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HomeMy WebLinkAboutSWG2019-00175 - SWG As-Built - 4/13/2023 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH A PPLICANT/ PERMIT FORMATION Permit Number SWG 2019-00175 Parcel # 42114-44-90052 Applicant Name Myron Marr Subdivision (Name/Div/Block/Lot) Applicant Address 3833 SW 339th St TR 5-B OF S1/2 SE LOT:2 OF SP#2090 City. State, Zip Federal Way,WA 98023 Installer Name House Bros Construction, Inc Site Address 571 E Old Hatchery Ln, Union WA Designer Name Arrow Septic Designs, Inc INSTALLATION CHECKLIST I. Full System Installation ❑ Tank(s)Only ❑ Drainfield Only ❑ Repair II Other so'Attenuation Zone System Type Shallow Pressure Pretreatment Type >5 ft. from foundation? - - ❑ N/A © YES ❑ NO >50 ft. from wells? ❑ El ❑ >50 ft. from surface water? - 1;}'F!(fi ❑ CIH Cleanout between building and tank? -- I} -'i s'- --\-';J,- ❑ IA CI U Tank baffles present? - ;� ��t3 El A El1- 24'' access risers over each compartment. - - gyp' ❑ ❑ ❑ fi �1 ❑ El ElW Effluent filter installed?- `�► to - Septic tank capacity(working) 1 25 By --k4lanUfacturer House Brothers Tanks J D-box water level and speed levelers used? - - U] N/A ❑ YES ❑ NO ><O Manifold/D-box accessible from surface?- - CI CI a?-2 Check valves installed? - O '15"C - El II ❑ a 2" Schedule/Class 40 2 Transport Line Size Bedrooms installed (check one) ❑ 2 ❑] 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - ❑ N/A El YES ❑ NO Cl >100 ft. from wells?- - ❑ ❑■ ❑ W >100 ft. from surface water? - - ❑ 0 ❑ it. >10 ft.from potable water lines?- - ❑ ❑■ ❑ Q Z > 5 ft. from property lines and easements?- - CI [U CI re > 30 ft. from downgradient curtain/foundation drains? - - ❑ © ❑ cl Drainfield level and observation ports present ❑ NI CI ❑ Graveless chambers or ® Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ ❑■ ❑ Pump tank setbacks consistent with septic tank? - - ❑ N/A U YES ❑ NO Pump tank capacity (flood) 1,000 gal Manufacturer House Brothers Tanks z - El 1. ElQ 24"access riser(s) and accessible from surface? ~ Alarm or Control Panel Installed? - - ❑ • ❑ a ❑ 2 Control Panel equipped with Timer/ETM /Counter- - ❑ m C- Pump installed in ❑ Bucket or I On Block or ❑ Other a. Pump Make/Model AY McDonald 405011 EFA 0 Floats or ❑ Transducer a Tank draw down 2 in/min Pump capacity 45 gpm Squirt Height 4 ft Pump on time 2 min Pump off time 6 hr Daily flow set at 360 gpd Updated 8212018 Mason County OSS Installation Report pg. 2 Parcel# 42114- - 144 - 9,0o S-2 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - p YES ® NO If yes, please describe: NO Were all components pumped out and properly abandoned per WAC246-272A-0300? - - 0YES ID 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&layout,Septic/pump tanK location.North arrow.reserve drainfieid,existing and proposed 9wklings,location of wells,waterlines. wells,observation ports.clearouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. • ses__. p:\---oLov-ILK PPROVED ongSON CONAPR 12 2023 JNVIR pNi1111 Bw �V" awing 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 nn this form ale(attachieed Record Drawing is accurate. form and attached Record Drawing is accurate. Signature of Installer Date ' / .frtl{ liZtil 4% Printed Name of Signee •�'� .14 IP MASON COUNTY PUBLIC HEALTH 4' Nth The undersigned approves this Installation Report and r : '}. Record Drawing on behalf of Mason County Public Q� pAULA JOY gtfN80N� �:� H a h: gs LtCC-Hfj'fSlGie ft';� �� L���� Z3vcL 3- Z- - 2.3 Si na r o 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 8/21i23t8 Q- -tip � _ - Sc Ce 1 ` 0 ',,. 4, 'S yv 'o �� 80 1 n ' 30 -U.5ex e _ *Mo,,cY r© n I m Q= 2\1 -Oect5;-- . \' .s 511 e 018. -ka,-kc‘kt-4- - k-r‘a. - 6.1 21, 1 t � o C Q0e,rn �, < t 1 Z 15 ko kx i •(5) 3` 01 QY'm a\ry , - -- . CaX cn -d irY-v\ S 1 M — _ 2 Y [ r .71- 7 -.,.. . lr. s u'r v t 1 A \eD 20 vALh E 50, rA rA Iri - P trIu a 1C 4*v.)6 k 012 Pr0X1 Y,,,t:*..-te- 1l 4p0c' c2sx%a.1 . I . Liz..0 n Q 8 • I 3'10;1oft N S s d7 R O qr(s47. C �Qc" �U 25 , p zz " / 12 - 2: OAudio-Visual Alarm / Mom3��. r 7 3 Cleanout / ;; .p- �= _ s' 1200 Gallon Septic Tank _4111 "a: "` Cs- 2 Compartment with .�.: ":; " Effluent Filter _ -.'- �( ofilk O4 1000 Gallon PumpChamber • : lJ�e l 6 b '` T - ':<< �t�� ' !e. . `�r lA-�" 0.�"t:-$z?�s.. / -j g� 4.. 29 'p4 •'�a t t,,, . �.�/ Valve Control Box • s\ ¢' N PAULA JOY JONNSON .y'/Z s ot\s.�a� APR 11 I- . 2023 3_t,1 - L3 MASON COUNTY ENVIRONMENTAL HEALTH •**ll4I