HomeMy WebLinkAboutSWG2023-00111 - SWG As-Built - 7/6/2023 IMTUNI
JUN 2 9 2023
Mason County OSS Installation Report pg. 1 MASO _COUNTY PUBLIC . LTH
APPLICANT/ PERMIT INFORMATION '-4 _- _
Permit Number SWG at 3 — Co l ( l Parcel# 22221-53-00050
Applicant Name Grant McKee Subdivision (Name/Div/Block/Lot)
Applicant Address 81 E. Snowcap Dr Twanoh Falls/Div 1/Lot 50
City, State, Zip Belfair, WA 98528 Installer Name Oien Constr. LLC
Site Address 81 E.Snowcap Dr, Belfair 98528 Designer Name Tom Weaver
INSTALLATION CHECKLIST
® Full System Installation ❑Tank(s)Only 0 Drainfield Only ❑Repair 0 Other
System Type Gravity Pretreatment Type
>5 ft. from foundation? - - ❑N/A in YES ❑ No
>50 ft.from wells? - - ❑ n 0
Z >50 ft. from surface water? - - ❑ 0
HCleanout between building and tank? - - CI 0
U Tank baffles present? - ❑ M 0
a24"access risers over each compartment?- - Cl KI 0
W Effluent filter installed?- - ❑ ® ❑
Septic tank size 1,500 gal Manufacturer Infiltrator IM 1530
0 D-box water level and speed levelers used? - - ❑ N/A N YES ❑ No
oO Manifold/D-box accessible from surface?- - CI .1?) CI
mZ Check valves installed? - - ® ❑ ❑
inE Transport Line Size 4„ Schedule/Class 3034
Bedrooms installed (check one) El 2 gj 3 0 4 ❑ 5 ❑6 0 Commercial/Other
>10 ft. from foundation?- - ❑ N/A ® YES ❑ NO
0 >100 ft.from wells?- - ❑ EN 0
W >100 ft.from surface water? - - CIIn CI
z >10 ft. from potable water lines?- - CI El ❑
Q >5 ft.from property lines and easements?- - ❑ El CI
Q > 30 ft.from downgradient curtain/foundation drains?- - ® ❑ CI
Drainfield level and observation ports present - . ❑ ® ❑
El Graveless chambers or Q Clean gravel used? (check one)
Proper cover installed over drainfield?- - ❑ ® ❑
Pump tank setbacks consistant with septic tank?- - W N/A ❑ YES ❑ NO
ZPump tank size gal Manufacturer
< 24"access riser(s)and accessible from surface?- - ❑ 0 ❑
a Alarm or Control Panel Installed? - - ❑ ❑ Cl
Control Panel equipped with Timer/ETM/Counter- - Cl ❑ 0
O. Pump installed in ❑ Bucket or ❑ On Block or 0 Other
a PumpMake/Model
❑ Floats or ❑ Transducer
0. Tank draw down in/min Pumpcapacity 0. Tank p y qpm Squirt Height ft
Pump on time Pump off time Daily flow set at qpd
Updated 8212018
Mason County OSS Installation Report pg. 2 Parcel#
22221-53-00050
ABANDONMENT RECORD
Were existing septic components abandoned as part of this project? - - ❑ YES (y4 NO
If yes, please describe:
Were all components pumped out and properly abandoned per WAC246-272A-0300? - - 0 YES NO
RECORD DRAWING
This is a permanent record and must be accurate and descriptive enough to relocate In the head of maintenance activities and future development. Typical Record
Drawings contan- Drainheld&manifold orientation&layout,Septidpurnp 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.
See Attached
[x 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.
/,e 06/28/2023
'nature of Installer Date
Shae Oien
jPrinted Name of Signee
MASON COUNTY PUBLIC HEALTH
The undersigned approves this Installation Report and
Record Drawing on behalf of Mason County Public THOMAS E.WEAVER....
Health: SEDt Not ,%
Oktorp 7/6 jEXPIRE 0125/
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 e212o1e
SL#1 0-42" Loam
42-60" Fine Sand
SL#2 0-30" Loam
30-42" old stump
42-60" Loam
j SL#3 0-24" Loam
�o Soil goes deeper - Only to establish reserve
co C.) O
0 0 75'
0
c o
r-
ui n1 N Fire pit 8'
II tv _ _
= cv t X S C#2 —
CO 7 CV
D-Boxt.-1[8'.
1
Old D F Area
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a
Two gravity beds
One bed 6' X 50'
Second bed 6'8" X 45'
Deck & Patio
1251
126.12'
Existing Two
Bedroom Home h t�
Keep beds >8' from r d—�` ,� V
small block wall
JUL 0 6 20?3
r ----_��J MASON co,,,,, N�,
n NMENTAL HEALTH
Reserve would require / a)� RE
Oscar or similar repair _
100% Reserve
/:' 15' X40' X SL#3
•
Water
Meter 85
E. Snowcap Dr :a v
Power and Phone are overhead T ASE WEell f
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