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HomeMy WebLinkAboutSWG2023-00379 - SWG As-Built - 12/19/2023 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG l0 L3- DO 3-7 C( Parcel # 122287500020 Applicant Name Wengard Donald C & Cheryl A Subdivision (Name/Div/Block/Lot) Applicant Address 170E highlander Dr' City, State, Zip Belfair, WA, 98528 Installer Name AAA Septic(Jake Pettit) Site Address 170 E Highlander Dr, Belfair Designer Name INSTALLATION CHECKLIST ❑ Full System Installation ®Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other System Type Gravity Pretreatment Type N/A >5 ft.from foundation? - - ❑ N/A ®YES ❑ NO >50 ft.from wells? - - ❑ IN ❑ • >50 ft.from surface water? - - ❑ II ❑ I-- Cleanout between building and tank? - - ❑ 0 ❑ ✓ Tank baffles present? - - ❑ ® ❑ d 24"access risers over each compartment?- - ❑ I ❑ W Effluent filter installed?-CO - ❑ Ill ❑ Septic tank capacity (working) gal Manufacturer C) D-box water level and speed levelers used? - - ® NSA ❑ YES ❑ NO 00C) Manifold/D-box accessible from surface?- - ❑ ❑ NI mz— Check valves installed? - - ❑ ❑ 11 AQ E Transport Line Size 4" Schedule/Class SDR-35 Bedrooms installed (check one) ❑ 2 El 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft.from foundation?- ❑ N/A ® YES ❑ NO A >100 ft.from wells?- - ❑ 0 ❑ W >100 ft.from surface water? - - ❑ II ❑ >10 ft.from potable water lines?- - ❑ MI ❑ Z > 5 ft.from property lines and easements?- - ❑ Li d > 30 ft.from downgradient curtain/foundation drains? - - ❑ MI ❑ a Drainfield level and observation ports present - - ❑ ❑ 0 ❑ Graveless chambers or UI Clean gravel used? (check one) Proper cover installed over drainfield?- - ® ❑ ❑ Pump tank setbacks consistent with septic tank? - - ❑ N/A ❑ YES ❑ NO • Pump tank capacity(flood) gal Manufacturer < 24"access riser(s)and accessible from surface?- - ❑ ❑ ❑ M. M. Alarm or Control Panel Installed? - - ❑ ❑ ❑ 2 Control Panel equipped with Timer/ ETM/Counter- - ❑ ❑ ❑ M a Pump installed in ❑ Bucket or ❑ On Block or ❑ Other mPump Make/Model ❑ Floats or ❑ Transducer a.• Tank draw down in/min Pump capacity gpm Squirt Height ft Pump on time Pump off time Daily flow set at gpd updated 8/21/2018 i Mason County OSS Installation Report pg. 2 Parcel# 122287500020 / ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - �■ YES NO If yes, please describe:The Existing Septic Tank Were all components pumped out and properly abandoned per WAC246-272A-0300? - - El YES p NO RECORD DRAWING This Is a permanent record and must be accurate and descriptive enough to re-locate In the need of maintenance activities and future development. Typical Record Drawings contain: Drainfield&manifold orientation&layout,Septic/pump tank location,North arrow,reserve drainfield,existing and proposed buildings,location of wells,waterlines, wells,observation ports,cleanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. IN Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ ENGINEER I certify that I installed the system in accordance with /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 an h is accurate. form and attached Record Drawing is accurate. .' 09/07/2023 Si ure of Installer Date Jake Pettit Printed Name of Signee MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and Record Drawing on behalf of Mason County Public Health: Signature of Environmental-lealth Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8/21/2018 Ln A LD N CO v Z 0 0 CD N n a, ram) zz r,S C/ =. O Q. a fp o L 4PPROVEL Be o a DEC 19 2023 cs o OR n °�' MA SON COUhTYEN1�ROtiMENTAI H`qi Th� rDr. Q., LIl 0 RET a rD re. N co rD ? V n O ut ►-, w 7-1 O °7 rs \. 0 / 1 Qo ix' i......).________../) iii 1 AeManuo 4 4 Ill O V -t a, 3 = n r h % 7 a, Q a �+ N a C I q . O 'V rD S 74 r ro q CON n Z of o, NJ -4 m n m y * ell= a • cx- K 500 { 0 rD C ,L. ft. T S a-, x. el, n NJ v NJ u • INIWFILTRATOR® I M-1060 septic tanks Features&Benefits . • Strong injection molded polypropylene construction - , I \ i ' • Lightweight plastic construction and IO inboard lifting lugs allow for easy • ((. / l ! delivery and handling 7 / /� /' ! 