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HomeMy WebLinkAboutSWG2024-00274 - SWG As-Built - 8/13/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2024-00274 Parcel# 32021-58-01013 Applicant Name Zenith Homes Subdivision (Name/Div/Block/Lot) Applicant Address 110 W K St, Suite C SHORECREST BEACH ESTATES#1 BILK: 1 LOT: 13 City, State, Zip Shelton,WA 985M Installer Name Bamford Septic Repair Site Address 20 E Sitka PI, Shelton Designer Name Arrow Septic Designs, Inc INSTALLATION CHECKLIST 0 Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other System Type Shallow Pressure Pretreatment Type NuWater BNR-500 >5 ft.from foundation? -- --- - -- ------ --- - - ❑NIA DYES ❑ NO >50 ft.from wells? -- - - - - - - - - - - - - --- - -- ❑ ® ❑ Z >50 ft.from surface water? -- - -- - - - --- -- - -- ❑ Q El FCleanout between building and tank? - -- - --- - - -- - ❑ 0 ❑ O Tank baffles present? -- - - -- --- - - - - - - - - - - - - -- - - - - ❑ ® ❑ 1,— 24"access risers over each compartment?--- - - --- - --- ---- ❑ ❑ LU Effluent fitter installed?- - - - wNfk - El El Septic tank capacity(working) NuWater 500 gal Manufacturer Sound Placement C1 D-box water level and speed levelers used? - - - -- ------ -- -- ❑ NIA ❑ YES ® r"C J O Manifold/D-box accessible from surface?---- - - - - -- - - - ---- ❑ ® ElI�M: Check valves installed? ----- - - - ---- - - ---- - - - ----- ❑ ® ❑ f f Transport Line Size 2 inch Schedule/Class 40 1 Bedrooms installed (check one) ❑ 2 ®3 ❑4 ❑ 5 ❑6 ❑CommerciallOther i >10 ft.from foundation?-- -- - ❑ NIA ® Yes 111 No IFa >100 ft.from wells?- ---- - - - -------- --- - - ---- -- - - ❑ ® ❑f W >100 ft.from surface water? - - - - - - -- - - - ----- - - -- - - - - ❑ ® ❑ M >10 ft.from potable water lines? ❑ a ❑ Z >5 ft.from property lines and easements? ❑ ® ❑ Q130ft.from downgradient curtain/roundation drain?--- - - - --- - ❑ ® ❑ Drainfield level and observation ports present --- --- - ---- - -- ❑ ❑ M Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?- ❑ Al ❑ Pump tank setbacks consistent with septic tank?-- - --- - -- - - -- ❑ NIA a YES ❑ NO Y Pump tank capacity(flood) 500/1000 at Manufacturer Sound Plc Combo pre-trash/pump Q24-access risers)and awesslble from surface?--- - --------- a ❑ ® ❑ F Alarm or Control Panel Installed? ----- - -------- --- - - - - ❑ ❑ Control Panel equipped with Timer f ETM/Counter ❑ Q ❑ 1 Pump installed in ❑ Bucket or 0 On Block or ❑ Other Pump Make/Model Zoeller N152 ® Floats or ❑ Transducer M Tank draw down 2" in/min Pump capacity 38 gpm Squirt Height 6 ft Pump on time 2.3 min Pump off time 6 hours Daily flow set at 360 gpd uoeamaai {2p2 � sg—olol�— # v Mason County OSS Installation ReportP9. 2 Parcel NDONMENT RECORD _______ YES � NO or? - Were existing "i components abandoned aS part of this Prot - [I YES NO If yes, please describe: r WAC24&2T24-03007 -- Were all components Pumped out and property abandoned Pa RECORD DRAWING'' TYOa Rama xmm maw,r.ver,e emm�ew,evmro and Paoaam dauegs.roman atweus.wmedinu. Tru e a Permanent rtwN antl mart Os accuMe enE GeAripEve eark M -- in N<" at mtlnYnmce aNVNm s neratlNon aGpm4 and rtleNd iMna^'' DraM,nps Wnrein'. DreinANd 6 manilddoNerladanNneryv aWu povN. iWncampleuSai �Reaard @—ilP mq vaaraaddldenel CdM in weAa.a -i,PMa.tlmnada,an Record Drawing Attached CERTIFICATION OF INSTALLATION _ DESIGNER/ENGINEER INSTALLER I certify that 1 installed the system in accordance with I certify that the system has been installed in BCPPr- the septic design stamped'APPROVED"by Mason Mason County Pubdam,a with the tlic Health and tic design hat any deviations by County Public Health and that any deviations shown here have been cleamovapproved by both the designer shown here have been dearedYdpprovetl by both and Mason County Public Health and meet all State 'i and Mason County Public Health and meet all and Mason County Codes. State and Mason County Codes I further certify that all information contained on this 1 further certify that all information contained on this form and attached Record Drawing is accurate. form and attached Record Drawing is accurate. 0"1 Z Signature of Instal IS d , printed Name of Sign" r MA90N COUNTY PUBLIC HEALTH ytdmaa The undersigned approves this Installation Report and PAULA doY JO 1N5 gip;, Record Drawing on behalf of Mason County Public 1:(CFi�1gE vr" t Health: $ A (stamp, signature and date) Signature of Environmental Health Specialist Data m.ame THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE s5l C I As B_ �frPSCcLF �2DLl-SQ- C' G'5 . . APR���'• DV3iN arts D PROM {/�JI VEj4il r_g YRAFFtc S� INAPPROVED AUG 13 2024 MASON COUNTYENORONMENTAL H Oz Cleaaout RET = y' G y� PAULA JOV JOHNSON '. ONuWatc H?vZ2-300 A'Sti /^ UD © 1,000 GaL=�-_n O6 Valve cma-oi SOX