HomeMy WebLinkAboutSEP2015-00032 - 03 ASBUILTJEFFERSON COUNTY PUBLIC HEALTH 615 SHERIDAN PORT TOWNSEND WA 98368
ASBUILT INSPECTION REPORT For RECORD DRAWING
Designer Suzanne Martin Permit # SEP 15 -00032
Installer Shold Excavating (AJ Sukert) Parcel # 801 201 009
Electrician Cascade Electric Design Flow 240 gpd peak
Property Owner Daniel B. Thacker %"
Site Address 7991 -A Center Road- Quilcene, WA 98376 S,x
eA .
Answer all questions or indicate NA 4��iP�Fr
�rj SO,, DATE
Tanks, Pumps and Controls ��� Co INSP.
Tank (manufacturer, size, baffles) 1000 gal Cotton; outlet filter installed; inlet plumbing irisC'dl 8/18/15
Pump chamber (manufacturer, size) 1000gal Cotton, risers installed, 22 gal /inch 8/18/15
Screen(s)and /or Pump Shroud (type, location) shroud in pump chamber 8/18/15
Were Tanks tested onsite for water tightness? S/ No
Panel Model Infiltrator Timer Model Aquaworx [PC 9/8/15
Pump 1 — Man. /Model FWS5030- 00005; Flint & Wallace Flow Rate n/a gpm 9/8/15
Pump Location (i.e. garage, treatment unit, basement) in pump chamber
Float /transducer settings Inches
from bottom of tank- On /off - 21.025
in.
Timer
Functions: On
5 sec min
Veto - 30.325
in.
Off -
9:47 secA&hr
Alarm - 30.125
in.
Veto On -
5 sec min
Storage Above High Water Alarm 330
gal.
Veto Off -
6:42 sec/ in hr
Dose Counter Reading 21 dose /13vdose
# gallons /dose
per gbt gal.
Elap. Time Meter Reading 00:05:05
min hrs
Pump Throttled?
Yes No
Dose Drawdown (in inches) n/a
in.
If additional pumps- complete the info in this table
for each and attach.
Pump 2 — Man. /Model n/a Flow Rate gpm
Pumn Location (i P. naranP traatm Pnt Ilnit hacAm Pnt)
Float /transducer settings Inches
from bottom of tank- On /off -
in.
Timer
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
Dose Drawdown (in inches)
in.
If additional pumps- complete the info in this table
for each and attach.
Other Timer functions & settings (e.g. override on /off)
ID =05 -08 -2013
H:\ WEB \ONSITE \Asbuilt_Report_Form.doc 04 /28 /10page 1 of 2
ZB -09; Autoclear 22 dose;
care- Treatmeflt . '.` Date Insp
Sandfilter basin high water alarm shuts= =down pump to Sandfilter -Yes / No
Sandfilter Basin size /location n/a
Sand Fill met design spec? Yes / No
ATU (manufacturer, model) n/a Alarm tested Yes / No
Disinfection Unit (manufacturer, type, model) n/a Independent Alarm Yes / No
Drainfield
Transport Pipe size, schd, diameter 1" pvc sch 40 Manifold size /schd 1" pvc sch 40 8/18/15
Orifice size n/a Lateral Size /schd n/a
Barrier Material jute Cover Material /Depth 0 918/15
Residual Head (lat.# & ft. Head) pods balanced 9/8/15
The laterals /pods were balanced Ye / No 9/8/15
Source /Manufacturer of Drainrock /Graveliess chambers n/a
Drainrock Clean? Yes / No If no, what action taken? n/a
Mound /Glendon Site Prep yes 8/6/15
Drainfield Length 19 ft Width 14.5 ft Depth n/a inches
Caps for measuring residual head stored (location) n/a
COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional
sheet(s) if necessary
1.) Bentonite used around inlet outlet & risers
10.) dry season installation completed
timer activator @ 0.9; Alarm @ 9.2; Veto @ 9.4
Health Department Inspection issues resolved Yes / No /(NA if yes how?
Users Manual Provided to Homeowner delivered to homeowner Date 9/8/15
Tank /component Decommissioning Report Attached Yes / No / NA
Installer Certification attached /signed Yes / 6
ATTACH RECORD DRAWING stamped /signed by Designer or Licensed Professional Engineer
I CEZTIFY THE INFORMATION PROVIDED A3OVE WAS VERIFIED BY INSPECTION, THE
SYSTEM WAS INSTILLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY
(DATE) OR TRAT GRANGES RAVE BEEN NOTED AND
THE YSTEM IS IN COMPLIANCE WITH WAC 246 -2 72.
9/9/15 5100342 �.
Designer Signature Date License # S S10aLMart i.
