The URL can be used to link to this page

Home My WebLink AboutSWG As-Built - 7/24/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/PERMIT INFORMATION Permit Number SWG2021-00405 Parcel# 22233-51-00004 Applicant Name Mark Spaur Subdivision (Name/Div/Block/Lot) Applicant Address 37611 -17th PL.S. City, State, Zip Federal Way, We 98003 Installer Name Manke Excavating Site Address 4400 Mason Lake Dr. W. Designer Name Bob Payne INSTALLATION CHECKLIST E Full System Installation ❑Tank(s)Only ❑ DralnNeld Only ❑Repair ❑Other System Type Pretreatment-Drip Pretreatment Type Nuwater BNR 500 >5ft.from foundation? --------------------------.- ❑WA Eyes E] NO >50ft.from wells? ---------------------------- - ❑ ® ❑ Z >50ft.from surface water? - - - -- ------------------- E ❑ ❑ rCleanout between building and tank? ------------------ . ❑ E El L) Tank baffles present? -- - -- - - - ------------------. ❑ E ❑ a24"access risers over each compartment?---------------- ❑ E ❑ rW Effluent filter installed?- - - - - - - - ----- ---- -- - - ----- - E ❑ ❑ Septic tank capacity(working) Nu Water gal Manufacturer Sound Placement �0 D-box water level and speed levelers used? -------------- - EWA El YES NO 00 Manifold/D-boxaccessible from surface?-- --------------- ❑ E ❑ CQCheck valves installed? ---------------.- ❑ E ❑ f Transport Line Size 1" $pydulal(3Sp 40 Bedrooms installed (check one) ❑ 2 03 ❑4 ❑5 ❑6 ❑Commercial/Other >10ft.from foundation?- - - - - - -- - ------------------ ❑ wA Eyes NO G >100 ft.from wells?----------------------------- E ❑ ❑ W >100 ft.from surface water? - -- - -------------------- ❑ E ❑ M >10 ft.from potable water lines?-- -------------------- ❑ E ❑ QZ >5ft.from property lines and easements?--------------- - E ❑ ❑ K >30ft.fromdowngradientcurlain/foundation drains?---------- ❑ E ❑ Drainfield level and observation ports present - -- -- ❑ E ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfeld?------ ---- ---- -- -- - Pump tank setbacks consistent with septic tank?------------ - ❑ wA Eyes El NO ZPump tank capacity(flood) 1500 at Manufacturer Sound Placement < 24"access riser(s)and accessible from surface?------------ - ❑ E ❑ dAla"or Control Panel Installed? --- -- - - - - ----------- - ❑ E ❑ Control Panel equipped with Timer/ETM/Counter---- ---- --- ❑ E ❑ a Pump installed in ❑ Bucket or ❑ On Block or ❑ Other Flow Inducer fl Pump Make/Model Turbine E Floats or� ❑ Transducer d Tank draw down N/A intmin Pump capacity 3.15 npm Squirt Height WA ft Pump on time 9 min Pump off time 2 hrs Daily flow set at 340 gpd ure Wimre Mason County OSS Installation Report pg. 2 Parcel It 22233-51-00004 ABANDONMENTRECORD Were existing septic components abandoned as part of this pmlect7 -----------___ . DYES NO If yes,please describe: Were all components pumped out and properly abandoned per WAC248-272A-03007 -------- NO RECORD DRAWING 1NP Y�pmlmrmlR lmule uM mart M xeevN uk awaaPan mnaupF m nbum In tln wC W vWrbunw mtlryNm uM Mom berm. 1bY I Pro0 OnMnY vmWn: bmMtl�mrameaNM�tlrl t sYmA bPa/WmPmM bullet.NwN rmx.nmmbmbN,mlfaiY W PePu�adAbq,buYm Nwl6 tntseY xmm.omrnlbn W'1L rlurcmh.W mRrnWmmrxam®u WNn. NmnPW fYmJ p1Mnp�meYameb b4ilgW M1eP bNW MYIYMmOWmtrrtl N4Y Wmb. ® Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I certify that I Installed the system in accordance whh I certify that the system has been Installed in accor- the septic design stamp ad'A PPRO VED I by Mason dance with the septic design stamped`APPROVED'by County Public Health and that any deviations shown Mason County Public Health and that any deviations here have been cleared/approved by both the designer shown here have been cleamdlapproved by both and Mason County Public Health and meet all State myself and Mason County Public Health and meet all and Mason County Codes. State and Mason County Codes l further codify that all Information contained on this I further certify that all information contained on this form and attached Record Drawing is accurate. form and attached Record Drawing is accurate. 91'qnatu oflnstaller Data Bucket/Menke Printed Name of Signee MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and sP't'r" Record Drawing on behalf of Mason County Public exPlRse Health: 7 (( u Signature or EnNmnmenfal H..ah Spedal/at Date (stamp,signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE upbl wlsffle �VIA,, APPROVED N �N � JUL 24 20A /°tom MASON COUNTY ENVIRON MENTAL HEALTH RET REVISED DRIVEWAY 100% RESERVE EX15T, WELL 3 ALLEN gyp- \ / / 22.5'x 30' PRIMARY (675 SOFT) i 5UB5UR FACE DRIP AREA PER DESIGN ti ce EXIST. WELL SIFFERMAN LLC A � TRANSPORT ; �\ & RETURN LINES EXIST. WELL \ SPAUR APPROXIMATE \\ — NEW HOME " 1 NUWATER BNR500 n V & PUMP TANK IL Y w<LLX "LZ: RECORD DRAVMG MASON LA,4CE CUSTOMEPIONEER DIGGING, NC- PAR EL*Rj�,SE 004: MARK R TFS7 FkU l TEST HJLE 2 TEST H XL 3: SEPTIC DESIGNS ADDR LRN 4400 MASON LK DR W 0,31 GLS P34 GLS 0-36 GLS IM3EMA IN FJN NRD. GRM 1E ,,WAWN DESIGNER. R.OBFILTRPAYSSE 3NT¢L KOT - 3N3IlL R+TILL 2 3O TILL 34 ROOTS-36 OFRCE 3«F41b4AA.3 FAX-360-42]-z353 DESIGN PAGE ASBUILT