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HomeMy WebLinkAboutAFTER THE FACT - SWG As-Built - 5/26/2026 AFTER THE FACT RECORD DRAWING, pg 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Owner Name Assessor Parcel# /2.2.05 ^ 7$-0013 O Mailing Address ii'-!!I A (1r O/M Specialist Name ILWrsoi City, State, Zip (3`I r WA q SS 2 ' Installer Name Site Address S"" `- 43 "^`�' I'~� Designer Name Please complete this checklist to the best of your knowledge. If items are unknown leave blank. INSTALLATION CHECKLIST System Type Rii'.,P k Pretreatment Type ��p L'L L. Drainfield Ln. Ft. 2O 1 Drainfield Sq. Ft. Drainfield depth S✓1a Now >5 ft. from foundation? - -- - - ---- ❑ N/A [gYES ❑ NO >50ft. fromwells? - - -- --- --- - '- -- - ----- - ---o ® ❑ Z , >50ft. fromsurfacewater? - --- ----- \�� - - - - ❑ 0Q Cleanout between building and tank? - -- - -- - - - - - • ❑ [x) ❑ V Tank baffles present? -- -- --- --- --- - - ❑ EA ❑ 24"access risers over each compartment By- - - --- ----- - ❑ ❑ ❑ rW Effluent filter installed?- - -- - -- --- - - -- -- -- - ---- - - - - ❑ (1 ❑ Septic tank size I z-Oo gal Manufacturer Co►w rc 4- C3 D-box water level and speed levelers used? -- -- - - -- - --- - - - _�.N/A ❑YES ❑ NO O Manifold/D-box accessible from surface?- - - ---- ---- -- - - - - ❑ ❑ ❑ £9 Check valves installed? - --- - - --- - -- - -- - --- - -- - - - - ❑ ❑ ❑Q 2 Transport Line Size Schedule/Class Bedrooms installed(if known) ❑ 2 ®3 ❑4 ❑5 ❑6 ❑Commercial/Other >10 ft. from foundation?- --- -- --- - -- - -- -- --- -- - - - - ❑ N/A DYES ❑ NO >100 ft. from wells?----- -- - - ---- --- -- ---- - --- - - - ❑ © ❑ >100 ft. from surface water? - --- --- -- - ---- - --- --- -- - ❑ ® ❑ W M >10 ft.from potable water lines?- ---- - ---------- --- - - - ❑ ® ❑ Z > 5 ft. from property lines and easements?-- - - -- - - - - -- - - -- ❑ ® ❑ > 30 ft. from downgradient curtain/foundation drains? - - -- - - - - - - ❑ © ❑ Observation ports present? ❑ O ❑ Graveless chambers or ® Clean gravel used? (check one) Proper cover installed over drainfield?- --- ---- -- - -- ---- - - ❑ ® ❑ Pump tank setbacks consistant with septic tank?------- --- - - ------ --- - - - ❑ N/A YES ❑ NO Pump tank size 3 0O a- gal Manufacturer Cr-ct-. h24"access riser(s)and accessible from surface?------ ----- - - ❑ (g ❑ CL Alarm or Control Panel Installed? - -- - - - - ----- - - --- - - - - ❑ 1I ❑ Control Panel equipped with Timer/ETM/Counter- - - - - - - - - - - ❑ ❑ 0- Pump installed in ❑ Bucket or ..On Block or ❑ Other 9LPump Make/Model [1 Floats or ❑ Transducer p=, Tank draw down g in/min Pump capacity gpm Squirt Height ft Pump on time CA'—c c 1, r' - Pump off time Daily flow set at gpd Updated 21292016 AFTER THE FACT RECORD DRAWING, pg 2 Assessor Parcel# ('7 U - -1S- 00130 RECORD DRAWING [73 Drainrield&manifold orientation&layout w/dimensions for re-location. Trench/bed dimensions and critical distances within layout {[] Septic/pump tank Location w/dimen- lions for re-location E- Location of buildings existing/proposed ELI Observation ports, dean-out locations, &manifolds/d-boxes [D� Location of wells, surface water,roads, &waterlines. Reserve area(s) [ J North Arrow If needed drawing may be attached on a separate page No.Pages Attached 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 b n obtained through common locating practices. S 26�2oz(� Signature of Designer or Approved DIM 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. Signature of Environmental Health Specialist .Date THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 22912016 x 3 BEDROOM ON-SITE WASTEWATER AFTER-THE-FACT A BUILT Z M — — — Xi \ co L!_ / O / \ M � ,� p / / / / \ U Q IY f 662'+/- \ 1 0 S.! I a \ U J ' rl / i I/i Exi ting Shed { I I f rn I— /111 ' \ I Well r I /; I @ V W II i ( l l \ M c6 d \ Existing Garage/Carport I I n- / ( Existing / r j Manufacture Home / I r \ 1 Ethung priyevia I/i / I "N 7' ' / C, Approximate Land Size:5 AC \ /- I t 04 T l / 00 W , ` / O' I ` J I I , 0- - I \\ ( ..J / f I I i I Owner/ Applicant: I \ E II ' j 1)Sewer Cleanout % I I .--J 00 O I' 4 2)1200 Gallon 2 Compartment Septic Tank i _1 co ` \ 3)Effluent Pump Tank(Approx.Volume 300Gal) r/ 100 Y 4)High Level Alarm on Post ! C� O j 1 J 5 PVC Effluent Transport Line ° O i \_ 6)3 Gravity Trenches @ 3'Wide X 67'Long ; U I n 3: p /� 7)Reserve Trenches 600sqft Total Reserved CO % / 5,) I I O This Is not a survey: This Aabuflt DraMng Is Intended for the purpose of j XO locating end maintaining the septic system on this parcel. Measurements and distances are appro)dmate. Y f 61(t¢M9 1`I 0' 25 50 100 150' It is advised by septic designer Micah Halverson ,rggplsy� 1 I I I a = to use a licensed surveyor to determine lot lines, ^ elevatlons,topographW and to provide a legal site plan. Ovxter is responsible for establishing all property lines. easements and/or rtght•of ways. Fg.O F1 1 L. Scale:1"=50' Insp effon Date:5(15!2026