HomeMy WebLinkAboutSWG2022-00243 - SWG As-Built - 10/8/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 2022-00243 Parcel# 31901-31-00220
Applicant Name Alec Menke Subdivision (Name/DivBbck/L.ot)
Applicant Address 1909Patterson Rd.
City, State, Zip Shelton,WA 98584 Installer Name Buck,Menke
Site Address 4961 S.E. Lynch Rd., Shelton Designer Name Dale L.Table
INSTALLATION CHECKLIST
Full System Installation ❑Tank(s)Only ❑Drainfield Only ❑Repair ❑Other t
System Type Pressure Trenches PretreatPretreatmenty (Tye>5 ft.from foundation? -_________________________- ❑WA 0>50ft from wells? -___________________________-- ❑ e
14 R ❑
>50ft.from surface wate -______________________- ® ❑
H Cleanout between building and tank? ------------------- ❑ ® ❑
V Tank baffles present? - -- -- ---- ------------------ ❑ ❑
a24"access risers over each compartment?-______________- ❑ e ❑
yEffluent filter installed?- --------------------------- ❑ ® Cl
Septic tank capacity(working) 1,250 aW Manufacturer Sound Placement
�O D-box water level and speed levelers usetl? -------------- - ■WA El YES NO
00 Manifold/D-box accessible from surface?---------------- - ❑ e ❑
a?Z Check valves instilled? ----------------- --------- ❑ . ❑
Ca
Z Transport Line Size 2 inch Schedule/Class gch,qp
Bedrooms installed(check one) ❑2 ❑3 ®4 ❑5 ❑6 ❑CommerdaVouw
>10ft.from foundation?-------------------------- ❑ NA ❑yes El No
G >100 ft.from wells?----------------------------- ❑ ❑
W >100 ft.from surface water? -______________________ _ ❑ ❑
CC Z >10ft.from potable water lines?--------------------- - ❑ ❑
i >5 ft.ft=property lines and easements?---------------- ❑ ❑
a >30 ft.from downgradient curtaintfoundation drains?----_____- ❑ ❑
Drainfield level and observation ports present ----- ❑ e ❑
❑ Greveless chambers or E Clean gravel used? (check one)
Proper cover installed over drainfield?--- - --------------- ❑ ® ❑
Pump tank setbacks consistent with septic tank?------------ - ❑ WA ■ YES ❑ No
ZPump tank capacity(flood) 1,200 at Manufacturer Sound PlaCdnent
Q 24"access riser(s)and accessible from surface?------------- ❑ ❑
O~. Alarm or Control Panel lnstalled7 -------------------- - ❑ E ❑
jControl Panel equipped with Timer/ETM/Counter----------- ❑ ❑
a- Pump installed in ❑ Bucket or a On Block or ❑ Other
CL
Pump Make/Model Liberty 290 Floats or ❑Transducer
IL Tank draw down 2.25 in/min Pump capacity 45 apm Squirt Height 10 ft
Pump on time 2 min, Pump off time 5 hrs. 58 min. Daily fkmr set at 360 apd
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APPROVED
OCT 08 2024
MASON COUNTY ENVIRONMENTAL HEALTH
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