HomeMy WebLinkAboutAFTER THE FACT - SWG As-Built - 7/13/2026 AFTER THE FACT RECORD DRAWING, pg 1 MASON COUNTY PUBLIC HEALTH
PARCEL IDENTIFICATION
Owner Name BOBBI/JERRY LOUDON Assessor Parcel# 22017-50-00036
Mailing Address 7754 SE MONTE BELLA PL OJM Specialist Name
City, State, Zip PORT ORCHARD, WA. 98366 Installer Name
Site Address 581 E LAKESHORE DR E Designer Name
Please complete this checklist to the best of your knowledge. If items are unknown leave blank.
INSTALLATION CHECKLIST
System Type GRAVITY Pretreatment Type
Drainfield Ln. Ft.80 Drainfield Sq. Ft.240 Drainfield depth Qvt i Nd wA7
>5 ft.from foundation? ------- - r, ❑ NSA ®YES ❑ NO
>50ft.fromwells? - ------ --- �� � - ❑ ® ❑
z , >50ft.from surfacewater? ❑ ® ❑
Q Cleanout between building and tank. o _ , 2 s _ ❑ I ❑
V Tank baffles present? ❑ ❑
a 24"access risers over each compart ent?- ---- r _ __ _ _ ❑ ❑ ❑
fW Effluent filter installed?------
❑ ❑
Septic tank size 1000 gal Manufacturer NOT KNOWN
0 D-box water level and speed levelers used? ----- ------- --- ® N/A O YES ❑ NO
�O Manifold/D-box accessible from surface?-------------- - -_ ® ❑ ❑
mZ Check valves installed? ---------- - --------------_ ❑ ❑
C]Q Transport Line Size 4" Schedule/Class NOT KNOWN
Bedrooms installed(if known) ®2 ❑3 ❑4 ❑5 ❑6 ❑Commercial/Other
>10ft.fromfoundation? ------- ------------------ ❑ N/A EYES ❑ NO
O >100ft.fromwells?----------------------------- ❑ ® ❑
W >100ft.fromsurfacewater? ------ --- -- -------- ---- ❑ ® ❑
Z >10ft.frompotablewaterlines?------- --------------_ ❑ ® ❑
>5 ft.from property lines and easements?------------ ---- ❑ ® ❑
>30 ft.from downgradient curtain/foundation drains?------ - -- - ❑ ❑
Observation ports present? ❑ ❑ ®'
❑ Graveless chambers or ® Clean gravel used? (check one)
Proper cover installed over drainfield?------------------- ❑ ❑ ❑
Pump tank setbacks consistant with septic tank?------------- ❑ NIA ❑ YES ® NO
ZPump tank size gal Manufacturer
24"access riser(s)and accessible from surface?------------- ❑ ❑ ❑
iL Alarm or Control Panel Installed? ----- ------------- --- ❑ ❑ ❑
Control Panel equipped with Timer/ETM/Counter- ------ ---- ❑ ❑ ❑
Pump installed in ❑ Bucket or ❑ On Block or ❑ Other
ILPump Make/Model ❑ Floats or ❑Transducer
aTank draw down in/min Pump capacity gpm Squirt Height ft
Pump on time Pump off time Daily flow set at gpd WA
Updated 2/29/2016
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LDWNER
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EXPIRES 05+IO' t/
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I-=- 1' Imo' 1 =Proposed residence
___ \ 1 ,f 2 1000 septic tank
Ci•p.
'w 3 3Transport line
Primary
drainfield(installed
--� 4 1971 wl permit and• I
,j record drawing on
I
5 'Reserve drainfeld
LAKE
I.
T N
Wetland A(0.49 acres)
AA��'Jf 110' Wetland Buffer
Proposed Buffer Impact (1,140 sq.ft.)
Proposed Buffer Mitigation (1,140 sq.ft.)
j Existing Driveway (961 sq.ft.)
Existing Septic X'(
• Existing Power Pole
Existing Dock
C
ST
"v` fee. 4°L 24
ttig�6 ,,
0 10 20 40 Feet
Proposed Project
CRATER LAND USE CONSULTING y This map is not survey quality.Locations and measurements are appror4mate.Boundary information depicted
477 PARPALA ROAD,NACELLE,WA 98638 herein has been obtained from the County GIS Parcel Layer.GPS data eras collected during fieldwork 581 E Lakeshore Dr.East,Shelton,WA 98584'
360-214-6527 ryan@cratertu 98 using a Juniper Geode with GNS3 sub-meter accuracy in appropriate conditions.Additional features shown are DATE 16 June 2026 STR SEC 14,TWP 21 N,RNG 02W
from information supplied by the Client or obtained from Stale and Local GIS data.We assume no liability for CLIENT Loudon,J
GROUNDTRUTH GEOSPATIAL .0 discrepancies between this site plan and ground conditions. erry SIZE 0.20 acres
COORDINATE SYSTEM:NAD 1983 StatePlane Washington North FIPS 4601 Feet JURISDICTION Mason County,WA ZONING RR 5
natasha@groundtruthgeospatiaLcom 9....i PROJECTION:Lambert Conformal Conic
360-214-0407 PARCEL# 220175000036 USE 18-Residential-PJI Other
AFTER THE FACT RECORD DRAWING, pg 2 Assessor Parcel#
RECORD DRAWING
Drainfield&manifold
orientation&layout
w/dimensions for
re-location.
Trench/bed
dimensions and
critical distances
within layout
[Li Septic/pump tank
Location w/dimen-
sions for re-location
['Location of buildings t_ �
existing/proposed F" °P°' ) N, o f ,�r A,q G y, r1. - ' ��
[Observation ports, I �.G�b /t cld_d%�isuJ
clean-out locations, VOW
&manifoidsld-boxes
[Location of wells, Go ,vi,yq q,,,4} (#
surface water,roads,
&waterlines.
7 serve area(s)
R(
orth Arrow
If needed drawing may be attached on a separate page No. Pages Attached (
CERTIFICATION OF INSTALLATION
DESIGNER/APPROVED O/M SPECIALIST
t certify that the information contained in this document is accurate to my knowledge. The drawing and information
has bee obtained t rough common locating practices.
I�
Signature of esignerorApproved 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 2/29/2016 ���