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HomeMy WebLinkAboutSWG2025-00418 - SWG As-Built - 3/18/2026 OP'. e it RECORD DRAWING (ASBUILT)pp. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number SWG g0�- CO Li lee? Assessor Parcel#.12. 1-1-3------- 1 Applicant Name th.d.c.tA f Lu7rc_ .1. -0-`"' Subdivision(Name/Div/Block/Lot) Applicant Address 5 lbt 64. Tt rtu,9 k (,), 1:),,,,4 - � 4___,___________L____._.._.-\-1L,.' ,------- ' City, State,Zip SL-._I ~1o►., iii,)� `l -ey Installer Name ,n i ti c•� '`` Site Address Z a I ra3l(lei n& De Designer Name A.: tit (`e�� INSTALLATION CHECKLIST , it Full System Installation O Septic Tank Only ❑ Dra'nfield Only O Repair , System Type Nu 0---or - r• atmentType 02-.6____ ____"54-?---_ , - ❑NIA ®YES ❑ NO >5 ft.from foundation? ----- ❑ O >50 ft.from wells? - ` Vg Z >50 ft.from surface water? --- ❑ r.'Cleanout O HCleanout between building and tan ❑ ® O U Tank baffles present? - ❑ F2', P. 24"access risers over each comps - 0 k' 0 W Effluent filter installed?- ❑ ❑0 I Septic tank size`12- ‘4 0...-6-6(.. 9a Manufacturer � � e 'k ` . 6`�� 0 D-box water level and speed levelers used? - - Ij N/A O YES 0 NO ........1OO Manifold/D-box accessible from surface?- O 0 0 mz Check valves installed? - - R 0 ci a << Schedule/Class © i E Transport Line Size Bedrooms installed(check one) ❑2 ®3 ❑4 0 5 ❑6 >10 ft.from foundation?- - 0 NIA ®YES 0 NO >100 ft.from wells?- - 0 ® 0 W >100 ft.from surface water?- 0 ® ❑ it >10 ft.from potable water lines?- - 0 ® 0 >5 ft.from property lines and easements?- - 0 ® 0 >30 ft.from downgradient curtain/foundation drains?- - 0 in 0 i 0 i Drainfield level and observation ports present - 52 ❑ ❑ I ❑ Graveless chambers or O Clean gravel used? (check one) 0,alp •g. Proper cover installed over drainfield?- - 0 ® ❑ I Pump tank setbacks consistent with septic tank?- - O NIA 0 YES O NO Pump tank size l el-co gal Manufacturer S�Jv^"• Pk n-fit p!`t' Cam- Z 24"access riser(s)and accessible from surface?- - ❑ U ❑ I— Alarm or Control Panel Installed?- ❑ El ❑ a' ❑ Control Panel equipped with Timer!ETM/Counter- Bucket orOn Block orOther C- Pump installed in ® O 0 Pump Make/Model XI 1 - lb ®Floats or ❑Transducer t _- Tank draw down --inlmin Pump capacity gpm Squirt Height a. It -,pump on time � ._. Pump off time , ••%0#0r, Daily tow set at t 160 12212014 RECORD DRAWING (ASBUILT)pg.2 MASON COUNTY PUBLIC HEALTH I RECORD DRAWING i I] Oraintield& Manifold orientation a layout i Q Trench/bed I, dimensions and critical distances within layout Q Septicrpump tank ' placement l Locator of SEE ATTACHED buildings ' Q Observation ports& clean-out locations I aLocation of wells, surface water,& Ii I roads , , Q Undisturbed native soil between I trenches �]J North Arrow i If the designer or installer feel the need for additional informationicomments,it may be attached. IRecord drawing may also be on a seperate page attached. No.Pages Attached I CERTIFICATION OF INSTALLATION i INSTALLER DESIGNER I /certify that I installed the system in accordance with t certify that the system has been installed in accor- the septic design stamped"APPROVED"by,Mason dance with the septic design stamped"APPROVED"by 1 County Public Health and that any deviations shown Mason County Public Health and that any deviations I here have been cleared/approved by both the designer shown here have been cleared/approved by both i and Mason County Public Health and meet all State myself and Mason County Public Health and meet all f . 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. � (�w 3 -6-2 Signature of Installer Date Printed Name of Signee 03/11/26 -:`. 4: .= ��. MASON COUNTY PUBLIC HEALTH ,-=';...t. The undersigned approves this installation Report and Record Drawing on behalf of Mason County -'` 1 HealPic? . gDM.IJ IWYTER 3 /(f.(1,'7(5 O Le 1,,r'.:,.- L,•46,-,._,, —krSin ure of Environmental Health Speciail. q Date jQ t `o lies stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAI t P.,UBE EW ON THE MASON COUNT`t,WEB SITE xF a s«tei22120 ` i, fi o- 'T SCALE-1"=20'-0" - / / / RBM IS GROUND EL.@ PROPERTY CORNER(RBM=100.0) 149'± !o/ Water Water Water Water 3 T NUWATER BNR500 ATU IN ATU TANK i 900FT2 DRIP R/A PUMP CHAMBER I t - r Al N u-) i STUBOUT/CLEANOUT(IE -97.0) ' (. 1„ O 3 BDRM RES r LLI 37.5 D,RIPi DRA N FiLD Q it 3 150FT LATERALS J g675FT2CC LLI CO O ) H C PROPOSED DRIVE 18' / O 1"SCH40 SUPPLY/RETURN(CRUSHPROOF SLEEVE UNDER DRIVE) HEADWORKS 120'± MCLANE DR PRESSURE TEST COMPLETED BY INSTALLER 4 Pp Ash h ; SQUIRT HT: N/A 1) dlgs �qiQ illf DRAWDOWN: 1/2 IN/MIN ONCOO, �8�Q26 rlYe yfrjR04/4,p, y U TIMER SETTINGS - ®J'4 �Ry''�L 1 lilt JIM HUNTER & ASSOC. CONTRACTOR ON: P.O. BOX 162, OLY,WA 98507 i OFF: 2HRS JAMIE WORKMAN 03/11/26 753-1226 (;. 1 Y sit.. .,tv JHANDASSOCIATES@HOTMAIL.COM INSTALL DATE- 2/20/26 a '': RECORD DRAWING SITE ADDRESS/LEGAL XX MCCLANE DR • ' • ''-.: OWNER- MIKEYJOANEN-APAHOMES ti 1 :v. FINAL DATE- 2/20/26 ADUI.1 J.iwaite TP# 220185000117 SITE#