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HomeMy WebLinkAboutSWG2020-00355 - SWG As-Built - 1/12/2024 • rMason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH f APPLICANT! PERMIT INFORMATION Permit Number SwG 2020-00355 Parcel # 32024-22-90022 Applicant Name Daniel Orris Sabel-.[Mon (Name/Div/Block/Lot) Applicant Address 91 E Lighthouse Rd LOT 2 OF SP#694 PTN OF NW NW S 33/92 City, State. Zip Shelton,WA 98584 Installer Name Weather Tight Const-Scott Johnson Site Address 91 E Lighthouse Rd, Shelton Designer Name Arrow Septic Designs, Inc INSTALLATION CHECKLIST • Fut System Installation ❑Tanz(s)Only ❑ Drainfield Only ❑ Repair III Other sob ganon Pre-trash System Type Shallow Pressure Pretreatment Type NuWater 8NR-500 >5 ft from founeat An? - - - - - - -- - -- - - -- - - - - - - - - - .. - ❑ NIA D YES ❑ NO >50 ft. from wails? - - - - - - - - - - - - - - - -. - - - - - - - ❑ X ❑ >50 ft from surface water? - - - - - _ - - - - - - - - - - ® ❑ ❑ F• Cleanout between building and tank - -- - - - - - ❑ Q ❑ O Tank baffles present? - - - - - - - - - - - - - - - - - Li I- 24 access risers over each compartment' - ❑ g ❑ N Effluent filternstalled:2 - - - - - - - - ❑� ❑ O N Septic tack size BN R-500 _ga. Manufacturer Infiltrator _ I C D-box water',:el and speed levelers used' - • N/A ❑ YES ❑ NO o0 Manifold/D-box accessible from surface'- - - - - - - - - ❑ IN 0 mZ Cneck valves installed? - - -0-k-- -P-`---'- {' 4>-0"---,c- E III ❑ 0< f Transport Line Size 2" Sohedule/Gass_ 40 Bedrooms installed (check one) 0 2 []3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft from foundation? - - - - - ❑ NIA ® YES ❑ NO O >100 ft from wells'- - .. _ _ _ . . _ _ _ _ _ '_ _ _ . '_ . ❑ I ❑ -A >10O ft. from surface water' - - _ _ - - _ - -. _ _ -. . ❑ ❑ IL LL >1C ft from potable Ovate .roes?. - . . - - - - . - - . .. . - - - - - ❑ I] [� Qz > 5 ft from property ii nes and easements? - ❑ U R' > 30 ft from downgrade-Alt curtain/foundation drams? - - - - - - - - - - MI ❑ ❑ CI Drainfield level and observation ports present - - - - - - - - - - 7 R' ❑ ® Graceless chambers or ❑ Clean gi sel used' tchecis ore? Proper cover instated over drainfield2 - ❑ Pump tank setbacks corsistant with septic tank'?-- - - - - ❑ NIA a YES V,) NO 1 le Pump tank size 1,060 gal Manufacturer_ Infiltrator • 24- access riser(s) and t c'eiblc fib .urtace? El iHt O. Alarm or Control Panel Ins sled? - - - - - - -- E. W 2 Control Panel equippedeguippec kmn Teter t ETM Co_r,er - - - -- — ❑ K D t a- Pump m al ed in ❑ Bucket or 8 C l 6 t,-k or ❑ Othe d m 2 Pump Make/Mode'._ Zoeller N152 EN Floats or ❑ Transducer I Tank drewdown 2 w/m Puss: aspac y 50 cor Squirt Height __ 5 h R. Pump on time 1.8 min __ Pump of-time 6 nr - Daily flow set at 360 gpd t1O01 ). Mason County OSS Installation Report pg. 2 Parcel# ABANDONMENT RECORD 0 YES IN NO Were existing septic components abandoned as Dart o` this project'? T If yes, please describe'. YES NO Were all components pumped out and properly abandoned per WAC246-272A-030C9 ❑ RECORD DRAWING development T I Record Dr ie a permanent Dr Rauh and must be nation you 5 p descriptive alas i to re-locate b in the need of w n eld.ema activities and Puddings.�d d wells,waterlines, wag.s ha o, .deaomen and beer main layout.B rime pang. rioIapliste Norm rDominos trey derode additional H friaitjoo ,rg1LL.,epf2Mlpn ports.GeY.MR.and abler maintenance W^c+paT.U. Inmmpjae Record prawlnps�T.eY aWe addi4x.L delays In fireI ins`➢tlYvan approval and Mated permits. • gRecord Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER l certify that I installed the system in accordance with I certify that the system has been installed in acwr- 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 ail 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 fo and attached Recyrd wing is urate. form and attached Record Drawing is accurate. Signature of I Date Scot . . �� Printed Name of Sigma MASON COUNTY PUBLIC HEALTH Pr, The undersigned approves this Installation Repoa and r-o; !'^u; it> Record Drawing on behalf of Mason County Public i n n- Health: Signature of Environmental He th Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEE SITE upmu 6:1lprb 0, • r • 53 . 1 Do ' T4 o � JV o. a © \ p3 X351{0'6'j 4 c-45 1, r . Itio e> G 3915 G. C. W t+h �° (e5twr 1ulo� f 1 'h /,/, ., I �i i C. _, 4 O Audio-Visual Alarm. tir O Cleanout . 1 3 500 Gallon Pre-'Rash tank 0 NuWater BNA-500 ATU Tank . a 1,000 Gallon Punt Chamber WC-W- ae.itc.g� ,,, I . © Valve Control Box —g � . L. yifhouSt g. — 30' /� Z05.23 ' o, Coati T \5b� \� ea5wnt te..�. t). r~6- s _ _ . _ — '-r Y ItAtte1e3zo2'1-2z -900l2 5 ct I L3htho,na P.d , 5kz,l h WA 985711 _ v r sr 1 J Scale : t"_ 9d` , 4' 4 ^, r L rJOIINSO e ZO 40 60 30 >xa�,�,G �-