Loading...
HomeMy WebLinkAboutAFTER THE FACT - SWG As-Built - 5/5/2026 AFTER THE FACT RECORD DRAWING, pg 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Owner Name RANDALL K SOUTHARD Assessor Parcel# 32401-50-00051 Mailing Address 210 N BEACON POINT S O/M Specialist Name N/A City, State, Zip LILLIWAUP, WA 98555 Installer Name DON'S BACKHOE Site Address 210 N BEACON POINT S, LILT Designer Name ADAM HUNTER Please complete this checklist to the best of your knowledge. If items are unknown leave blank. INSTALLATION CHECKLIST System Type GRAVITY (SEEPAGE PIT) Pretreatment TypeN/A Drainfield Ln. Ft. N/A Drainfield Sq. Ft. N/A Drainfield depth 84" (SEEPAGE F >5ft.fromfoundation? ------ -- --- -- - -- -- -- ----- -- ❑ N/A ®YES ❑ No >50ft.fromwells? -------- - - - - --- - - - - --- - ------ ❑ ® ❑ z >50ft.fromsurfacewater? - - - - - - - - -- - - - - -- - - -- -- -- ❑ ® ❑ HCleanoutbetweenbuildingandtank? --- -- -- ---- ----- --- El ® El V Tank baffles present? - - - - - - - -- - - - - - - -- - ------ - -- ❑ ® El a24"access risers over each compartment?- --- - -- - - - ---- -- ❑ ® ❑ W Effluent filter installed?-- - -------- - -- -- - - ------ - - - ❑ ❑ N Septic tank size 1000 gal Manufacturer LOCAL Ck D-box water level and speed levelers used? - ---- - - - - - - - --- ® N/A ❑YES ❑ NO OO Manifold/D-box accessible from surface?--- - - - - - - - - - - - - -- ® ❑ El oaCheck valves installed? - - -- -- - -- -- - -- -- ---- - - -- - - ® El El Transport Line Size 4" Schedule/Class N/A Bedrooms installed (if known) ©2 ❑3 ❑4 ❑5 ❑6 ❑Commercial/Other >10 ft.from foundation?-- -- -- - -- --- -- -- - ---- --- -- ❑ N/A ® YES 0 N >100ft. fromwells?----- --- ----- --- ------------- El ® El W >100ft.fromsurfacewater? - ----- -- ------ ------ ---- ❑ ® ❑ E >10ft.frompotablewaterlines?- ---------- - ---------- ❑ ® ❑ Z >5ft.frompropertylinesandeasements?- - --- - - - -- --- -- - El ® ❑ >30 ft.from downgradient curtain/foundation drains?- -- - -- --- - El ® ❑ Observation ports present? ❑ ® ❑ ❑ Graveless chambers or ® Clean gravel used? (check one) Proper cover installed over drainfield?--- - - -- ---- --- ----- ❑ ® ❑ Pump tank setbacks consistant with septic tank?------------- © N/A El YES ❑ NO `-� Pump tank size N/A gal Manufacturer N/A Z 24"access riser(s)and accessible from surface?- - ---- ----- -- ® ❑ ❑ ~ Alarm or Control Panel Installed? - - - - - - -- - -- - ------- -- ® ❑ ❑ Control Panel equipped with Timer!ETM/Counter--- - - - - - - - - ® ❑ ❑ Pump installed in ❑ Bucket or ❑ On Block or ❑ Other Pump Make/Model N/A ❑ Floats or ❑ Transducer O'. Tank draw down N/A in/min Pump capacity N/A gpm Squirt Height N/A ft Pump on time N/A Pump off time N/A Daily flow set at N/A gpd Updated 2/29/2016 AFTER THE FACT RECORD DRAWING, pg 2 Assessor Parcel#324015000051 RECORD DRAWING ❑ Drainfield&manifold orientation&layout w/dimensions for re-location. ❑ Trench/bed dimensions and critical distances within layout ❑ Septic/pump tank Location w/dimen- sions for re-location ❑ Location of buildings existing/proposed ❑ Observation ports, clean-out locations, &manifolds/d-boxes ❑ Location of wells, surface water,roads, &waterlines. ❑ Reserve area(s) ❑ North Arrow If needed drawing may be attached on a separate page No. Pages Attached 1 CERTIFICATION OF INSTALLATION DESIGNER/APPROVED O/M SPECIALIST /certify that the information contained in this document is accurate to my knowledge. The drawing and information has been obtained ough common locating practices. 5/1/26 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. 5/5/2026 Signature of Environmental Health Specialist Date THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 2/29/2016 SCALE: 1" = 20FT N RESERVE AREA / 92.3 / 30.8 10.0" / [ 1 114.5 SHED SHED 6.5FT SEEPAGE PIT(#8797)-1978 05/p1/26 EXI TING 2 COM 1000 AL.SEPTIC TANK EXISTIN STUBOUT PCLEA UT = : 'J`'l'Y STORAGE GARAGE nD16i.uuvreR EXISTING STORAGE/ DRIVE CONVERT TO2 BDRM R IDENCE 112.0 PRESSURE TEST N/A-GRAVITY DRIVE 90.1 pN pp\N� Lp 6PG HUNTER SEPTIC DESIGN CONTRACTOR: 2201 93rd Ave SW/Olympia,WA 98507 DON'S BACKHOE SERVICE 360-890-2778/designs@hunterseptic.com INSTALL DATE: 1978 SITE ADDRESS/LEGAL: RECORD DRAWING FOR: 210 N BEACON POINT LP S KELLY SOUTHARD FINAL DATE: 5/1/26 PARCEL NUMBER: SITE/PERMITS: 324015000051 8797