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Home My WebLink AboutSWG2024-00439 - SWG As-Built - 12/5/2024 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/PERMIT INFORMATION Permit Number SWG 2024-00439 ParcelM 12309-11-00010 Applicant Name Bruce Gierke Subdivision (Name/Div/Block/Lot) Applicant Address 3931 NE Old Belled Hwy City, State, Zip Better. WA 99529 Installer Name Shae Olen Site Address 3931 NE Old Belfair Hwy Designer Name Tom Weaver INSTALLATION CHECKLIST in Full System Installation ❑Tankm Only ❑DmnfAM Only ❑Repnr ❑Wier system Type Gravity Bed Pretreatment Type Septic tank >5 ft. from(oundabon? --------------------------- ❑N/A KIYES ❑ No >50 n.from wells? -- --------------------------- ❑ ® ❑ >50ft.from surface water? ------------------------_ ❑ ® ❑ FCleanout between building and Wlk? ----------------- -- ❑ ❑ V Tank battles present? ---- -------------------- - - . ❑ KI ❑ A. 24'access risers over each compartment?---------------- ❑ �' ❑ Lu Effluent fifer insisted?--------- ---------------- - - ❑ ® ❑ Septic lank sae 1,000 Exist+ 5New Manufacturer Hagerman concrete ,.Ori &box water level and speed levelers used? -- -- - -- - - - - ---- ❑NIA $]YES ❑ NO GLL Manifokl/D-box accessible from surface?-------- --------- ❑ ❑ C< Check valves installed? --- - - - - - --------------- ❑ ❑ Z Transport Line sae 4" Schedule/Class 3034 Bedrooms instated(check one) ❑2 M 3 ❑4 ❑5 ❑s ❑Commerciauotner -10ft.from foundation?- - -- -- -------------------- [jWA ®YES ❑ NO >too R from wets?--- - - - - - --------------------- ❑ ❑ W >100a.from surface water? -- --- ------------------- ❑ ® ❑ M >10R.from potable water lines?----- - - -------------- ❑ ® ❑ QZ >5 n from property Ines and easements?-- - - ---- ❑ ® ❑ 6' > 30ftfrom downgradient curtairvfoundatiun drams?---------- ❑ ® ❑ Oreinfield level and observation pops present ----- -------- - ❑ ® ❑ K] Graveless chambers or ❑ Clean gravel used? (check tiro) Proper cover instated over drainfield? - -- --- -- - -- - - --- - ❑ ® ❑ Pump tank setbacks consistant with septic tank7- -- - -- - -- - - - - gj NrA ❑ YES ❑ NO ZPump tank sae NA sal Manufacturer F 24-access nser(a)and accessible from surface>- - - - - - - - - - ❑ ❑ 4 Alarm or Control Panel Installed? -- - - - - - - - - - - - - - - - - - - ❑ ❑ jControl Panel equipped with Timer/ETM I Counter- - - -- - - - - - - ❑ ❑ ❑ a Pump installed in ❑ Bucket or ❑ On Block or ❑ Other IL Pump MakefModel Qg Floats or ❑Transducer 0. Tank draw down m/min Pump capacity apm Squirt Height h Pump on time Pump off time Daily flow,set at opd uoe..aea�me Mason Court OSS Installation Report 1 2309-1 1-00010 County p pg. 2 Parcel p ABANDONMENTRECORD Wen a Wbng septic components abandoned as Pan of me prged9 -- - -- - - - - - -- - - - 0 YES IN NO If yes. Please desabe Were aA componelaa pumped out-nd Property abendaled per WAC246272A-03007 . - - -- -- . 0 YES is NO RECORD DRAWING �lnYJY--°p°mYbnl ntM Me pYp M aeeNeY Ntl YYiI{yY�nau{li q nb[°b F tlx MN N MInYNM°YIMIM Yq NYn brYgant TryYI PapU �^W tNM. PIwIN1{�rxYN bM°MYI aYP{9YMNYV bM W Wry Nap Irw.nYnt bwFwp.Yl°MO Ytl wY.WMn1Y�rym.areaws.Yw avmraYinY NbeONY. Yo^iYb FwYO V^WaaE W°wV°YYYn�NYN°aWiRw� MCNryf my m°b byYnY EWy°q°MI nnYan ypoN�M rYlE µmNa aSONCOGN�NGof`G�y�B� Rp Je�N�FNr`H�9�TH EX Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I certify that 1 installed the system is accordance with I certify that the system has been installed in accor- the sepllc 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 cleamulapproved by both and Mason County Public Health and meet all State myself and Mason County Public Health and meet all and Mason Counry Codes. State and Mason County Codes I further certify that all information contained on this I further certify that all information contained on this form and attached Record Drawing is accurate. form and attached Record Drawing is&=rate. - �6 _ Nov. 29, 202 Swam.of InsteWr Dele Shae Dien Pmesd Name of Spnee MASON COUNTY PUBLIC HEALTH /66 The undersigned Approval;this Installation Report and *HDY4 E w vFA !' Rscold Drawing on behalf of Mason County Public He �z-y zY Sgns(u�ey m nm nml Health Spedesw Dale (stamp, signature and date) ✓ THIS FORM MlkY BE SCANNEDANOAVAIIABLE FOR PUBLIC VIEWON THE MASON COUNTYWEB SITE uea°Ya ve�no�° +10'EI 250'X 250' Detail Area 0'EI 100' from surface wal ___�l5 - �LNtT �I/27/1Y �oD art Wall _ x OF' t — I 'K Li2 l �J I I lol I I I aw �X SLf3 100% Reserve \Drw -F el 250'X 250' De it Area This is a 250' ft square detail area of the larger lot = The old system seems to have been working fine, but due to the pumpers report the new buyers want a new septic system 91 The old system was two 60' legs running North/South � ` m � I am proposing a new gravity bed, 9' X 50' This will be over a minor portion of the old drain field c 'z o Qne leg of the old system was only five feet from the house ' 6� N and will not be in the area of the new drain field. s Aalf of the new drain field is North of the existing drain field 1 n Mam proposing a 36" deep install which will place th ew ILa drain field below the original drain field into ne 9 r �SL#1 0-72" Loamy Med Sand SL#2 0-72" Loamy Mad Sand m �q SL#3 0-36" Silt Loam tt a- 36" Clay Loam baEnd- 'IN 1 * n I� Y T M � - 1 4Gil ti ! 1 F 3 � p dd i u n � o L � L V J Z d 0 V c Rillf ppROVE DEC 0 5 2024 ""tiaCN COD NrreraviRonst�svrn� j ea✓ry Jaw