HomeMy WebLinkAboutSEP2014-00016 - 03 ASBUILTCONVENTIONAL SYSTEM AS -BUILT INSPECTION REPORT
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Installer: Dan Morger Parcel # 991 700 001
Permit Owner: Michael & Dora Whittaker Permit # 14- 00016
Designer: Suzanne Martin Design Flow: 240 gpd
Site Address: 163 Moon Valley Drive- Quilcene, WA 98376
ABSORPTION AREA:
DRAINFIELD TRENCH WIDTH TRENCH DEPTH TANK SIZE # OF BEDRMS #GAL/DAY
LENGTH 134 If 36" 16 -18" 1000 gallon 2 240 gpd
IF PUMP AND PUMP CHAMBER REQUIRED: Shroud /Screen
Tank Size: n/a
Float Arrangement
High water float — distance to top of tank/emergency storage
Dose drawdown (# of inches) # Gallons /Dose
Timer /Dose Counter info Pump Size/ Manufacturer
COMMENTS (inspection notes, changes from design or deficiencies installation) Attach additional sheet(s) if necessary
Installed 2 compartment, concrete septic tank and distribution box. Risers, clean -out, speed levellers and outlet filter have
been installed.
All OSS Component installation have met or exceeded State and local codes and regulations.
Users Manual Provided to Homeowner mailed 14July2014 Date
ATTACH ASBUILT DRAWING signed by Designer or stamped /signed by a Licensed Professional Engineer
I CERTIFY THE INFORMATION PROVIDED ABOVE WAS
VERIFIED BY INSPECTION, THE SYSTEM WAS INSTALLED
AS DESIGNED AND APPROVED by JEFFERSON COUNTY
(DATE) OR THAT CHANGES HAVE BEEN
NOTED AND THIS SYSTEM IS IN COMPLIANCE WITH WAC 346 -272
14 July 2014 5100342
Signature Date License #
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