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Home My WebLink AboutSWG2023-00134 - SWG As-Built - 2/27/2024 RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number SVVG 2 �� -59- Assessor Parcel # 22 -7 3 / ;.5 90b 31 Applicant Name J0"Q Q.0 15c kt Subdivision (Name Div'Block!Lot) Applicant Address 213 1 i i 3 LA tiCu) City. State. Zip O i m imp i elf w Cj isc2.• Installer Name „1.0 S,'la Ike Ic.►\5\- 1 on Site Address l i ( pYi.) - ) • Designer Name 1 M 1-'UArl-'17- INSTALLATION CHECKLIST Full System Installation ❑Tank(s)Only ❑ Dra^field Only ❑ Repair 0 Other System Type Ci�4\9._ xi) 2 Pretreatment Type g 0 2- O SC-10�� >5 ft from foundation? - - ❑ N/A glYES ❑ NO >50 ft. from wells? • •- ❑ Ef, 0 Z >50 ft. from surface water? • - ❑ a 0 H Cleanout between building and tank? • - El Q� ❑ ✓ Tank baffles present? - - El [,� El t- 24- access risers over each compartment?- - ❑ E 0 4 ❑ ❑ w Effluent filter installed?• - u' 1 rr Septic tank size I�G 0 gal Manufacturer 0 D-box water level and speed levelers used? - - ❑ NSA ❑ YES ❑ NO XOO Manifold/D-box accessible from surface?- - 0 El mz Check valves installed? -- El ❑ o a 1•� c � e 2 Transport Line Size ( Schedule/Class ,J Bedrooms installed (check one) 0 2 ❑ 3 ❑4 0 5 6 ❑Commercial/Ot er >10 ft. from foundation?- -- ❑ N/A YES 0 NO >100 ft. from wells?- - - 0 [� ❑ W >100 ft. from surface water? - - 0 [� ❑ I >10 ft. from potable water lines?- - 0 EV 0 Z > 5 ft. from property lines and easements?- - ❑ Eli/ ❑ Q re > 30 ft. from downgradient curtain/foundation drains?- - El riff 0 10 Drainfield level and observation ports present - - El 11.11V ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) / Proper cover installed over drainfield?- - ❑ L,l/ 0 Pump tank setbacks consistant with septic tank? - - N/A YES ❑ NO Y Pump tank size 16 Jo gal Manufacturer f 141\ `Vsx"1 VY < 24-access riser(s)and accessible from surface?- - 0 0 l— d Alarm or Control Panel Installed? - - 0 7/ ❑ • Control Panel equipped with Timer/ET /Counter- - ❑ ❑ M LJ O. Pump installed in Bucket or On lock or (❑ Other_ a Pump Make/Model � 0-1-9U 1 Floats or 0 Transducer a , R. I� Tank draw down N' in/min Pump capacity •if'/ gpm Squirt Height 1J I Pc" ft Pump on time "36 5C.C• Pump off time 1j MIA• Daily flow set at ��V gpd MCPH RECORD DRAWING (ASBUILT) pg. 2 Assessor Parcel# 1 3�7 5900 31 RECORD DRAWING ❑ Dra•nficld&manifold orientation&layout w:dimensions for re-location ❑ Trench,bed dimensions and critical distances within layout ❑ Septicapump tank placement ❑ Location of buildings exist,ngiproposed ❑ Observation ports clean-out locations. manifolds'd-boxes ❑ Location of wells. surface water,roads, &waterlines ❑ Reserve area(s) ❑ North Arrow If the designer or installer feel the need for additional informationicomments, it may be attached Record drawing may also be on a seperate page attached No Pages Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER 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 certif that all information contained on this I further certify that all information contained on this form d tt c cl cord Drawing is accurate form and attached Record Drawing is accurate .1I1513 Signature of Installer Dare �f SOYI •, r. Printed Name of Signeevi MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and J L� Record Drawingon behalf of Mason CountyPublic '- • 51.HUNTER _r- p• ADAPAJ.HUNTER Health: • 7/in("n-i 0-Noi,(Apc 6Yy ` Signature of Environment*Health Specialist Date (designer's stamp. signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE `'�''`"' OSCAR-XO2 Check List Date: `1\1 ZC 21J Re: OSCAR-X02 installation at: Address: 1 i r !Drib Ea r i2-t) � •)Pt olbS8<-} Tax #: 9-,)-1 2 31 00,31 This letter is to confirm that the system installed at the above listed address was installed as per Lowridge Onsite Technologies, Inc.s specifications. Pressure & Flow: Pressures on the OSCAR headworks: Dosing: G1 = ( psi, G2= 6L-1 psi, G3= 1S psi Dose flow rate= i Z gpm Treatment tank: Partition tee baffle bottom/by-pass hole at 40-60% of liquid depth Yes: $ , No: Discharge tank: Partition by-pass hole at 18" to 27" above floor Yes: '< , No: Aeration: Diffusers close to partition wall Yes: , No: Aerator in dry location Yes: x , No: Aerator operable Yes: 'C , No: Current sensor operable Yes: '( , No: Installation: OSCAR: Correct number of coils: Yes: X , No: Correct coil arrangement: Yes: X , No: Inspection ports: Yes: x , No: Proper sand depth: Yes: x , No: Floats set correctly: Yes: x , No: Timer settings correct: Yes: , No: Basal preparation according OSCAR Installation manual: Yes: X , No: Certified Installers Signature: dill' � iurc ` CONSTRUCTION EARTHWORK EXCAVATION SITE PREP SEPTIC 2103 Harrison Ave. NW, Suite 2774, Olympia, WA 98502 • Bus. (360) 866-9200 INSTALLER CONSTRUCTION COMPLETION FORM DATE: 1/23/2024 FOLDER SEQUENCE: Permit#23109798 TAX PARCEL NUMBER:72 110006000 DATE INSTALLED i2L2zj2923 TANK MANUFACTURER: Infiltrator TANK SIZE-SEPTIC TANK: i06o Gal i PUMP TANK: 1060 Gal INFILTRATOR EFFLUENT FILTER MANUFACTURER ORENCO MODEL NUMBER: FTW-0444 EFFLUENT PUMP MANUFACTURER: Orenco MODEL NUMBER:_PF-2005 CONTROL PANEL/ALARM MANUFACTURER: SIMPLEX MODEL NUMBER:_mm0426 FLOATS MANUFACTURER: SIMPLEX MODEL NUMBER: :010426 TIMER SETTINGS:ACTUAL RUN TIME ON: a Min 40►Sec TIME OFF: `Flour~ PUMP CHAMBER#2 DRAW DOWN IN INCHES PER MINUTE:3/4 inch SQUIRT TEST DRIP SYSTEM: N CORRECTED DEFICIENCY ITEMS IDENTIFIED BY TCEH DURING THE FINAL INSPECTION. INSTALLER SIGNITURE PRINTED NAME BRANDON THOMPSON TANK PUMPING REPORT Sits N,n,.• 144'"*".405 SHADOW LN NE NA Service Company: OLYMPIA Tax ID:72110006900 A+Services u..: 7225 Pacific Ave SE Olympia,WA 98503 360-491-2900 Serviced:11/28/2023 by:Jeff Leonard Submitted 12/03/2023 by:Noah Santos DempLocation:BioRecycling-Centralia Jurisdiction ID:336566 COMMENTS TANK PUMPED FOR ANOTHER COMPANY TO PERFORM ABANDONMENT. TANK:Septic Tank-2 Compartment NOTE:THIS TANK WAS ONLY PARTIALLY SERVICED Tank Pumped: YES Tank Size(Galions)(Number only,no text): 1000 Effluent level within operational limits(if NO explain In comments): Total Gallons pumped from tank(Number only,no text): 1000 Effluent returning back Into tank after pumping: Tank depth below grade(Inches): Access Risers installed to grade(N/A if not present): Tank Construction Material: Tank Condition Good: Baffles in good condition(WA if not present): Effluent screen cleaned(N/A if not present): Effluent surfacing around site components(N/A if not checked): Tank abandoned after pumping: YES Were repairs made to the Tank or Tank Components?(if YES explain in comments): Compartment 1 Scum accumulation(Inches,if other specify): Compartment 1 Sludge accumulation(Inches,if other specify): Compartment 2 Scum accumulation(Inches,if other specify): Compartment 2 Sludge accumulation(Inches,if other specify): Ttus report Indlcaf.s Wien UanKe.Ilst03 or tM onsl.sewage system.f the bmy of nut In no way is Nu sport a pv.rant.o of oper.non or Alf,'pertormance ReportiD:693307 View pump reports online at www.onfinerme.com Page 1 of 1 • T I ____„. , 1 � cp 0O• MO [� OOI D -1 m 1 m O OZ � vmnx -0Ilkt11,... co m� r iii m T m cn C n xi oo N D m r z v z Z C p Z z o u m - o 0 I — - - - o A o I-O Z 0 D IX 4, $ a Z I- < n0 m N v m I I , o O 1 X I O O N 7- -P24I O 1 �� n f1 D G) I 0 O c C 5 _s q * $ D I z r -i t� L 0 $ x % co - nl ` m o O /71-44-0 D z m \ O ML 7I m X Yew 0 CO \ \rgs,.. • o o , . 0 q0�F M��\; � v - _DO\\ rn n n 'a A RT = tROe -D T _ mF �. zo c - ai _ v z -< T z - y v m c O - z 0 r > O -1 N m Z z T omI r O 1 7a z 04 5" < jO y p5 R 0 p -10 w o Z 53 N 0 0 73 0 -I CP m m rn O go T m 0 2 73 n D Z / .0% 4,:: , 3 co Z r 1 r ! n =%ram,a ' •�y%% �'°` o� O a O h> ��s.\��` 0 r/L.m %,''' �� m D m -I CO z '< D N # O 0 .- N D (n -' r� s w m � m D 7) 0 D S >t N XI -o VI -13 o m I- rn x Dr w 7) o v o z