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HomeMy WebLinkAboutSWG2022-00542 - SWG As-Built - 5/22/2025 D NEC-P-2_il MAY 1 4 2025 MAY 1 6 2025 By By --:)___HALe-,:5_242a3,a'- RECORD DRAWING(ASBUILT)pg. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number Sv: 'L,"LL .(1cc1.J Assessor Parcel a s/Jc1/;JS10sc €ji, Appl.cant Name Mc.,-k.t trr,it f 4'4.e.,-farov.5Subdrv&spar,{Name,DiwBlockiLot) Applicant Address $')V )„(..i Trti,15 -- _ City.Slate,Zip )1.4.14.•,,r,,,k '( S`I___, Instaler Name 5.ke (roldr Sear Address 71L, w w•tK.1t {Zat Cosigner Name (Andy I. ,,1i INSTALLATION CHECKLIST ric Fun System Irstallahan ❑ septic Tank Only ❑ Dra,nfeld Only ❑ Repair System Type PretreatTsnt Type_^ >5 ft from foundation> - t❑wa 2'YEe 0 so >50 ft from weds? . © RI 0 Z >50 ft from surface eats;>• .... . ❑ ❑ et Cteanout between ba,:ding and tan?; .-- --.- 0 . ❑ V Tank baffles present?- - - 0 ® ❑ a24'access nse•s over each compartment' - . . a ® 0 tW Effluent filter installed? . C IR 0 Sept.:tart sU,e 11-5-,-.0_ gat Manufacturer Mcu>. (.ems fj D-bor water level and&peed e-eRra used°• • ❑eat 3 vas ❑so Marloid D•box accessible from surface/.---- ❑ ® 0 = CAW;valves installed?. ❑ ❑ i Transport Line Sze '' ScneduterCrass -_)34 Bao:oomsinataad;check pie) 02 713 04 ❑S 06 >10 ft from founoation> I - 0 WA ®yEs 0 so .100 ft from wells/.•-- - ' 0 3 0 >100 ft from surface water?. 0 A 0 a 10 ft ham potable water piny,.- _ ❑ 0 >5 fl from property Imes and easements> • 0 . 0 0 3.,SD ft from aowngrad,ert curta r.4oundat.on dra ns?• 0 3 0 Drainfield,eve arc observation ports present • t❑ X ❑ 0 Gravetess cran•oe's or X Clean gravel used> (chock one) Proper cover installed over dra meid?• . 0 z 0 Pump tarn setoacks consistent withi septic tank.>• ❑WA 0 YES C NO = Pump tank sue gal Miru'acturer st24.access needs)and accessa,io from s,.`ata>• . 0 0 0 a. Alarm or Contro Pare;frusta ad' ---. ❑ 0 0 Control Panel equipped wen T,-me- E TM.Core'• • 0 ❑ 0 Pump instead n 0 Bucket or 0 On Brock or 0 Otner, _ _ 2 Pump&lake'ModeI _ .- ____,_ FIO*f$ or Tra�;t1JCC' 0. Tank draw down r.mir. Pumpca a dot p y gpm Sq,::rt+iegnt r. Pump on t me Pump off tame Day flea se:al gpm RECORD DRAWING(ASBUILT)pg.2 MASON COUNTY PUBLIC HEALTH RECORD DRAWING D c:N•s,t r: ..,r-5 Drler:Jt.Q 1.4190 El T'N d btO arne..scro ago .r/V J p'i 1_ e•r I''''4. oscal o,swrlw, /` �o' welLet 1,001 p SmacINny ta-• Ia Pal y eat„ Sit b fi;4✓ o Loudon," f'e ccy 4.01 %Ltd Lvr4,, 40 ; ti datleK • Oblar.aton was 4 Otanasa ocswns A_ ) • acaton or...as a swtue+apr$ mals O .lesaraonasre P4 r r O G rl'1 7 ,.s,,, 4AI- we er eer VV -.rrrn i'Ire ae-sT,r o,.,,Ltirle•'l'C ",e•,ee:l r.:,r$oC on i rkenieberaccourfertS.;t ray be d:adftd Ru_c.