HomeMy WebLinkAboutSWG2021-00185 - SWG As-Built - 4/19/2022 Mason County OSS |nstaKlation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SVVG2O21-OO185 pamo|# 32021-55-01015 �
Applicant Name Todd &BmnndaBakken Subdiviaion (Name/Oiv/B|ooWLot)
Applicant Address 221E8a|unUaeDr 8HORECREST TERRACE 2ND ADD BLK: 1 LOT: 15
Chy, State, Zip Shelton,VVA88584 Installer Name Dave Young
Site Address 01 EAohvvoodLn. Shelton Designer Name Arrow Septic Designs
INSTALLATION CHECKLIST
Full System Installation ElTank(s)Only Fl Druinfio|dOn|y [-] Repair Fl Other
System Type Shallow Pressure ' Pretreatment Type
`5ft. from foundation? [-] N/A vsa [] NO
>50 ft, from wells? ---- - - �� �� El
R'
El D
r� Cleanou1 between building and tanK���-
+
Tank baffles present? ' El
24'' access risers over each compartment?'- -CL
um Effluent filter installed?' El
Septic tank size 1.200 gal Manufacturer Sound Placement
D'box water level and speed levelers used? ' ' ffi� N/A Fl vse NO
XO Manifo|d/D'box accessible from surface? ' 1:1 N
Z Check valves installed? ' ' El N El
o*�
2 Transport Line Size 2inchea Schedule/Class 40
Bedrooms installed (check one) 2 3 Fl4 Fl 5 Fl G FlCommeruia|/Other
>1Oft. from foundation?' - 0 N/A X YES F-1 NO
>1OO ft. from wells? MIN r-1 D
LLI ��OO���omou�aoewa��@ ' ' MIN F-1
M >10ft. from potable water|inea?' D
Z
^ 5 ft. from property lines and easements?'
X > 3Uft. from dom/ngradient curtain/foundation drains?- [-1 W
Dnsinfie|d level and observation ports present - M
M Gneve|ensohambera o, [l Clean gravel used? (check one)
Proper cover installed over dminfie|d?- �� F-1
Pump tank setbacks conoistant with septic tank?' N/A ME ,ee F-1 NO
Pump tank size 1.200 gal Manufacturer Sound Placement
�< 24'' aconssriser(e) and accessible from surface?? [] W 0
CL Alarm nr Control Panel Installed? ' 0
Control Panel equipped with Timer/ETM /Counter' El
a, Pump in��U� in � Bucket or _� �n Block or R Other
� _ _
CL
Pump Make/Model Gould PE51 yN Floats or Transducer
~~ Tank draw down 2 in/min Pump capacity 44 gpm Squirt Height 5 ft
� Pump ontime 1.3minutoo Pumpofftime Ohouno Daily flow set at 220 gpU
\
update m,`^m,u
AS. . linty $ASS Install Lion Report pg. 2 `J ot f�J
ABANDONMENT t' MENT RECORD . > , <,..
3rft i i . . .•,tVV
-`s � ass
it y . 01 s..,a cir-:i, ,!,
a,,,,, oodi h; u:t44•a,�4s1 tid i, e)p t,Ar abitni.iiNo4i vaa 'aNAt_:...,a ,.A ;',+::.;,'
.. L CORD C]RAWIN# ..,
aae euaa� �wwr...e��c�'Eeaeu«w �wzrvv z4+snr+r.�> z - ate. ., e.-.ewxeaxw•rww:� .
�4P";*3tt4s 3tl.:s�t:ar'4ri N`�+sfr say �n-i'ut� .'�-•3,ar:,,ra;.<s:.a tia ,:<, -,u <sw taa afn-tee.aec+stt.ras i,esbie.s§. a,G .�t,i,S°J3xtiwk A"A;4 +YS. .tr+,r:1, 't4+u
e u ,,,,.res�S'at aE.,,z-. 4i"^;rrA�'s,
d;%.au r•�aa°ors'. 'S,....— ,A.'•t�`:r :v,,,,,wa.;.,..ew.4h'�',`.a '3.r,a ,.,,,w a "....,. w''''',''.h'a.^r,l'rsw�uf8:,.'�#ww�s'e.?sb>k�n ,ri.Pras 'hr^ �tiX.,** "
1.(S.4. -' ass 7'4,,. , r.,:a.i i,,,,.,,<ar. r-taz*`,-:u",u peeb� � /,,,,'i,:,."'gar'.di ; ,v e S4c ' , k .,„, .
,-
_. ae
Vs¢a.
, ' CERTIFICATION OF 1N TA LA lr ,.,....
�9 f S R� x ld ..� .€« °t1;31'$6 .3-. �(' t��y p��f? �rx � '�
C € d g .a't>. /4 ,.,.. .,a,ar 4d., w
io €C tAla � ,.„
S>a. i. ,,,ss.l a "< . . , . �
x�°w E<-1 i F ,,,,-441"<'ox .. f .,_ }p yA y p,� a� P
t' f w >. 9Y,8 ,it. .:.i„o-t*.".• A !N% l.r d t.3 i �� .�d`#A' F ��
, Ages. ; :a ft i£a: fl�rxi� 8 H t #
estxs :3 s,tt
I! . A 4� r .. ... r'., �.. .a.a_ <,4a?�� . tell oix.1 ltot of ` �d'<: ., '
jfkj,.� zF. . ar.`. �j � a �� e��
1
d o h
\ay
<,i "l
r a>,,z �. Sv G' a¢.!,«a r ` f , ':, j�c,>s i' 1(� f , „ '.s so y4,a
F3k':#$t0 ;s fiP $a sS t .3,. `, - t Y » 6 " ) A,a1
. oIi
g
„ . $ F.-<*•.kiA s`„p.�., 'P:i.zPr:f„,At #, C 'A,s>7',..sr ,�; A d= .
�� - a � G
oi�1 o �� a r "h' '� �` �,c * ,,,i s,:.. ,. "l
i A'
(Do Sc,c), .,
r.°
O LO 20 3cl `{0
o ® J oo - ooO c✓ b`' ` t a
ocka k-breha0. 0, eLn.
3 $- cavc,eAz- 3,01)-V 5-C \°\
pet4)asesk_ CO S�`N0oc� ---(\
271 2E
H oUSe \j L:: es- \A ,
`' I \ ^, a- 3u'' so,y dy Ioowl
c'c\ to"- -fig
9�
yl� 5 e,m -co�lPcxc�C \roc 5
c-( \ I w,-k-\ 50o, - V00 s.
x2.6#-5 — o - 33" s ii s
s
(E-4)
\ \ \ @5 ' o . wCt\(\,
\\ \ \ w0.�" 9C- SeiY\i,Z-S Wv00 v
S��DOGt ���.�_ ��c�� GS J� dW 0Rev:
0 Audio-Visual Alarm
OZ Cleanout
O3 120d anon Septic Tank
�' M'M � '-4h� ent with
, , R+, 2-Cornpartm
P 1 \V !s' ya4r Effluent Filter
` a w �, 01000 Gallon Pump Chamber
MAY 0 5 2022 -� x "��'��
MASON COUNTY ENVIRONMENTAL HEALTF " " ��?� O Valve Control Box
YQ_. PALILA JOY JOIINSON ��
RET I l.tCE �sr-ti"C�ESU N k.. ,J