HomeMy WebLinkAboutSWG2021-00563 - SWG As-Built - 3/30/2023 Moon County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/PERMIT INFORMATION
Permit Number SWG 2021-00563 Parcel# 51901 -S2—OfdtQ
Applicant Name JOEY MANEMAN Subdivision (NameQw/Block/Lot)
Appilcant Address PO BOX 144
City, State, ZIP RAYMOND,WA. 99577 Installer Name ANDREW SPEAR CONSTRUCTIO
Slts Address 51 W LOST LAKE VIEW DR Designer Name CINDY WRITE
INSTALLATION CHECKLIST
Full System Installation ❑Tank(e)only ❑Oreinfleld Only ❑Repair ❑Omar
System Type PRESSURE DIST Pretreatment Type
>5 ft.from foundation? -- ---- ------ --------- ------ ❑WA .YES ❑ NO
>50 ft.from wells? -------------- Iry2� d�irpp ® ❑>so ft.from surface water? ._______
Cleanout between building and tank? .___ _ __ D ❑
CTank baffles present? - ____ _______ MAY Z22oT4= : Q LL 24'access deals over each compartment? ___ -
W� Effl"t titter Installed?--------- -- BY 11
❑ ❑
Septic tank she _ 1200 gai Manufacturer HOUSE BROTHERS
D-b0k water level and Speed levelers used? -_-____-__-__ -- ■QUA
MsngbkUD-bmr accessible from surface?-----------------
❑ ❑� NO
Check"Miss,lrstaked? -____ _ ___________ El . ❑
Transport Una Sim 2' ❑
aslledlllarClSea SCHEDULE 40
Bedrooms installed(check one) ❑2 ❑a M4 ❑S ❑S 10Cemmerclal/01her
>10ft.from foundation?--------------------------
0No ❑Yes No
tm>100 fro wells?-____________________________ ❑
soot fromsudece,water?._______________________ ❑
>10 t from potable water linee?- El . ❑
>5t from Property;inee and easemarda?-______________. ❑ . El
30 t from downaradkM curtain/toundelkn tlralna7----- ❑ ElDrefmtekf kwel oe or
ports present -- --________ - ❑ O
❑ Grevsiasa unilwe:nbens rs « ® Clean gravel used? (check one) _
.; Proper rover installed over drainield?---- - -------- ------ ❑ . ❑
Pump tank setbacks consistent with septic tank?._ __________. ❑ WA Y Pump tank airs_ 1200 al Y" ❑ ao
Manufacturer HOUSE BROTHERS
24'acme riser($;and emiseaibla from surface?-----____- __. ❑
ILAlenn«Conbol panel lnetalled? --- ------ -- - --- ------ ❑ ❑ ❑
Control Panel equipped with Timer/ETM l Counter-- --- - -- - _. ❑ ❑ ❑
Pump Installed in ® Bucket or ❑ On Block or [I Other \1.
x Pump MakelMotla! /_t b_f* 253 N floats or \
j I"drew dove 1 7/B' ❑Trendumr
iNmin Pump eapaeily_ ppm Squirt Heigh 24 8
B Pump off lime c��'�
--.ff ht � Daily flow at et 380 ood
P Irma; rota ita:i'..t v, t:; am. eamr
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i 3( 4G/S2 GZ-oo g
Meson Coun(y 088 inmbllWHnn Report pg• I Parcel# 61901-62-a/ oro
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