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HomeMy WebLinkAboutSEP2008-00164 - 03 ASBUILT JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 9836:/' ASBUILT INSPECTION REPORT For RECORD DRAWING Designer 1■1 ATIAAK1 N. CAvvk Permit# SEP 016,00 k61-1 Installer 11{nnSVICEt2T/SNC•1t) x VAttt.1C.) Parcel # \qot-U)10-3t --- Electrician C ret t� Design Flow ao0 Property Owner k.A1 EN fiubsoIJ Site Address -15Q7 NbRri1 JACOB Mt(1ER ROAD, RA7'TOW/466ND Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) Col-robs t2.e,.nyV\Xxx ■)OCR c c\XakJ) 2 caw?. MIG3A0 Pump chamber (manufacturer, size) Co -.r. 1,J Mt�c 13C30O 0,AL:44 31Ary2AID Screen(s)and/or Pump Shroud (type, location) t)o)4?Stilg.a so k Out(vt-EAc LL lck Ja�1ZDll Were Tanks tested onsite for water tightness? Yes / No Panel Model )\C41)AWOR.7( IPC -SC- Timer Model 1 t icL A,� �l1 Pump 1 — Man./Model �%e g a.t� 1 z O Flow Rate g,14 qpm I°I JAN 2.1311 Pump Location (i.e. garage, treatment unit, basement) P�ukP 'f4.tk Float/transducer settings Inches Timer from bottom of tank- On/off - 2 ) in. Functions: On Z ec min Veto - 34.3 in. Off - to sec/0,hr Alarm - 3(#.3 in. Veto On - min Storage Above High Water Alarm 4141S- gal. Veto Off - k(') ? sec CTRihr Dose Counter Reading 00031 # gallons/dose NA gal. Elap. Time Meter Reading OO:(7= 53 min/hrs Pump Throttled? Yes Dose Drawdown (in inches) 's/'g in. Pump 2 — Man./Model Flow Rate gym Pump Location (i.e. garage, treatment unit, basement) Float/transducer settings Inches Timer from bottom of tank- On/off - in. Functions: On sec/min Veto - in. Off - sec/min/hr Alarm - in. Veto On - sec/min Storage Above High Water Alarm gal. Veto Off - sec/min/hr Dose Counter Reading # gallons/dose gal. Elap. Time Meter Reading min/hrs Pump Throttled? Yes / No If additional pumps-complete the Info in this table Dose Drawdown (in inches) in. for each and attach. Other Timer functions & settings (e.g. override on/off) as--9iPt AW pCI. R. ZZ t 0565 H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 of 2 . p , 10- Pre-Treatment Date Insp Sandfilter basin high water alarm shuts down pump to Sandfilter Yes / No Sandfilter Basin size/location Sand Fill met design spec? Yes / No ATU (manufacturer, model) Alarm tested Yes / No Disinfection Unit (manufacturer, type, model) Independent Alarm Yes / No Drainfield Transport Pipe size, schd, diameter 11'sckt{0 Manifold size/schd 111 Sc 40 RJA0 2011 Orifice size ,V4 Lateral Size/schd to■sck qt) tat 3ANZ011 Barrier Material NA. Cover Material/Depth MA- Residual Head (lat.# & ft. Head) NA- The laterals/pods were balanced 03 / No 1ctiaa12011 Source/Manufacturer of Drainrock/Gravelless chambers Carry esivayaty Drainrock Clean? No No If no, what action taken? Mound/Glendon Site Prep CV©c,E 31AW,VA0 Drainfield Length 23•S- ft Width 11 ft Depth AM- inches Caps for measuring residual head stored (location) N4 COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary Health Department Inspection issues resolved Yes / No / NA If yes how? Users Manual Provided to Homeowner '27/0& Date VZ (ill Tank/component Decommissioning Report Attached Yes / No / NA Installer Certification attached/signed Yes / No ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY THE INFORMATION PROVIDED ABOVE WAS VERIFIED BY INSPECTION, TI-tE SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY I Z/3o�44ATE) OR THAT CHANGES HAVE BEEN NOTED AND T}CE . 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