HomeMy WebLinkAboutAFTER THE FACT - SWG As-Built AFTER THE FACT RECORD DRAWING, pg 1 MASON COUNTY PUBLIC HEALTH
Owner Name ev`� CG E WI aye Assessor Parcel # .•0/6 — 3-0-'D&903
Mailing Address 36 I( ))9' .-t- CT AN O/M Specialist Name
City, State, Zip Cs-19 \4o 69f t>.M Q$33). Installer Name
Site Address 1c( E• fox . e.-ash et Q Designer Name
Please complete this checklist to the best of your knowledge. If items are unknown leave blank.
System Type -4-c-Uii( Pretreatment Type
Drainfield Ln. Ft. I ZO Drainfield Sq. Ft. ,`g 60 Drainfield depth ). "
. .p >5 ft. from foundation? - - ❑ N/A O YES BE NO
>50 ft.from wells? - - ❑ ® ❑
>50 ft. from surface water? - , ❑ O
., Cleanout between building and tank? - - ❑ O BR
k- Tank baffles present? El SI O
24" access risers over each compartment?- - O O M
Effluent filter installed?- O El
mi
Septic tank size l DOD gal Manufacturer
D-box water level and speed levelers used? is.N/A ❑ YES ❑ NO
Manifold/D-box accessible from surface?- O O
Ell
Check valves installed? -
y// CD Elor Line Size Schedule/Class 303L{
Bedrooms installed (if known) lif 2 ❑3 ❑4 ❑ 5 ❑6 ❑Commercial/Other
>10 ft. from foundation? El- - N/A ❑ YES ill NO
r ->100 ft. from wells?- ❑ 1111 ❑
>100 ft. from surface water?- ❑ ® O
>10 ft.from potable water lines?- . O O A
Vi El El 0a"
�: > 5 ft. from property lines and easements?- _
' ; > 30 ft.from downgradient curtain/foundation drains? - - O ,,i O
Observation ports present? - - ❑ El IF
, ❑ Graveless chambers or ® Clean gravel used? (check one)
a Proper cover installed over drainfield?-
Pump tank setbacks consistant with septic tank?- IN N/A El YES O NO
IPump tank size gal Manufacturer
24" access riser(s) and accessible from surface?- ❑ El ❑
- : Alarm or Control Panel Installed? - - O ❑ O
Control Panel equipped with Timer/ETM/Counter- - ❑ O O
Pump installed in ❑ Bucket or O On Block or ❑ Other
Pump Make/Model ❑ Floats or O Transducer
EL Tank draw down in/min Pump capacity gpm Squirt Height ft
Pump on time Pump off time Daily flow set at gpd
Updated 2/29/2016
AFTER THE FACT RECORD DRAWING, pg 2 Assessor Parcel# ¢)- 011 ' 5O- O 003
[+� Drainfleld&manifold
orientation&layout
w/dimensions for
re-location.
v❑7Trench/bed
dimensions and
critical distances
within layout
Er Septic/pump tank
Location w/dimen-
sions for re-location
El/Location of buildings
existing/proposed
❑ Observation ports,
clean-out locations,
&manifolds/d-boxes
E!I Location of wells,
surface water,roads,
&waterlines.
EtReserve area(s)
2 North Arrow
If needed drawing may be attached on a separate page No. Pages Attached f _
4." 74teatttfitrattileatiti
DESIGNER/APPROVED O/M SPECIALIST
I certify that the information cont ' e / this document is accurate to my knowledge. The drawing and information
has been obtained th h common lo g practices.
fq6 .nab
Signature of Designer or Approved O/M Specialist Date
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.
-?XL- SC-P)P)90l
Signature of Environmental Health Specialist Date
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 2/29/2018
SOIL LOG#3: WATER LINE DISCLAIMER:
EXISTING TANK TO BE ABANDONED TO CODE NOTE: IFMW7ER UNERESRX:SNIMN PROPOSEDDRNNFIELDS AMOR
• PRESCRIPTIVE FLOW CONTROL MEASURES NA TOBERELOc`Tro FOR ANY REASON N°MEo""ER
SOIL TYPE: 4 ARE TO BE DESIGNED BY LICENSED INDIVIDUALS CONSUMES NIRNANCULRESPONSISIUTY
0"-20": LIGHT GRAY SILTY LOAM IAW WITH APPLICABLE STATE AND COUNTY CODES.
