HomeMy WebLinkAboutSWG2024-00203 - SWG As-Built - 9/16/2024 ! �Y
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Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/PERMIT INFORMATION
Permit Number SWG 2024-00203 Parcel # 42216-52-00088
Applicant Name Tara 8 Jay Jer ells Subdivision (Name/Div/Block/Lot)
Applicant Address P.O. Box 1933 Lake Cushman Div. 12 Lot 88
City, State,Zip Shelton, WA 98584 Installer Name T.J. Goes
Site Address 70 N. Kingsway S..Hoodsport Designer Name Dale L.Tahja
INSTALLATION CHECKLIST
® Full System Installation ❑Tank(s)Only ❑Drainrield Only ❑Repair ❑Odw
System Type Oscar OS-100 drip irrigation Pretreatment Type
>5ft.from foundation? --- ------------ ----------y-- ❑WA YES E] NO
>50 ft.from wells? .-- ---------- _ _-----,-r0'._ ❑ El
>50 ft.from surface water -- ---- -- _` ❑ ❑
FCleanout between building and tank? - - ------ -
Tank baffles present? -- -- - - - - - - - � ❑ ❑
a24"access risers over each comparlme ----- ---`- - ❑ ■ ❑
W Effluent filter installed?----- --- -- -- ------ -- ❑ E ❑
Septic tank capacity(working) 1.000 ga, Hagerman
O D-box water level and speed levelers used? -------------- - 0WA ❑YES NO
OLL Manifold/D-boxaccessible from surface?---------------- - ❑ El
OQ Crack valves installed? -- -- - --- -- -------- ---- ---- ❑ ® ❑
2 Transport Line Size I inch Schedule(Class Sch.40
Bedrooms installed(check one) ® 2 ❑3 ❑4 ❑5 ❑6 ❑CommardallOther
>10ft.from foundation?---------------- ---------- ❑ NIA . YES ❑ NO
>100 ft.from wells?- --------------------------- ❑ ❑
W >100 ft.from surface water?----------------------- - ❑ ® ❑
LL >10ft from potable water lines?--------------------- - ❑ ® ❑
?Q >5ft.from property fines and easements?-- -- ------------ ❑ ® ❑
C >30 ft.from downgradient curtain/foundation drains?--------- - ❑ e ❑
Dminfield level and observation ports present - -- -- ❑ e ❑
❑ Graveless chambers or n Clean gravel used? (check one)
Proper cover installed over drainfield?------------------- ❑ ❑
Pump tank setbacks consistent with septic tank? ❑ NIA i YEs ❑ NO
Y Pump tank capacity(flood) 1,000 gal Manufacturer Hagerman
G24"access risers)and accessible from surface?------------- ❑ E ❑
SAlarm or Control Panel Installed? - -- - - - ----------- -- --- ❑ ® ❑
? Control Panel equipped with Timer I ETM/Counter----------- ❑ E ❑
IL Pump installed in ❑ Bucket or a On Block or ❑ Other
Pump Make/Model McDonald E-30 GPM ❑ Floats or ®Transducer
ILTank draw down 0.1 in/min Pump capacity 50 gpm Squirt Height Drip ft
Pump on time 0.32 min. Pump off time 3.68 min. Daily flow set at 2400 pit
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