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SWG2024-00125 - SWG As-Built - 9/24/2024
Mason County OSS Installation Report pg. t MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SwG 2024-00125 Parcel# 22005-53-00077 Applicant Name JACg Subdivision (Name/Div/Block/Lot) Applicant Address 1800AKE LOOP RD City, State, Zip SHE584 Installer Name SCHOENING EXC ATION LLC Site Address SAM Designer Name CINDY WAITE INSTALLATION CHECKLIST dto ® Full System Installation ❑Talk(s)Only ❑ Drainfeld Only ❑Repair ❑Other R ZQ System Type PRESSURE Pretreatment Type D >5 ft. from foundation? - __ _ ___ _ _ _ _ ______________ _ - ❑ NrA ®ves >SOft. from wells7 - _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ___ ___ __ __ _ . ❑ ® ❑ 2 >50ft. from surface water? -- - - - - - - - - - - --- - - - - - -- - - ❑ ❑ FQ- Cleanout between building and tank? -__ __ __ _ __ _ _ __ _ _ __- ❑ ® ❑ U Tank baffles present? - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - ❑ ® ❑ a24"access risers over each compartment?-- - -_ __ ❑LU ® ❑ y Effluent filter installed?-_ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ __ - ❑ ® ❑ Septic tank capacity(working) 1000 gal Manufacturer NOT KNOWN EXISTING J D-box water level and speed levelers used? - _ _ _ __ _ __ _ _ _ _ _ - ® Nrq ❑ves ❑ No CLL Manifold/0-box accessible from surface?- - - - - _ _ _ _ _ ❑ ® ❑ of Check valves installed? - - - - - - -- - - - - - - - - - - - - - - -- - - ❑ ® ❑ Transport Line Size 2 Schedule/Class SCHEDULE 40 Bedrooms installed (check one) ® 2 ❑3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10ft. from foundation?- - - - - - - - --- - - - - -- - - - -- --- - ❑ WA ® YES ❑ NO >100 ft. from wells?- - -- - - - - - -- - - - -- -- - - - - - - - - -- - ❑ ® ❑ >100 ft fromsurface water? -- -- -- -- -- - - - - - - - - -- -- - - El Z >10 ft. from potable water lines?--=S�7_ _ _ _ _ _ _ _ _ _ ____ _ ❑ ❑ a >5 ft. from property lines and easements?- - - ---- - - -- - - - - . ❑ ❑ Q > 30 ft. from downgradient curtain/foundation drains? - - - - - - - - - - E ❑ ❑ Drainfield level and observation ports present - - - - -- - - - --- - - ❑ ❑ ❑ Graveless chambers or 0 Clean gravel used? (check one) Proper cover installed over drainfeld?--- - - - -- - - - - -- - - -- - ❑ ® ❑ Pump tank setbacks consistent with septic tank?-- ----- - - - - - - ❑ NIA YES ❑ NO Z Pump tank capacity(flood) 1060 cal Manufacturer INFILTRATOR H 24-access riser(s)and accessible from surface?--- - -- _ ___ _ _ . ❑ ® ❑ a Alarm or Control Panel Installed? - -- - - - - - - — - -_ _ _ _ _ __ _ ❑ ❑ Control Panel equipped with Timer ETM/Counter- - - - - - - - - -- ❑ ❑ IL Pump installed in ❑ Bucket or R On Block or ❑ Other Ill. Pump Make/Model LIBERTY 280 ❑ Floats or ® Transducer IL Tank draw down 1.5 in/min Pump rapacity 21 apm Squirt Height 5 fl Pump on time 1 MIN Pump off time 6 HOURS Daily flow set at 180 gpd Mason County OSS Installation Report pg. 2 Parcel# 22005-53-00077 ABANDONMENT RECORD Were existing septic components abandoned as pert of this project? - - - - -- - - -- - -- - - YES © NO If yes, please describe: Were all components pumped out and property abandoned per WAC246-272A-0300? -- - - - - - - YES ❑ NO RECORD DRAWING This K a puma a ramm ana must be.aunty m4 awrlM...sin In n-I°pm In au n.M°r m .Mamma.mnivines and Mun dwetopment lone,Remra DrrvMq.mmain'. DralMRld a mmdy.W W-Win a land ,Sd,,mmp tank lodatim.Nmh arrov,ra .dninfiald,.IWW9 and P.I.b.ildlnpa,Wwion W walla,ydy,mds, Mild,obwnelim dons,dleanouN,and other maManance ecross points. Innomplae Ra onnah,may dread,addunnal dNays In IInW undlation approval and reland umis c� aap�J b�.rs h ynl-l% /71 /tea»,P T4-df f&r d;/�.,, choalgr,J Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I certify that I installed the system in accordance with I certify that the system has been installed in accor- the septic design stamped'APPROVED"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 clearad/approved by both the designer shown here have been cleared/approved 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 I further certify 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. T 7 (7_-t Signature of Installer Date Ant �L,,wevt Printed ame o/Signee MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and �t CINm f. rvatrE LICENSE!',nESIGNER Record Drawing on behalf of Mason County Public rnr<cc� Health. EItVINEa cS'9 Signature of Environmental Health Specialist Date (stamp,signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE uunsadeavmle �PPR ED SEP 2 4 2024 � MA N�Q�NTYENR�ONMENTALHEALTH 1 l � a n page r � 52) Ll4A- abo � c rv..r Doom 440kwUCEN9Fp DE8i0�NEN i �' u•w�s as�a ^ rca( 110, � u m N P 1 ii �y 01 G1 A ' m0 > m 11 as s 3 CL a a Q to 1 (O `Z C (no)) (pp O < n \emu o. o A7 O N y � a o d o N C (O fD auto a a 0 R 3 e 7CD Y Fj 7 W 2 P ROVE PR 0 3 2024 -- �oa Lateral#'i _length__ : Length Orifice # Distance from Distance from end Length_ # (Feet) (Inches) Spacing I' Orifices _ feeder line of end of lateral T 1.5 1 15 1 15 180 30 6 2 15 180 _ 30 6 1.5, _ _ 1 15 _ 3 151 _180 30' 6- 1.5' 1 15 4' 15_. - - 180� 30 6 1.5 — _ I—_ . ._ .. �5I� � 15, 180 30 6 1.5 1. 15 _6 15 180 30 6 1.5 1 . .. 15 36 TRANS LENGTH 25 - GPM _ 21.24 K (211_S_CHEDULEN 40) 284.5 - -- FRIC_TION LOSS 0.2056476 - '- - - Squirt 2 _ -- Elevation difference - 10 - TDH 12.205648 APPROVED SEP 24 2024 MASON COUNTY E/NRONMENTAL HEALTH f�VI JEJ IG k/d�5t✓ 7u' � e � i` v CINoy EE WAIM T� LICENSED DESIGNER EW11 JYIb Rhonda Thompson From: Brayden Schoening <brayden@schoeningex.com> Sent: Tuesday, September 24,2024 7:38 AM To: Rhonda Thompson Subject: Re:SWG2024-00125 Caution:External Email Warning!This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender,are expecting the email, and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. 1800 E Phillips Lake Loop Rd Upon installation of this new septic system we ran into the water line that services the house and broke it.While we had it cut apart we ran the sewer underneath the waterline and sleeved the sewer tine with 10'of 4"pipe,5'on either side of the waterline.We also sleeved the waterline roughly Tor either side of the sewer line.Since the waterline had to be fixed,we installed a new ball valve with a riser and lid to ground grade so that it was visible and accessible in the future. I — � APPROVED SEP 24 2024 MASON COUNTY BVIRONMENTAL HEALTH RET