HomeMy WebLinkAboutSEP2021-00055 - 03 ASBUILTI
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CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT
Permit Orvner STO LLC permit # SEP2021{0055
@EEI!9T.AE4:DR.AINFIELD TRENCH TRENCH TANK # OF #GAULENGTH WIDTH_ DEPTH SIZE loooGallonsBEDRMS 2 DAy 240
Tank Shroud/
lF PUMP AND PUMP CHAMBER REQUIRED: Size Screen
Float Arrangement
Highwaterfloat-distancetotopoftanUemergencystorage
Dose drawdown (# of inches) # Gallons/Dose_
Timer/Dose Counter i nfo_P um p S izel Man ufactu rer_
I CERTIFY THIS ONSITE SEWAGE
,€"60,,f {-l"f
SYSTEM WAS INSTALLED AS DESIGNED, PER PLAN APPROVED 15 June 2021
15 July 2022 NATtr
DATE INSTALLEDINSTALLER SIGNATURE
RE,CEI-VEP
AUG 2 12022
JEFFERSON COUNTY
MENTAT';UBLIC HEALTH
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ASBU I LT CONVENTIONAL FRM_05-'l 0-04. pdf
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INSTALLER tuhnE.H"6$JR,cr* pARCEL # rr,r00010
REC EIV ED
Ocr I 0 2022
JEFFEHS ON COUNTY
ENVIBONMENIAL PUBLIC HEALTH
SITE PLAN
LOT 10, TIIE MEADOWS
AS BUILT
LEGAL DESCR'PT'ON
LOT 10, T}E MEqOOWS NO.
', A
CONOOMIN'UM, AS PER CONDOMINIUM MAP
RECORDED
'N
I/OLUME 3, PAGE 44 THRU
46. RECOROS OF JEFFERSON COUNTT.
SECflON 29. TOWNSH'P 29 NORTH, RANGE
, EcSr. W. M.
AODRESS: 116 SUNSET MEADOWS Lx.
PORT HADLOCK, WA 98J65
APN 971-900-010
NEr SITE AREA - 6185 sft
PROPERTY OWNER
sTo. u-c.
842 WASHINCTON ST.
sunE ro4
FOFT TOWNSEND, WA 98368
DI/ELOPMENT DESCR'PTION
,MPERWOUS AREA
LOf AREA-....--- 6185 sft
rarN BU,LD,NG-...... 1662 sft
TOATAL ,MPERVIOUS-.- '1662 sft
- (26.s %)
SHEET FLOW AREA
S,DEWALK...... 292 sft
DRIYEWAY....., 264 sfl
PARKING..-.... 44O sf!
5X4X12
GRAVEL ORCIN
BU'ID'NG SSIBACK
UNE 01"rOrL)
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N
Revised Site Plan Reviewed and approved on
913012022 by Mark Stone PE
Stone Onsite Septic Design
2358 Brown Rd Ferndale WA 98248
ma rkstone@stoneonsiteseptic.com
20, EUILDING
SEIBACK UNE
s 8E"16'44'E 92.90'
NOIES
OO Down Spout and Foundation
Drains connected to 5x4xl2 Dry Well
@ L.arge Rock banicades are instatted between OSS
components and parking area.
@ OSS Components are connected to
comrnunity septic systern 1 SEP96-338
OSS Componenets are connected via existing stub
located at 50" below grade.
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7, url,UTY
ECSEMENT UNE
EX'SIING EDGE
OF PAVEMENT
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Champion Home?.,;-
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SePel- 5r
Custom Enterprise Development LLC
Posf Office Box 1399
Port Hadlock, WA 98339-1399
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