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HomeMy WebLinkAboutSWG2018-00034 - SWG As-Built - 5/25/2022 ..iason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTI 1,—.).— APPLICANT/ PERMIT INFORMATION ..it Number SWG ' j` '(1l%)i-1 Parcel # 122174290131 Applicant Name Batjack Holdings LLC Subdivision (Name/Div/Block/Lot) Applicant Address P.O. Box 2-2_ (( Allynmore Ridge 1,0 1, City, State, Zip Gig Harbor, WA 98335 Installer Name J&J development Site Address 19019 E State Route 3 #A/B Allyn Designer Name Peninsula Septic Designs INSTALLATION CHECKLIST I. Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑ Other System Type pressure distrubution Pretreatment Type >5 ft. from foundation? - - ❑ N/A ® YES ❑ NO >50 ft. from wells? - - ❑ ® ❑ Z >50 ft. from surface water? - - ❑ 00 • Cleanout between building and tank? - - ❑ IN ❑ co ) Tank baffles present? - - El 00 ��`'� 24" access risers over each compartment? - - ❑ ® ❑ Effluent filter installed?- - Septic tank capacity (working) 1250 CA gal Manufacturer Haggerman Precast o �0 D-box water level and speed levelers used? - - 0 NIA ❑ YES El NO ' A41 p Manifold/D-box accessible from surface?- ® ❑ ❑ l• Q Check valves installed? - • - 0 ❑ CI 2 Transport Line Size_ Schedule/Class Bedrooms installed (check one) ❑ 2 ❑ 3 ❑4 ❑ 5 0 Commercial/Other _ 10 ft. from foundation?- - ❑ N/A ® YES El NO uj �r 100 ft. from wells? - ❑ ® ❑ ii;::-3�100 ft. from surface water? - - ❑ II W ti >'10 ft. from potable water lines?- - El0 ❑ ..::Ztr in 47t ? 5 ft. from property lines and easements?- - ❑ ® ❑ 30 ft. from downgradient curtain/foundation drains? ❑ ® ❑ • y OR9-ainfield level and observation ports present - - ❑ IN ❑ • ,T ,CEI Graveless chambers or 0 Clean gravel used? (check one) Proper cover installed over drainfield? - ❑ 0 ❑ .. Pump tank setbacks consistent with septic tank? - - ❑ N/A ® YES ❑ NO • Pump tank capacity (flood) 9000 gal Manufacturer Haggerman Precast d 24" access riser(s) and accessible from surface?- - ❑ © ❑ H a Alarm or Control Panel Installed? - - ❑ 0 El 2 Control Panel equipped with Timer/ ETM / Counter- - El o ❑ M C- Pump installed in ❑ Bucket or ® On Block or ❑ Other a• Pump Make/Model Liberty ® Floats or 0 Transducer a Tank draw down .344 in/min Pump capacity 45 gpm• Squirt Height 4.041 ft •.. Pump on time C/ . Pump off time '- 4hrs. Daily flow set at 2 1K) gpd Updated 8/2112018 ..rason County OSS Installation Report pg. 2 parcel# 122174290131 7 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - ❑ YES ❑■ NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-27240300? - - ❑ YES ❑ NO RECORD DRAWING This is a permanent record and must be accurate and descriptive enough to re-locate in the need of maintenance activities and future development. Typical Record Drawings contain: Drainfield&manifold orientation&layout,Septic/pump tank location.North arrow,reserve drainfield,existing and proposed buildings,location of wells,waterlines, wells,observation ports,deanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. • ❑ Record Drawing Attached CERTIFICATION OF INSTALLATION • INSTALLER DESIGNER/ ENGINEER I certify that I installed the system in accordance with i certify that the system has been installed in accor- the septic design stamped "APPROVED"by Mason dance with the septic design stamped "APPROVED"by County Public Health and that any deviations shown Mason County Public Health and that any deviations here have been cleared/approved by both the designer shown here have been cleared/approved by both and Mason County Public Health and meet all State myself and Mason County Public Health and meet all and Mason County Codes. State and Mason County Codes I further certify that all information contained on this i further certify that all information contained on this form an attac Record Drawing is accurate. form and attached Record Drawing is accurate. 12/5/2021 ignature Installer Date Kenneth Jones ';Cy Printed Name of Signce •;4, `of vivay,,`,y;), MASON COUNTY PUBLIC HEALTH ; i ' qV t, The undersigned approves this Installation Report and % .�`, ; Record Drawingon behalf of Mason CountyPublic ��• Health: Signature of Environmental Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8i21i2018 ill 1 103.4' n o Zp b,N O J 0 -o (n ;nr s- ONE _i g T,,O - -< r-,,- 1::: t o 1 c ° - b am ^ � , y >��Q Q.) cA , ozz GC0 CAD y '-+ � in 11 cn cC -3 0 ' O �• a,C •< K..03Y 4r y �z�Nv N � p C I �!0 . � 7 � � NO '' d y� z 4 D � 4 . , n 'dlil � �� rrl n fl _0g tit [' Pzi m Z 'p -Ozy CI N n rno J Om , C7ZZN _ rn = p z u C r- --- P...... w O mzZ W a. -,� cn mrn m Zm -I m D CD . � Z C mr n c-) vZ o Z mr- f'1 7o m fT1 It) (-) �G D N O N N C N cc < D x up WI 111 D ." ) 0 m D Z Z z .4 O? m -< `J Z m v -i 0 Gl to E \ ' . bo 7. 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