HomeMy WebLinkAboutSWG2024-00137 - SWG As-Built - 6/5/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 20204-00137 Parcel # 42216-52-00091
Applicant Name Scott Steckler Subdivision (Name/Div/Block/Lot)
Applicant Address 180 N. Samenthas Way lake Cushman Div. 12 Lot 89
City,State,Zip Hoodsport.WA 98548 Installer Name T.J. Goes
Site Address 81 N.IOngs Way S., Hoodsport Designer Name Dale L.Tanis
INSTALLATION CHECKLIST
® Full System Installation ❑Tari Only ❑Drainfeld Only ❑Repair ❑Other
System Type Pressure w/Oscar OSIDO coils Pretreatment Type Oscar X02
>5ft.from foundation? -------------------- ------- ❑ NIA ®YES ❑ NO
>50 ft.from wells? ------------ R-(it?R-R ryf - ❑ ® ❑
Z >50 ft.from surface water? - -- ---- LS-lJ LS IL Lr ppµ ❑ ® ❑
F Cleanout between building and tank? -- -�Y-Z'f ZQ� IJ . ❑ ® ❑
U Tank baffles present? - -- -- -- -- - -- -------- - - ❑ ® ❑
24' access risers over each compartmen'g-y, ------------ -CL
❑ ❑
N. . Effluent fitter installed?--- --------- �— - ❑ 0 ❑
Septic tank capacity(working) 1.000 pal Manufacturer Hagerman
9. D-box water level and speed levelers used? -------------- - 0N/A El YES NO
Ou6,` Manifold/D-box accessible from surface?-- - --- ------ - -- - - ❑ ® ❑
a0=. Check valves installed? -- -- -- -- -- - - - - - - -- — - - -- -- ❑ ❑
OQ
2 Transport Line Size 1 inch Schedule/Class Sch.40
Bedrooms installed(check one) ® 2 ❑3 ❑4 ❑ 5 ❑6 ❑Commercial/Other
>I0 ft.from foundatim?--------------- -- -- ------- [I NIA ■YES ❑ NO
>100 ft.from wells?- - --------------------------- ❑ ■ ❑
W. . >100 ft.from surface water?----------------------- - ❑ ® ❑
LL . >10ft.from potable water lines?--------------------- - ❑ ® ❑
ZQ > 5ft.from property lines and easements?----- ----------- ❑ ® ❑
a' > 30 ft.from downgradient curtain/foundation drains?--------- - ❑ e ❑
Drainfeld level and observation ports present -- -- - ❑ 9 ❑
❑ Graveless chambers or ❑ Clean gravel used? (check one)
Proper cover installed over drainftekl?------------------- ❑ ® ❑
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?------------- ❑ ❑
It. Alarm or Control Panel Installed? -------------------- - ❑ ❑
Control Panel equipped with Timer l ETM/Counter- --------- - ❑ ® ❑
Il Pump installed in ❑ Bucket w ® On Block or ❑ Other
a ' Pump Make/Model McDonald E-30 GPM ❑ Floats Or E Transducer
E
OF
Tank draw down 0.1 in/min Pump capacity 30 gpm Squirt Height Drip ft
- -Pump on time 0.41 min. Pump off fime 3.59 min. Deity flow set at 240 gpd
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Meson County OSS k"Whydon Report pg. 2 Paacele
ABANDONMEW RECORD
vasemdmfw*companmabondwedesPeatOf this WQJed? ---------`- - ❑ No
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NAxeiamaPoneMs pwnpad aul ------- ❑egg Q-No
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Record Drawing Attached
CERTIFICATION OF MTAUATION
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' JUN 03 2024
MASON COUNTY ENVIRONMENTAL HEALTH
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