HomeMy WebLinkAboutSWG2025--00372 - SWG As-Built - 2/17/2026 RECORD DRAWING (ASBUILT) pg. I MASON COUNTY PUBLIC HEALTH
PARCEL IDENTIFICATION
Permit Number SWG 2025-00372 Assessor Parcel# 321275400082
Applicant Name Bruce Bork Subdivision (Name/Div/Block/Lot)
Applicant Address 120 state ave NE#209 •
City, State, Zip Olympia WA'98501 .Installer Name Scott Johnson •
Site Address 41 E Kilmarnock Rd Shelton WA Designer Name Adam Hunter
•
INSTALLATION CHECKLIST
• NI Full System Installation ❑ Septic Tank Only ❑ Drainfieid Only 0 Repair
System Type sub surface drip '•, Pretreatment Type .Nuwater
>5 ft.from foundation? -- - [] N/A ISI YES ❑ No
>50 ft.from wells? - - 0 in 0
• >50 ft.from surface water? - - ❑ M 0
Cleanout between building and tank? - - 0 • 15 0
F.
O Tank baffles present? - - [] N ❑
24"access risers over each compartment?- - ❑ Q 0
a.
mi Effluent filter installed?-.
or r 0 0
•
Septic tank size IM 1060 gal Manufacturer Infiltrator.
O D-box water level and speed levelers used? - - NI N/A ❑YES 0 NO
eO Manifold/D-box accessible from surface?- - O • ❑
00z. Check valves Installed? - - S 0 ❑
® 1 inch scd 40
• Transport Line Size Schedule/Class
. Bedrooms installed (check one) N2 ❑3 ❑4 0 5 ❑6
>10 ft.from foundation?- - ❑ N/A IQ YES ❑ No
•
In >100 ft. from wells?- - 0 0
W >100 ft. from surface water? - - a ' ❑
Er >10 ft.from potable water lines?- - 0 IS 0
3 > 5 ft. from property lines and easements?- - 0 0
> 30 ft. from downgradient curtain/foundation drains? - 0 R. 0
® Drainfield level and observation ports present . - 0 lia 0
❑ Graveless chambers or ❑ Clean gravel used? (check one)
Proper cover installed over drainfleld?- - ❑ B 0
Pump tank setbacks consistent with septic tank?- - ❑ N/A 15;) YEs , 0 NO
Pump tank size IM 1060 gal Manufacturer Infiltrator .
< 24"access riser(s)and accessible from surface?- - ❑ S 0
Alarm or Control Panel Installed? - - ❑ tI ❑
a Control Panel equipped with Timer/ETM/Counter- - 0 [S ❑
11 Pump installed In Bucket or ❑ On Biodk or ❑ Other
Pump Make/Model stayrite step20-03 SI,Floats or O Transducer
0. Tank draw down a_r 1 In/min Pump capacity 2.0 opm Squirt Height drip ft •
Pump on time 9.52 MIN Pump off time 2 HRS Daily flow set at 240 gpm
•
RECORD DRAWING (ASBUiLT) pg. 2 MASON COUNTY PUBLIC HEALTH
RECORD DRAWING•
Drainfield&
manifold orientation
&layout
Et Trench/bed
dimensions and
critical distances
within layout
• Septic/pump tank
placement
Location of
buildings
El Observation ports&
clean-out locations
• Location of wells,
surface water,&
roads
11 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 seperate page attached. No.Pages Attached_
e �� ..-.._._. 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
form and attached Record Drawing is accurate. form and attached Record Drawing is accurate.
02-02-2026
Signature of installer Date
Scott Johnson -0I2 . q
Printed Name of Signee f*`
MASON COUNTY PUBLIC HEALTH .,.
• •t
The undersigned approves this installation Report and
"'°"z
Record Drawing on behalf of Mason County Public
ADAM J.HUNTERF
Health:
61\9J1K2Can I 1 14
v;=1J
Signature of Environmental Health Specialist Date (designer's stamp, signature and date)
THIS Pr PM MAV RF.CANNED AND AVAII_AEU.F MR PlIBI IC VIFIN[1N THE MASON COUNTY WEB SITE
80'1
LE-1"=20'-0"
4> POVE
FEB 17 2026
2 BDRM RES MASON COUNTY ENVIRONMENTAL HEALTH
F RET
STUBOU /CLEANOUT
��NUWAT BNR600 ATU IN INFILTRATOR
,z I O
7SO %
PUMP CHAMBER
____/----------------1
HEADWORKS(SEE DETAIL PG 2)
/ EXISTING DRIVE / -
�- RETAINING WALL L41.O (d'IVOC� \ \ / 50'- 'SCH40 SUPPLY!RETURN LINES lib 600FT2DIP,R/A / PRESSURE TEST COMPLETED BY INSTALLER
\ /
\ \
/ SQUIRT HT: DRIP
,NJ
DRAWDOWN: P"' O,1 I'-1 ")
TIMER SETTINGS -
„-j-,,,,,,'„...„: ,)L41-1-6' ---''''':r-e1
-s ON: 9.52 MIN
";\. OFF: 2 HRS
s rr,� JIM HUNTER & ASSOC.
J. �?• (, CONTRACTOR
( P.O. BOX 162, OLY, WA 98507 SCOTT JOHNSON
`, ' „uua 2 <'.
`• ADAM J.HUNTER ' 753-1226
j I_i(St-';���'0 i5E4at NER JHANDASSOCIATES@HOTMAIL.COM INSTALL DATE- 1/27!26
I AlrIliES 0/:I4-Lc RECORD DRAWING SITE ADDRESS/LEGAL
41 E KILMARNOCK RD
OWNER - BRUCE BORK
FINAL DATE- 1/29/26
TP# 32127-54-00082 SITE # SWG2025-00372