HomeMy WebLinkAboutSWG2024-00361 - SWG As-Built - 10/11/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 2024-00361 Parcel# 42209-50-00071 (� (�
Applicant Name June&Steve Guthde Subdivision (Name/Div/Block/Lot)
Applicant Address 1228Tower Ave. Lake Cushman Div.7 Lot 71 OCT 09 2 4 i.
City, State, Zip Raymond,WA 98577 Installer Name T.J.Goos By
Site Address N. Mt. Christie CL,Hoodspa Designer Name Dale L.Tattle
INSTALLATION CHECKLIST
® Full System Installation ❑Tank(s)Only ❑ Drainfiew Only ❑Repair ❑Other
System Type Gravity Bed Pretreatment Type
>5 ft.from foundation? --------------------------- E]We EYES El No
>50ft.from wells? ------------------------------ ❑ e ❑
Z >50 ft.from surface waler7 ------------------------ ❑ 0 El
FCleanout between building andtank? ------------------- ❑ ® ❑
t3 Tank baffles present? --- ------------------------ ❑ E ❑
C24"access dsers over each compartment?--------------- - ❑ ® ❑
W Effluent fitter installed?- - -------------------------- ❑ E ❑
M
Septic tank capacity(working) 1,250 Cal Manufacturer Hagerman
O D-box water level and speed levelers used? -------------- - ❑WA 0 YES ❑ No
00 Manifold/D-boxaccessible from surface?---------------- - ❑ ® ❑
U.
�?= Check valves installed? -- -- - - ------------ --- ----- ® ❑ ❑
l]Q
S Transport Line Size 4 inch Schedule/Class 3034
Bedrooms installed(check one) 02 ❑3 ❑4 ❑ 5 ❑6 ❑Commercial/Other
>10 ft.from foundation?--- ----------------------- ❑ N/A ®Yes NO
C >100 ft.from wells?----------------------------- ❑ ® ❑
W .100Rfrom surface water7 ----------------------- - ❑ ® El
1 >10 ft.from potable water lines?--------------------- - ❑ ® ❑
QZ >5 ft.from property fines and easements?---------------- ❑ ® ❑
K >30 ft.from downgradient curtain/foundation drains?---------- ❑ ❑
Dralnfield level and observation ports present----- ❑ IF ❑
❑ Graveless chambers or E Clean gravel used? (Check ale)
Proper cover installed over drainfield?------------------- ❑ IN ❑
Pump tank setbacks consistent with septic tank?------------ - ❑ N/A El YES ❑ No
X Pump tank capacity(flood) at Manufarfiaer
Q24"access riser(s)and accessible from surface?-- ----------- ❑ ❑ ❑
~ Alarm or Control Panel Installed? --- - ---------------- ❑ ❑ ❑
a
Control Panel equipped with Tmerl ETM/Counter----------- ❑ ❑ ❑
IL Pump Installed in ❑ Bucket or ❑ On Block Or ❑ Other
IL Pump Make/Model ❑Floats Or ❑Transducer
CL
a Tank draw down in/min Pump capacity apm Squirt Height ft
Pump on time Pump off time Daffy flow set at a
is Wlws
Mason court ()Ss instal► w Report M 2 PWealt �ii9- raCN-�' i
Ova NO
M yes,obese daeas+e:
w«aa ts purnped ad and PTOPMV a� rrswaaarl ----- O ❑ "b
RECORD DRAWMA
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■ Record Drawng Attached
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and Afason Courtly Codas
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- LtCEP7SED DESIGNER
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APPROVED
OCT 1 t 20za
MASON COUNTY ErRET NMENTAL HEALTH