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HomeMy WebLinkAboutSWG2020-00180 - SWG As-Built - 10/24/2022 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2020-00180 Parcel # 32106-75-90162 Applicant Name Corbin &Abigail Craig Subdivision (Name/Div/Block/Lot) Applicant Address 183 E Union Ridge Rd City, State. Zip Union, WA 98592 Installer Name Joe Fassio Excavating Site Address Same Designer Name Arrow Septic Designs INSTALLATION CHECKLIST Q Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑ Other System Type Shallow Pressure Pretreatment Type >5 ft from foundation? - - ❑ NIA Q YES ❑ NO >50 ft from wells? . ® ❑ ❑ • >50 ft.from surface water? - ❑ ❑ ❑ z ct Cleanout between building and tank? - ❑ 10 O Tank baffles present? - ❑ 0 ❑ P 24" access risers over each compartment?- ❑ LI ❑ o. ❑ W Effluent filter installed?- - ❑ N Hagerman Septic tank capacity (working) 1250 gal Manufacturer 9 O D-box water level and speed levelers used? - ® N/A ❑ YES ❑ NO J ❑ XI El�O Manifold/D-box accessible from surface? mZ Check valves installed? - - - ❑ El ❑ OQ 2" Schedule/Class 40 • Transport Line Size Bedrooms installed (check one) ❑ 2 ❑3 0 4 ❑ 5 ❑6 ❑Commercial/Other >10 ft from foundation?- ❑ N/A Q YES ❑ NO O >100 ft. from wells? - ❑O ❑ ❑ W >100 ft. from surface water? ❑ ❑0 ❑ a >10 ft.from potable water lines? ❑ ❑� ❑ Qz >5 ft. from prooerty lines and easements?- ❑ 0 ❑ W d > 30 ft.from downgradient curtain/foundation drains?- i ❑ ❑ -< o Drainfieltl level and observation ports present ❑ X ❑ `_ © Graveless chambers or ❑ Clean gravel used? (check one) -' Proper cover installed over drainfield?- - ❑ 0 ❑ Pump tank setbacks consistent with septic tank? ❑ NIA ❑� YES ❑ NO C Y Pump tank capacity (flood) 1200 cal Manufacturer Hagerman Q24" access riser(s) and accessible from surface? ❑ ® ❑ 1 (— ~ a Alarm or Control Panel Installed? ❑ NI ❑ f Control Panel equipped with Timer!ETM /Counter- ❑ . ❑ r a Pump installed in ® Bucket or ❑ On Block or ❑ Other 1 f Pump Make/Model Zoeller N152 ❑� Floats or ❑ Transducer a Tank draw down 3 in/min Pump capacity 57 qpm Squill Height 4 ft Pump on time 1.5 Minutes Pump off time 6 Hours Daily flow set at 480 qpd .m���crrzcs Parcel it 3a-\Ob15-0.01w7- Mason County OSS Installation Re ABANDONMENT RECORD 0 YES ■ NO Were existing septic components abandoned as part of this project? If yes, please describe: � YES NO Were all components pumped out and properly abandoned per WAC246-272A-03007 ------- RECORD DRAWING cos A apMt record and mum be accurate and descriptive.moon to re-locate n the need of maiMnance amv2o soddevelopment t Twits!Reoxd omi :Taco otLLMdd&mmtldd cnem®rn alayove.s.WcJ+^9 to*locator.North arrow.reserve dlsined&omn9 and bmIdAPLourIban of wdsw was,hvMLMm .demons,and ether marWence access poets. Incomplete Record Drawings mm create adttoal delays in final approve!and netted pent.. SEE F1TI\C —HED 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 actor- 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 1 further certify that all information contained on this form and attached Record Drawing is accurate, form and attached Record Drawing is accurate. - , 44/ 10120/23 Siggaere of Installer ate G vQ`4t �0E F�SS1O fl4 Printed Name of Signee Fj� MASON COUNTY PUBLIC HEALTH `:`r :1' , .'? The undersigned approves this Installation Report and 4. ,'tt� ag ' ,i1i�f Record Drawing on behalf of Mason County Public 'vo-' PAULA JOY JOHNSON CiC YCNOl"� , Health: enRa�s � iniayw) (1 17-'1 I2:3 i 0-bio 23 Signature of Environmental Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED ANDAVAIIABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE "d°a"°ars+rw16 SGAL£ °50' O 15 ¢ -15 a0. T{�0 1'b5 '4,1 LT _ \AO y/�LAND iStR£AM r6 RIN rR"bT.6RILr 7 �3ngo+bt 15 1irnox3M,LgD_ • In *'T(LStES ® s g+=-Ca.EE en cY fit, No, w£TLAtvo 31AFrER 0 Audio-Visual Alarm 3 Cleanout S I h + Stormwater I O 1200 Galion Septic Tank um-of path. 2-Compartment with Effluent Filter t 5'BVdt9lNV S£rgAcr 3: CJ 1200 Gallon Pump Chamber PI © 3 Valve Control Box r f;,,a .,-Pik 08 "°„•z APPROVED ®. OCT 24 2023 • I,� MASO4 CC higc4 1 J�q�r. Hou5r-Ig3 - @ /' v�A Orr � . \ .. yA (5) 31x5-* p21mikRy \\ � �' DR.AINYFE1,_D p �\\.,, THENCh{E5@ 5'OG . Is e RESE2VE .DE a URry etV '✓J?\1ER ' CW '4Y _ 1 Y ape.vMSalatICE . .� £ I�artd `.. y +a'RuTy rock, Atf Fs. �+ 1 Z�,y�, TRP,Nsr-o(-�t, „Li 05,q' l , tT J ,� 'A3dt :--S- PAULA JOY JOHNSON t A 'Eiati.sr{ tGNEk /0 to•Z3