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HomeMy WebLinkAboutSWG2022-00574 - SWG As-Built - 5/16/2023 Mason County OSS Installation Report pg. 1 Ct, MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2022-00574 Parcel # 32015-44-00010 Applicant Name ROUSE CIO B-LINE CONST. Subdivision (Name/Div/Block/Lot) Applicant Address 2971 E PHILLIPS LK LP RD City, State, Zip SHELTON, WA, 98584 Installer Name B-LINE CONST. Site Address 1122 E CRESTVIEW DR Designer Name TOBY TAHJA-SYRETT INSTALLATION CHECKLIST • Full System Installation ❑ Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other System Type GRAVITY Pretreatment Type N/A I >5 ft. from foundation? - - ElN/A ❑ YES ❑ NO >50 ft. from wells? - - ❑ [U ❑ Z >50 ft. from surface water? - - ❑ ® ❑ H Cleanout between building and tank? - - .10 ❑ U Tank baffles present? - - ❑ ® ❑ a24"access risers over each compartment?- - ❑ ® ❑ W Effluent filter installed?- - ❑ ® ❑ fn CO �.-� 07 Septic tank capacity (working) 1200 gal Manufacturer SOUND PLACEMENT -•C Cl D-box water level and speed levelers used? - - ❑ N/A ® YES NCI- --- �O Manifold/D-box accessible from surface?- - ❑ In zs 002 Check valves installed? - - MI ❑ r"T G=1 Transport Line Size 4" Schedule/Class 3034 Vg Bedrooms installed (check one) ❑ 2 ❑■ 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other .,4 ['t n >10 ft. from foundation?- - ❑ N/A In YES ❑ NO >100 ft. from wells? - - ❑ [ ❑ o W >100 ft. from surface water? - - ❑ MI ❑ u. >10 ft. from potable water lines?- - ❑ 0 ❑ Z > 5 ft. from property lines and easements?- - ❑ III ❑ Q w > 30 ft. from downgradient curtain/foundation drains? - - ❑ 0 ❑ Drainfield level and observation ports present - - ❑ © ❑ ❑ Graveless chambers or 0 Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ ❑■ ❑ Pump tank setbacks consistent with septic tank? - ❑ N/A ❑ YES ❑ NO • Pump tank capacity (flood) gal Manufacturer < 24" access riser(s)and accessible from surface?- - ❑ ❑ ❑ ~ Alarm or Control Panel Installed? - - ❑ ❑ ❑ a_ 2 Control Panel equipped with Timer/ ETM / Counter - ❑ ❑ ❑ D a Pump installed in ❑ Bucket or ❑ On Block or ❑ Other d• Pump Make/Model ❑ Floats or ❑ Transducer 0. a Tank draw down in/min Pump capacity gpm Squirt Height ft Pump on time Pump off time Daily flow set at gpd �,p- _ Updated8;2L20'8 7 Cleo I� (91I..) w.'� lo L .vt� a I t L U T( 4_, r..� p Cowie 1`Gci e A v� 1, rl C onS ft-Ac i-;0 r. .� lJ U Mason County OSS Installation Report pg. 2 Parcel # 3201 C- I l "OGu ( 0 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - D YES a NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? - - El YES Ei 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&layout,Septic/pump tank location,North arrow,reserve drainfield,existing and proposed buildings,location of wells,waterlines. wells,observation ports,deanouls,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. • II 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 Drawing is accurate. form and attached Record Drawing is accurate. Si ature of Installer Date i '1 . ; ws" Printed Name of Signe ( e` f MASON COUNTY PUBLIC HEALTH / • 5100299 r�� � The undersigned approves this Installation Report and �'o OBYI.TAHfA_SYRETT _.? Record Drawing on behalf of Mason County Public ` LICENSED DESIGNER EXPIRES: 06/07/2 Health: // (4\-/1 Cl(Z Signature of Environment I Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8/21/2018 , . . . . APROX PROPERTY LINES 7777 APPROVED \ , MAY 16 2023 MASON COUNTY E'IVIRONI.E ITAL HEALTH \ \\\ RET ATTENUATION ZONE \\ --- UPSLOPE CURTAIN DRAIN A PRIMARY&RESERVE _ DRAINFIELD AREA i DRIVE/PARKING - !► ` f PLO GPBL OG PO ARE I ((-Kr ....,..- , 0 o WATER LINE 74 PROPOSED WELL EXISTING `‘ OUTBUILDING , 1 1RV CAR PORTS ' I CRESTVIEW DRIVE s�/b ram. ...\I DRAINFIELD SITE PLAN S�`' '029 �,1' r O TOBY I.TAHJA-SYRETT / FOR: ROUSE JOB#: r `LICENSEb DESIGNER 1�, 32015-44-00010 DATE: 17 MARCH 2023 E>P RES: 06107/A, BY: TJS DESIGN PAGE 5 OF Iti NORTH ARROW: SCALE: 1" = 200' tN 0' sti200' t aoo © B—LINE CONSTRUCTION, INC. Printed from Mason County DMS I 1 I 0-40"GLFS 40-6 A O0"C GLFS W/PKETS OF DENSE GREY FS 60"+REST ATTENUATION ZONE ROOTS TO 60" 0-30"GLFS 0 G13 30-40 GLFS W/POCKETS OF 12 DENSE GREY FS 40"+REST ROOTS TO 40" 3• O 0-24"GLMS C• A A 24-44"GLFS ' y 44-48"DENS LFS << 48"+RESTRICTIVE e ROOTS TO 48" SOIL LOGS ` 3 ' .% , , PRIMARY& ' ' RESERVE DRAINFIELD TRANSPORT LINE .� • I • 1200 GAL (k) SEPTIC TANK �OcC\ CURTAIN DRAIN 7 �0 APPROVED / • MAY l 6 2023 / MASON COUNTY EN�RONMENTAL HEALTH RE - Tia PROPOSED 3 BDRM HOME DRIVE/PARKING ow • P +0, oi`'r , �ti . �Y-' BUILDING & DRAINFIELD AREA DETAIL „ . *� , 2 FOR: ROUSE JOB#: �' �:;.� . ��.( PARCEL#: 32015-44-00010 DATE: 17 MARCH 2023 % ° 6'r1 ref+l'1t ETT �� "+`LIC�NSEU L�E�, 'I\ BY: TJS DESIGN PAGE ki OF 12 ---��DxPrzEs:L=nnE!ER NORTH ARROW: SCALE: 1" = 30' Ly O0' 30' 60' B-LINE E CONSTRUCTION,O B LININC.