Loading...
HomeMy WebLinkAboutSWG2022-00546 - SWG As-Built - 6/9/2023 p� Q . c a Mason County OSS Installation Report pg. 1 1-y MASON COUNTY PUBLIC HEALTH APPLICANT! PERMIT INFORMATION Permit Number SWG 2022-00546 Parcel # 22010-20-02000 Applicant Name SEDA 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 E HARSTINE ISLAND RD S Designer Name TOBY TAHJA-SYRETT INSTALLATION CHECKLIST 1.1 Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other System Type PRESSURE Pretreatment Type N/A >5 ft. from foundation? - - ❑ N/A ® YES ❑ NO >50 ft. from wells? - nn - El ❑ Z >50 ft. from surface water? - I ; F 2 -- -1 Till ❑ 0 ❑ Q Cleanout between building and tank? - - - - -I - - - -2-5- - - - - - F� ❑ ❑ � I I 1NAY 2 5 2023 � ❑ I ❑ U Tank baffles present? t— 24" access risers over each compartment?- - - - - -t - 0 a ❑ W Effluent filter installed?- SlJ B- — 0 ® ❑ Septic tank capacity(working) 1200 gal Manufacturer SOUND PLACEMENT 0 D-box water level and speed levelers used? - - ® N/A ❑ YES ❑ NO ❑ ® ❑ QO Manifold/D-box accessible from surface?- - mZ Check valves installed? - - ❑ ® ❑ O Q 40 E Transport Line Size 2" Schedule/Class Bedrooms installed (check one) ❑ 2 ID 3 ❑4 ❑ 5 ❑6 ['Commercial/Other >10 ft. from foundation?- - ❑ N/A ® YES ❑ NO 0 >100 ft. from wells?- - ❑ ® ❑ W >100 ft. from surface water? - - ❑ II LT_ >10 ft. from potable water lines?- - ❑ MI ❑ ZQ > 5 ft. from property lines and easements?- - ❑ ill ❑ d > 30 ft. from downgradient curtain/foundation drains? - - ❑ © ❑ Drainfield level and observation ports present - - ❑ ® ❑ ❑ Graveless chambers or 0 Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ I ❑ Pump tank setbacks consistent with septic tank? - - ❑ N/A Q YES ❑ NO Pump tank capacity(flood) 1475 gal Manufacturer SOUND PLACEMENT < 24"access riser(s)and accessible from surface?- - ❑ © ❑ ~ Alarm or Control Panel Installed? - - 0 ❑ ❑ a E Control Panel equipped with Timer/ ETM/Counter- - ❑ In ❑ D a Pump installed in ❑ Bucket or ❑ On Block or • Other PUMP VAULT d Pump Make/Model ORENCO P2005 ® Floats or ❑ Transducer a_ a Tank draw down in/min Pump capacity gpm Squirt Height ft Pump on time Pump off time Daily flow set at gpd • ,1 1 1 1 Al * dcc eS r \L N/A 'IJ toQ, (o,,-,e LATe� c4 -Vor,e_ o.t cov1^D 1Qd 1,e c Updated 8/21/2018 Nec e� l • Mason County OSS Installation Report pg. 2 Parcel# 2.2_5t 0 - Z0 -0 2000 ABANDONMENT RECORD • Were existing septic components abandoned as part of this project? • • [] YES 111 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: Drainfieid&manifold orientation&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. fpje J II 34 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 ached R rd Drawing is accurate. form and attached Record Drawing is accurate. Si ature of lnstalle Date ��� + i _ _ Printed Name of Signe'e t0. 'F em MASON COUNTY PUBLIC HEALTH 1t1 S09 1 2s` 9 (( The undersigned approves this Installation Report and jr.o TOSY j.TAHJA:SYREIT _�' LICENSED DESIGNER Record Drawing on behalf of Mason County Public Health: EXPIRES: 06/07/Zt1 • 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 8121i2018 ,-'a SEPTIC&PUMP TANK PROPERTY LINES / OHWM �/ ,/ i i I APROX BUILDING ENVELOPE / � tr3 P1 i 1 1 I ( EXISTING I DRIVE 1 I I 1 1 100' ' i SHORELINE 1 WATER TRANSPORT LINE 1 SETBACK I LINE I 1 1 _ 1 I '� 1 TRANSPORT i SLOPE LINE IE 10 1 DOUBLE I ., { SSA ` I ENCASED I SS 55 11.(1 , 1 WITHIN 10' I ' - _ - - illy, il 135 Cra ACze�k 1 OF WATER 1 \ -- (/' 1 , t 44C4•g1 L�,, \„ 1 '' LINE I , , 1 I 1 1 I - � 1 I / , I ' 1 I l / ' I 'S I I I i II I PROPOSED WELL I t 1 SOIL 11 I, �� 50'R // ' LOGS 1 1 / I k t �' \, , / t ' / i /�/ t ' 100'R / 1� 11 �i . / ,' ii I OC'f - - SOIL LOGS: P:� ti 1 0-36"GSL 1 a +.1 1 A OVER MOTT �' 00LY9 •s'.•44 "� PRIMARY& RESERVE DRAINFIELD AREA WEATHERED %p :Y I.TAHJA SYRET �'S1 TILL �� , APPROVED ROOTS TO 36" �{ : SETO DES =ER�� , �� �OX S: 06/07/Z JUN 0 9 2023 0-40"GSL �` \\ A OVER MOTT MASON COUNTY ENVIRONMENTAL HEALTH WEATHERED TILL ' PICKERING ` + RET ROOTS TO 40" PASSAGE ' I ' SEPTIC SITE PLAN -BUILDING AREA DETAIL • Mi.. ' I ' FOR: SEDA JOB#: 1 1 PARCEL#: 22010-20-02000 DATE: 14 OCTOBER 2022 ' BY: TJS DESIGN PAGE b OF 1 1 I NORTH ARROW: SCALE: 1" = 80' © B-LINE CONSTRUCTION, INC. 0 o' 80t 160