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HomeMy WebLinkAboutSWG2023-00493 - SWG As-Built - 4/3/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY HEALTH APPLICANT/PERMIT INFORMATION Permit Number SWG 2023-00493 Parcel# 32021-56-03019 PRO Applicant Name Max Walker Subdivision (Name/Div/Block/ RFCEy y f p Applicant Address P.O. Box 1351 SHORECREST TERRACE 3RD ADD BLK:3 L City, State, Zip Better,WA 98528 Installer Name TNT Excavating Site Address 430 E Wood Lane Shelton Designer Name Arrow Septic Designs Inc INSTALLATION CHECKLIST M Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other. System Type Pressure Bed Pretreatment Type >5ft.from foundation? -- -------- --- --- -- - -- --- -- - ❑NIA MYES ❑ NO >50ft.from wells? ----- - - - -- - --- -- - - -- --- ------ ❑ M ❑ Z >50 ft,from surface water? - - -- - - - - - -- - - -- -- - - - - --- M El HCleanout between building and tank? --- - -- - --- ----- - - -- ❑ ❑� ❑ O Tank baffles present? -- - - --- - ---- - --- - - - - - ---- - - ❑ 0 ❑ a24'access risers over each compartment?---- - - - - -- - - ---- ❑ ❑� ❑ w Effluent filter installed?----------- --- --- - - - - - - ---- ❑ © ❑ ul Septic tank rapacity(working) 1.250 gal Manufacturer Hagerman 0 D-box water level and speed levelers used? ------- ----- -- - ❑ NIA ❑Yes M No 0O Manifold/D-box accessible from surface?-,-ry--------- -- - -- - -- ❑ Elm Z Check valves installed? -- - - - Q�C -;== -F = - - - - - - ❑ ® ❑ oa 2 Transport Line Size 2 inch Schedule/Class 40 Bedrooms installed (check one) ❑ 2 93 ❑4 ❑ 5 ❑6 t Commerciai/Other >10ft.from foundation?- - ------ - - - - - - - - - - ❑ NIA ® YES NO O >100 ft.from wells?----- - ------ ----jt!i-1h0R 92824- ❑ M ❑ w >100 ft.from surface water? - - - -- -- - ----- - ---- - --- - -- ❑ M ❑ a >10ft.from potable water lines?- -- --- - - - - - - - - - - - -- - -- ❑ ❑ 4 >5ft.from property lines and easements?- - -- - - - - - -- -- -Q ® ❑ M >30 ft.from downgradient curtain/foundation drams? - - - ❑ ® ❑ 0 Drainfield level and observation ports present - - -- - -- - - - - --- M Graveless chambers or M Clean gravel used? (check one) Proper cover installed over drainfield?-- - - - ---- --- ❑ M ❑ Pump tank setbacks consistent with septic tank?----- -- --- - -- ❑ NIA M YES ❑ No Y Pump tank capacity(flood) 1,000 gal Manufacturer Hagerman Q24'access riser(s)and accessible from surface?---------- --- ❑ ® ❑ aAlan or Control Panel Installed? -- ---�� `-`-5.4---- ❑ ❑ Control Panel equipped with Timer I ETM I Counter-- - - - -- ---- ❑ IN ❑ tl Pump installed in 0 Bucket or ❑ On Block or ❑ Other a Pump Make/Model Liberty 253 M Floats or ❑ Transducer D Tank draw down 1.75 inimin Pump capacity 33 gpm Squirt Height 3 ft a Pump on time 2.7 min Pump off time 6 hr Daily flow set at 360 gpd Uran a,nw10 Parcel FI 22pz 1 - Slip- 03o19 Port pg. 2 Mason County OSS Installation Re ABANDONMENTRECORD roect_ _ _ _ _ _ __ _ _ __ _ . YES Zr No Were zxs=rig seF =cTFcs as aca,dor.ed as a . of the p I I"Yes. Please -ese o ,NAC2Ao'-272A u YES NO Were all cpmPcnns o.:^:petl cat anc PropecY abas:.orec pe. RECORD DRAWING _ ll1d eAaa 3 II CinC CY Irt - BG .s�'o s a esra �.- e.relam maea xm;na «. b. :s xnwn ee' 9..ar.Mk ar RemC oa pe^er vrceCaua+a azs;.. wens,mxr+sooa ao^a.xaaon re n+a mas�a�a..rx sous col.a. ��'+ Record Drasing Attached CERTIFICATION OF INSTALLATION DESIGNEW ENGINEER INSTALLER 1 certify that 1 installed the System in accordance with dude with�the septic desigithe system hasns gimped JAPPROVED'by the septc design stamped'APPROVED"by Mason Mason County Public Health and that any deviations County Public Health and that any deviations shown here nave been cleared/approved by both the designer shown here have been Lte Public Health and meet all by both Doul and Mason County Public Health and meet all State myself and Mason , State and Masan Cou�'1 Codes Health and Mason County Codes. (further certify:'hat all information contained on this t further certify that all Information con accur ate.on this form and at Sdhed Record Drarmng is accurate. {pnn and atlache��g's accurate. Date Signata.'s oiinsta5e� wAn 4n6 �s '1J v as a F printed Narce of Slgnee Y, MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report end PAULA JOY3JJHN SON* '�t1��t� Record Drawing on behalf of Mason County Public UCCJdSK15 'I NER_ +). Health: axFlPes t «<SSSSSSddd Jl cnn. U ��7�1 3-24-V +stamp: signature and date) Signature of Ecviron a?ia�+!ee(fh specahs. ar ypr�ap aZ�ac THIS FORM MAY BE SLANNEC ANO AVAILABLE FOR PUBLIC VEv;CN TYE MASON COUN'Y NEB SITE SGAL�01"'ZO' 90 —1i/ M�X-F V�IALKE 2. P RCIL,s32,321-5G 030tq 430 E Wooy L.N. 1 5 Audio-Visua Alarm Clesnout Q M1 10 Q 1200 Cra rtr ent Septic Tank 2-Compax'tment with _._.. . . . Effluent F1ter ;x O 1000 Cr Hon Pump Chamber r;Ser APPROVED 4 APR 0 3 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET 16X22.5' Prim0.Yy df beds, W mfoy+. Wx 45 festrve bed Wow / r 8 3 53' 1 c Water 60, m ✓r PAULA JOY JON^CN sm�tsen esr %v.. 3-29-2y