•d:Pa*,,9 may also to c,a secrete page a:acrad No Pages klacrnJ CERTIFICATION OF INSTALLATION INSTALLER DESIGNER 1 !mirdy/her f rnstatted the cystprn:n at peNarfcp*OP I COINY that Inv syVern lax been msted4 in pp(:pr. the suptic design stamper!'APPROVED'Dy Mason dance wrth the sepPc deAgn Stamped'APPROVED'by County Public Hea#0 anti that any do:9aiOns Mown Mason County NW He and Olaf eny dewaforls 1 lore have been c:oaradrauproved by t*flb the dosgnor Shown hero Rave been operand by belle: grill Mason Courtly fitAtte Health and meal a::Shen mysay and Mason C y 1c rlc,dth and meet at anti Masan County Codas Stall and Maud;C tag Cud :butter curhfy Moat/IH,nlorn;dlOn cr;rlrtrnnrl an!h:s 1 krrfnor candy to lMm famed on Ms Wm and attached Record Dra,nng rs accurate rc:'m and affect cord Drub accStrete. SgnNuna+nuaTli per ..49 .m v-. ?A. 1 0 1et�� p C Y WAIT 1iti' . MASON COUNTYPUBLIC HEALTH LIC 0 1) TN,oedersrgned appluata Ibis lnsretei on Repeat and • Exl'�szt OS' 0, Record thewrntl on Dehall W Mason County Pub k Ne iTh .,,,J,\4, _„. _,75 s., 'I warmth:JO Sore,Sow-NOW Date Riestgr*r's stomp srgnalu a andidate) i5 MAN MAYHESCARREDANOAo'SJWfFFONPuHUCvIONONtNEMA.SONCCuNTYM SS!E!!: - i .u..r: - 7.os�nt, ---- - Vi t°‘ ApfRovE ci ft74 \ v) �, �i., _ v'CtiisM2o22�/ vIRC �tENTi4LrcA`ryPPSMAY 2 2 2025 / ,' /_ JB W isv. 1'ENVfROh�MENTAL HEALTH y } - P ii ' I ,f 44, V J44k , 97 �• 0i LICE D SIGNER �1 3jj .�.�.�. v.. �. •loom w 'I LAPHiIS J 76 G ttife�I ,A,`,jf 3:L I,?23 /' --/..... CD CD 1-2.00 rj d 010 Al .Tejp��G • 4wrk.vio,. , O s�' tu► $ F7Itc)P wed c.,c.li r i1* I)�jek/ 44r� L p.„. 4n41, /Jetts-toecir Swig-1141 2 7 f%pr \CI wdeGls yt 71D Sy- 00000 • /o(i• , ZcXy i 300' t 7 ZG fin/►vic.// /'/ ?oli' Printed From Mason Counity DMS IPrinted from Mason County DMS 49 }, epoh_ 1 :, �. .f in 1 1 qL Z I ' 6= II e... q/ •y I. OZ' , ly 1 /G ° i Zu' i 3 v, if It- I Ili' xi X2 1 Z-73'' LS 0 ...7 U 6 TALI) J'd41 f.jotr (() 64, , .rr ),A,.., . ,�,,, PPROVE II , . , . it' Pili r e, i ,m NOV 16 2022 Ihr 1 2. k1AS�',�'J . , Erv.'R:!', 1EVTAL-iEAL,H IZy o 11,, JBW 1. 62_ o rs kip, us I Jr ,�1 VO4 i i IF c.CV . C `� A,l APPROVEA Ii MAY 22 � i;i ' ci syri Ie' LICE g. MASON COUNTY ENVIRONMENTAL HEALTH .. JBW Printed From Mason County DMS Printed from Mason County DMS