HomeMy WebLinkAboutSEP2014-00107 - 03 ASBUILTCONVENTIONAL SYSTEM AS -BUILT INSPECTION REPORT
Installer: Jake Johnson
Permit Owner: Richard & Christine Esvelt
Designer: Suzanne Martin
Site Address: 2813 East Marrowstone Road - Nordland, WA 98358
Parcel # 021 332 037
Permit # 14 -00107
Design Flow: 480 gpd
ABSORPTION AREA:
DRAINFIELD TRENCH WIDTH TRENCH DEPTH TANK SIZE # OF BEDRMS L/DAY
LENGTH 267' 36" 25 -28" 1000 4 .^. 480gpd
IF PUMP AND PUMP CHAMBER REQUIRED: Shroud /Screen
Tank Size:
Float Arrangement n/a
High water float — distance to top of tank/emergency storage
Dose drawdown (# of inches)
Timer /Dose Counter info
# Gallons /Dose
Pump Size/ Manufacturer
L /0- 4�
COMMENTS (inspection notes, changes from design or deficiencies installation) Attach additional sheet'f 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 27 May 2015 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
C �_ , 26 May 2015 5100342
Signature Date License #