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Home My WebLink AboutSWG2023-00498 - SWG As-Built - 8/14/2024 Ma on County On Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH _APPLICANT/PERMIT INFORMATION P rmlt Number sw0 2023.00498 Paroal# 1210MO-00008 A pliant Name DAVID PARSONS Subdivision (NamelDIVIBIOck/Lot) A plloant Address 5530€ GRAPEVIEW LOOP RD Clty, Stata, 21p ALLVN, WA. 98W4 Installer Name TRIPLE A So Address SS30 E ORAPEVIEW LOOP RD L Designer Name CINDY WAITE INSTALLATION CHECKLIST ® Full System Installation ❑Tinkle)Only ❑ Dnunneld Only ❑Repair ❑Other System Type 011 C"Cr Pretreatment Type tCo2 Oft from flundetlon? --------------------------- ❑wA 8'4Es ❑ NO a00 ft. from Wells? ---------------------------- i-ey ❑ 050t from surface Water? - ----------------- ❑ Cleanout between building and tank? --------- �' R g ❑ TankbafMepnpnt? - - - - - - - - ---------- Q ❑ 24'access clears over each compartment?.------ ❑-A_ _Syr❑ 1 Effluent filter installed?• --=- -- - -- - -------- --U Septic tank capacity(working) al 04MI(Water level and Speed levelers used? --------------- ❑ NIA 0,yes ❑ NO Mantis accessible from surface?- ----- ----- - ----- ❑ I f ❑ Check valves Installed? ---- ------ - - --- -- - --- - - --- ❑ 21" ❑ Transport line Size SchedulelCfass Eedroorms Inshtled(oheok one) ❑2 513 ❑4 ❑ S ❑S ❑COrnmercialfftef sl0tt from foundation?-- ------------------------ ❑ wA y(yr:a ❑ NO s1001zhomwelle?------ ----------------------- ❑ I- ❑ a100t from surface water? - - - - - --- - --------------- ❑ J2. ❑ a10ff-.from potable Water linaa? - - - -- - -- - -- --------- ❑ �' ❑ a5lt:from property lines and oasamants?- -- ------------- ❑ �' ❑ s30ft from downgradlontcurtain/foundshon drains?---------- ❑ ❑ Drelinf old level and observation pone present --- - ---------- ❑ Ja- ❑ ❑ Gravel chambeA/f e` ❑ Clean gravel used? (check one) eArda.Grd• Proper cover installed over dralnfreld?--- - - - -- --- ---- ---. ❑ �' ❑ Pump tank sotbaeks consistent wnh septic tank?------------- ❑] wa, 1 'P-yes ❑ No I� Pump tank capacity (Flood) Manufacturer 3� Icr�4� _ 24"Socess dssr(s)and accessible from surface?._---_____--. [3 ❑ Alarm or Control Papal dstolloV ------ --------------- ❑ 2r ❑ Control Panel equipped with Timor/ETMI Counter- ---------- ❑ 2r ❑ Pump lhatellad in ❑ Bucket or ❑ On Block or ❑ Other 11� Pump MakalModol ❑ Flats or ❑ Transducer Tank draw down____ INmin Pump capacity opm Squirt Height R Pump on time _ _T LPump off bme Dailyflow set at apd -bwTbl! r`40t �OZ f/eC,f uwla.ea�eru f Ma$on County 088 Installation Report pp. 2 Porcel M i2w ,m.. oeorip ABANDONMENTRECORD Wnl< ezlesnq septic eompon inls abandoned tie pan of Ihis protect? YU NO If yes, plaaca doe ille), were all component,pumped out and prepeny abandoned per WAC2M-27211,48 9•---- --- ,® Yea NO ad _ RECOW DRAWING "I§IB 0 abab.b.,reeeN bad maim adia's W reveleff ensile el ablates M ea bead a/alYnNnanae Inman and NNn do a apmanl. Typi60 1YroA f 0t 81W eticliyan6ympo60dbWdkVe gEdIIMWWNN,WYNlelep. NBla otillari WON taedaNl,ens edatlneNNenen0e Ael peplN, Inbmae4 aadole dleeAllpeMryawle eddnMMltlalere inP al-inel0lkllai ylpe+alera roMad e sees �f<i Nat Next -t%*A 'INv.,L P.,a X04 f G�AAIrb /.yae/ ��'Vfed Record Thawing Attached CERTIFICATION OF INVALLATION IN TALLER DESIGNERI ENGINEER I that I fnstallad the system in accordance with I fat tfty that the system has been installed in eccnry theseptic design stamped`APPROVED'by Mason dance with the septic design stamped"APPROVED"by County Public Health and that any deviations shown Mellon County Public Noanh and that any deviations he - nave been cleared/appibVad by both the dasignef shown hors have been cWared/approved by both an Meson County Public Health and,now all Stall myaaltand Mason County Public Health and meet all an Mason County Carl", State and Mason County Codes I tad ar certfly that tilt tnfolrtiebon contained on this I further county that tiff information contained on this fa and ed IS accura�tte� Infrn and sttechad Recrortl Drawing is accurate.. sic a otlnsfsNrr Dare feria d Name of atones MA ON COUNTY PUBLIC HEALTH \\ V A the,undersigned approves this thetallation Report and uceNauevp tiaelWlelf Record Drawing on behalf o£Mason CdaldV Public HadpK Fe 'ro vwl �l,ti(� �13 9fgnHhxe oiEnWmnmonfal Heaun Syec,aAar Data (stamp, signature and date) I tWa VORM MAY aE 90ANN€O ANn AVAILAMM FOR PUBLIC VIEW ON THE MASON COUNTY WED SITE "o°1^'daT+a^1e 1. Existing 2. Existing , 1. 1200 gal 8. 1200 gall pump tar s 8. 1•echedu 7. Oscar call e 8. Existing S 9. Clean out 10.AudloNisu 11. hlaadworlc 12. proposed I 40 t 19. Water line sr•1� .�. _ . ... .... ........... . .. .... ... .............. nq, Er �Q° ZNVf�•*o a APPROVED AUG 14 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET Parsons XO.2 Pressure Readings Gauge Readings Gauge Gauge2 Gauge3 GPM Discharge pump dosing 45 PSI 47 PSI 42PSI 2.1 GPM Discfilterflush 5PSI 19 PSI OPSI Coilflush 50 PSI 50 PSI OPSI APPROVED AUG 14 2024 MASON COUNTY ENVIRONMENTAL HEALTi RET