th PL Use:Residential,Single Family
covington,wa
98042
ON ID:423185000085
County Area: Hood Canal
Fold c- ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT ', Fold
Here Here
Inspected:05/07/2025 - Inspection Type:ROUTINE - Correction Status:No corrections needed
Company: Work Performed By: Submitted 05/08/2025 by:
Bamford septic Repair,LLC Thaddeus Bamford Thaddeus Bamford
COMMENTS& GENERAL INSPECTION NOTES
No Deficiencies Noted
Found roots in outlet pipe @3'which was removed and replaced with new 4"3034 pvc solid pipe. Ran water to system accepting all water at this
time.
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: N/A
Electrical repairs needed. If YES describe in comments: N/A
Inspected components appear to be in good physical condition: YES
Root intrusion on any components. If YES describe in comments: NO
Settling problems observed. If YES describe in comments: NO
The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. NO
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
TANK:Septic Tank-2 Compartment,Manufacturer Local Manufacturer-Concrete
Manufacturer: Local Manufacturer Model:Concrete
This component was: Fully Inspected
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: YES
►rain field(disposal):Gravity
This component was: Fully Inspected
Component appears to be functioning as intended: YES
Ponding present?If YES explain in comments: NO
Drainfield was vacuumed,flushed or hydro-jetted?(If YES,explain in comments) NO
This report indicates cettam characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance.
ReportlD: 1401385 View inspection reports online at www.onlinerme.com Page 1 of 1