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HomeMy WebLinkAboutAFTER THE FACT - SWG As-Built - 7/28/2026 AFTER THE FACT RECORD DRAW NG, pg I MASON COUNTY PUBLIC HEALTH PARCEL DENTBFGCAT @ON Owner Name CII � � Assessor Farce! # zWl/- Jb - p0007 Mailing Address I( 1 ��'11�'I�Y•5- � ©/l1/I Specialist Name `�'7� City, State, Zip / 1 9 % Installer flame Site Address '70-- �— y - - Designer !Name -- Please complete this checklist to the best of your knowledge. If items are unknown le/ e b1 System Type ___�-- - -- - ----- Pretreatment Type f T O Drainfield Ln. Ft. � Drainfield Sq. Ft. Drainfield depth 2/ '3 ' >5ft. fromfoundation? - - -- ] IA YES Jr4o • >50ft. frornweells? - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ❑, '1 O >50i`t. fronmsurfacewater? - - - - - - - - - - - - - - - - - - - - - - - - ❑ ❑ Cleancut between building and tank? - - - - - - - - - - -- - - - - - - -- - Tanl:bafflespresent? - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ 24" access risers over-each cornpartment?- - - - - - - - - - - - - - -- ❑ ❑ �! WEffluent filter installed?- - - - - - - - - - - - - ❑ ❑ ti Septic tank size 10OO gal Manufacturer ( YLGV- 't is cn • D-box water level and speed levelers used? - - - - - - - - - - -- YES S yiiO r�N rD- Uraniffold/D-box accessible from surface?- - - - - - - --- - - - - - - -- ❑ ® I' --� 6LA Checkvalvesinstalfed? - - - - - - - - - - - - - - - - - - - - - - - - -- �.: Transport Lire Sze _______ SCr'iel-;ulcfvlaSs IJ&J AJ • Bedrooms installed if knewrsi 6 02 ❑ O� 04 [-I 5 " C C orr6rnErcia!/Oth• r = r; `IJ >10 IL from foundation/ - - - - - - - - - - - - - - - - - - - - - - - - -- YES . >100ftt. frornwells?- - - - -- - -- - - - - -- - - - - - --- - - - - -• -. ❑ p' X00 t. fromsuracewater? - - - -• - - - - - - - - - - - - - - - - - a 3 II >10f. irom potablewateerlines?- - - - - - - - - - - - - - - - - - - - -- O 0 II > 5 ft. irorn propety lines 3i"ld easernc-rtts?- - - - - - - - - - - - - - -- fl > :30 ft. from dow ngradienit:curtain/foundation drains?- - - - - - - - - - O Observation ports present? - - - - - - - - - - - - - - ❑ ❑ GraveleSs chambers or 1 Clean gravel used? (check.one) II t a • Proper cover installedoverdrainfield-- - - - - - - - - - - - - - - - - - -- ❑ ❑ . i' Pump tank setbacks consistant with Septic tank? - - - - - - - - - - ---- - YES l\iO•Ii Pump tank size gal Manufacturer II. 24"access riser(s)and accessible fi m surface?- - - - - _ _. - _ _. _ _ . ❑. ❑ ❑ Alaarn, or Control !'anal lI Called? - - - - - -_ —z- ❑ ❑ O 11 - Control Panel equipped with Timer!i E i!'f 1 Counter - - - - - - ❑ ❑ • Pump"installed in ❑ Bucket or O On B - or ❑ Ot a r I Pump Mara/Model ❑ Transducer � 4,_._,, . oats or Tran.,•! , Tank draw down in/rr,in Pump ca i?c:ty • mal Squirt t Height ft • Pump on time Put,-:p ot1' tme Daily f=low set at gpd li Updated a29120Th /2,E_�[_R T CSC= FACT RECORD DRAM NG, pg 2 Assessor Parcel ;" j Drainfield&mar/fold orientation u layout w/dimensions for re-location. , X82 1 o Trench/bed /Q 02 dimensions and O critical distances Fo i� 111 within layout �p Septic/puro tank i? Location w/dirner- s?one for re-lacation fl Location of buildings i1 existing/proposed 1C ; Observation ports, clean-out locations, d �(� menifolds/d-boxes S '' J!�� li Location of wells, surface water,roads, ?.waterlines. deserves area(S} II E � Ill i,'1<t Arrow it !� i q II ;r I 1' i{ I, 17`i eded drawing may be attached on a aaaparatB page klo. Pages Attached Ej DE a l MEiRR/APPROVED OY/G}.l PL C[AL0 T ?`cer ri /that/ha ii7 0niiationr ccntain&d iii this document ccc r tr+?/c'.;7V!.;7?ii%u'f&0`fJ9. The drat'i'(n�?and/c'0rn7a1fon I1 - Il ii has,been eb>taine1 thl-ooucth co! :ono,(iOGiF'f y _,c/;r.� ii II �i!71?a.ure of.DeSig, C, rr!_' rvv v�ri�f.��ert8i!c'1 ?=t@ !i MASO GOUTI (PUBLOC HEALTH i his is an after the fact record drawing, which may or may not include a county inspection. i his information is to only jl document an existing •0SS location and components. J Iii Sianatu,re of Envimnmental,Wealth ,, cia/si Date �T4 FORM •� -SCANNED.I 'x�. '� i,i:+'�'y t `r r_ fl r_; ,E`,' I,I' r r �.t,l. .i^i-r EF--- ...IUpdaled2!2o!20?6 THIS FO vi MAY C�� 'Gr-.P :•I�_. i i� ._ _r. .__._ � -l:'iJie 1�;.�i\�. . ..� �:(_'tJ( WEB SITE I&7 A1 5 /J/di / • .1A , .. - • q ���t' •may: - • •�'' T ' P 1 . . : __ JUL 28226 8 2026I = .. .._ t • RECEIVED ;' r � �' � ,--. 7 r . . .. . ... . ..- . r . i ; R . • I .. v I . BAMFORD SEPTIC REPAIR, LLC • 301 E WALLACE KNEELAND BLVD ' ' STE 224-332 SHELTON,WA 98584-2985 . '