HomeMy WebLinkAboutSWG2024-00188 - SWG As-Built - 12/11/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/PERMIT INFORMATION
Permit Number SWG 2024-00188 Parcel# 2231350-00027
Applicant Name Michael Lawson Subdivision (Name/Div/Block/Lot)
Applicant Address 491 NE Mountain View Drive Tracts 27&28,Wooten Lake Plat
City, State,Zip Tahuva,WA 98588 Installer Name AAA Septic
Site Address Same Designer Name Olympic Northwest Design&Dreffir
INSTALLATION CHECKLIST
® Full System Installation ❑Tank(s)Only ❑Drainfield Only ❑Repair ❑Other
System Type Pressure distribution Pretreatment Type 2 compartment septic tank
>5ft.from foundation? ----- ---------------------- ❑WA ®yss ❑ No
>50ft.from wells? ----------------------------.- ❑ ® ❑
Z >50ft.from surface water? -----------------------" ❑ ® ❑
FCleanout between building and tank? ------------------- ❑ ® ❑
ty Tank baffles present7 --------------------------- ❑ ® ❑
a24"access risers over each compartment?---------------- ❑ Pill ❑
W Effluent filter installed?------ ---------------------- ❑ ® ❑
W
Septic tank capacity(working) 1000 col Manufacturer Hagerman
—11
0 D-box water level and speed levelers used? -------------- - NIA YES NO
80 Manifdd/D-box accessible from surface?---------------- - ❑ ® ❑
U.
192 Check valves installed? -------------- ------------ ❑ ® ❑
OQ
f Transport Line Size 1.5 SchedulelCle6s Sch.40 PVC
Bedrooms installed(check one) ®2 ❑3 ❑4 ❑5 ❑8 ❑Commercial/Other
>10 ft.from foundation?-------------------------- ❑ NIA ® ves NO
G >100 ft from wells?-----------------------------
❑ ® ❑
W >100 ft.from surface wate ------------------------ El ® ❑
LL >10 ft.from potable water lines?---------------------- ❑ ® ❑
QZ >5ft.from property lines and easements?---------------- ❑ ® ❑
C >30 ft.from downgradlent Curtain/foundation drain?---------- ❑ ® ❑
Drainfield level and observation ports present ----- ❑ ® ❑
M Graveless chambers or ❑ Clean gravel used? (check ale)
Proper cover installed over drainfield?------------------- ❑ ® ❑
Pump tank setbacks consistent with septic tank?------------ - ❑ WA ® YES ❑ NO
Y Pump tank capacity(flood) 1000 oat Manufacheer Hagerman
Q24"access dser(s)and accessible from surface?------------- ❑ ® ❑
aAlarm or Control Panel Installed?-------------------- - ❑ ❑
? Control Panel equipped with Timer I ETM/Counter----------- ❑ Q ❑
a Pump installed in ❑ Bucket or ® On Block or ❑ Other
iL Pump MakelModel Goulds WS1012BHF ® Floats or ❑Transducer
f
IL Tank draw down 0.75 in/min Pump capacity 120 pin Squirt Height 8 ft2>�O np
Pump on time 2 min 32 sec Pump off fime 3hr 57min 28M Daily flow set at *Tr gpd
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AdANU0NMENTREC0RO
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CERTIFICATION OF INSTALLATION
INSTALLER DESIGNEW ENGINEER
I Caddy that l lnslalled the system In accordance wbh I teddy that the system has been Malalled In eccary
the seplic design stomped APPROVEO'by Mason dance with the seats,design stamped'APPROVED'by
County Public Health end that any deviations shown Mason County PUDIC Health and that any devledons
here have been Gsemdbppmved by poll,the daslpner shown here have been uhmeNappmved by both
and Mesas County Public Health and meal ell Stele myself and Mason Count'PubPo Health and meal all
and Mason County Codes. Stela and Mason County Codes
I Pod0er ccddy Mat all lnimmetbn wisined on this Ilunher wily that all lnformilon coMelned on We
firm eml attached Record Dnwblp is acoumm. loml and atlached Record On ing is c.N.
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MASON COUNTY PUBLICHEALTH
Me underelgned approves lhls Installation Repent and
Rawl Orewlng on behelf olMason County Puhgs
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