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Home My WebLink AboutSWG2022-00311 - SWG As-Built - 3/20/2023 C• c Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH 1 APPLICANT/ PERMIT INFORMATION Permit Number SWG 2_0 22- Uu.3 ( \ i Parcel # 3 2 0. 0 0YI O� Z7 Applicant Name Ir- QJ brN. D 6-cr% LYE \ Subdivision (Name/Div/Block/Lot) Applicant Address 233<< SC 26q4A'' ' I` n (�� `\�;`Ie Installer Name l'�Q�� &Mktf `� NI-k City, State, Zip ��lG. t) �+""� ( ,a �, �C-�c Site Address �t ,Resigner Name kCG� t. INSTALLATION CHECKLIST ® Full System Installation 0 Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type Pretreatment Type >5 ft. from foundation? - �/A ❑YES ❑ NO❑ >50 ft.from wells? - - 0 ,( • >50 ft. from surface water? - �``+, ❑.,( Id ❑ Zbuilding ? . -- NJ ❑ ❑ • Cleanout between and tank. U Tank baffles present? ❑ FA ❑ a24" access risers over each compartment? • - ❑ 0 W Effluent filter installed? ❑ lall 0 U Septic tank capacity(working) IZS O gal Manufacturer Ho.15 O o D-box water level and speed levelers used? - - ErN/A ❑ YES ❑ NO ---J 0 DO Manifold/D-box accessible from surface?- ❑ / 0 co Check valves installed? - - 0 n- oQ )/'l Schedule/Class yC � Transport Line Size Bedrooms installed (check one) ❑ 2 ® 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation? - - N/A ❑ YES ❑ NO >100 ft. from wells?- 0 ❑ -1 >100 ft.from surface water? 0 lirir 0 W a: >10 ft. from potable water lines?- -- 0 z > 5 ft. from property lines and easements?- - D a - L9" ❑ 0 cc > 30 ft.from downgradient curtain/foundation drains? 0 Drainfield level and observation ports present 0 0 Graveless chambers or 0 Clean gravel used? (check one) DI cover installed over drainfield?- •- 0 EK Pump tank setbacks consistent with septic tank? - - ❑ NIA / YES 0 NO Y Pump tank capacity (flood) l'LSO gal Manufacturer 1-f cc1Sc 6r) < 24" access riser(s)and accessible from surface?- - 0 Cd 0 aAlarm or Control Panel Installed? - - ❑/ �` 0 E Control Panel equipped with Timer/ ETM / Counter- - g Aof ❑ a Pump installed in ❑ Bucket or likOn Block or ❑ Other a Pump Make/Model A 4 ►ti4g10nGlck ^�A ft 0 Floats or ansducer 0. Tank draw down in/min Pump capacity y5 qpm Squirt Height ! Y Pump on time -0 5c(-, Pump off time 1 0 m ,0 Daily flow set at t)- b gpd Mason County OSS Installation Report pg. 2 Parcel# ABANDONMENT RECORD Were existing septic components abandoned as part of this project? ❑ YES ❑ NO If yes, please describe: Were all components pumped out and property abandoned per WAC246-272A-0300? 0 YES ❑ NO IRECORD DRAWING This 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 Dramfield&manifold orientation&layout.Septic/pump tank location.North arrow,reserve draintNd,existing and proposed buildings,location f welela waterlines, s, wells,observation ports,cleanouts.and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approvalr - `js_ ----------:72_________________.-Y "?.. ,.., — — e'''';- /7-— --- ---- — _... �D .... ,..1` l 0 , Q '' C� tit- z - �M '''C'..cf' x P G t I, _VI t1 I ❑ Record [ring Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER! ENGINEER I certify that 1 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 M. on County Public Health and meet all State myself and Mason County Public Health and meet all and . •an Cou ty Codes. State and Mason County Codes I furt - ertify t at all information contained on this I further certify that all information contained on this for • attach=d Record Drawing is aca rate. form and attached Record Drawing is accurate. •/ a! k: .-..,....N... Ali Signature f lnstY111 r Date ��V.'1Y w.Lv��".�i. Printed Na l e of Signee . �::c' r. �v. tee;I ,:+;., Jam:" �r MASON COUNTY PUBLIC HEALTH A.• .