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HomeMy WebLinkAboutSWG2023-00529 - SWG As-Built - 7/3/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2023-00529 Parcel# 32021-56-05016 Applicant Name Schoene Enterprises LLC Subdivision (Name/Div/Block/Lot) Applicant Address 1315 Rockcress or SE - SHORECREST TERRACE 3RD ADD BILK: 5 LOT: 16 City, State, Zip Olympia WA 98513 Installer Name TNT Excavating Site Address 491 E Wood Ln Shelton WA Designer Name Arrow Septic De sans Inc INSTALLATION CHECKLIST 0 Full System Installation ❑Tank(s)Only ❑ Dramreld Only ❑ Repair ❑Other System Type Shallow Pressure Pretreatment Type ,5 ft,from foundation? -- -- -- - -- -- --- - ---- - --- ---' E] NIA EYES ❑ No >50 ft.from wells? - - - - - - - - -- - - IDTII�T � ❑ ® ❑ Y >50 ft-from surface wateR - - - -- - - ❑ZTank bu[between buildingand tank? - - = =8a-28 - - ❑ ® ❑ t) Tank baffles present? -- - - - - - --- - - \F1C/T�7 ❑ ® ❑ H 24'access risers over each compartmen' -- - ❑ ® ❑ a w Effluent filter installed?--- -- - - - - -- - --- ------- - - - -' ❑ ® ❑ N Septic tank capacity(working) 1 250 gal Manufacturer Hagerman 0 D-box water level and speed levelers used? ------------- -- E] NA El YES NO J Ou Manifold/0-box accessible from surface?-- ------ -- --- ❑ ® ❑ p. ,,�,,� ____ mZ Check valves installed? -- - - a -�'=_- -`- - -� - - - - ❑ 0 ❑ 04 40 2 Transport Line Size 2- Schedule/Class Bedrooms installed(check one) ❑ 2 ®3 ❑4 ❑ 5 ❑6 ❑Commeroial/Other >10ft.from foundation?-- - - - - - ----- - - - - - ----- - - - - E] NIA ® YES NO O >100 ft.from wells?---- ---- - ---------- - --- ----- - ❑ ❑ W >100 ft.from surface ace wa - ---- - - --- - -- -- --- -- --- - ❑ ❑ u >10ft.from potable water lines?- - - - --- - - - ------ --- - - - ❑ ❑ Z > 5ft.from property lines and easements?- --- - - - - ----- - - - ❑ ❑ ❑ Q tY > 30 ft.from downgredient curtainifoundation drains?--- - - --- - - ❑ ® ❑ Drainfield 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) 1,000 gal Manufacturer Hagerman Z 24"access hearts)and accessible from surface?---------- --- ❑ ❑ N Alan or Control Panel Installed? ----- - - - - - - --- ---- - -- ❑ ❑ a 2 Control Panel equipped with Timer!ETM/Counter-- -- - -- - - - - ❑ ® ❑ 7 a Pump installed in M Bucket or ❑ On Block or ❑ Other a Pump Make/Model Liberty 280 E Floats or ❑ Transducer � Tank draw down 1.75 in/min Pump capacity 33 gpm Squirt Height 5 ft 0 Pump on time 2.7 min Pump off time 6 hr Daily flow set at 360 gpd �oa+�m arzrrzara 050 \ b Parcel S � Mason County OSS Installation RepABANDONMENT RECORD YES �rj NO Ware existing se Pic oompcnans aca,dored as pa` a G YES NO I'Yes. please describe. per vvAC2C6-212A-03— " -- - - - Were all Oct,ponenis ou^.pad out anc P'operll aGa^=c^ RECORD DRAWING m.l« row M IOC TLit Ge U d ^G 9e.�e_Y'F•ala 2?rOWYe6 K . imx9 Tr!If Y YTMnet, NJJG 4 IMI.Ii9Wltl' a eiGpvel ^C MD.aE ie. m.l. RemND ny-ry waace COo .elc Wem ,)rM;.rp rygyrr. GMirilatl 8!manV,YCa+or 6 tl" m wwa.oem.+os FY.eCA^.CJ6,me oar meit.e110ri<eaass ca,L. Record Drawing Ac2cned CERTIFICATION OF INSTALLATION DESIGNER/ ENGINEER INSTALLER r dance:vith the septic design stamped'APPROVED'by 1 certify that me system has been installed in accor- 1 certify that I installed the system in apcoNance'wit.l the septic design stamped*APPROVED`by Mason Mason County Public Health and that any deviations County Public Health and that any deviations shown roved by both myself and Mason County Public Health and meat alt here have been ciearedlapproved by both the designer shown here have been Deana doP and Mason County Public Health and meet all State _ State and Mason County Codes and Mason County des I further,certify that all informabon contained on this i further certify that ell intontiatic0 contained on this form and attached Record Graving is accurate_ form and(pfm and 81t retying is accurate.2� Gate Signature of Irstaiier � c Ma- Pdrrted Nama of Signee n N1Ae0M eouNry vUBLIG HEALTH The undersigred apProves this Installation Repod and eri gnu •f public Q'Z'LIL`.lt JDY JONNSON Record Drawing on behalf Of Masan County E . tGN�. HeaitR: - �s a> �' Q, � z-f 13I v_z,_ (stemp, signature and date) $ignantra of Errronmenral N "It Spare s• _COVN'Y WEB SiT'c THIS FORM MAY eE aCANNEO ANC! 5 AVAIL -=FOR PUBLIC MEW CN YHE MASON m SCPLE AS 8u1iT (413x38' Piz'mf- y S(-ketie E>,cERYfU5E5 RE -rmNGAESQ C1' ?ARCEL:9 32021-5V 05016 O.G. wilzes VE IN 41t t E W 00b LAND $ETu1E EN. GftLTONitJlk R$5B4 p='TEST bla.e 1 O- ` 9\Sl 24-44 9twLT-cowtPact w.c.cltu.w� Sg"-A i-gvaoa 1 totr'VAe- reo.}5/ (pn.,`oae_ 5a.nall no YDa'f'S 5 w(11aa,Y vao{sf34'�Z , / Gan $ao1 Sa .da�✓avei � AD YvoA-5 r i e� wQ„ Q Audio-Visual Alarm 10 00 Cleanout ft © 1200 Gallon Septic Tank l 2-Compartment with 21 X 4a Effluent Filter 3 B O 1000 Gallon Pump Chamber w..•. v^"d �tow.c OS Valve Control Box T� 2-0' PATtK t N C, 20 It 1 � wa-fer APPROVED o . _ JUL 03 2024 A 0 Q MASON COUNTY ENVIRONMENTAL HEALTH " VAUU JOY'JOH"ON` RET E,a e - t3-zw