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HomeMy WebLinkAboutSWG2020-00549 - SWG As-Built - 8/22/2022 i M I Mas• • ' �� Øation Report pg. 1 MASON COUNTY PUBLIC HEALTH % "' ZT?f/ ` APPLICANT/ PERMIT INFORMATION Pe* Nt bier SS G —�/ �O�--�Cl Parcel # 12232-23-90021 Ap• Ynt Name 'V.:010.00 -• ind Custom Homes Inc Subdivision (Name/Div/Block/Lot) Appli ' r-`'• ess 5320 138th Dr SE City, State, Zip Snohomish WA 98290 Installer Name Trinity Excavating Site Address 380 E Good PI, WA 98524 Designer Name Acme Septic Design INSTALLATION CHECKLIST © Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type Pressure Pretreatment Type >5 ft. from foundation? - - ❑ N/A El YES ❑ NO >50 ft. from wells? - - ❑ IC ❑ Z• >50 ft. from surface water? - - ❑ El ❑ < Cleanout between building and tank? - - ❑ ❑■ ❑ U Tank baffles present? - - ❑ ❑■ ❑ d24"access risers over each compartment?- - ❑ 0 ❑ W Effluent filter installed?- - ❑ A ❑ U) Septic tank size 1250 gal Manufacturer Hagerman O D-box water level and speed levelers used? - - • N/A ❑ YES ❑ NO J XO Manifold/D-box accessible from surface?- - ElI ❑ cot Check valves installed? - - ❑ 0 ❑ 0Q • Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) ❑ 2 ❑i 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - ❑ N/A ❑U YES ❑ NO >100 ft. from wells?- - ❑ El ❑ CI W >100 ft. from surface water? - - ❑ ❑■ ❑ LL >10 ft. from potable water lines?- - ❑ ❑■ ❑ Z > 5 ft. from property lines and easements?- - ❑ • ❑ d > 30 ft. from downgradient curtain/foundation drains? - - ❑ © ❑ 0 Drainfield level and observation ports present - - ❑ El ❑ ❑ Graveless chambers or © Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ ■❑ ❑ Pump tank setbacks consistant with septic tank? - - ❑ N/A NI YES ❑ NO `1 Pump tank size 1250 gal Manufacturer Hagerman < 24" access riser(s)and accessible from surface?- - ❑ It ❑ I— d Alarm or Control Panel Installed? - - ❑ II El 2 Control Panel equipped with Timer/ETM/Counter- - ❑ UI ❑ D n- Pump installed in ® Bucket or ❑ On Block or ❑ Other d• Pump Make/Model Libery 290 ❑� Floats or ❑ Transducer i a Tank draw down 1.5" in/min Pump capacity Zb gpm Squirt Height 7 ft Pump on time 1 min Pump off time 2 Hr Vt^•^ Daily flow set at 360 gpd Updated 8/21/2018 . 4 ;% ' �*u Mason County OSS Installation Report pg. 2 Parcel# ABANDONMENT RECORD Were existng septic components abandoned aspart of his project? • - E r4ES 0 NO `, if yes,T , _ [ease describe: y.�.11+�r2- PAY" 4.v'44,110.`+A-1". ____ Were all cmponent%pumped out and property abandoned per WAC246-272A-03o01 --- -- -- p'fiS Ej NO RECORD DRAWING Th.;s Is a grtrtat•»nt raeord.na mina ta+sr-cue-aim And d.aripliv.Ana,eph to wa4erw In Oa*reed ai nwl04441xu4 acitrRi+a and Mom Otvaloprtwat. 'yP,,lai P,w'a: GaWirgt t4r4nn-ikar cad d KUrtifu:l.lY41111d1.CR b 14yisi,5a141r ti..mp WA\!.7-En,tt,Lh a•rc x;'><sa^...0,.ruf407,. strY).re,C ttgmgd:Tn>.xys;iOCaMl.d ireks.'w.Arns. wc1n,otssarr.+r4,sh:r.ten.davras:..and:trot rr,zinPrAMP AKI e4,pr,Ysx. :rc rdato Retort fl>awrys.vny anw•.«,rktnaeut:ktaaa.x tr.d 44,41,4i.4,; :rvr:1..,s'vivo('y:rnx ''; 6a1Z-T(riS.- ') 4 -C3--D CERTIFICATION OF INSTALLATION INSTALLER DESIGNER!ENGINEER (il(Roc:cid Drawing Attached f certify that I installed the sysfom in accardart;:r'Ai th !certify that trio system has been lnstaiied in accor the septic design stamped APPROVED'by Ma..sor; donee with the Septic design stamped'APPROVED"by County Public Nealt'P and "that any deviations shown Mriscn County Public Health and that any deviaticns hare have been cleared/approved by both the designer shown here have been c(eeredfappreved by both i` and Mason Coarry •r�ubir^f-leatth and meet ail Stale myself and Mason County Public Health and meet Mason all �/ and3SQn Cft�irr rr L,.�,;1FS State and Masan County Cafes . . 1 further certify that all irilorrnation contained on this (further certify that all irformahuri COntaeraed on this form and attached Record Drawing IS accurate. form and attached Record P.r airr;ng is a ?`trite. -;; ;;:"..-44: ,,,le.-X^.•'4"--,--'-'-*---- 7'/Ir'.7:7-- s �S:gna!WU of lnsral.er Data / Pf`ntea Mi+rno cet S1'gr1Ee sM� MASON COUNTY PUBLIC HEALTH i o T ha or,jth Q,,erd.xr:eoro es ri:c fnsra'TutiOO hvr 7.t_vltl F? 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