Loading...
HomeMy WebLinkAboutSWG2020-00661 - SWG As-Built - 4/6/2023 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2020-006b1 Parcel #22212-75-90073 Applicant Name C Estrada Inc Subdivision (Name/Div/Block/Lot) Applicant Address 1159 SE Black Rd City, State, Zip Olalla Wa 98359 Installer Name Shumaker Construction Site Address 440 E Cedar Designer Name Travis Buck INSTALLATION CHECKLIST ® Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other System Type pump to gravity Pretreatment Type >5 ft. from foundation? - - ❑ N/A ® YES ❑ NO >50 ft. from wells? - - ® 0 0 Z >50 ft. from surface water? - - ❑ ® 0 • Cleanout between building and tank? - 0 ® 0 U Tank baffles present? - - 0 ® 0 a24"access risers over each compartment?- - ❑ II CI W Effluent filter installed?- ❑ ® 0 V) - Septic tank capacity (working) 1250 gal Manufacturer Haqermen's o D-box water level and speed levelers used? - - ❑ N/A II YES ❑ NO OO Manifold/D-box accessible from surface?- - 0 IN Q Q Check valves installed? - - 0 0 II E Transport Line Size 2 Schedule/Class 40 Bedrooms installed (check one) ❑ 2 ❑■ 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - 0 N/A ® YES ❑ NO CI >100 ft. from wells?- - it 0 0 W >100 ft. from surface water? - - ❑ MI u. >10 ft. from potable water lines?- - 0 4 ❑ Z > 5 ft. from property lines and easements? 0 ® 0 cc > 30 ft. from downgradient curtain/foundation drains? - ❑ 4 0 Drainfield level and observation ports present - - ❑ 0 0 ❑ Graveless chambers or IR Clean gravel used? (check one) Proper cover installed over drainfield?- - 0 ® 0 Pump tank setbacks consistent with septic tank? - - ❑ N/A © YES ❑ NO • Pump tank capacity (flood) 1000 gal Manufacturer hagernens Z < 24" access riser(s)and accessible from surface?- - 0 ® 0 ts. Alarm or Control Panel Installed? - - 0 • 0 2 Control Panel equipped with Timer/ETM / Counter 0 0 0 d. Pump installed in ® Bucket or 0 On Block or ❑ Other a. 2 PumpMake/Model liberty 280 g ® Floats or CI Transducer a Tank draw down 2 in/min Pump capacity 50 gpm Squirt Height N/A ft Pump on time 2min Pump off time 6hr Daily flow set at 360 gpd Updated 8/21:2018 Mason County OSS Installation Report pg. 2 Parcel# 2212-75-90073 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - El YES 0 NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? - - YES NO RECORD 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: Drainfield&manifold orientation 8 layout,Septic/pump tank location.North arrow,reserve drainfield,existing and proposed buildings,location of wells,waterlines. wells.observation ports,cleanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. 0 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 County Codes I further certify that all information contained on this I further certify that all information contained on this form and attached Record is accurate. form and attached Record Drawing is accurate. 'signature of installer D to t1►Vn Chu n r� Printed Name of Signee MASON COUNTY PUBLIC HEALTH eg 4� The undersigned approves this Installation Report and �����= J Record Drawing on behalf of Mason County Public • 5100384 Taavts C.BUCK Health: 7 u VLICENSED DESIGNER �'�,,_ r\f\e-Z1111 ` 4�/� V(6/ -5 EXPIRES 11-1/-20 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 812112018 Please note: This as-built has been gi n drawn for reference in assisting in (D'Z? locating the septic area and is in no 3 way intended to be a survey. Water 1G. �' and utility line location have been estimated. This drawing is not to be used to locate water or utility lines. / c-D 0' 60' 120' e Home 1,250 gallon Site - Septic Tank Tto 1,000 gallon / '� Pump Chamber Distribution Box / / / 0 Drainlines 4@3' x50' ea. '/ c0 Observation / (am Ports (4) // � V Reserve Area 1,500 Sq. Ft. / C•) Co / l in APPROVED in APR 06 2023 MASON COUNTY ENVIRONMENTAL HEALTH o RET n o' O At I\) 0� ?p1 O s. !:,rip AD• 2 s1003s4 C' 1 RAVIS C.HUCK LICENSED DESIGNER Installed By: Shumaker Construction exriHes 11-v-1( Permit Number: SWG2020-00661 (0) 92 50' I O Empire Home Construction LLC Advanced Septic Consulting Inc. Design: Date: 440 E. Cedar St. 3210 Westside Hwy. Castle Rock, Washington 98611 20-305 4/4/2023 Belfair, Washington 98528 Cell:360-433-5476 E-Mail:dirtwhisperer@gmail.com As-Built Scale: 1" = 60' W:•- >-... 4s r ? . �` - v: �:q! M1 yi.Yi 1` 'r fir+/ >1 1''�'., ' ; ��y@-;•...Rt r ,�{'r 'y v xEr'y..4 .. •; •,1iv• 0 ,1ilr.•- `.'4 y :,` 'i :,-. ,,, . r i. ,g 04 yi? s, .A yytnq�u -6 %.° {9i • `! ts:�. ro.R _y}: 4 , S I.n r4' O l '.�T1. /:-, �✓. r • H9ya v 'sr�t;`::"cf i _ •�• 'r rtt5 • , ' 4M'. ..;'',-: . ''.6t w lr x L ;: '1 /' ' , • ; ..q..g aF SI•,,� ;'•`•yi :.'. J am". .4 - -. 9 }� x 1�- a14._ s 3�i t" .x r f J Tr'S'i`le 'e�X s• urF �i $ Mfit' • a rs .(j.4..,S . • r V .4'(� Al'P•1 ,G.- ^'a@. tr .T.- r-' ':+e y •,,,,::. .;. : 4 . i -tir oit ..Y+dt \N'.•' I�,i Fx.' 31/ '.q '. 1 �,y�, t L S' • ,� L y' l •i,�'� 42 j '� gyp - t • ',04 • +n r. , �\^ earlp • " sAi; • ' i r,r•• Y ;t A. Y:yX►K J b :s y , r • ..N. :•z� \'~ 1 fi •4 ._4 as .. i• .ni:,..f; r '�ti^•y4 J - Y� ot • f: r ram:�; . t1� ,ps 4 .yam ,4•_ iy rawi./..*.r37ck< .1 �f • � v ',,1. . f. F v 'a 4� it^' ' ° �. rl e a 5.. �� =„ �+ -'i• .,,ln � 1 wr fr y - .' r' ,y� 4�'y¢x6;• .1, r u"'Y. 9p+�� { ' e •5 `A a'rY) �, '=ii 7j ../. • .,,- r ,r4.• • �•,+jsP . • a.;. r Y ?t r X y `J�; r ''st A.f•y ,r "r 4' L•. S �..; Y s. c - .tfi I r- ... � Fl -'4 I ✓ '�J'l'.{ev. „'en v�" , \ ,LLk 1 ..�. .. r .. ,, �' ��'y-Olaf . " • 71 's►r+J k .0 .r '? .„y Yf A �{. 1 ' 't''S ( trP 1t t � •: :� 1;., .� t e, t �.1 _..r.. ...�® �eiJ. fly 7• !! l