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HomeMy WebLinkAboutSWG2021-00270 - SWG As-Built - 10/18/2022art. Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT!PERMIT INFORMATION Permit Number SWG 2021-00270 Parcel# 221075000029 Applicant Name MONICA MCINTYRE Subdivision (Name/Div/Block/Lot) Applicant Address PO BOX 1821 City, State,Zip GIG HARBOR,WA 98335 Installer Name PROFICIENT EXCAVATION LLC Site Address 1510 E.MASON LAKE DR. S. Designer Name ADAM HUNTER INSTALLATION CHECKLIST Q Full System Installation 0 Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type NUWATER Pretreatment Type AEROBIC UNIT hnr-60J >5 ft. from foundation? - - ❑NIA In YES 0 NO >50 ft.from wells? - - El [U 0 Y >50 ft.from surface water? - - ❑ 0 ❑ Z HCleanout between building and tank? - - 0 L. 0 V Tank baffles present? - - 0 ® 0 a24"access risers over each compartment?- - ❑ If ❑ W Effluent filter installed?- - ® 0 0 co Septic tank capacity(working) 1.080 qal Manufacturer SOUND PLACEMENT 0 D-box water level and speed levelers used? - - 0 N/A 0 YES piNO oO Manifold/D-box accessible from surface?- - 0 RI CI o02 Check valves installed? - - 0 ® ❑ OQ E Transport Line Size 2 INCH Schedule/Class 200 Bedrooms installed(check one) ❑ 2 0 3 14 0 5 0 6 0 Commercial/Other >10 ft.from foundation?- - ❑ NIA ® YES ❑ NO CI >100 ft.from wells?- - ❑ © ❑ W >100 ft.from surface water? - - 0 D 0 ti >10 ft.from potable water lines?- - 0 ® ❑ Z >5 ft.from property lines and easements?- - 0 RI 12 >30 ft.from downgradient curtain/foundation drains?- - ❑ ® ❑o Drainfield level and observation ports present - - ❑ o ❑ ❑ Graveless chambers or Clean gravel used? (check one) Proper cover installed over drainfield?- - 0 0 ❑ Pump tank setbacks consistent with septic tank?- - ❑ N/A ® YES ❑ NO Y Pump tank capacity(flood) 1200 qal Manufacturer SOUND PLACEMENT H24" access riser(s)and accessible from surface?- - ❑ EN El a. or Control Panel Installed? - - CI 0 0 E Control Panel equipped with Timer/ETM/Counter- - ❑ IN ❑ m o- Pump installed in UI Bucket or ❑ On Block or 0 Other 4 d Pump Make/Model LITTLE GIANTiWS50HM 20 El Floats or 0 Transducer a. Tank draw down 3 in/min Pump capacity 72 gpm Squirt Height 2 ft a Pump on time 1.1 min Pump off time 4HRS Daily flow set at 480 gpd Updated U2112018 is • i Mason County OSS Installation Report pg. 2 Parcel 221075000029 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - O YES ■Q NO If yes,please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? - - ❑I YES El NO RECORD DRAWING TN*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 Link location.North arrow.reserve dramfield,existing and proposed buildings.location of wells,waterlines, wads,observation ports,cleanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final instafatlon approval and related penrnts0 i tis' fr:-..-?.. ,---\.,j‘ i p 7 9 ocl \ "22 glai ENViRONMEKf t+LHEk-1N MA50N COUyl`! J8W 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 Co :..es I further certify that all information contained on this i further certify that:II info . ion intained on this form and attached rd D wing is accurate. form and attached Record iara• ing r accurate. ID-ID-V•f gnature of In Date =•r 4101 Y'8t'. 1 Q/12/22 f+ y -- ' Printed Name of Signee 4• I,t MASON COUNTY PUBLIC HEALTH ice:."• ."• <<-•yf� i r:�' ..,•a The undersigned approves this installation Report and o,.y.` 4` a'•.s�1 Record Drawing on behalf of Mason County Public •�� %+ / 510u112 '.1:1A i��;• ADAMJ.HUNTER y+11+ H A` `r `'ri %%Al%�1%%%%%%% / 0 4 _=2? ' " ; t,: 24 • ._A,,,..ii,etin7") Sig atu 3. 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