HomeMy WebLinkAboutSWG2023-00531 - SWG As-Built - 8/27/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INKORMATION
Permit Number Si 2023-0053 of ( 32232-50-09006
Applicant Name Linnea&Ken Fol Sub ' on (Name/Div/Block/Lot)
Applicant Address 160 E.3rd St ii- -C
City, State, Zip Union WA 98592 Instal me Keith Chamberlin
Site Address 160 E.Ord St Union esigner Name Rod Left
INSTALLATION CHECKLIST
jj Full system Installation ❑Tank(s)Only ❑Drainfieltl Only ❑Repair ❑Other_
System Type Standard Pressure Pretreatment Type
>5 ft.from foundation? ---- -------------- El WA AYES ❑ NO
>50 ft.from wells? ----------------------------- ❑ 0 ❑
Y >50ft.from surface water? ------------------------ ❑ ❑
Z
FCleanout between building and tank? ------------------ ❑
U Tank baffles present? --------------------------- ❑ ON ❑
El.
24-access risers over each compartment?---------------- ❑ ® El
W Effluent filter installed?-------//-�-- ---- El ® El
Septic tank size y206(56La05 Manufacturer Infiltrator
O . D-box water level and speed levelers used? --------------- ® WA ❑YES E-] NO
XOO .. Manifold/D-box accessible from surface?----------------- ❑ 0 ❑
o?Z Check valves installed? -- ------ ------------------ ® ❑ ❑
o¢
� Transport Line Size 2" Schedule/Class 40
Bedrooms installed(check one) ❑2 ®3 ❑4 ❑ 5 ❑6 ❑Commercial/Other
>10ft.from foundation?-------------------------- ❑ WA ®YES E] NO
1100 ft.from wells?----------------------------- ❑ N ❑
W
>100 ft.from surface water?------------------------ E] ❑R El
LL >10ft.from potable water lines?---------------------- ❑ Q ❑
Z .. >5 ft.from property lines and easements?---------------- ❑ ❑ ❑
Q
K ' >30ft.from downgredient curtain/foundation drains?---------- ❑
Drainfieltl level and observation ports present ----- ❑ 0 ❑
❑ Graveless chambers or N Clean gravel used? (check one)
Proper cover installed over drainfield?------------------- ❑
Pump tank setbacks consistent with septic tank?------------- ❑ WA 0 YES ❑ NO
Y Pump tank size 1000 at Manufacturer Infiltrator
Q24^access riser(s)and accessible from surface?------------- ❑ ® ❑
Il Alarm or Control Panel Installed? --------------------- ❑
Control Panel equipped with Timer/ETM/Counter----------- ❑ ❑
7
o- Pump installed in R Bucket or ❑ On Block or ❑ Omer
a Pump Make/Model Liberty 290 ❑ Floats or ❑Transducer
a
Tank draw down 2 in/min Pump capacity 1000 gpro Squirt Height 6'+ ft
'Pumpontime 1min21sec Pump off time 4hr Daily flow set at 359.92 opd
k
Mason County rt' °Parcel#
ABANDONMENTRECORD
Were existag septic componaMe abandoned as Part of thlS Project? ---- - ' ❑ YES
If yes Please describe:
Were all mmponents pumped out and property abandoned per WAC248,272A-03OW " "'-" ❑ YE
RECORD DRAWING
TM k a gmureM srd aM I�lusl b xcunb aM Gaecifptive oupa b n�M Na M W.mAlnbmma acWi Nexe MvabpmM �yar ReavO
(TglNpp pylyyl p2z11'rep 8 nmAOIE a%'I�I.LIrc.£Lry'a},Sry�1GPYTP Wk NxJ1— um M`m/—bOY-W,[a Wlne V*'IP +'mus Iaa0.Yl a'vreps.wad hi nrvs.
a19'aa+ILs.yv0.ga maSue[bnx aaCss Nos Inwllplete aeuM o2mFNs r'?yj me vMAFlmI4ebYSFlMwI rsN.n9almaDpr' aim relaUE pems:s
1 fi:rtV _
orm a
signature o.`IrsfaRer - a e
ed Marna of Signee
SON COUNTY PUBLIC HEALTH
itre undersigned approves this f lStalfation Repor.:
Record Dewing or,behalf of Mason County Public' -.
salth,
acute of Lmin0nment t HeaHfl SPectalnu Uate (stamp,
.THIS F{i ... FGRPU ON Thl MASON COUNTY VJE9 SfTe r1iW.f
; 5C0 `
> Zz > §
k m� 2k \§ Zz0c Z k§
°o
`(
|
t
§ c ) \ § / 2
xkj0xm \ ƒ
2 § i = . > 2 0
;a0 Z / 2 AK
/ ) ) B { | 2 f
mk > ; f � «a
( > x �� 0
> > Z -0 m \
` `Fn � G o Ocn
\ \ Mr �\ 0« ; 2 § f2 ƒj
\ m \ 2 &\ \
GX \ ; 2m g m rk -j
| 4 § m %o z
. P �K $\ ®
co co \ m2
2
m ( /§
§ m k$
) ƒ%
� ` §
m |
. jwr ` ; \ \
\ / m 4 ). , , . , Q
( \ § r z
( k m Q
_ . w�=��
. ., .
. , -----33 --
m e z = j -
§ m \ m § c,
) >
0
- � > ƒ
\ / \ } &
cn N } D e = 2
m � Q , f @ -u
) ca
2 e k / m
3p ` V F ; A � � O / '
% Ap � } •
/( 333 !
2 ) q `
c 72
(%