Full Text
On-site Sewage System As-Built Record WAC 246-272A requires a complete and detailed record drawing submitted to both the Health Department and the OSS owner upon completion of new construction, alteration, or repair of an OSS system. Local code requires the as-built to be submitted to the home owner and Klickitat County Health department within 30 days of completion. Property Owner: Parcel Number: Site Address: SYSTEM SUMMARY # of Bedrooms: GPD: Trench Type: Installer: Trench Depth: Trench Width: Installer Phone: Total Linear Feet: # of laterals: PLEASE INDICATE THE TYPE OF CONSTRUCTION Tank Capacity: New System Repair Tank Manufacturer: Alteration PRESSURE OR DOSING SYSTEMS Date of Completion: # of orifices: Size of orifices: Pump Tank Capacity: I certify that the information and drawing above, are true and accurate, and that the on-site sewage system was installed according to permit requirements. Signature: Provide well, building, property, and utility setbacks in the drawing below. Show length of all transport lines.