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HomeMy WebLinkAboutSWG2021-00632 - SWG As-Built - 10/17/2023 LS JIJ Mason County OSS Installation Report pg. 1 OCT 1 1 2023 MASON COUNTY PUBLIC HEALTH APPLICANT/ 3ERMtT%IP MATDN Permit Number SWG 2021-00632 - Parcel # 32104-56-00049 Applicant Name AB Fine Homes Subdivision (Name/Div/Block/Lot) Applicant Address 871 E Beach Dr ALDERBROOK G&Y#7 LOTS:49& 50 City, State, Zip Union,WA 98592 Installer Name Hanson Excavating Site Address 1370 E Manzanita Dr, Union Designer Name Arrow Septic Designs, Inc INSTALLATION CHECKLIST III Full System Installation ❑Tank(s)Only 0 Grainfield Only ❑ Repair ®Other sDU gallon ore-cash lane System Type Shallow Pressure Pretreatment Type NuWater BNR-500 >5 ft.from foundation? B 5Ri{(�2SJ1� ^ ®WA O YES O NO >50 ft. from wells? - 1 cJ- d5 NM �C Z >50 ft from surface water? -F,�i1 c, ❑ ❑ HCleanout between building and tank? ❑ El 0 U Tank baffles present? - BY' ❑ El ❑ a24" access risers over each compartment?- ❑ I: ❑ w Effluent filter installed? 0 ❑ ❑ N Septic tank capacity (working) NuWater BNR gal Manufacturer Hagerman 5 D-box water level and speed levelers used? - ❑� N/A ❑ YES ❑ NO oO Manifold/D-box accessible from surface?- - - - - - ❑ • ❑ ECI Check valves installed? ❑ 0 ❑ act 2 Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) ❑ 2 ❑� 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- ❑ WA Q YES ❑ NO 0 >100 ft. from wells? I: ❑ 0 W >100 ft. from surface water? - - ❑� ❑ ❑ it >10 ft. from potable water lines?- - ❑ ❑ ❑ Z > 5 ft. from property lines and easements? CIEl ❑ a h > 30 ft. from downgradient curtain/foundation drains?- - - - - NI 0 ❑ O Drainfield level and observation ports present - ❑ U ❑ ❑ Graveless chambers or II Clean gravel used? (check one) Proper cover installed over drainfield? ❑ (] ❑ Pump tank setbacks consistent with septic tank? ❑ N/A 0 YES ❑ No Y Pump tank capacity(flood) 1,000 gal Manufacturer Hagerman Z 24" access riser(s) and accessible from surface'- ❑ 0 ❑ H a Alarm or Control Panel Installed? 0 © ❑ t Control Panel equipped with Timer I ETM /Counter- ❑ 0 ❑ m a Pump installed in ❑ Bucket or ® On Block or ❑ Other d• Pump Make/Model Liberty 290 0 Floats or ❑ Transducer Q. a Tank draw down 2" in/min Pump capacity 38 gpm Squirt Height 4.5 ft Pump on time 2.33 min Pump off time 6 hours Daily flow set at 360 qpd Uxa:e<jrrz rmo a Mason County OSS Installation Report pg. 2 Parcel# 3ato4 - 5(0-oo049 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? ED YES NO if yes, please describe'. NO Were all components primped out and properly abandoned per WAC246-2',2A-03W% ❑ YES RECORD DRAWING This Is a permanent record and must be accurate and descnvUve enough to re-lecate in the need of maintenance activities and future development. 'ypical Record omnga oreneeldanan erlmadndlayout sesS o cl l .f d, L, d p p n Rgs. Of wells. Ides. wells.observation ports.aeanoea.and other maintenance access points ln.. plete Res:Rs Drassros .ay Create additional delays in rml mstaliat.on approval ane related p itS V 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. Warta-FL nerse23 A Sig ure of installer �Date� Jared Hanson Printed Name of Signee r�Y_^�=e_ s r.�S a.ZjrA MASON COUNTY PURLIC HEALTH The undersigned approves this Installation Report and =1`e' el oo.ay 4.04 Record Drawing on behalf of Mason County Public Ph pug joy JOIINSOf) !\I Health, '7 E%RRkS b�ras% �K"b Signature of Environmental Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEV.'ON THE MASON COUNTY WEB SITE -oamec wnrzme 96 ( A$ rjn,e RC'vyu;S- 9a P 32Jay-SG- orov9 f±t' 370 ns. ii+an;*a Dr F 11111 I II , 1 11 j 5 3c 45 60 11 ( Iit I tie1 ( i 'I ( ® ( sine 1 ' ' i APPROVED © © o `( OCT 17 2023 r—�"' � MASOt cou'lrr a w, zosYENT;LNEaLT;, RET N o iFl 31 x �U' pr MaC � T; �- 1 1 IIcS'rvt below dv'ide-u]> Y- - Key: [ 0 Audio-V!sUal alarm /2, C1eaz+otir r 50,C Gaon Pre-Trash rank 1 ( , NuWater BNR-500 ATU Tank ! 1,000 Garen Ramp Chamber j n, V-,ve Ce-Itrol Box ,DO` /f4 fit.-- 4.'14s'??n h 5 [ . PAW JOY JOYOY JO JOHNSON - eFC za nsn " (o- 't-t 3