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HomeMy WebLinkAboutSWG2024-00168 - SWG As-Built - 11/1/2024 V / Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG SWG2024- CO 168 Parcel # :3'2g3 ) - Zq - groin Applicant Name HOOD RENTALS LLC Subdivision (Name/Div/Block/Lot) Applicant Address o05 HARRIN TON AvE NE N405 City, State, Zip RENTON WA 98056 Installer Name LOGAN SPEAR Site Address 27051 N US HIGHWAY 101 Designer Name MICAH HALVERSON INSTALLATION CHECKLIST ® Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other System Type AT 1 in omc_sure Trench Pretreatment Type NuWater BNR-1000 >5 ft. from foundation? -----------E l{'�{} �I� ❑ NIA ❑YES ❑ NO >50 ft.from wells? -------------i >50 ft. from surface water? -- - ----- T 2�-202G Cleanout between building and tank? -- - ------ ❑------ Tank baffles present? - -- - - - - ---- ----d 24"access users over each compartment ❑ ® ❑ W Effluent filter installed?-- - - - -- - - -- --- -- --- -------- ❑ ❑ x❑ Septic tank size 2383 gal Manufacturer Sound Placement O D-box water level and speed levelers used? -------- --- ---- ❑ NIA ❑ YES x❑ NO i20 Manifold/D-box accessible from surface?----------- ------ ❑ ❑ ❑ 4LL Z Check valves installed? -- - - - - - - - - - -------- ------- ❑ ID ❑ Gg Transport Line Sae 2 in Stlredule/Class 40 Bedrooms installed (check one) ❑ 2 ❑3 ❑4 [:IS ❑B ®CommerciallOther >10 R from foundation?--- --------------- -------- ❑ wA ® YES NO >100 ft.from wells?- -- --------- ----------------- ❑ © ❑ W >100 ft. from surface water? ------------------------ ❑ ® ❑ u. >101t from potable water lines?---------------------- ❑ ® ❑ ZQ >5ft. from property lines and easements?--- - -- - - - ------- ❑ © Cl K >30 ft. from downgredient curtain/foundation drains?- - - -- - ---- ❑ ® ❑ Drainfield level and observation ports present - - - - - ❑ ® Cl ❑ Greveless chambers or ® Clean gravel used? (check one) Proper cover installed over drainfield?-- --- -- -- ---------- ❑ x❑ ❑ Pump tank setbacks consistent with septic tank?--- - --------- El WA x❑ YES ❑ No Y Pump tank size,9765a'291 gal Manufacturer Sotind Placement R24"access risers)and accessible from surface?-- - - --- - - - - - - ❑ El El Alarm Alarm or Control Panel Installed? -- - --- - - --- - -- ❑ ® ❑ Control Panel equipped with Timer/ETM!Counter- - - - - - - - - - - ❑ ® ❑ O. Pump installed in ❑ Bucket or ❑ On Block or ® Omer Orenco PVU68-2425 Pump Make/Model Oren co PF7510 _ ❑ Floats or ❑ Transducer a Tank draw down 2 in/min Pump capacity 67.5 gpm Squirt Height 7 ft Pump on time 1:45 min Pump off time 3 him Daily flow set at 960 qpd Mason County OSS Installation Report pg. 2 Parcel u ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - -- ® YES ❑ No If yes, please describe:fill d with pea Uceyel Were all components pumped out and properly abandoned per WAC246-272A-03007 - ® YES NO RECORD DRAWING Thy Is a permanent Iecord aM mmt W accu"and descriptive amuph m la-lacsss In eve mM er malnYnance acavidss nd NWre d 01WMOnl TypbG Rec cl DrawkNa.1s: DrohfieN L.m.ff lanenmtlOn6WW.aspW,mp lank bcWon,NaM now,leaerve dre W,ssismil—proposed Wibinas,bait-of wells walerllnes. sssi,oC9eveIM Ws,Ue&IOW,and Wham rvis lan,eN "is InIMpMe RB Dr pm veeb stk$ ul Mi,s in inWlbllpl eppmvel end Iekkoxi pelmh. 'Installed Per Design Jvs�cwt /� a 13 RV Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER!ENGINEER I certify that I installed the system in accordance with I certify that the system has been installed in accor- the 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 clearaiWappmwd by both the designer shown here have been cleamdlappmwd by both and Mason County Public Health and meet all State myself and Mason County Public Health and meet all and Mason County Codes. State and Mason County Codes I further certify that all information contained on this I further certify that all information contained on this [op_ "Itached Record Drawing is accurate. form and attached Record Drawing is accurate. Il( Sf tn/21/24 tN Signature of Installer Date S I organ Spear �2 Printed Name of Signee MASON COUNTY PUBLIC HEALTH / 3P The undersigned approves this Installation Report and Record Drawing on behalf of Mason County Public th0epp Health: SO*km ofEnWr th'al H"Ilh Specielist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE L1.WIM US+IAIe p s=xs� @s6Rfl`mL &RRgag�g�Ssg 555555 / ` I I S` _ i O ftr I \ � 1 ➢ > D Y w \/ pp D _ Y O Ftl t - - - - - - - - - - - - - - - - - 1 . , 1 8 — 03 I N I m � I � N w Z I I IJ 71 I I I I I I m 4 I I � . m 4 gl I �I yx ONN N %amw 1�Ooj O p'1 C Z -L T • (A C.J n.mi 3 J y � P � y y mQ Ty I `G J �Iw SJa 61+ 656 m 6 N I mpn oN���UT m G m 5 o I 3 <m 3 f 3 3 d 3 3 m m c3 2;3 � � m 3 N ` 6 N Ql OD A o A A m w � 0 o o n a m m m (VR111fa nt/Own,.r L M.Halverson Design LLC Hood Rentals LLC "n Into' 2arre�s 32331mr PO Box 1519 Shelton Wa 98584 15914 148ihAveNE 7041 N HWY 101 32331Woodinville, We 98072 System "A" 32331Halversondesi nllc outlook.00m