HomeMy WebLinkAboutSWG2025-00369 - SWG As-Built - 11/18/2025 RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH
PARCEL IDENTIFICATION
Permit Number SWG 2025-00369 Assessor Parcel it 321225000139
Applicant Name ADAM HUNTER Subdivision (Name/Div/Block/Lot)
Applicant Address 2201 93RD AVE SW
City, State, Zip OLYMPIA WA 98512 Installer Name GENE BOND
Site Address 2620 E SAINT ANDREWS DR Designer Name ADAM HUNTER
INSTALLATION CHECKLIST
❑ Full System Installation 0 Septic Tank Only ❑ Drainfield Only 0 Repair
System Type PRESSURE etreatment Type
>5 ft. from foundation? - 070
-- ®N/A 0 YES 0 NO
>50ft. from wells? ''- ® ❑ ❑
water? ---- -- - ® ❑ 0
z• >50 ft. from surface %- -�� �
HCleanout between building and tan ® 0 0
U Tank baffles present? - --- - - - 0 ❑ 0
d24'access risers over each compa nt?-- --- ® El
W Effluent fitter installed?- BJ - - ® 0 ❑
co
Septic tank size gal Manufacturer
D-box water level and speed levelers used? - - 0 N/A ❑YES 0 No
DJ ® 0
O Manifold/D-box accessible from surface?- - ❑
mZ Check valves installed? - - ® 0 0
0Q Schedule/Class
2 Transport Line Size
Bedrooms installed(check one) ❑2 ❑3 ❑4 0 5 ❑6
>10 ft. from foundation?- - ® NIA ❑ YES ❑ No
CI >100 ft. from wells?- - 0 ❑ 0
W El ❑
>100 ft. from surface water?- - 0
it >10 ft. from potable water lines?- - ® ❑ ❑
Z >5 ft.from property lines and easements?- - ® El Eld >30 ft.from downgradient curtain/foundation drains?- - ® 0 ❑
Drainfield level and observation ports present - - ® ❑ ❑
0 Graveless chambers or 0 Clean gravel used? (check one)
Proper cover installed over drainfield?- - ® ❑ 0
Pump tank setbacks consistant with septic tank?- - ❑ N/A ® YES 0 NO
1250 SOUND PRECAST
ZPump tank size gal Manufacturer
< 24'access riser(s)and accessible from surface?- - ❑ ® ❑
H 0
a. Alarm or Control Panel Installed? ❑
2 Control Panel equipped with Timer/ETM/Counter- - 0 ® ❑
D
a- Pump installed in 0 Bucket or ® On Block or ❑ Other
CL• Pump Make/Model b,<.ut" %c_v �,�• ® Floats or El Transducer
oft
R. Tank draw down 44 in/min Pump capacity b2 -S qpm Squirt Height 01 ft
R. i!
Pump on time �� Pump off time \ i, � l� 9P Daily flow set at m
revised 1/22/2014
RECORD DRAWING (ASBUILT) pg. 2 MASON COUNTY PUBLIC HEALTH
ORD DRAWING
ci Drainfield& `.,✓ `�
rrnnifold orientation
&layout �� i`'r1��
Trent bed
dimensions and L1
distances
r (,f
4cImo tfn ek
wthin layout 9�,� tl '4
0 Seppc/pumptank A / OJ '¶
eijt
placement
0 Location of J
buildings Heiv S�
0 Observation ports&
cieanout locations ,,....
Location of wells, ��V
surface water,&
roads
El Undisturbed native 0soil between
NN.'..*%."`...........\
trenches
El North Arrow
If the designer or installer feel the need for additional information/comments,it may be attached.
Record drawing may also be on a seperate page attached. No. Pages Attached
CERTIFICATION OF INSTALLATION
INSTALLER DESIGNER
I certify that I installed the system in accordance with I certify 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 contained on this I further certify that all information contained on this
fo nd attached Record Drawl • accurate. form and attached Record Drawing is accurate.
ignature of Installer Date
er
Printed Name of Signee r 1/10/25
MASON COUNTY PUBLIC HEALTH •
The undersigned approves this Installation Report and
Record Drawing on behalf of Mason County Public er
Health: • 4
J. U:
ADAM J.HUNTER
t I�f zS r•rr�,';t:ti-lg,._ .�i fi
Signature of EnvironmenFal Health Specialist Date (designer's stamp,2signature and date)
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE
revied V22/2014
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