SOIL LOG #4:
SOIL TYPE: 4
0"- 18": LIGHT REDDISH BROWN SILTY SANDY LOAM
100' v V
TO WELL
EXISTING
•UTBUILDING
50 Ti BE REMOVED
i / / (
70' 65' TO/WELL 60' 55' 50' 45' 40' 35' 30' 25' 20' 1,' 0'
•
594.70'
_ ' EMS '
::,:i:1.4:C-.. I EXISTING DRAIN'I- D b S
:Q: WELL - 1 _ 1 SL3 j
.'•:'.::j t�..' I �— ..,. • • —� . -i , _,T-- . PUGET
r .. D 1j111--- �1,,-- -- ' o �? m
SOUND
'�:Oi' C) .RXIST.i• 2 � I� i9 S N 4 .
DRIVEWA' USE m 100%;, 2-BR HO 75'
:2 RESER
{
801.10
EXISTING
ORTION OF HOM
O BE REMOVED.w
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f—r-1-1;
II mi.
air• min
A.ins 0-v -
.- P
L. 1 V�
✓_ '
r t ..
PROPERTY OWNER NOTE: LICENS
Carefully review ALL aspects of this septic 10,0MIIIM A_WAII////J!
design.ANY costs incurred due to changes to
jp
this design after submission to the County Health Department EXPIRES 111 t Slq
are the sole responsibility of the property owner. ll'
77-1/S IS NOT A SURVEY ALL PROPERTY LINES/BC)UNOAR/ES HAVE NJ
BEEN DEMONSTRATED BY THE OWNER(S) ANO/OR 7-1-/E/F? AGENT(S).
0'5'10' 30' 50' 75' 100'
- INSTALLER MUST VERIFY THAT WATER 1.11VE LOCATION AT TIME OF INSTALL MEETS ALL COUES./SETBACKS ■ Mi.
-IT is THE RESPONSIBILITY OF OWNER/REPRESENTING AGENT TO PROVIDE TO ACME I NI WRITING • -ANN.' ANO ALL INFORMATION PERTINENT TO THE DEVELOPMENT OF SEPTIC FEASIBILITY ANID/OR SCALE(FEET)
DESIGN III CLU CI NIG ALL GRAY/BLACK WATER STUB OUTS, UTILITY LOCATIONS, PROPERTY DI MENISIONS
DIMENSIONS, EASEMENTS, BUFFERS AND SETBACKS REQUIRED BY GOVERNING OR REGULATING ENTITIES LEGEND
••• RY W H R N LAT N N D TE P R OEATE ISTALIO A SIEP R Q UR EIED_
- N F'R O OUNDAT coN R U N N G N CR N L C IL PROTECT PRIMARY' AND. RESERVE ORAINF i=• AREAS FROM ANY VEHICLE TRAFFIC_ E DESIGN
- FI SPOILS O BRI OAI FIE AREAS. cr = SO LOG ri1 A
" DUE TO UNFORESEEN WATER TABLES, A CURTAIN DRAIN MAY BE REQUIRED_ ---- - NO BUILD ZONE
DEPENDING UPON FINAL ELEVATIONS, A PUMP MAY BE REQUIRED. - =CLEARING LIMITS DATE- 16 JANUARY 2026
" DIRECT ALL COWNSPOUT/SUR FAG E WATER AWAY FROM ORAINIFIELO AREAS_ (.'y/
, =LOW AREAS P.O. BOX 2954
- IF OF LATERALS OR MODULES ARE C)EPICTED. THEY ARE APPROXIMATE AND. MAY VARY, NAME- CASHMAN
PROVI OED THEY REMAIN I NJ THE DELI NEATEO OF AREA_ m TREES .. 12"DIA
SILVERDALE,
- ALL WELLS WITHIN 100 FEET OF PROP. BOUNDARIES HAVE BEEN SHOWN (200' FOR GLASS-IS WAIVER). 98383
- EXCEPT FOR THE DISPERSAL COMPONENT, ALL SEPTIC COMPONENTS MU R H TO UR
ST BE WATETIGT SFACE" O = CLEAN OUT TAX ID- 22016-50-02003 y a
- WATER LINE MUST BE A MINIMUM OF 10' FROM ANY SEPTIC COMPONENT.
MAINTAIN A MINIMUM 50' SETBACK DOWNSLOPE OF 1-PITS. MINIMUM OF 10' SETBACK UPSLOPE OF I_P,TS. ® = 1000-GAL SEPTIC TANK STREET- 161 E. FRANJO BEACH DR TEL. 360-698-8488
- sr:. D M L H N EE AND FIAL DRAINFIELED COVER IMMED T LY U PON IAE COMPLETION_
- DEPENDING ON THE TYPE OF ATU USED, A TRASH TRAP MAY B O
E REQUIRED._ = EXISTING SEPTIC TANK INFO@CMESEPTIC.COM
- LATERALS MAY BE NO C)LOSER H N TA S' ON CENTER. SCALE: 111=50' SITE PLAN
- IF WATER ANIO SEWER LINES CROSS, THEY MUST BE 0 0 NI STIR Li CT HO LAW STATE 8 0OUNTY COCE-