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Home My WebLink AboutSWG2022-00517 - SWG As-Built - 5/3/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBL HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2022-00517 Parcel# 31907-14-00050 Applicant Name Linda Blanton-Creme Subdivision (Name/Div/Block/Lot) RF�F7V 4 Applicant Address 5124 S Palouse Highway City, State, Zip Spokane WA 99223 Installer Name Andrew Spear Construction Site Address ISO W Blanton Acres Designer Name Arrow Septic Designs Inc INSTALLATION CHECKLIST Q Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other. System Type Shallow Pressure Pretreatment Type >5 ft. from foundation? -- --- --- -- -- - - - - -- - ----- --- ❑NiA AYES NO >50 ft.from wells? - - -- - - - - ---- - - -- - - - - - - - ------ ❑ ❑ 2 >50ft.from surface water? -- -- ---- - - - - - - - -- - - - ---- El ® ❑ Cleanout between building and tank? ----- - - - ------ ---- - ❑ ❑� ❑ U Tank baffles present? -- - --- --- - - --- - --- - --- - --— ❑ 0 ❑ F- 24' access risers over each compartment?--- - - --------- - - ❑ ❑� ❑ D ❑ ® ❑ W Effluent filter installed?- ---------- -- - - - - - - - - - ----' N Septic tank capacity(working) 1,250 gal Manufacturer Sound Placement o D-box water level and speed levelers used? --- - - - - - - ------ ❑ N/A ❑YES ® NO 00 Manffold/D-box accessible from surface?-- - - - - -- - - - - ----- ❑ o ❑ p?Z Check valves installed? -- -- - - P-- --- -- --- ❑ ® ❑ Cl< 40 2 Transport Line Size 2- Schedule/Class Bedrooms installed (check one) [:] 2 Q 3 ❑4 ❑ 5 06 ❑Commercial/Other >10ft.from foundation?------ - -- - - - -- - -- -------— ❑ NIA ® Yes NO Cl >100 ft.from wells?----- - - - --- -- ---- -------- -- - - ❑ ® ❑ w >100 ft.from surface water?- - - - - - - - ------- ---- ---- - ❑ ® ❑ u >10ft.from potable water lines?-- - - -- - -- --------- ---- ❑ ❑ > 5ft. from property lines and easements?- - ------ ------ -- ❑ ® ❑ X > 30ft.from downgradlent curtain/foundation drains?- ------- - - ❑ e ❑ C1 Drainfleld level and observation ports present --- - - - - - - - ---- ❑ ❑ ❑ Graveless chambers or M Clean gravel used? (check one) Proper cover installed over drainfield?--- --- --------- -- -- ❑ ® ❑ Pump tank setbacks consistent with septic tank?-- -- -- - ---- -- El WA YES ❑ NO Y Pump tank capacity (flood) 1,200 gal Manufacturer Sound Placement Q24"access deans) and accessible from surface?-- - -- - - - - - - - - ❑ R ❑ a Alarm or Control Panel Installed? - ----- - - - - -- - - - - - - --' El 2 Control Panel equipped with Timer/ETM/Counter-- - --- - ---- ❑ ❑ 7 a Pump installed in ❑ Bucket or a On Block or ❑ Other a Pump MakelModel Liberty 250 ® Floats or ❑ Transducer a Tank draw down 1.75 in/min Pump capacity 39 gpm Squirt Height 2.5 ft Pump on time 2.3 Minutes Pump off time 6 Hours Daily flow set at 2§g gpd uceaw eatrzo+e Mason County OSS Installation Report pg. 2 Parcel a 31010 1' A -00050 ABANDONMENT RECORD rWere existing septic mmponents abandoned as part of this prgecto ❑ YES ® NO M yes,please describe: Were all mmponenis pumped out and properly,abandoned per WAC246-272A-0300? -------. ❑ YES ❑ No RECORD DRAWING TIHs 6 i OPrmmPR rtmN ak must Oe Pcva@ mtl dem` W VT Pndeb b rtb®N re NP ne¢tl al msinimetw azTVNo mM fuhrte leVNaWPP^L Type:ftearv' waivgsmrea0: OraefitlEa man[d4 ane�r.iaon a�xr u:sepuc�Pwvm wmco�.vmm maw,mace wmncu,aas^'m am om:»sa Iv�tlemgs.:m�imaivreas.xawrin�. rare,mu�-awa aae.emoa,ma auvaarvzP�u a�m�pznre.ampere aemtl orPnns+vav awx mP2vml man:,a;m smmux aroma:as 2:aba vaR.rs S et A+t ached Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER OESIGNERI ENGINEER I cerrtrfy that I installed the system in accordance with, I certify that the system has been installed in actor- 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 clearaWapproved by both the designer shown here have been clearedlapproved by both and Mason County Public Health and meet all state mysaff and Mason County Public Health and meet all and Mason County Codes. State and Mason Counhj Codes I further certify that all information contained on this I further certify that all information contained on this form and attached Record Dewing is accurate. form and attached Record Drawing is accurate. . -2,,, 4-1-a4 g.�ofm der Date crtenPn✓ o w Pdnf Noma of Signs¢ *a y La MASON COUNTY PUBLIC HEALTH The undersigned approves this installation Report and �H�' staoaei u+cJ Record Drawing on behalf of Mason County Public PAUTA JOY JOHNSON ';' Healtha � tGN Signature of Environmental Realth Specialist Date (stamp, signature and date) THIS FORM FWtY BE SCANNEDANDAVMIABIF FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE us4i1'd�tRp16 Hey: (��• O audio-visual Alarm — Cleanout 5250 Gallon Septic Tank 3 E51C - , a 2-Compartment with Effiuent Filter l ! C \ 1200 Gallon Pump Chamber ® \ © Valve Control Box 1 \ \ -L- __, S�Q'• (••a 4C ' �q�3' K50` �Tu�r+� D.F. ,7ns�.cka0 A p =0 40 ce 96 q v.L . wt Rpa6@N"�r•^�""�.PQ � PpROVEp . MASONCouAryY 03 2o24 EhVRONMEh'lAL NEAIlF RET y?'1AIILAS1O1,JOHNSON '�'•7 yyct. .. ��:A'OYf�S�fSti iGterH" .