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Home My WebLink AboutSWG2022-00621 - SWG As-Built - 11/1/2024 EFIC 4 Mason County OSS Installation Report pg. 1 MASON COUNTAPPLICANT/PERMIT INFO Permit Number SING 2022-00621 Parcel# 22103-52-00034 Applicant Name Tim Spears Subdivision (Name/Div/Block/Lot) Applicant Address 16519-91st Ave.Ct. City, State,Zip Puyallup,We 98375 Installer Name Spear Construction Site Address 840 Benson Lake Drive Designer Name Bob Paysse INSTALLATION CHECKLIST Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type ATU-Pressure Pretreatment Type NuWatar BNR 500 >5 R from foundation? ----------&Q-0Q`- 'Jtd- ____.. ■w, YES No >50ft.from wells? ---------------------------- - ❑ S „y El=Y >50fl.from surface weter7 ------------------------ ❑ '( ❑ FCleanout between building and tank? ------------------ ❑ ❑ U Tank baffles present? -______ ____________________ ❑ ❑ a24"access risers over each compartment?---------------- ❑ ❑ LU N Effluent fitter installed?--------------------------- 0 ❑ Septic tank capacity(working) 1150 ad Manufacturer Sound Placement 0 D-box water level and speed levelere Used? -------------- - . NIA ❑YES NO U. Manifold/D-box accessible from surface?---------------- - ❑ e ❑ C2 Check valves installed? --- ------------------ ---- - ❑ ❑ Transport Line Size 2" Schedule/Class 40 Bedrooms installed(check one) ❑ 2 03 ❑4 ❑5 ❑6 ❑Commercial/Other >10ft.from foundation?------------------------- - ❑ NIA ■YES NO >100ft.from wells?----------------------------- ® ❑ ® ,,,( W >100 ft.from surface wateR ------------------------ ❑ JJJ r ❑ u_ >l0ft.from potable water lines?---------------------- 2 l ® � ,,y �� ❑ >5ft.from property lines and easements?--------------- - ❑ ® ❑ >30 ft.from downgradient curtaintfoundation drains?---------- Drainfield level and observation Cl ® ❑ports present -------------- ❑ Graveless chambers or ® Clean gravel used? (check one) Proper cover installed over drainfield?------------------ - ❑ ❑ Pump tank setbacks consistent with septic tank?------------- ❑ WA YES ❑ No ZPump tank capacity(flood) 1500 at Manufacturer Sound Placement H 24"access dser(s)and accessible tram surface?------------ - ❑ ❑ t1 Nann or Control Panel Installed? ------ -- ------------ - ❑ ® ❑ 7 Control Panel equipped with Timer/ETM/Counter----------- ❑ ❑ a Pump installed in ❑ Bucket or E On Block or ❑ Other 1 Pump Make/Model Liberty FL 100 Floats or ❑Transducer f d Tank draw down 2 in/min Pump capacity 30 gpro Squirt Height 24• ft Pump on time 1.5 min. Pump off time 3 him Daily flow Set at 360 apd wa.Nnararmts Mason County OSS Installation Report pg. 2 Parcel u 22103-52-00034 ASANDONMENTRECORD Were existing septic components abandoned as pert pf this project? - - YES ® NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A.03007 ------- - ❑ YES NO RECORD DRAWING TN.l..--an..r.m.d.ad m.rt a.—rau as deaadvam..n 0 m o—lwa...1...d or malmaa—a rrnlaa and rmua na ad.m.m. rygml 1. .—.,tuu m, o-I.a- s as oner..a le}o0.Sepru Wmp---a v.nn.,r naeane a,emn.u...ae,y..d.mpiwud =mmn af—la,.�nure� wale.o05arvamn Wnecka,auu OM o ff manalna—'"aaa WM. fi—n eRem,.ommnts may veale WdW.nai delay.mfinal inaMlali.nzpn,or.I.M Maur w,mN. ® Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNERI ENGINEER I certify that I installed the system in accordance with I certify that the system has been installed in accor- me 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 cleared/approved by both the designer shown here have been clearedrapprovad by both and Mason County Public Health and meet all State myself and Mason County Public Health and meat all and Mason County Codes. State and Mason County Codes 1 further certify,that all information contained on this I further certify that all information contained on this form nd attached Record Drawing is accurate. form and attached Record Drawing is accurate. L.2fL 5/9/23 Srenef oflnsful r Date LOOan Spear O Penfed Name of Signes MASON COUNTY PUBLIC HEALTH ..d.&'.ea«.. The undersigned approves this Installation Report and - - - - ' Record Drawing on behalf of Mason County Public =_xmass Health.' Signature of Enwronme tal Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR MJBUC NEW ON THE MASON COUNTY WEB SITE Lvde.d Arz�x�s EXISTING- 75 BfNSpN�KEOp/ f I 1 WELL I --I WATERLINE "� •�_'"--_'�. �� (SLEEVED) EXIST. WELLEXIST. EXIST O,9 / i jl WELL WELL ` \ INSTALLED 1 i DRAINFIELD j 666 �i t II / EXIST. I �ppl WELL `ice I APPROX. BUILDING I AREA TANK5 LOCATION 50'FROM SHORELINE & WELLS APPROVED 1 � � I NOV Oil 2024 APPROX. I MASON COUNTY ENyRONMENTALH SHORELINE i qET I I I 1, I 1 1 ... . .. ._ . .. ..... ExPogES I PIONEER DIGGING, INC G`RTD"'�" ""'BARS rn .CO.r.71103i2-000M Tf F XE t M-T B z SEPTIC DESIGNS ADDREs; W BEMM LAKE DR m43"C O`WB 4r.GT W.' 3Ud3 E NA M BP.\M'RD. CRArBV V WA A95iG DESIGNER: ROBERT P D DR R�1�i5i3' R UTS36' FFKE-]fill4]bI8tY3 FA\-36P4D"2353 DESIGN PAGE RECORD DRA