HomeMy WebLinkAboutSWG2022-00250 - SWG As-Built - 10/19/2023 Mason County OSS Installation Report pg. 1 1 or.T I AMON OUNTY PUBLIC HEALTH
APPLICANT/ PERM INFORMATION
Permit Number SWG 2022-00250 arce - -
Applicant Name SARAH CONTRARO & JONATHAN WATKINS Subdivision (Name/Div/Block/Lot)
Applicant Address 460 East Mason Lake Drive South
City, State, Zip GRAPEVIEW, WASHINGTON 98546 Installer Name SARAH CONTRARO & JONATHAN WATKINS
Site Address 591 EAST BENSON RIDGE ROAD Designer Name CHARLES H. POLLMAR
INSTALLATION CHECKLIST
Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other
System Type CRAVITY I TRENPR Pretreatment Type
>5 ft. from foundation? - - - - -- - - - - - - -' ❑ NIA ®YES ❑ NO
>50ft. from wells? - - - - - - -- - - - - - - - - -- - - - - -- - - - - - ❑ 0 ❑
2 >50ft,from surface water? - - - - - - - - -.-- - - - -- - - - - - - - - ❑ ® Cl
NCleanout between building and tank? - - - - - - - - -- --- - -- - -- ❑ ® ❑
V Tank baffles present? - - - - - - - - - - - - - - - - -,- - - ❑ ® ❑
a24"access risers over each compartment?- - - - - - - - - - - 1] ® ❑
W Effluent filter installed?- - - -- - - - - - - - - - - - - - - - - - - --- - ❑ ® ❑
U)
Septic tank capacity(working) 1500 gal Manufacturer HACERMAN PRE-
CAST-0 D-box water level and speed levelers used? - - - - - - - - - - - - - - - ❑ NIA ®YES ❑ NO
�O Manifold/D-box accessible from surface?- - - - - - - - - - - - - - - - - ❑ ® ❑
GQ Check valves installed? - - - - - - - - - - - - - - - - - - - - - - - - -- ® ❑ El
f Transport Line Size 4" Schedule/Class 3034 PVC.
Bedrooms installed (check one) 2 ®3 ❑4 ❑ 5 ❑6 ❑Commercial/Other
>10 ft. from foundation?- - - - - - - - -/-�-� - - - - - - -- ❑ NIA ® YES ❑ NO
>100 ft. from wells?- - - - - - - - - P1. ph ❑ ® ❑
-� >100 ft. from surface water? - - - - jr - ❑ ® ❑
LL >10 ft. from potable water lines?��.+;c-, QCT-t �B - - ' - .7 ❑ ® Elb
> 5 ft. from property lines and easementslT't-1=ch�,;*,r -- ❑ ® ❑
> 30 ft.from downgradient curtain/foundation om* =�c - - ❑ ® ❑
Drainfeld level and observation ports present - - - - - ❑ ® ❑
❑ Graveless chambers or ® Clean gravel used? (check one)
Proper cover installed over drainfield?- - - - - - - - - - - - - - - - - -- ❑ ❑ ❑
Pump tank setbacks consistent with septic tank? - - - - - - -- -- - - - ❑ NIA ❑ YES ❑ NO
Y Pump tank capacity (flood) gal Manufacturer
24"access riser(s)and accessible from surface?- - - - - - - - - - - -- ❑ ❑ ❑
H
S Alarm or Control Panel lnstalledl - - - - - - - - - - - - - - - - - - - - ' ❑ ❑ ❑
Control Panel equipped with Timer I ETM/Counter- - - - - - - - - - - ❑ ❑ ❑
7
6. Pump installed in ❑ Bucket or ❑ On Block or ❑ Other
(' Pump Make/Model ❑ Floats or ❑ Transducer
f
M Tank draw down in/min Pump capacity apm Squirt Height ft
IL
Pump on time Pump off time Daily flow set at gpot
upaew s...o's
Mason County OSS Installation Report pg. 2 Parcel n 22104-43- 50100
ABANDONMENT RECORD
Were existing septic components abandoned as part of this project? - - - - - - - - - - - - - -- ❑ YES R] NO
If year please describe:
Were all components pumped out and property abandoned per WAC246-272A-0300? - - - - - - -- ❑ YES NA ❑ NO
RECORD DRAWING
TMs I..parm.n.nt noora add..at I».aunu.nun o..ctlwN..nough to rH«n.In the nwd of mamUned.la nrnM..ad too.development Typlcal Fecund
Dmwmya cpnlaln DremnNd S melon d orlenlennn a leynw sepndpumo tank rotation.rvMn arrow,reaelva dramneln eaannn and prnpoaed ouadIng.,lodanon of wens.wet.dme..
ells,ohaenation pone,d.rup.na,and oNm marntenence ecceu points. tncwnpete Rewrd Drawings mny create additional duaya in final mte ltu ar approval and related pai
APPROVE
ocl 19 ?U73 MASON COUNT.c�;iF t
Jaw -
® Record Drawing Attached
CERTIFICATION OF INSTALLATION
INSTALLER DESIGNER/ENGINEER
1 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 clearedlapproved 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
fo attached Scold Drawing is accural form and attached Record Drawing is accurate.
ture of Installer Date
SARAH CONTRARO R JON WATKINS
Printed Name of Signee
MASON COUNTY PUBLIC HEALTH
a100203
The undersigned approves this Installation Report and ;tlf..... n,pouxau.e
Record Drawing on behalf of Mason County Public
PIP[5
H t '
�—L' lnd�`
Sigmliturk,qJnvhcnmenIsI Health Specialist Date (stamp, signature and date)
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE updm.d antrzma
/ 194,
SEPTIC SYSTEM
'AS --BUI LT"DIAGPAM
PARCEL # 22104-43-50100 23Q
NOTE: !�� PONDING
DESIGN CAPACITY IS OBSERVATION PORTS
480 GALLONS/DAY AO (APPROX. LOCATION)
6'
4 - 36" x 70 FOOT
GRAVEL TRENCHES
I280 LINEAL FEET TOTALI
3'
91,
4"-3034 PVC
SEWER PIPE
AUGUST 2023
24" PVC RISER
DISTRIBUTION BOX
w/BOLT-DOWN LID
4.'-3034 PVC ass, SCALE: 1 INCH = 10 FEET
SEWER PIPE
1500 GALLON,
CONCRETE, 2 0 = 4" PVC PONDING OBSERVATION
OUTLET BAFFLE SCREEN COMPARTMENT PORT ENCLOSED IN 10" VALVE
6 2Od COMPARTMENT SEPTIC TANK BOX (APPROX. LOCATION)
ACCESS RISER
• (6' x 10' )
29
4"-3034 PVC
SEWER PIPE
r
COUT
� WT
SLEAN-
SDO.Od
:.........s N POLLWJt'
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D
.... ......
COVERED
D E C K 3 BEDROOM
RESIDENCE o
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1591 EAST BENSON RIDGE ROAD I r .P
GRAPEVIEW, WASHINGTON 98546 �J i