HomeMy WebLinkAboutSWG2024-00136 - SWG As-Built - 6/3/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 20204-00136 Parcel # 42216-52-00089
Applicant Name Scott Steckler Subdivision (Name/Div/Block/Lot)
Applicant Address 180 N.Samanthas Way Lake Cushman Div. 12 Lot 89
City, State, Zip Hoodsport,WA 98548 Installer Name T.J. Goos
Site Address 80 N. Kings Way S., Hoodsport Designer Name Dale L.Tahla
INSTALLATION CHECKLIST
® Full System Installation ❑Tank(s)Only ❑ Drainfeld Only ❑Repair ❑Other
System Type Pressure w/Oscar OS100 coils Pretreatment Type
>5 ft.from foundation? ---------- tf�� (�sl�i II�� ❑ N/A YES ❑ NO
>50 ft.from wells? --- ---------- R{5{�{g-�-TI ❑ ® ❑
2 >50 ft.from surface water? - -- -- -- - - ----- -- ❑ ® El
Cleanout between building and tank;. - -MAY 2J-Doa- - ❑ ® ❑
U Tank baffles present? --- -- -- -- -- --------------- ❑ ® ❑
a24"access risers over each compartment BY - ❑ e ❑
W... Effluent filter installed?--- --------- ------ ---- -- -- - ❑ El
Septic tank capacity(working) 1.000 aal Manufacturer Hagemtan
O . D-box water level and speed levelers used? -------------- - ■ NIA ❑YES ❑ No
�0 Mamfold/D-box accessible from surface?--- ------------- - ❑ ® ❑
LL
roZ . Check valves installed? -------- -- -- - -- -- ❑ ❑
oa
2 Transport Line Size 1 Inch Schedule/Class Sch.40
Bedrooms installed (check one) ® 2 ❑3 ❑4 ❑ 5 CIS ❑CommerciaVOther
>10ft.from foundation?----------------- --------- ❑ NIA ■YES ❑ No
0: >100 ft.from wells?- -- - ------------------------- ❑ 0 ❑
W. >100 ft.from Surface waterJ---------------- ------- . ❑ ® ❑
IL >10 ft from potable water lines?--------------------- - ❑ ® ❑
ZQ > 5ft-frorn property lines and easements?---------------- ❑ e ❑
6' > 30ft.from downgradient curtain/foundation drains?--------- - ❑ e ❑
Drainfield level and observation ports present ----- ❑ e ❑
❑ 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) 1.000 at Manufacturer
Q24"access riser(s)and accessible from surface?------------- ❑ ® ❑
~ Alarm or Control Panel Installed? ---------- ---------- - ❑ ® ❑
a
g Control Panel equipped with Tmer/ETMICounter----------• ❑ ® ❑
a Pump installed in ❑ Bucket or E On Block or ❑ Other
a Pump Make/Model McDonald E-30 GPM ❑ Floats or .Transducer
f
a
Tank draw down 0.1 in/min Pump capacity 30 gpm Squirt Height Drip ft
Pump on time 0.32 min. Pump off time 3.68 min. Daily flow set at 240 gpd
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RD
Wereddungsepol,cw0weraabrdaed06 Psi u the pnO*W --------- -- ---- [I vas MO
It ym,Please dwaaw No
Were eY components PwnPed out and Pmpedy abandaed low V0248-272A-p',lDp7•______.
RECORD DRAIN►N®
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Record Unwlnp Attached
CFRTIF►CAT101'► OF INSTALLATION
F:,d
t� ixt3larR1 ENon+EER
that I fn UW the system,In accordance adh I csrd9r that the system has bean#Wbb d In SO=-
ic de3p,damped-APPROVED"by Mason deuce with the aapae desrpn stamped`APPROt�'by
Public Health and that any deviations shown Meson County Public Health and Bwt any deWatiom
le been dearadWroved by both the designer drown here have been cleered/aPpmvad by both
son Coorq public Health and meet all State my and Mayo CCounty Public mmy Clerks Health and meet all
andwn County Codes.
mrely that all)Mam donr combined on thle I further cedHy that ell adamatlon contained on this
d attached cod DMW*6Is _ fort end attached Record Dfs is accurete-
.t- e
Neme cfSb�
MASON COL "pUI3UC HEALTH
The u,derabned RAWO le thk Installation Report and ;m 5100214
Record otawfnp on bebdof Meson County Public b' Dale L.Tanta
LICENSED DESIGNER
Health:
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TMFORMYat+OttlESGWWANDAVAaABLEfORPIatJGWENONTNEeASW=lWm'ME-'-RI a Barone
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LICENSED DEE,::NER
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APPROVED
JUN 03 20A
MASON COUNTY ENVIRONMENTAL HEALTH
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