1 �` ( I • Inte ral hea -du reen lids that \ ' . • '\ ��� �� / ( I. 9 vY tY9, I I interconnect with TWTM risers and pipe riser solutions rKr+trrKr.trr et'it it t K IK II( St .V • Structurally reinforced access ports eliminate distortion during installation , ` and pump-outs • Reinforced structural ribbing and fiberglass bulkheads offer additional strength • Can be installed with 6"to 48" of cover The Infiltrator IM-1060 is a lightweight strong and durable septic tank. • Can be pumped dry during This watertight tank design is offered with Infiltrator's line of custom-fit pump-outs risers and heavy-duty lids. Infiltrator injection molded tanks provide a • Suitable for use as a septic tank, pump revolutionary improvement in plastic septic tank design, offering long-term tank, or rainwater(non-potable)tank exceptional strength and watertightness. • No special water filling requirements Inlet Side are necessary • The tank may be backfilled with suitable TANK CUTAWAY Infiltrator native soil.See installation instructions TW Riser ", for guidance. System • Partition ' 1 • baffle wall • I HEAVY DUTY LID CUTAWAY �: Reinforced 24" structural • "t access port r \ \ I 4111111, Structural I I bulkheads I MID-SEAM CUTAWAY Reinforced water tight mid-seam i gasketed connection I ir Protectingthe Environment with Innovative Wastewater Treatment Solutions INFILTRATOR' __.._ water technologies oft. IM-1060 General Specifications and Illustrations LIFTING STRAP LIFTING LUG RISER CONNECTION \ITYPICAL) (4 TOTAL) (TYPICAL)The IM-1060 is an injection molded two piece mid-seam •.. plastic tank.The IM-1060 injection molded plastic design rt��l _ _ ( r r r i,allows for a mid-seam joint that has precise dimensions A pia=='`� E, I I I I ItiA =°'ie. A for accepting an engineered EPDM gasket. Infiltrator's ,: °o oo �" B gasket design utilizes technology from the water industry b b ��,._, 62.2 i�T OQ d� 1 1 1 1 h OQ�_I „i Ex ER�oR to deliver proven means of maintaining a watertight seal. f The two-piece design is permanentlyfastened usinga A"— try 'P� it,.,:i WIDTH series of Anon-corrossive plastic alignment dowels and 11I r A I I I !Iry '! P. locking seam clips. The IM-1060 is assembled and sold through a network of certified Infiltrator distributors. _ 122.0(32261 EXTERIOR LENGTH Must be backfilled and installed in accordance with TOP VIEW Infiltrator Water Technologies, Infiltrator IM-Series Septic OUTLET Tank General Installation Instructions and for shallow �._... ground water conditions reference the Infiltrator IM- Series Tank Buoyancy Control Guidance. 111011111110111161— 1 c 54.7 Please visit www.infiltratorwater.com/images/pdf/ •-o_o-o_o_oo o (13B9) ManualsGuides/TANK01,pdf for the latest information. 1,10,11,11,r HoGRMSEAM CLIP PICAL) LIFTING STRAP 4LI. Working Capacity 1094 gal(4141 L) mPluu Total Capacity 1287 gal(4872 L) END VIEW Airspace 16.5% Length 127"(3226 mm) 04[1021 0 24(610)ACCESS OPENINGS WITH LOCKING UDS(2) PVC OR ABS 0 4[102)PVC OR Width 62.2"(1580 mm) INLET TEE —102(2601FREEBOARD ABS OUTLET TEE Length-to-Width Ratio 2.3 to 1 1 INLET _I 16.5% ' �1r V AIRSPACE OUTLET S _. __ PEN .0 -L1], Height 54.7"(1389 mm) Ln613 PER CT CODE Liquid Level 44"(1118 mm) 411 44.0 L FIBERGLASS [111B) FIBERGLASS IIII Invert Drop 3"(76 mm) SUPPORT LIQUID SUPPORT (TYPICAL) DEPTH (TYPICAL) WITH BAFFLE Fiberglass Supports 2 WALL WHERE REQUIRED Compartments 1 or 2 �� n Maximum Burial Depth 48"(1219 mm) SIDE VIEW Minimum Burial Depth 6"(152 mm) Maximum Pipe Diameter 6"(152 mm) TANK TOP CONTINUOUS Weight 320 lbs(145 kg) HALF ` GASKET TANK INTERIOR a SEAM CLIP• .. ALIGNMENT DOWEL \;ir 4 Business Park Road `�1 HALF P.O.Box 768 Old Saybrook,CT 06475 TANK BOTTOM INFILTRATOR® 1-800- 21-4 7000 6•Fax 860-577-7001 MID-HEIGHT SEAM SECTION 1-800-2 water technologies www.inflltratorswater.com U.S.Patents:4,759,661;5,017,041;5,156,488;5,336.017;5,401,116;5,401,459;5,511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1,329,959;2,004,564 Other patents pending.Infiltrator,Equalizer, Quick4,and SideWinder are registered trademarks of Infiltrator Water Technologies.Infiltrator Is a registered trademark in France.Infiltrator Water Technologies is a registered trademark in Mexico. Contour,MicroLaaching,PofyTuff,ChamberSpacer,MultiPort,PosiLock,QulckCut,QulckPlay.SnapLock and StraightLock are trademarks of Infiltrator Water Technologies. PolyLok Is a trademark of PolyLok,Inc.TUF-TfTE Is a registered trademark of TUF-TITE,INC.Ultra-Rib Is a trademark of IPEX Inc. ©2016 Infihrator Water Technologies,LLC.All rights reserved.Printed in USA IM02 1116 Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436