HomeMy WebLinkAboutSWG2024-00214 - SWG As-Built - 9/16/2024 f
/
Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 2024-00214 Parcel # 32232-50-21006
Applicant Name Austin Brereton Subdivision (Name/Div/Block/Lot)
j Applicant Address 25381 N.US Hwy 101
City, Stale,Zip Hoodsport WA,98548 Installer Name T.J.Goos
Site Address 51 E.Galliano Dr., Union Designer Name Dale L.Tahja
INSTALLATION CHECKLIST
Full System Installation ❑Tank(s)Only ❑Drainfield Only ❑Repair ❑Other
System Type Gravity Trenches Pretreatment Type
>5 fL from foundation? ---------------------- ___ [I WA ■YES ❑ NO
>50 fL from wells? - - ---------Em
Z >50 ft from surface water? -_____ �nI ❑Cleanout between building and tank? - (� - ❑Tankbafespresent? -- ----- -- u ❑24"access risers over each cempartin --- ❑ ErW Effluent filter installed?----- -- -- - ❑ N ❑
Septic tank capacity(working) 1,250 oat Manufacturer Hagerman
O D-box water level and speed levelers used? -------------- - ❑ WA ®Yes E] NO
QO Manifold/D-box accessible from surface?---------------- - ❑ e ❑
m= Check valves installed? - - - -- - - --- ---------------- 0 ❑ ❑
oa
f Transport Line Size 4 inch SdtaMleMAess 3034
Bedrooms installed(check one) ❑ 2 ❑3 ®4 ❑5 ❑B ❑CommerclaWther
>10ft.from foundation?-------------------------- ❑ WA ■YES E] NO
C >100 ft.from wells?----------------------------- ❑ E ❑
W >100 ft.from surface water? ----------------------- - ❑ ❑
iI >10R from potable water lines?--------------------- - ❑ ❑
ZQ >5ft.from property lines and easements?---------------- ❑ ❑
R' >30 ft.from downgradient witainlfoundaflon drain?---------- ❑ ❑
Drainfield level and observation ports present -- --- ❑ E ❑
Graveless chambers or ❑ Clean gravel used? (check one)
Proper cover installed over drainfiekl?- ------------------ ❑ E ❑
Pump tank setbacks consistent with septic tank?------------ - ❑ WA ❑ YES ❑ No
Y Pump tank capacity(flood) gal Manufacturer
G 24"access riser(s)and accessible from surface?------------- ❑ ❑ ❑
~
a Alarm or Control Panel Installed? --------------------- ❑ ❑ ❑
g Control Panel equipped with Timer/ETM/Counter---------- - ❑ ❑ ❑
0- Pump Installed in ❑ Bucket or ❑ On Block or ❑ Other
e" Pump Make/Model ❑ Floats or ❑ Transducer
f
IL
Tank draw down in/min Pump capacity gpn Squirt Height ft
Pump on time Pump off time Daily flow set at gpd
uo arz�2ore
AfmDlt CCIIRa C88 uuhvS*w Report M 2 Pwcu
Wea udwm awk cmpwwu abondaed rvl of dffi fe*w •-------------- ❑.YO NO
e m plena dawibx
pumped stand mop*d ��-
ova
wml@ N p ❑ Iq
RECORD DRAWINA
TYr Yaee�rara aMWbi��w aeaaaaaM��wwbrrY•w.e a..r�na..wYa..rawa,a�rlwa.
ppNpolK YMtl��ee�eY.YiYnUgelterMYANbrb�lrllaF�r�rrnbrrar wl/iPo�arY4.
�idlnllaPrrbrirL�laarrlrY�a/err.�mlrrRl0o�60.�YPMaI1rtl�lMlCeaeMYYlYsl�pu'ASOrYMWm"
Reoerd Dm+O A
C X"Of . M"
I am*mat I bateNeddo ryatem in&wWd eoe wWr IOww Cat Ca"Jamm lae been itsww#19IXmn
da aspOD tleaign Moped pPPROVOr Dy Assn woos mM Ow maps,dae{ln aevnped•RPPROVID'by
Comfy pubHeMemo end Mat mW deVWM WVM AWM hue MPs beenHMO A 6Y
We tale bum deww*proved by betll the dsagnar dam
boM
and Mum CWW RAW HOW&end malt 88&W myaelfand hbeon OXN*RAW He end Mast aB
andmww Coalb'mw $09 Nd Mason Coaly Lldee
I*~ow*Met a/tAammdw owalnedon Mb 106wcw*OW all idu abn m/dNned on MIS
fumand eCldieA mvdDmwi6le8cm"", MMf and aMMW RWW i/accuraI&
9grwn±se In v _��y
HhbdObnradaa r,-
ntuwi tbutrr PUBLIC HEALTH
9
The wxbmWAd apptmwMb Inata/edon Repaf and ,00
Rood Dmwft on b"Of Hewn QolaW'r 6 L.Tabs V Nn
- LICENSED DES1f3NE -
HOW":
revn�v� I cOm2,4
s as dBMvansh HeeM 8pedabt Deb (aWip,aprrhea end dotal
TIM FOWMRfE OGANEDaoMNxLE FOR PLUM U@vaaymmAsomco rymewe uar danmw
4 `
7r �vs��r\ Brere�or�
p 00(o
opt\�
Sit or c� Qraw��a
5�a � AP P RSV Ep
SEp 16 202y
� tiJ1R�44EN1PlH�`1SH
-
w
6100214
E Dw L.TNye
LICENSED DESIGNER
It
1
�R
----® ��
I
. I o
ro