HomeMy WebLinkAboutSWG2021-00310 - SWG As-Built - 2/1/2023 CLEAR FORM
Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 2( OlJ 7/6 Parcel # 32e)2, ts30 3 ooy
Applicant Name /40u1 / -steit(/ Subdivision (Name/Div/Block/Lot)
Applicant Address 3y( 7 SL-/tfIUck (S /-4cr
City, State, Zip 5 ��G, v- -4 Installer Name I ' / /41Wai /
Site Address /30 /Y/!(/) ,/ Designer Name /l-Li-j1/ )j
INSTALLATION CHECKLIST
✓[YFull System Installation ❑Tank(s) Only ❑ Drainfield Only ❑ Repair ❑Other
System Type Pretreatment Type
>5 ft. from foundation? ----- W' pi - ❑ N/A El4ES ❑ NO
>50 ft. from wells? - `r - ❑ (]/ ❑
Y - - - - 1
Z >50 ft. from surface water? -FER- 1- : 3- ri 0 [r 0
Cieanout between building and to . -- - - [!. CI
V Tank baffles present? - BT- - - - - - 37-- ❑ Br
a 24"access risers over each comp rrment?--- - - -JAR, 3 ❑ ❑
W Effluent filter installed?- t - -- - -- - - a EK ❑
co
Septic tank capacity (working) /ZS`el gitly anufacturer / L L` d7i/
O D-box water level and speed levelers used? - - ❑ N/A _[ YES ❑ NO
oOManifold/D-box accessible from surface?- - ❑ [ ❑
C Check valves installed? - - ❑ ❑
ETransport Line Size " Schedule/Class 33Y
Bedrooms installed (check one) El 2 [ h ❑4 ❑ 5 El 6 ❑Commercial/Other
>10 ft. from foundation?- - ❑ N/A ErcES ❑ NO
CI >100 ft. from wells?- - ❑ Er ❑
W >100 ft. from surface water? - - CI 10 CI
u >10 ft. from potable water lines?- - ❑ ❑
Z > 5 ft. from property lines and easements?- - CI 1:1/ CIDE > 30 ft. from downgradient curtain/foundation drains? - - 0 [V ❑
Drainfield level and observation ports present - - ❑ LV ❑
ErGraveless chambers or ❑ Clean gravel used? (check one)
Proper cover installed over drainfield?- - ❑ 0-' ❑
Pump tank setbacks consistent with septic tank? - a - (C - IX N/A ❑ YES ❑ NO
• Pump tank capacity (flood) gal Manufacturer
Q 24" access riser(s) and accessible from surface?- - ❑ ❑ ❑
t`
a Alarm or Control Panel Installed? - - CI CI
E Control Panel equipped with Timer/ ETM /Counter- - ❑ ❑ ❑
m
n- Pump installed in ❑ Bucket or ❑ On Block or ❑ Other
EPump Make/Model ❑ Floats or El Transducer
eL
a Tank draw down in/min Pump capacity gpm Squirt Height ft
Pump on time Pump off time Daily flow set at gpd
Updated 8/21/2018
A
k '
. . .
•
•
•
• t
.T. 1
. .
( -.-
- .'
it---1 -
' .. . \ ._ -
Z
. .
\\ \ 2
\\ \\ \ v \ \ \ ' \
\ Ul
... •
41 ; W
,
\ .
I'
.
.': . \
\ \ \ \ -7 \. ki
5 N
-.Z-- \\\ \\\ \
\ \\?-\ \ \ \ ilx.
\ \ \
\ \ \
.,---
. -
if\ -
- --
,,,,,,,,,„.-.-&----:'`''''..°'‘td•r` C. ,,..,
• . \ n 3,9a, 4
1•
Ae
:
. .
-Tv . ,,
.."---D §
rZ1 Xi r,..
,
/
, ,....
/
•
. •
---,
3:- rti i
.
1:
,
. .
1.
I . .
. .
• sy)...
712,77... t •--1.1.1'(':C.1(,)S.P; ii‘ .4,•v1. 1 4?
PI '4,R1 `-s: - •
• • w wags-40
1 • ,..,.. 4...s.
.
p, LI
0 . P 3 it 1
•
•
N •U] 1
Li
. .
0 r7131 0 0
X c
8' '
th ,.,. 13 P x o
..'N•;‹
‘.13 01 93
c; ›
' n .
...r
ft. 1 --- - 'I • Oz. 8 .
-: ..
ir- g .c›...... i 1 ....... I .
it >
• a I u r ... 3 .
o o
1:4---1 7)
Il F •
-.... •-•••-, - . .
f4,1Qi=(' cii1 3
- .
- . .