HomeMy WebLinkAboutSWG2018-00263 - SWG As-Built - 1/12/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/PERMIT INFORMATION
Permit Number SWG 2018-00263 Parcel# 32123-11-90052
Applicant Name Tim Murphy Subdivision (Name/Div/Block/Lot)
Applicant Address 81 E.Murphy Farm Rd.
City, State,Zip Shelton,We 98584 Installer Name Fasio Construction
Site Address XX Murphy Farm Rd. Designer Name Bob Paysse
INSTALLATION CHECKLIST
lF El Full System Installation ❑Tank(s)Only ❑ Drainrrold Only ❑Repair ❑Other
System Type Gravity Pretreatment Type
>5 ft.from foundation? ' 0 N/A .YES D NO
>50 ft.from wells? 0 S 0
Z >50 ft.from surface water? - . 0 Ili
li 1.- Cleanout between building and tank? - ID ❑
U Tank baffles present? - - 0 ■ 0
a24°access risers over each compartment? . 0 IN 0
W Effluent filter Installed? 0 IN
Septic tank capacity(working) 1500 gal Manufacturer Kurt's Precast
n D-box water level and speed levelers used? 0 N/A ®YEN ❑ NO
d0 Manifold/D-box accessible from surface?- 0
II�Y Cheer(valves Installed? . IS ❑❑aE Transport Line Size 4° Schedule/Class 3034
Bedrooms installers(check one) 02 03 Nj4 05 06 0 Commercial/Other
>10 ft.from foundation?- - ❑ N/A 0 vas ❑ NO
„ > 00 ft.from wells? ❑ ® ❑
�I Uth >1cC ft.from suneoe water? ❑ ® 0
': W >10 ft.from potable water lines? ❑ It 0
z >5 ft.from property lines and easements? ❑
ce >in ft.from downgradient curtain/foundation drains?- - ® ❑ 0
Drainfleld level and observation pods present - - ❑ kl 0
❑ Graveless chambers or ® Clean gravel used? (check one)
Proper cover instated over drainfield? - ❑ a ❑
—
is Pc r.p tank selbac?s consistent with septic tank? ® N/A 0 YES ❑ NO
r Pump tank capacity(flood) qal Manufacturer
H24"access riser(s,and accessible from surface?- 0 0 0
Alarm or Control Panel Installed? - - 0 0 0
Z Control Panel eoubced with Timer/ETM/Counter - 0 0 ❑
- Pump installed in r: Bucket or ❑ On Block or ❑ Other
Pump Make/Model 0 Floats or 0 Transducer
_ Tank draw down in/min Pump capacity ppm Squirt Height ft
' Pump on time_ Pump off time Daily flow set at nod
•'- i• upNW rrztaote
a Verizon ^p 4:46 PM 79% f r
X Murphy, Tim asbuilt.... C+ U
Mason County OSS Installation Report pg.2 Parcel# 32123-11.90052
ABANDONMENT RECORD
Were austng septic carchlen(s abandoned as pan of Mrs project? 0 YES Q NO
If yes,ate”aee:nue
\ie t II^c'LICIT rr r.a.,:MPS-,- aoar coned per WAC246-272A.3:a> 0 vac 0 NO
i RECORD DRAWING
I ,.n "e...•..m le .,re Hen a..eM,.M. rreKa AMA
wogy r .&er �Pomnv ar tulle eme AA M enew ep.balm do a.r.mNM
..r•W..aaMarc,'"mitt.4...vrx Age.nay on.y.weed My+n FW nae:rlim gma.N rtl.red pen*,
is Burned Drawing Attached
CERTIFICATION OF INSTALLATION
INSTALLER DESIGNER/ENGINEER
j I caddy mot I mstaliad rIc system M accordance with I caddy that Me system has seen installed in actor-
, Inc mesas❑eSla/:slam/:oa'APPROVED'by Mason dance with(Os septic design stamped-APPROVED'by
Count/Public Health Odd that any dcaa eons shown Mason Ck<v:v Public Health and that any deviations
Irene imve neen cleeree'uppraved by bum the,designer shown here have been claarectiappmved by both
and t[ra:r County Pubic Health end meat all State myself and mason County Public Health and meet all
and zi:so.. Currsy Ca;s. State and Meson County canes
:m r ,on cantambd on this I furthercent/Mat aN ialbrnMuon Contained on(his
m 1 lie 9,,a. Fo:ana1e term and a...,�ed Record Drawing is securere.
9169
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:aper:8. : nets (stamp.signature and date)
...-ns.. .'A\ BE SCANNED AVa AVAILABLE pOn PUBLIC VIEW On]HE MASON CO-4TV WEB SITE LAH+S/HP°
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# EXPiREs
SEX'ISSTING
/ • „. 2-PARTY WELLO \ � I
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INSTALLATION DESIGNER AGNOFF/ASBVILT FEE WILL
BE CHARGED AT TIME OF INSTALLATION
PIONEER. DIGGING, INC. CL STOMFR: um"I"Y SCALE I:OO
PARCEL St32123490052 TEST HOLE I. TEST HOLE z
SEPTIC DESIGNS ADDRFCC XX MURPHY FARM RD 648 CIS tr24 C15
48+ CMS
3083 E M1SQN BENSON RD. CRAPEVIEW..WA 985 R.O
46 DESIGNER: ROBERT PAYSSE TIL 449T
ROOTS-48 TILL
OFFICE 35irM12G1803 FAX-3604T/-T153 DESIGN PAGE OF ROOTS
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