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Home My WebLink AboutSWG2024-00009 - SWG As-Built - 10/25/2024 �' OCT 15 2026 Mason County OSS Installation Report pg. 1 MASON UNITY PUBLIC HEALTH APPLICANT/PE Permit Number SWG 2024-00009 Parcel# 22104-52-00068 Applicant Name John McGary Subdivision (Name/Div/Block/Lot) Applicant Address 5821 NE Park Point Or City, State, Zip Seattle We 98115 Installer Name Spear Construction Site Address 1380 Mason Lk. Dr. E. Designer Name Bob Paysse INSTALLATION CHECKLIST Full System Installation ❑Tank(e)Only ❑Drainreld only ❑Repair ❑other System Type Pressure Pretreatment Type >5ft.from foundation? ---------------------------- NIA ❑Yee ❑ NO >50ft.from wells? ----------------------------- ❑ ❑ Y >50ft.from surface water? ------------------------ ❑ ® ❑ Z FCleanout between building and tank? ------------------ - ❑ ❑ V Tank baffles present? ----- ---------------------- ❑ ❑ S24"access risers over each compartment?---------------- ❑ ❑ W Effluent filter installed?------------ ----- -- ------ 1-3 El N Septic tank capacity(working) 1500 gal Manufacturer Sound Plaarrlsnt G D-box water level and speed levelers used? --------------- WA ❑1r NO DJ OLL Manifold/0-box accessible from surface?----------------- ❑ m Check valves installed? ---- ---------------------'- ❑ ❑ U:E Transport Line Size 2" Schedularless 40 Bedrooms installed (check one) ❑ 2 E3 ❑4 ❑5 ❑6 ❑CommerciaYOther >10ft.from foundation?-------------------------'- ❑ WA Yes ❑ No >100 ft.from wells?----------------------------- ❑ ❑ W >100 ft.from surface wateR------------------------ ❑ Cl LL >10ft.from potable water lines?---------------------- ❑ ❑ >5ft.from property lines and easeents?--------------- - ❑ ❑ >30ft.from downgradient curtain)foundation drains?---------- ❑ ❑ Drainfield level and observation ports present -------------- ❑ ® ❑ ❑ Graveless chambers or E Clean gravel used? (check one) Proper cover installed over drainfield?------------------ - ❑ ❑ Pump tank setbacks consistent with septic tank?------------ - ❑ WA ® vas ❑ No W Pump tank capacity(flood) 1500 sal Manufacturer Sound Placement Q24"access user(s)and accessible from surface?------------ - ❑ ❑ aAla"or Control Panel Installed? --------------------- ❑ ® ❑ 7 Control Panel equipped with Timer ETM/Counter----------- ❑ ❑ ❑ 6. Pump installed in Bucket or I& On Block or ❑ Other fPump Make/Model Ubarty 280 Floats or ❑Transducer 4 Tank draw down 91j-' lnlmin Pump rapacity /p71 pm Squirt Height Y.:� ft Pump on time 1 .as Pump off time b ^YSi Daily flow set at_jAgLgpd uoe..aszvmre Mason County OSS Installation Report pg. 2 a Parcel# 22104-52-00068 ABANDONMEN7RECORD Ware existing septic OOMPgrents ebandonad as part of this If Yes, Please ddWribe: Pmject9 ________ _ YES Q NO Were all components Pumped oul and properly ahandored px WAC243-2724-0300?------- El YES Q NO na[a[Pamelarx..ePm[na sent w RECORD DRAWING emu na wM a.[e P- t"b m r N" m n.a..a M mamnnmp.aarmrx.anti xaun e.Y CnMNa maalsln' enl�Mela6menaaN aienbrlmBYyaa,SagkJpymplanVbgllm.NOM ertuy,reserve aalMbW,exl[tin [I•Yraala. Typcel flewN'NM,pb[ervelim pyy,deaneuh,eM opiarmalnpunance e¢uss B entl Pnpe"e0 buikNpa,I[vaay,pyya,y,Wn,q,poinb. lircanggg gemrE praWnpe meY mmygaalln�uiaelaya In Anel InpaWau,aPomvel[MrNMeE PorPob. ® Record Drawing Abashed CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I ceriy that l installed the system in accordance with these tic de I certify that the system has been Installed In accor- P sign stamped Mason dance with the septic design stamped"APPROVED-by County Public Health and that any deviations shown Mason County Public Health and that any dewedons here have been crearenl/epprovad by both the designer and Mason County Public Health and meet all State shown here have been tlsered/a PProved by both and Mason County Codes. mYselt and Mason County Public Health and meet all 1 farther cedtly that all Information contained on this State and Meaon County Codes l further cenffy that it intormat/on contained on this form and attached ewM Dewing is accurate. I form and attached Record OreWing IS accurate. Slgnety of lnshalle Data Logan Spear Printed Name of Sign MASON COUNTY PUBLIC HEALTH n The undersigned approves this Installation Report and `a s Record DmMng on behalf of Mason County Pubic . Health: 1 o titiy 6Wl 0 ��Z� exwne* Signetum of En HaaM SpaUellst Date /s1amp. signatum and date) THM FORM MAYBE S( NEOANDAVAAABLE FOR P WCMEW ONTHE MABON COUNTY VJEB gRE waravamra C[�� / 00- / / PRIMARY DRAINFIELD AS PER DESIGN / VALVE BOX / / I SEPTIC TANK POMP TANAN K LOCATION FUTURE �\ WILDING � AREA AppROVEb`•� OCT 2 5 2024 \� / i ENYIitONMENIALNFAL \ �; / T 1 I MASONCOUNTI RET � � I I A� i II RWORD MAWNG I I I CUSTOMER- )CHN WMG y TEST HJLE k TFST HJLE 2 TESf HJLE 3: 11a0(Ac Jm Cac Jh1cL5 PIONEER. DIGGINQ INC PARCEL*.ZW+S2o0WeB r u 4Tn3. ArTIL SEPTIC DESIGNS ADDRESS: INOW.FDNI DR Ram®w RJJT5�OA0 ammm "3 E M ,)NBFTtw1N RD. GRN'EVIEW,WA%SW DESIGNER: KOBFRTH.PANSSE wn'n�uewMen rs.ewn � �osex" "v'O""em"w�ae 0FACE-36642&M FM-3 )-U-M SHEET: ASUMT SCALE P=ZV '�'Y`m••""'�'•�` ''�` '