HomeMy WebLinkAboutSWG2024-00261 - SWG As-Built - 8/6/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number swG 2024-00261 Parcel # 31904-53-00075
Applicant Name KOMPASS PROPERTIES LLC Subdivision (Name/Div/Block/Lot)
Applicant Address 601 S WASHINGTON ST#306
City, State, Zip SEATTLE, WA. 98104 Installer Name NEIL TRICBEN R
Sitle Address 300 SE ALPINE AVE Designer Name CINDY WAIT
INSTALLATION CHECKLIST
❑ Full System Installation ❑Tank(s)Only M Drainfield Only ❑ Repair ❑Other CFj C
System Type GRAVITY Pretreatment Type
>5 ft. from foundation? - - - - - - - - - - - - - - - - - - - - - -- - - -- ❑ N/A aYEs ENO
>50 ft. from wells? - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ ❑
2 >50ft. from surface water? - - - - - - - - - - - - - - - - - - - - - - - - ❑ ® ❑
Hg< Cleanout between building and tank? -- - - - - - -- - --- - - -- - - El ® El
O Tank baffles present? - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ ® ❑
a24"access risers over each compartment?- - - - -- - - - -- - - - - - ❑ ® ❑
W Effluent filter installed?-- - -- - - - - - - - - - - - - - - - - -- - - -- ❑ ® ❑
L
I Septic tank capacity (working) 1000 gal Manufacturer EXISTING
O D-box water level and speed levelers used? -- - - - - - - - - - - - - - El WA K YES ❑ No
SO Manifold/D-box accessible from surface?- - - - - - - - - - - - -- - - ❑ ® ❑
QQ Check valves installed? - - - - - - - - - - - - - - - - - - - - - - - - - .. El ❑
f Transport Line Size 4" Schedule/Class 3034
Bedrooms installed (check one) M 2 ❑3 ❑4 ❑ 5 ❑6 ❑CommerciaVOther
>1 Oft, from foundation?- - - - - - - - - - - - - - - - - - - - -- - - - - ❑ NIA ® YES ❑ NO
0 >100 ft. from wells?- - - - - -- - _ - - - - -
Wwater?
_ ❑ ® ❑
>t00 ft. from surface water? - -- -- - - -- - - - - - - - - - - - - - - - El ❑
M 10 ft. from potable water lines? - - - - - - - - - - - - ❑ ® ❑
> 5ft. from property lines and easements?- - - - - - - - - - - - - - - - ❑ ® ❑
> 30 ft. from downgradient curtaintfoundation drains? - - - - - - - - - - M ❑ ❑
Drainfield level and observation ports present ❑ M ❑
❑ Graveless chambers or M Clean gravel used? (check one)
Proper cover installed over drainfield?- - - - - - - -- - ❑ ® ❑
Pump tank setbacks consistent with septic tank?-- - - - - ❑ NIA ❑ YES M NO
ZPump tank capacity (flood) at Manufacturer
Q 24"access riser(s)and accessible from surface?- - - - - - ❑ ❑ ❑
H
d Alarm or Control Panel Installed? - - - - - - - ❑ ❑ ❑
Control Panel equipped with Timer/ETM/Counter- - - - - - - - - - - ❑ ❑ ❑
d !Pump installed in ❑ Bucket or ❑ On Block or ❑ Other \
fIPump Make/Model ❑ Floats or ❑ Transducer
d �Tank draw down in/min Pump capacity gpm Squirt Height ft
,Pump on time Pump off time Daily flow set at gpd
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Mason County OSS Installation Report pg. 2 "arcel a 31904-53-00075
ABANDONMENT RBC RD. - . - . - -• -----
lV.r eziating wept¢ Components, abandoned as Pan of this project? - - --- -- - YES ® No
! t If ve:, please describe
$I Were all componams pumped out and properly abandoned Per WAC246.2724-0306n - -- - - - Yes NO
7F�_--- RECORD DRAIflIIIJG
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4• .- [1 Record Drawmg Attached
,•�_, w Gt. TICATI OF I. .. TAL. TION r
I ST that l installed -_. . ..
' r INSTALLER DESIGNER/ENGIPIEER
` lly alled the system In accordance with I certify that the system has been installed in actor-
( ti a septic design stamped-APPROVED by Mason dance Both the septic design stamped'APPROVED'by
II 3ounty Public Health and that any deviations shown Mason County Public Health and that any deviations
I here have been clearad/approved by both the designer shown here have teen cleared/approved by both
f and Meson County Public Health and meat all Stare myself and Mason County Pubic Health and moot all
I and Mason County Codes State and Mason. County Codes
I further certify that all Information contained on this I further certify that all info ,nahnn contained on this
{ inrn:and attached Record Drawmg is accurate form and attached Record Dreivmg Is accurate
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E4 Sipratue oflnsta/ler Dam
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nied%intod Name of Sgnee MAPON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and Rent,Drawing on behalf of Mason County Public 11\
Health.
Signature o/Envitonmental Health Specialist Date (stamp.signature and date)
a� . .� THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIO VIEW ON THE MASON COUNTY INEB SITE °e"Na eo'n-^ie4
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APPROVED
AVG 0 6 2024
............- _
MASON COUNTY ENVIRONMENTAL HEALTH
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