� \ 51001i2 ": The undersigned approves this Installation Report and ; %r"z >• :`$: ADAMJ.FtUNTER tit Record Drawing on behalf of Mason County Public t :�tisvj� ;ti t � y =f .1.) Health.• t_,.r-.:<e : , u'r.t2i .7 :t 3-Gn 23 Signatu - oVironmental Health Specialist Date (stamp. signature and date) THIS FORM MAY RF Sr:ANNFO ANF1 AVAII ARI F FOR PI 1RI tr.VIFW ON THE MASON rat 1NTY WFR SITF Updated 8l21/2018 CD r m n . A a I o 0 L ao o w toZ N Fri- N CO O 7 < A m o m I A I- CO x z p O o X O O Z Z Z O Z D 100.+ Co N !•a A Cm m ZCIP0 W N N O cov IL z co gic -o -4 o com W x c -4 D rnco m O Z - s CM j o(1— 4, a I ft. \ . • y^ 13 C�O • r-: ?f \ 0.) ,, N W H73 ° fn 9AAR \ / m O I`,yq�� \ p G p 'z • x ,Sy co 0,?w o= ?. O N LT, Z \ m via n w rn z z D , Nm N o O N N O y J I = Q� r ry� X CI) CCRC F /4 ' <<T 73 O CID O O 11 z = n Z il., m -I c Z m y m = r m D r- CO 70 O D i r 0 p p n m m N m 93 Xi r • Cn p r C o O r\ O alZ - ZNJ iv DO 0) -1 N _1 o O C O O Z M.Halverson Design LLC On-Site Wastewater Designs PO Box 1519 Shelton, WA 98584 Cell(360)490-6365 Email:halversondeskik@outlook.com outlook_com To: Mason County Department of Health 415N6tSt Shelton Wa. 98584 Reference:SWG2022-00311 Applicant: Aaron Doerschel Parcel 44: 32024-51-00027 Mason County Public Health, This letter is in regard to an Installation report I received by mail on March 23, 2023 from Mason County Public Health. It appears that sewage permit 2022-00311 has been installed by House Brothers construction without my knowledge.Adam Hunter has certified that the system has been installed per my design or changes have been approved by Mason County Public Health. I would like to point out that on page 5 of my design the installer is required to notify me 24hrs before installation. I also have an additional condition, that the system was only to be installed in dry weather. I don't see how the installer would have been able to install this system in the middle of February in dry weather without smearing the soil on this site. Additionally, in reviewing the installation report I noticed a couple of other details. -Placed the effluent pump on a block and not a filtered basket. -Used a 1250 gal pump chamber instead of 1300+gal -According to my math the system on and off times appear to be much higher than the Operating capacity of 270 gpd. My client was Aaron Doerschel whom I have a contract with. I prepared a design for Aaron to fit his needs on this parcel. I have No contract with the new owners of this property and have no knowledge of their intended use. Adam Hunter may have less restrictive requirements than I do but I don't believe this system was installed per my design.Therefore, I will have No responsibility whatsoever to this Installation. gjr 4 *. • o Sincerely �! ; a `c', 1� Micah Halverson pew" ^K.%' r ,14 Licensed On-Site Wastewater Designer ,,�7 51c � N ` LICENSED DESIGNER EXPIRES: 'W110/ Jeff Wilmoth From: Emi Nguyen <eminguyen@comcast.net> Sent: Tuesday, April 4, 2023 2:30 PM To: Jeff Wilmoth Subject: 21 SE Channel Point - Permit SWG2022-00311 Caution: External Email Warning! This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender, are expecting the email, and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. Hi Jeff, As mentioned, the reason why I had to go with a different designer instead of Micah Halverson was we had a difficult time getting a hold of him. He wasn't responsive to my septic installer and me. Let me know if you need more details. On a side note, how or where do I go to get a copy of the final septic install approval. This is a new process for me. Do I need to do anything else?Thank you in advance for all your help. Chinh Nguyen (Emi) 206.818.7656 1