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HomeMy WebLinkAboutSWG2021-00396 - SWG As-Built Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2021-00396 Parcel# 22212-54-00903 Applicant Name Laura Bowyer Subdivision (Name/Div/Blook/Lot) Applicant Address P.O. Box 1784 W.W. SEYMOUR TRACTS#2 TRS12-B&12-C S 50/243 City. State. Zip Belfair,WA 98528 Installer Name Shumaker Construction Site Address 30 E Graham Rd, Belfair Designer Name Arrow Septic Designs, Inc INSTALLATION CHECKLIST I] Full System Installation ❑ Tank(s)Only ❑ DrainfeId Only ❑ Repair ❑ Other System Type Pressure Trench Pretreatment Type >5 ft. from foundation? - ❑ N/A 0 YES ❑ NO >50 ft. from wells? 0 El ❑ Z >50 ft.from surface water? - 0 El IT] H Cleanout between building and tank? ❑ 0 ❑ tY Tank baffles present? - LY ❑ 0 ❑ a 24" access risers over each compartment? ❑ 0 ❑ W Effluent filter installed? ❑ 0 El Septic tank capacity(working) 1,250 gal Manufacturer Hagerman O0 D-box water level and speed levelers used? 0 N/A ❑ YES ❑ NO cu. O Manifold/D-box accessible from surface? - CIX ❑ mZ Check valves installed? - - ❑ 0 ❑ 0Q 2 Transport Line Size 2 inch Schedule/Class 40 Bedrooms installed (check one) El 2 0 3 ❑4 ❑ 5 ❑6 El Commercial/Other >10 ft from foundation?- ❑ N/A 0 YES ❑ NO O >100 ft. from wells?- 0 ❑ ❑ W▪ >100 ft. from surface water?- 0 El LT. >10 ft.from potable water lines? ❑ 0 ❑ 45 5 ft. from property lines and easements?- ❑ 0 ❑ ce > 30 ft. from downgradient curtain/foundation drains?- I ❑ ❑ o Drainfield level and observation ports present ❑ IN ❑ ❑ Graveless chambers or • Clean gravel used? (check one) Proper cover installed over drainfield? ❑ 0 ❑ Pump tank setbacks consistent with septic tank? El N/A 0 YES ❑ NO • Pump tank capacity (flood) 1,000 gal Manufacturer Hagerman Z Q 24"access riser(s) and accessible from surface?- ❑ 0 ❑ aAlarm or Control Panel Installed? - CI © El j Control Panel equipped with Timer/ETM/Counter- ❑ I] ❑a Pump installed in 0 Bucket or ❑ On Block or ❑ Other 1• Pump Make/Model Liberty 280 0 Floats or ❑ Transducer 0. Tank draw down 2 in/min Pumpcapacity38 4. ppm Squirt Height 5 ft Pump on time 2.3 min Pump off time 6 hr Daily flow set at 360 gpd