H:\ WEB \ONSITE \Asbuilt_Report_Form.doc 04 /28 /10page 2 of 2
O
cn
O 0
m v
m a 0 =r 0 o o;
o v, 0 7
< < n CD w 0
CD 0I 3 CD M Z
CD CD j O 3 O
3mmn =. N
c> ;Z, CD 0 CD
D°3o <a
l =1 a w
CD 3
7 O CD A m
v, v, 3 0
7 Cp to
c o
CD CD
3 N N N (D
m.a ° :3 n Er
�
m' N
m Cr CD = 7
U) n p CD
3m0 41 CD
5' = 3 CD m
CD 3 O N
c
3 E m n
C)
O 1 d
(n &n
() (] N C
3 3 m
o 3: 0 m
�CD cnM
cDo �f-
CD
O 0 CD
(0-a Oa
CD O o 0
CL CD CD
N �h 3
o
w -
7 O CD
N n c- fn
N. CD o o
CD N 2 O
3 vm
n
O O CD O
3 m a)
m
O m CD
CD o m a
cc
m c C
in 3 m
NO O CD
3
d Cn
O
j m (D
a m
a <<
O
C:r_ d
N O
_O
CD
N
coo
� ca
CD
I W
n a CD
CD C-) 0
Iv CD Cn
`n :0 cn �
CO
a o_ CD r
A
C cn --I O C
lno7-00
c m -o
�Uon cn- Cn
N I..TI CO v
Ln o (L
w
N C'1 C1 7 Q+
(D 00 C
o
Z3
a
CD
cn N a =T
(10 Zvi -1 v
C O m CD
W
X
3
0� a S
.+o
n
O rr N n
rn
=r
^ ^ 0
m
O
C, CL Q,
N m^ x m m 3 p�
7 7 3
O Oo Q
CD
3 -c v; 3
cC°i'I Cn 0
OL
(Q CQ N d O `< n
I C
0 cy) W CD
= Cn CD - (D CD
ooa a
0
3 T D m 3:( m
J
N�
O
0 C
n• O -
CD 7 7 CD
N Cn � n
0
CD
n3
"'
3 Cn r CD
-a 5
c n O Z)
FT
m 7 O
m
CD
?<
0
CD
m C'D
7
I
—
�oL, -?
o,
CD x
Cn 0
r
CD
:D p
(D O o
-0-CD
=r C N m
d CD 0 l)
Q7 (D A CA
CD
m
3 =oo
CD m o
a
O
N < p
CD 7 mo
3 a
m n
c
X m cn
c 3 m
CD m
3 E a
x
n CD tU
m 3 a cy
CD
_
r am
- CD
a
00
O
e
i t O
cb.(� < (D
a�
}'
°
x ,. C,
t i
n § i
� � z
N t
'D
CL
CD
cn C- :
CD 3 , I;
.0
0 , O
d
� O -.O
CD
--7 CO N -0
N 00
cn N a =T
C
y 9
3
' a 3 0,
.+o
n
O rr N n
n C1 n CD
=r
O p, 0,
C, CL Q,
a n, 3
7 7 3
O Oo Q
CD
;r PC' Q
CD
3 n�
OL
o... ?•3
�rn
0 cy) W CD
(D
(n a
0
3
IMD
0 C
a
0
CD
n3
"'
3 Cn r CD
M
c n O Z)
C +
m
v
a
m C'D
7
I
—
�oL, -?
CD
N J N
(D (q
C
i t O
cb.(� < (D
a�
}'
°
x ,. C,
t i
n § i
� � z
N t
'D
CL
CD
cn C- :
CD 3 , I;
.0
0 , O
d
� O -.O
CD
--7 CO N -0
N 00
cn N a =T
C
CD CD C CD
3
' a 3 0,
.+o
n
O rr N n
n C1 n CD
=r
O p, 0,
C, CL Q,
a n, 3
7 7 3
O Oo Q
CD
;r PC' Q
CD
3 n�
-•
°
o... ?•3
�rn
0 cy) W CD
(D
(n a
0
3
IMD
0 C
�
0
CD
n3
"'
3 Cn r CD
M
c n O Z)
C +
m
C? n O N
m C'D
1 O
—
�oL, -?
(D
N J N
(D (q
OQ C()
-0-CD
00
0 3
CA
rt
C �
O
7
Q
�i.
CD V
't
V
N
d
CD
N
'0_ c
n CQ
a
a
7 O
X, O
Us
C
CD
Cn
a
(CD L
Da
CD
r
n
m
�
•
0
3
IMD
�
0
CD
O+
cx
n
M
m
m
--i
�
0
(D (q
o
Us
C
CD
Cn
O
Da
r
�
m
v
0
4Z
GJ
0
cf)
z
-n
m
m
m
--i
�
0
o
_
o
(Tm r
��C�F �m
N
O 0 m OF N N y
G7 .. v' m
OO °
m m'w
oN °um3wny3
CA
�cicf.y@
N N a
o
f m
N_ Cmm7
� � N
N � j
yam
78 m R
wog
w
fD�m
N -
3 3 F m
3 m
m 3 Cl.
s
Mlle
-L
mi 8�.
CL
CD Fr fa
PV
11
S'
1
\�\ N2. 35 -08-E 165.0•
z
0
Z
m�
M
_
.J
0
a
0
0
$g Ilina
Ch
.� oto
II
3
m
O 1.11 P w N —
0 ,0 a=T --
O CD
N d p, 0 0
r r
C+ n d 7
C
3v
nv =
�n
a •rt
01
W,
w
G)
M
rn
0
p
M
CJI
0
M
S
z
Ii
m--�
3 to
y C
N N �
m 0 N
3 c
G CD
m
coo m
cp �
I,, p
N �
=(D g
N
Qt M 7
� . .
N
M
C �
Ow
Q' o
Kg
cl
D
C
5r
OF
3
1p