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HomeMy WebLinkAboutSWG2024-00109 - SWG As-Built - 7/5/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG o1y- 00 f L q Parcel# 323312290460 & 323312290950 Applicant Name Mason Bonner&Madelyn Santos Subdivision (Name/Div/Block/Lot) Applicant Address 330 N. Westward Way Lot 1 OF SP#1405 City, State, Zip Hoodsport, WA 98548 Installer Name Doug Hemley Site Address same as above Designer Name Tim Quayle INSTALLATION CHECKLIST ❑ Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ®Other Repair/expansion System Type Pressure distribution Pretreatment Type N/A 15ft. from foundation? - - --- - -- - - - - - - -- - - - ❑ NIA ®YES E] NO >50 ft. from wells? - - - - -- - -- - - - - - - - ® ❑ ❑ Z >50 ft. from surface water? - - - - - - - -- - - DOME Aft ❑ ® El FCleanoutbetweenbuildingandtank? ---- - - --- --- ❑ ❑ U Tank baffles present? - - - - - - - - - - - - - - - - - - - u4_�� _3:4-aat� ❑ E ❑ I- 24" access risers over each compartment?- -By ----- - - ❑ ® ❑ W Effluent filter installed?- ❑ ❑ H Septic tank capacity(working) 1500 gal Manufacturer Hagerman O D-box water level and speed levelers used? - - - - -- - - -- - - - - - ® N/A ❑YES ❑ No J 0OW Manifold/D-box accessible from surface?-- - - - - - -- - ❑ E ❑ 19Z Check valves installed? - - - - -- -- - - - - - - - - - - - -- - -- - - ® ❑ ❑ oa i Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) ❑ 2 ❑3 ❑4 ® 5 ❑6 ❑Commercial/Other >10 ft. from foundalion?-- - - - - - -- - - - - - - - - - - - -- - - - - ❑ WA YES NO >100 ft. from wells?- - - - - - - -- --- - -- - - - - - -- --- - - - - ® ❑ ❑ W >100 ft. from surface water? - -- - - - - - - - - - -- ----- -- - - - El ® El LL >10ft. from potable water lines?- -- - - - - - - - - - - - - - - - - - - - ❑ ■ ❑ QZ >5 ft. from property lines and easements?-- - - - - - ❑ ® ❑ K > 30 ft. from downgradient curtain/foundation drains?- - - - - - - - - - ❑ E Cl 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?--- - - --- ----- ❑ N/A N YES ❑ NO 19 Pump tank capacity (flood) 1500 at Manufacturer Hagerman Q24" access riser(s)and accessible from surface?-- -- - ❑ ❑ dAlarm or Control Panel Installed? - - - - - - - - - - - - - - - - - - - - - ❑ 0 ❑ jControl Panel equipped with Timer/ETM/Counter- - - - - - - - - - - ❑ 0 ❑ a Pump installed in ❑ Bucket or ❑ On Block or IM Other shroud arouind turbine pump Pump Make/Model Orenoo PF 5005 ® Floats or ❑ Transducer a Tank draw down 1.875 m1min Pump capacity 54 gpm Squirt Height 7- ft Pump on time 1 min Pump off time 4 hr Daily flow set at 324 gpd upe.waarrzoie Mason County OSS Installation Report pg. 2 parcel or 323312290460 6 323312290950 ABANDONMENTRECORD 'lJee pxisM1e{� scryp< cpnponenls AUentlonna ae pad m this pmlan0 - - - - - - - - - -- - - - - ® YES NO If yes please drecnM: old tank pumped and filled with CDF by Doug Henley 'Nere all campdnenls Pumped out and Pmpady abandoned par VJAC246&272A-03001-- - - - - - ® YES NN0 RECORD DRAWING .w wamw,n m+a.airaW.NAsnVYltMfnu Nie„Uo.y I.<my.,n r:..,ya awn'ro"'+vr w».ax No Iu.,,, �'a«.nu.iCanuil nn0AWn1 C.T�f+ © Record Drawing Atlached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ ENGINEER i cam(y feel I Installed the system Iri accordance With !cedl/y that the system has been mstaNad in III Ina septic design Slemped'APPROVED"by Mason dance with the septic design stamped -APPROVED_by County Public Health and that any dowations shown Mason County Pubhr.Health and that any tlewations here have been Geerodyapprovad by both the designer shown here have been cloulmd'arlpmMil by bolt, and Mason County Public Health and meet 0 State myselYand Mason County Public Health and maef aft and Mason County Coles. Stale and Mason County Codes I further teddy that a9 fnforn litton contarned on this I funherceddy that all inrormallon contained on this roan and attached Record Drawing is accursfe loml and arched Record wing is accurate. Deup-y'[ht�aiL 06/24/2024 Sigrraaua n/fnsYaller U parr. � ♦� Doug Henley i'nrded Nenre MSignne I.1[;<� , _l.`/ /A�'/p MASON COUNTY PUBLIC HEALTH T11=E �. rho undersigned approves this lnslallalion Report antl trpFw/pppv:WN 12acOd1 Drawing oil behalf of Mascrl County Public �y Haa fill. Signature of envitommolat Hosmr Specialist 40 ` Dam F �9 S1pIy (®p Sgnature and dale) THIS FORM MAY BE SCANNEOANO AVgILA61,EF &%EW ON THE MASON COONry VWEI SITE �yF4`rh Repair/Alteration ROC 330 N. Westward Way, Hoodsport 323312290460 and 323312290950 Record of Construction Bonner/Santos Quayle Septic Designs 36A-440--4249 non regulated drainage • o tightlined in 6" corrugated new catch basin � ,/(�� OS � 40 ` / OO 10� \/'O O OJA MFNTA�" nr i� Y� �V v " trees Q steeper 0 O O O steeper t3` reserve 600 GPD Oscar s o M QUAY .. .WAYLE.�. .. ..: 0 0 3 seasonal ditch e o I tightlined in c 0 tl 8" corrugated pipe- non regulated 0 0 O primary-335' O 125' c/o - 4" sewer to Ige tr 125' future house septic tank surface gravel drain-seasonal easement 323312290950 surface gravel drain daylight �❑ sheds 2" transport 323312290460 old tank, pumped and filled p � with CDF 4" sewer 1";20' 2 bedroom non regulated house flow 150' 150' plumbing must �� f p rrox. water e re-routed 1 � 1 i water meter 8" tightline A flow ' s rto i f re house 11 approx. power new 1500 tanks O � estward Way i 1 8" tlghtline flow O O � 1 i 1 ' ew water line to be 10' slab for ADU i rom the tanks-not installed i � existing 1 ' 1 i power box 100'