HomeMy WebLinkAboutSWG2024-00402 - SWG As-Built - 11/13/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 2024-00402 Parcel # 42209-54-00047
Applicant Name NORMA JEFFERY Subdivision (Name/Div/Block/Lot)
Applicant Address PO BOX 1042
City, State, Zip HOODSPORT,WA. 98548 Installer Name SCHOENING EXCAVATION
Site Address 320 N MOUNTAIN VIEW DR Designer Name CINDY WAITE
INSTALLATION CHECKLIST
Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other
System Type SAND LINED BED Pretreatment Type
>5 ft.from foundation? ---- - ------- -- -- -- ----- - - -- ❑ NIA ®YES NO
>50 ft.from wells? - --- -- --- -- --
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2 >50 ft. from surface water? - -- -- - _ _ B Jp, ❑ ® „0S El
H Cleanout between building and tank? -- iIIIIIIIILLu�111{�1111� ❑ ® ® ❑
V Tank baffles present? . - - -_ _ _ ____ N 3 202 _ ❑ ® ❑
C24"access risers over each compartment _ __ ___ __ ___ ___- ❑ ® ❑
HEffluent filter installed?- ---___ __ _ 8Y___�, _ ❑ ® ❑
Septic tank capacity(working) 1000 at Manufacturer EXISTING
D-box water level and speed levelers used? - -- - --- - - - - -- -. ■ NIA ❑ ves ❑ No
GLL Manifold/D-box accessible from surface?- - ---- - - -- -- - - - - - e ❑ ❑
GQCheck valves installed? -- - - - -- - - -- - -- - - - - - -- - -- - - ❑ ® ❑
'i Transport Line Size 2 Schedule/Class SCHEDULE 40
Bedrooms installed (check one) N 2 ❑3 ❑4 ❑ 5 ❑6 ❑Commercial/Other
>10ft.from foundation?- - - - - - - --- - -- - - - - - -- -- - -- - ❑ NIA ® YES NO
>100 ft.from wells?- -- --- -- --- --- -- - -- - - --- - --- - ® Q P-blrr_. ❑
W >100 ft. from surface water? -- - --- - - - -- - ---- -- ---- -. ❑ 0 MIS ❑
i >10ft.from potable water lines?- -- - - --_ _ _ __ _ El ® ® ❑>5ft. from property lines and easements?- - - - - - -- -- - - - - - . ❑ ® ❑
> 30 ft. from downgradient curtain/foundation drains?- - - - - - - - - - ® ❑ ❑
Drainfield level and observation ports present - - - -- ❑ ❑
❑ Graveless chambers or K Clean gravel used? (check one)
Proper cover installed over drainfield?-- -- -- - --- - - --- - - -- ❑ ® ❑
Pump tank setbacks consistent with septic tank?- - - -- - - -_ _ __ - ❑ NIA YES ❑ No
Z Pump tank capacity (flood) 1250 gal Manufacturer HAGERMAN
F24"access riser(s)and accessible from surface?- ----- ---- _ _ . ❑ 0 ❑
a Alarm or Control Panel Installed? -- -- - - -- - ---- --___ _ _. ❑ O ❑
2 Control Panel equipped with Timer/ETM/Counter- - - - - - - - - -- ❑ ® ❑
7
S Pump installed in ❑ Bucket or ® On Block or ❑ Other Pump Make/Model LIBERTY 250 ❑ Floats or Transducer \\
a Tank draw down 1.5 in/min Pump capacity 33 opm Squirt Height 2.5 ft
Pump on time 1.4 MIN Pump off time 6 Daily now set at 184 gpd
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