HomeMy WebLinkAboutAFTER THE FACT RECORD DRAWING - SWG As-Built - 5/19/2025 i
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AFTER THE FACT RECORD DRAWING, pg 1 MASON COUNTY PUBLIC HEALTH
PARCEL IDENTIFICATION
Owner Name STEVE CROFTS Assessor Parcel# 32021-58-01015
Mailing Address 2310 36TH AVE SE O/M Specialist Name
City, State, Zip PUYALLUP, WA. 98374 Installer Name Iv4 kiucrw Au
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? - - 0 N/A IfYES ❑ NO
>50 ft.from wells? - _- - 0 N. 0
Z . >50 ft.from surface water? - . 0 0 0
< Cleanout between building and tank? - . ❑ SI 0
U Tank baffles present? - - ❑ 03 ❑
a24"access risers over each compartment?- - 0 .® 0
N Effluent filter installed?- - ❑ 0
Septic tank size 12CO gal Manufacturer IVO- k"/o e.0,-.0
9 D-box water level and speed levelers used? - - ❑ N/A ❑YES f3 NO
QO Manifold/D-box accessible from surface?- - 183. 0 0
CO, u.
Z Check valves installed? - - 0 0 0
0< .I
2 Transport Line Size Schedule/Class M4 k"i w+'
Bedrooms installed (if known) 0.2 ❑3 04 ❑5 06 ❑Commercial/Other
>10 ft.from foundation?- - ❑ N/A 0 YES ❑ NO
CI >100 ft.from wells?- - 0 IS 0
W >100 ft. from surface water? - - 0 lit ❑
iL >10 ft.from potable water lines?- - ❑ 3 ❑
Z >5 ft.from property lines and easements?- ElFr 0
E > 30 ft. from downgradient curtain/foundation drains? - - IR 0 0
ca
Observation ports present? -
❑ Graveless chambers or 0.Clean gravel used? (check one)
Proper cover installed over drainfield?- - 0 Igl- 0
Pump tank setbacks consistant with septic tank? - - 0 N/A 0 YES kg NO
Z• Pump tank size gal Manufacturer
H24"access riser(s) and accessible from surface?- - 0 0 0
a. Alarm or Control Panel Installed? - - El El
• Control Panel equipped with Timer!ETM/Counter- - 0 0 0
Cl. Pump installed in 0 Bucket or ❑ On Block or 0 Other }
• Pump Make/Model 0 Floats or 0 Transducer r`�
a Tank draw down in/min Pump capacity gpm Squirt Height ft
Pump on time Pump off time Daily flow set at gpd
Updated 2/292016
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AFTER THE FACT RECORD DRAWING, pg 2 Assessor Parcel# 3.Z G 1- Sr..... of ever
RECORD DRAWING
[q Drainfield&manifold
orientation&layout
w/dimensions for
re-location.
Trench/bed
dimensions and
critical distances
within layout
["Septic/pump tank
Location wldimen-
sions for re-location U 13 1.44 `i All a a '� �r
Location of buildings , 66a nn /
existing/proposed 1
r`�viservation ports, .S-ep G. Lrei item,,, L,J ate
clean-out locations,
&manifoldsld-boxes
sea ped ‘ ax, 1 v �aE-+,r.�
1[k,1L6cation of wells,
` surface water,roads, l_
&waterlines. A 9 ry LE I L `�'t7�7 le Reserve area(s) C� if em y
LM North Arrow al
c /L Nl r?�a.
If needed drawing may be attached on a separate page No. Pages Attached 2.--
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.
all
Signature of Desi ner or Approved O/M Specialist Date $ 1�Y
I J4
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.
AfasTAX/y C-01q l[q I-LS 3-ti
signature of Environmental Health Specialist Date
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON CWNTY WEB SITE updated 2/29/2016
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LICENSED DESIGNER f� 0
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Bamford septic Repa/i,LLC
301 E. Wallace Kneeland Blvd STE#224-332 13607902364
Shelton, WA 98584
PROPERTY INFORMATION
Location:150 E KINGSTON WAY
Shelton
Tax ID:320215801015
Mail To: Steven and Molly Crofts
PO BOX 323 Use:
PORT ORCHARD,WA
983660323 GENERAL SYSTEM TYPE:Conventional (Non-Pressurized)
ON ID:320215801015
County Area:Oakland Bay MRA
F°I° — 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
Settling problems observed. If YES describe in comments: NO
The house/structure was vacant or used infrequently,assessment of the drainfleld was not possible. NO
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
TANK:Septic Tank-2 Compartment
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•int recommended: NO
•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
�114
This report indicates certain charactenstics of the onsife sewage system at the time of visit,In no way is this report a guarantee of operation or future per*ombnos.
ReportiD:1391068 View inspection reports online at www.onlinerme.com Page 1 of 1