HomeMy WebLinkAboutSWG202-00590 - SWG As-Built - 7/23/2026 LUL
JUL
RECORD DRAWING (ASBUILT) pg, 1 MASON COUNTY PUBLIC HEALTH
PA]RCEL.IFICATIOIV
Permit Number SWG Z DLZ •-D0 ,s-rfy Assessor Parcel# 22., U s •
3 1 I oOo'Lz
Applicant Name u�,[�,, Subdivision (Name/Div/Block/Lot)
Applicant Address P�,
City, State,Zip She `(.1 , wA 15I1 (I1( TlerNa7277
me
Site Address c )fo F trJ j J Designer Name
INSTALLATION.CHIrCECLfST
Full System Installation ❑ Septic Tank Only ❑ Drainfield Only ❑ Repair
System Type_ [r1 ems. ( Pretreatment Type
>5 ft, from foundation? ----
>50ft. fromweils? ----------------------------- o
- - -- - ---- - ----__ ❑NIA ®YES ❑ No
>50 ft. from surface water? ❑ ❑
3 ------------------------ ❑ ® ❑
; d t Cleanout between building and tank? ------------------- ❑ Eli) Tankbafflespresent? -______________ ___________- ❑ ® ❑
access risers over each compartment?----------------
ompartment?----___-_-_- ❑
Ellff Effluent filter Installed?--_ ❑
Septic tank size 1200 gal Manufacturer .S�S
D-box water level and speed levelers used? -------_-__
--- L]R NIA ❑YES ❑ NO
Manifold/D-box accessible from surface?-----------------
Check valves Installed? - ® ❑
Transport Line Size L ched ZIass u/J
Bedrooms installed(check one) ❑3 ❑4 ❑ 5 ❑6
>10 ft,from foundation?----____
- - ----------- ❑ NIA YES ❑ N0
>100ft.fromwells?----------------------------_ ❑ ❑
>100ft.fromsurfacewater?-------_____
>10ft.frompotablewaterlines?--------------------
>5f.from property lines and easements?"--- ------------
>30 ft, from downgradlent curtain/foundation drains?------- --
❑ ❑
' Drainfield level and observation ports present -------------
El Graveless chambers or ❑ Clean gravel used? (check one) ❑
Proper cover installed over drainfield?------------------. ❑
Pump tank setbacks consistant with septic tank?------------- U ❑
N!A �C] YES NO
Pump tank size I?.w gal Manufacturer_ S?°S
?!~ 24"access riser(s)and accessible from surface?---___-_____- ❑I ❑
�AlarmorControlPanelinstalled? -------------------_ i
❑
Control Panel equipped with Timer/ETM/Counter- ---------
Pump installed in ❑ Bucket or On Block or
❑ Other
a r{'Pump Make/Model o l t .D 5
❑Floats or Transducer
g <;Tank draw down 1 t in/min Pump capacity. L0 gpm Squirt Height ft
Pump time 1Z-
on Pump off time 'i 13 !�;i Daily flow set at. ' D gpm
mhed 124/2014
RECORD DRAWING (ASBUILT) pg. 2 MASON COUNTY PUBLIC HEALTH
RECORD:DRAINING'
Drainfield&
manifold orientation
&layout
O Trenchibed
dimensions and
critical distances
within layout
O Septic/pump lank
placement
o Location of
buildings
❑ Observation ports&
clean•out locations
Location of wells,
surface water,& AT f-A B-
roads
Undisturbed native
soil between
trenches
[] North Arrow
If the designer or installer feel the need for additional information/comments,it may be attached.
Record drawing may also be on a separate page attached. No.Pages Attached
CERTIFLCATLON O':INStALL'ATION:
INSTALLER DESIGNER
I certify that I installed the system in accordance with I certify that the system has been installed in accor-
the septic design stamped"APPROVED"by Mason dance with the septic design stamped"APPROVED"by
County Public Health and that any deviations shown Mason County Public Health and that any deviations
here have been cleared/approved by both the designer shown here have been cleared/approved by both
and Mason County Public Health and meet all State myself and Mason County Public Health and meet all
and Mason County Codes. State and Mason County Codes
1 further certify that all information contained on this I further certify that all information contained on this
form and attached Record Drawing is accurate, form and attached Record Drawing is accurate.
Signature of Installer
ate
L t I L�yLt�
Printed Name of Signee • -1I1 I7`_
MASON COUNTY PUBLIC HEALTH
The undersigned approves this Installation Report and 22030834
Record Drawing on behalf of Mason County Public tus l �gV�scu- =
'` li �� X51 NCR
Healt
1/ 3/2h
Signature of Environme al Health Specialist Date (designer's stamp, signature and date)
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE
revised 1O2/2014
5729 ,
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2 3 2026 QI
JUL
SON COUNTY ENVIRONMENTAL HEALTH �l r8 IzG �I
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EXISTING
REDS+`
•0 22030834
TI D ESICN-' 1
R50'
EXISTING
WELL
10 STUBOUT
R 100'
APPROX PER 2Q 1200-GAL SEPTIC TANK RECORD DRAWING
SWG2017-00221
3Q 1200-GAL PUMP CHAMBER ALPHA SEPTIC SOLUTION, LLC.
R100'
APPROX PER ® TIGHTLINE PO BOX 14531 TUMWATER WA 98511-4531 360-956-7242
SWG2017-00221 5Q VALVE BOX eC ►fie �� CUSTOMER: XUEFANG SNYDER
I l �'t � �'
DRAINFIELD INSTALLED WHERE DESIGNED. ec ,ck? TP#: IPROJECT NUMBER:
22031-51-00022
PUMP CHAMBER DRAW DOWN=1/16"/MINUTE
'71 1
�JU �j ( Z ?j SITE ADDRESS:
TIMER SETTING: PER GLENDON 5910 SE LYNCH RD
5a p3 LEGAL: TOTTEN SHORES ACRES TRACT I
DOSE VOLUME:PER GLENDON BLOCK F 1/2 TRACT 3
PERMIT#: �DATEINSTALLED: INSPECTED:
NOTE:THE PROPERTY OWNER IS RESPONSIBLE FOR KEEPING SWG 2022-00590 04/08/23 04/11/23
THE FLOW OF SEWAGE AT OR BELOW THE OPERATIONG CAPACITYI INSTALLER:
OF 180 GPD AND SEWAGE QUALITY VILLINES EXCAVATION,LLC.