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SWG2025-00074 - SWG As-Built - 12/10/2025
RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH .____.r_: . :` ._ . . . PARCELID.ENTIFICATION Permit Number SWG 7,025`- Ooo7-1 Assessor Parcel# 31.,I2-7-4-, poO{, Applicant Name /Vo(4"1 weak rt.4,417; , ttc/„ Subdivision (Name/Div/Block/Lot) Applicant Address Y S 31 (a Ski Avc-'✓l City, State, Zip r✓(,r.,P;gt L9 A q%51 J. Installer Name 1;:c.,,, ;,s VI l 1,picA Site Address 141 i. ► Jkp i 4-L u. Designer Name Jam;', R" c_// 3` ; INSTALLATION CHECKLIST , . r, 1: I Full System Installation ❑ Septic Tank Only ❑ Drainfield Only 0 Repair ai System Type f tI,sSrcr tment Type _$ >5 ft. from foundation? - - ❑ N/A ®YES ❑ NO � li. 50 ft. from wells? - - �.`',', , ❑ ® ❑ .v 1>50 ft. from surface water? - ,lo�[� - V' ❑ - Cleanout between building and tank? - C�9' - ❑ !i Tank baffles present? - It)� - ❑ D.ih�':;24".access risers over each compartment -- - - ® ❑ t.vq*i Effluent filter Installed?- - ❑ Z ❑ VI 0 Septic tank size I L-SU gal Manufacturer S,'14-rz,:-,a: , ;45i D-box water level and speed levelers used? - - M NIA ❑ YES ❑ NO Manifold/D-box accessible from surface?- - ❑ ❑ y • Check valves installed? - - ❑ ❑ ISi 4 r i t, Transport Line Size ( it Schedule/Class L/n kfX- mT. Bedrooms installed (check one) 0 2 g 3 0 4 0 5 0 6 a,: i,.;fzf� >10 ft. from foundation?- [1] N/A Ni YES El NO t.R''r ;, ;>100 ft. from wells?- ❑ 51 ❑ i' pi ', , ,i>100 ft, from surface water? - - ❑ '12 ❑ F`9.>10 ft. from potable water lines?- - ❑ N ❑ L "" > 5 ft.from property lines and easements?- - ❑ IB 0 ,Y. -.> 30 ft. from downgradient curtain/foundation drains?- - ❑ X] ❑ ' : }4 Drainfield level and observation ports present - - ❑ .® El =``.11gi Graveless chambers or ❑ Clean gravel used? (check one) E4r Proper cover installed over dralnfield?- - 0 1e ❑ ..Pump tank setbacks consistant with septic tank?- - ❑ N/A ® YES ❑ NO 47 -< I Pump tank size 1250 gal Manufacturer -eft itre.. .or--- .r rt i 24"access riser(s)and accessible from surface?- - El N El Alarm or Control Panel Installed? `" Control Panel equipped with Timer/ETM /Counter- - El ® 0 14 Pump installed in ICJ Bucket or ❑ On Block or ❑ Other i?�' i Pump Make/Model 1;% L 1 I in N Floats or ❑ Transducer §' Tank draw down I S in/min Pump capacity 3� gpm Squirt Height .,$ ft twAti r Pump on time 7S Sew_ Pump off time L' L o..� Daily flow set at 2--70 gpm revised 1I22/2014 mow RECORD DRAWING (ASBUILT) pg. 2 MASON COUNTY PUBLIC HEALTH RECORD-DRAWING . • Drainfield& manifold orientation &layout O Trench/bed dimensions and critical distances within layout 0 Septic/pump tank placement • Location of buildings Observation ports& clean-out locations Location of wells, surface water,& roads 0 Undisturbed native soil between trenches • 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 separate page attached. No. Pages Attached Ngi3r^ .: ''.` r: -• N;O�'.1NtTALI;ATION:- . 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 form and attached Record Drawing is accurate. form and attached Record Drawing is accurate. I OAS-- Signature of Installer Date •.04 , f V�It . . At6 •ive Printed Name of Signee i �� / • •P /2/ MASON COUNTY PUBLIC HEALTH S! The undersigned approves this Installation Report and oz 22030834 �01 Record Drawing on behalf of Mason County Public % t4S71N 5 RUSSEII Health; . LICEN5���5""""" 1 ),g,v-mp (7/((a(7 — Signature of Environmental Health Specialist Date (designer's stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE rovi5 81/22/2014 1p STUBOUT ' © 1250-GAL SEPTIC TANK © 1250-GAL PUMP CHAMBER ® TIGHTLINE © VALVE BOX WITH VALVE PER CODE DRAINFIELD INSTALLED IN AREA DESIGNED _ PRESSURE TEST SQUIRT HEIGHT = 60" PUMP CHAMBER DRAW DOWN = 1.5"/ MINUTE TIMER SET FOR 75 SECONDS ON, 4 HOURS OFF q�1h ��'� �-_ DOSE VOLUME = 45 GALLONS J---�-R7$ERVE --�--- `r _- -- �y --- bo- _ - _-- /? Y © � Petsi, �.s o Fyn O 0 O O /• �9 . © # 3-BEDROOM HOME • 0 \•• 1 • • DRIVE •©• /! . s 'moo. 3" 0 20' um um DALKEITH ME MN 0.`1 ' 11 �, ; 'k '01 RECORD DRAWING �,y a ,raf :lit 22030534 a f1 �' I4?TUI1.94iltVk �; ALPHA SEPTIC SOLUTION, LLC. C, t'CFN (' !w • ,_ �f, PO BOX 14531 TUMWATER WA 98511-4531 360-956-7242 CUSTOMER: NORTHWEST EQUITY IN HOUSING, LLC. TAX PARCEL#: 32127-53-00006 SITE ADDRESS: 141 E DALKEITH RD LEGAL: LAKE LIMERICK 4 LOT 6 PERMIT#: DATE INSTALLED: DATE INSPECTED: NOTE: THE PROPERTY OWNER IS RESPONSIBLE FOR KEEPING 2025-00074 9/25/25 9/27/25 { THE FLOW OF SEWAGE AT OR BELOW THE OPERATING CAPACITY INSTALLER: VILLINES EXCAVATION OF 270 GPD AND SEWAGE QUALITY.