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HomeMy WebLinkAboutSWG202300473 - SWG As-Built - 7/29/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2023-00473 Parcel # 22018-53-00098 Applicant Name Zenith Group NW LLC Subdivision (Name/(Div/Block/Lot) Applicant Address 110 W K St, Suite C Timberlake 051 Lot 98 City. State.. Zip Shelton, WA 98584 Installer Name Bamford Septic Repair LLC Site Address 100 E Hammersley PI Shelton Designer Name Arrow Septic Designs Inc INSTALLATION CHECKLIST 0 Full System Installation ❑ Tank(s)Only ❑ Draindeld Only ❑ Repair ❑ Other. System Type Shallow Pressure Trench Pretreatment Type Nuwater BNR-500 >5ft.from foundatipo? -- - - - - - - - - - - - - - - - - - - - - - - - ❑ NIA AYES ❑ NO >5cft, from wells? - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ ❑ Y >50 ft. from surface wate0 - - - - - - - - - - IV ��nnll (� ❑ ❑ FCleanout between building and tank? --- lull �) V ��� ❑ ❑� ❑ Tank baffles present? - - - - - - - - - - - - - - -,�z4 - - El ❑ U �` li lltl� c 24`access risers over each compartment? 1, - ----- - ❑ ❑ W Effluent filter installed?- - - - - - - - - - El ❑ ❑� rn rl,.�v�u. - - Septic tank capacity (working) BNR-50 71 gal' a acturer Sound Placement 0 D-box water level and speed levelers used? - - - - - - - - - - - - - - - El NA ❑ YES No 0O Manifold/D-box accessible from surfaced?- - - - - - - - - - - - - - - - - El °PZ Check valves installed? - - - - - t- - - -`- - - - - - - - ❑ K ❑ oa 2 Transport Line Size 2" Schedule/Class 40 Bedrooms Installed (check one) ❑ 2 O 3 ❑4 ❑ 5 ❑6 ❑Commemiai/Other 110ft. from foundation?- - - - - - - - - - - - - - - - - - - - - - - - - - ❑ NIA OYES NO 0 >100 ft from wells?- - - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ N ❑ W >100 ft from surface water 4 - - - - - - - - - - - - - - - - - - - - - - - - ❑ ❑ a 110 ft from potable water lines?- - - - - - - - - - - - - - - - - - - - - ❑ Z > 5ft. from property lines and easements?- - - - - - - - - - - - - - - -- ❑ ❑� ❑ C > 30 ft from downgratllent curtain/foundation drains?--- - - - - - - ❑ � ❑ Drainfield level and observation ports present - - - - - ❑ © ❑ ❑ Graveless chambers or ® Clean gravel used? (check one) Proper cover installed over drainfield?- - - - - - - - - - - - - - - - - - - ❑ 0 ❑ Pump tank setbacks consistent with septic tank?- - - - - - - - - - - - - ❑ NIA O YES ❑ NO Y Pump tank capacity(flood) 500/1000 gal Manufacturer Sound Placemt-combo pretrash &pump Q24' access risers)and accessible from surface? - - - - - - - - - - - ❑ ❑ dAlarm or Control Panel Installed' - --i.c-�`k1^ `-'�°"—v"�'-�- ❑ © ❑ Control Panel equipped with Timer/ETM l Counter ❑ 0 ❑ a Pump installed in ❑ Bucket or X On Block or ❑ Other p Pum Make/Model Zoeller N152 ❑� Floats or� ❑ Transducer a Tank draw down 2" in/min Pump capacity 38 gpm Squirt Height 5.5 ft Pump or,time 2.33 min Pump off time 6 Fir Daily flow set at 360 gpd ..naco wavzma nIR- 52 - 00 o4g Mason County OSS Installation ReABA Parcel R NDONMENT RECORD NO pie-t YES ® Were existing septic cucpcnems abandenetl as paC c' this pr , YEE El NO If yes, please descibe'. dored Pit,WAC24E-272A-0300? We. - - "- We all oomponenfs p'cmpad out and prOpedY aban RECORD DRAWING �a ru e t a va I R wK m ae ae eAsec al".9 . mre —06, e< -z a s ,za m a : n n a �za a.abzai 1a rei: c Cawosz�^u:�: c ;nzaamansom o..esa o„aayo�.s vur�, o f a..aea�o ai o< z '- . w<u:.Dean-•-e<pa�.a<a,ow.z�a omo mao-.:��<��au<:=om5. .. Record Drawing Attached CERTIFICATION OF INSTALLATION _ DESIGNER]ENGINEER INSTALLER sytem 1 car*that 1 installed the system in accordance with lle dance wfh.theeSeptic d sa ign stamped APPROVED"by the septic design stamped"APPROVED"by Masan County Public Health and that any deviations shown Mason County Public Health and that any deviations have been rOvec by curb here have been cleared/approved by both the designer m o elf and MasonCounty Publ o peelth d meet all anC Masan County Public 'Health and meet all State State and Mason County Codes and Mason County Codes. I further certify hat all Information contained on this i further certify that all information contained on this for,, and attached Record Drawing is 2ccura!e. Perm and atached Record Drawing is accurate. ^ I� Signature of Installs(� Date A, Phntetl Name of Srgnee S a`;.MASON COUNTY PUBLIC HEALTH "9 ".'}t�The undersigned approves this Installation Report and JOHNSON ; !tiRecord Drawing on behalf of Mason County Public g ICNK.n_ yHeal 1���,�7 Z��Z� ature and date)Signature of Ervimnme al Health SpSo,,ahsf Date .pcam ea,ame TM9 FORM MAV fiE SCANNED ANC AVAIlAe.S ECR PhBLJC NUNTY\NEB SITE �0 30 40 9 A.-7 P� C�RDuPNW Lu 7 T I Cap — PAA tL�T 71"ig-53�r�o'R-- 1 oo I � u Jj o � II � � titi � l ° 9 O APPROVE[ UL 29 2024 �c h ALTh 5 fit', Kev: 0 Audio-Visual Harm- O2 Cieanout O3 NuWPtIr BNR-500 ATU Tank �F } +1,000 Gallon Pump Ceamber 4 L(Mg JOVlCsIIN" , 'I:iCEElSE �b�SItiNEii OValve Control Boxis X:cc-