HomeMy WebLinkAboutAFTER THE FACT - SWG As-Built s ,
_A `S'-R THE FACT RECORD DRAWING, pg 1 MASON COUNTY PUBLIC HEALTH
PARCEL ODE °I `ICA` IO
414 K PASWC--2 Parcel # 3 ZDD ' 7�" 9z 7
Owner Name Assessor �•
Mailing Address 2.96 Fi. LROCA WA�-�/ O/M Specialist Named
City, State, Zip SlitTi�. vJ rA R S --- --- Installer Name __�1 k�u3
Site Address & iG , Designer Name (J ' J
WL0AI
Please complete this checklist to the best of yours •now.°es'ge, If items are unknown leave blank
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Drainfieid -Sq. Ft. _ 12D Drainfield depth .5
>5t. frcmfoundation? - - - - - - - - - - - - - -- - -- - - - - - - - - - - -- N/A Y=S NO
n r�
>50ti. fromwellS? - - - - - - - - - - - .- - -
>5 6t. from
r n i between b1 ild n and - -- -' al 6 ; € f"•
Ciea C (i 1;1( ell , I:. i:.g _i v. tank? rt
Tankbafflespresent•? - - - - - - - - - -- - - - - -- - - - - - - - - Li
24' access risers over each co fiparment?- • - - - - - - €
- Y
Effluent filter installed?- - - - - - - - - - - - - Y- - _ - - - -- i _
Septic tank size £ZO gal ,Manufacturer ®
D-box water level and speed levelers used? - - - - - - - - - - - - - -- . 17 Y=s 0oY
0 ManifoldlD-box accessible from surface?- -. - - - -- - -- - - - - - - -- -- ¢_ g l3
'3? Che !, s n le ? - - -- - - - -- - - -- - -- - - - - -- - - - - -- - -•• i
:� ;. ek JG:re i �stai�„d ..
as cr L^ne U edule/C a5:. tlicss¼j
e -oo,rs installed (if known) s% 03 04 4 05 06 Cc r;nmercial!Other.
_ f0,, oundat: 'ri?- - - - - - - - - - - - -- - - - - - - - - - - - - D vii4 .YESPic
>/.:(.i •-. :,cn-,weilss? - - - - - - _ _ _ .- - - _ _- - - - -- - -- - - _ - - -- - - -- U ' i_-9 f�ti
s... Tom Sur,.7.ce water? - - - - - - - - - -- -• - - - - - - - _ _ - - _- U 0 h
ti
>'is. frcrnpetabietn'aterlines? - - - - - - - - - - - - - - - - - - - 0 . iH
r; > �ft, from property lines and easeme,its - - - - - - - - - -
30 fi. from downgradient curtain/foundation tai .:1s2 - - - - - _ - - g
Observation ports present? - - --- - -- - - -- - - -- - - U ' y
O Graveless chambers or Clean gravel used? (check one)
Proper cover installed over drainfield? - - - - - - - -- - --- •- -- - - •- U U
..i -,..' r.
tank setbacks consistant with septic tank? - - - - - - - -- - - - - - g I/A 0 YES
° Pump tank siz gal Manufacturer
24" access riser(s)and ac ie frole from surw"er - - -- - - - - - - - ;c 3 Fi
Alarm or Control Panel installed? - - - - - - - - - - - - - - - - - - ; 0
li
Control Panel equipped with Timer/ E 3?Vl /Ooun"t . - {—� - - _ - i p €.4
Pump installed in bucket or L lock or U Ot ° n
r Make I• adel 0 Hoa or O Transdscer
en .craw d in/rnin Pump capacity gprr Squirt Height
mo on time Pump off time Daily flow set at ..,-d
Updated 2r29;2�1
e. � Z' RECOP.D DR,�V'Ioi G; pg ?_ �lssessar ParLel --
Drainfield&manifold
orientation&layout
vidir:ensioris For ..
.Baton.
2n:'
^es
on o1 bulid'ings
_ sgtproposed -
as5vtion ports,
p:5-cut ccaticr.s,
a manifolds/d-boxes
LoCa on of wells.
dace water,roads.
4 °c.e';aterlines-
Reserve area(s)
North Arrow /i
1y-
fl
• 1
No. Pages Attached e'
w ec cra j;ng may be attached cn a separate page e
E ;j� t`APPROVED O1M, SPEC AUS
document a cur ate to my 2�r e. The drawing tg crr information
^r` J that the information contained t this ^e.t eiii S �, O-t 1
a^tieer Gvt�: ed throe JCf? Got:r CrC j^�CG'=r^.� praC_`ICeS.
yrature of Designer orApproved O/l'yr Specialist Date `_ s
_'_...`. ' { 5v_a "Y PUUC HEALTH
eher=_?e;act record drawing,NN,�tl7F^2 may or may not include 2 ccuntV t?SoecttG t_ his lil:G„ atio iS Don
ty
. .. end corn ni7.'?ents.,
... o �• Si;S1.''"'G C�.'Jv ivt�.Oi G:` 1
or
COUNTY ON T-
^1�-� - - — 5 T^r Updated2i29,201c
E5 FORM MAY CE SCANNED AND AV,�iL�] Lt s�?�I1'VIEW THE.MASON 7 1/l'E5
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BAM FORD SEPTIC REPAIR, LLC 1 k
M
301 E WALLACE KNEELAND BLVD
STE 224-332
SHELTON,WA 98584-2985
3Z0 S .7