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HomeMy WebLinkAboutSWG2022-00469 - SWG As-Built - 3/9/2023 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2022-00469 Parcel # 32027-33-90082 Applicant Name Frank Pinter Subdivision (Name/Div/Block/Lot) Applicant Address PO Box 1477 City, State, Zip Shelton, WA 98584 Installer Name Maples Excavating Site Address '�61 i SE Binns Swiger Loop Rd Designer Name Arrow Septic Designs INSTALLATION CHECKLIST Q Full System Installation ❑Tank(s) Only ❑ Drainfield Only ❑ Repair ❑ Other System Type Shallow Pressure Pretreatment Type >5 ft. from foundation? - - ❑ N/A ❑■ YES ❑ NO >50 ft. from wells? - ❑■ ❑ Z (�- -�->50 ft. from surface water? - - ❑ ❑ HCleanout between building and tank? - ---- L - CI ❑ o Tank baffles present? - - iR-O--er (}23- ' ❑■ ❑ a 24" access risers over each compartment?- - - - ❑■ ❑ LU Effluent filter installed?- ‘ - - - ■❑ ❑ N Septic tank capacity (working) 1,250 By iClllanufa uc rt er Snyder 0 D-box water level and speed levelers used? - - ® N/A ❑ YES ❑ NO DO Manifold/D-box accessible from surface?- - ❑ 00 o?Z Check valves installed? - - ❑ ❑■ ❑ ctQ 2 Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) ❑ 2 N 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - ❑ NIA ❑■ YES ❑ NO 0 >100 ft. from wells?- - ❑ El El W >100 ft. from surface water? - - ❑■ ❑ ❑ LL >10 ft. from potable water lines?- - ❑ ■❑ ❑ Z > 5 ft. from property lines and easements?- - ❑ ■❑ ❑ Q O > 30 ft. from downgradient curtain/foundation drains? - - NI ❑ ❑ Drainfield level and observation ports present - - ❑ A ❑ ❑ Graveless chambers or pi Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ ❑ ❑ Pump tank setbacks consistent with septic tank? - - ❑ N/A 0 YES ❑ NO Pump tank capacity (flood) 1,060 gal Manufacturer Infiltrator < 24" access riser(s) and accessible from surface?- - ❑ • ❑ ~ a Alarm or Control Panel Installed? - - ❑ El 2 Control Panel equipped with Timer/ ETM/Counter- - ❑ . ❑ n 11 Pump installed in ❑ Bucket or in On Block or ❑ Other 0- Pump Make/Model Zoeller N152 ■❑ Floats or ❑ Transducer 2 0. d Tank draw down 2.5 in/min Pump capacity 60 gpm Squirt Height 2.5 ft Pump on time 1.5 Minutes Pump off time 6 Hours Daily flow set at 360 gpd updated 8/21/2018 Mason County OSS Installation Report pg. 2 Parcel# �2'O 2-� 5 $Z ABANDONMENT RECORD 0 YES NO Were existing septic components abandoned as part of this project? If yes, please describe: YES 0 NO Were all components pumped out and properly abandoned per WAC246-272A-0300? RECORD DRAWING need of maintenance activities and proposed r evelopm of walk, aat Record Th s is a permanent record and must be arc 18 as Septi pump t nnve 'k9oratiorn,,N rVt arT� eeserve Grainfield ebsting and propose future development Typicaldin D aw ngs contain: Dra afield&manifold orientation Y n final installation approval and related permits. wells,observation parts.deanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays 01\-' r\ XRecord Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ ENGINEER I certify that I installed the system in accordance with l 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 1 further certify that all information contained on this I further certify that all information contained on this form and attached Record Drawing is accurate. form and attached Record Drawing is accurate. ��� ��c .x _ 2/2 1'f 23 DdteA Signature of Installer ets... `'kb ,, cliait 5 • Printed Name of Signee J� °` wA MASON COUNTY PUBLIC HEALTH ,u'.•� ;��' stoo�ag The undersigned approves this Installation Report and s7 PAULA JOY JON 4 ?� ct Record Drawing on behalf of Mason County Public L4S. SiG' Health: i67`u(vVpca'Y'/I 3(t/z3 , - (.._ 2.,- 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 8212018 'v V, ...LS 2)...1m....._________ . __5 rej.ri'r ____------ 1 ank d p ttir Parct1432077- 33-9oo8Z i 1 3 ' 0 2: '10 do ItO 1 ' PPR0VE . -C� ,a�� MAR 0 9 2023 ��4= .'6. Y'•ON COUNTY ENVIRONMENTAL HEALTH RET r //1, * .. dr G. o.0 . , restvve b el o 2-?A2T y at- , e 7 - he.igeoeY 1.0411 wU-k- t, 2C— �c, ' M • to::4°1 M V. '1°\...:1:',, , • \; 5100049 P ULA JOY JOHNSON / oo -; L'iCK�i,;rtiV i�lv K:- e0 .. 3 8 5 x 4o Al�o Q qUl� 5arn -0 . 7 // Audio-Visual Alarm a8 //// / 0 • 0 Cleaaout ///// / //// © 50 Gall;n septic Tank l 1 2-Compartment with ��0 tpp1 3 // Effiuent Fier cQ '! /�/ . 3 1000 Gallon Pump Chamber fence 3 Valve Control Box