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Home My WebLink AboutSWG2020-00510 - SWG As-Built - 12/17/2024 MASON COUNTY PUBLIC HEALTH Mason County OSS Installation port Pg. P LICANT/ PERMIT INFORMATION rApplicantAddress r SWG'J �Z� bot1 _ Parcel# t27055200066 e WEIGEL/NUNF2 Subdivision (Name/Div/Block/Lot) TREASURE ISLAND ress 5926157TH STREETSW Installer Name JackJohnson ip EDMONDS WA98026 960 E TREASURE ISLAND DR Al Y- Designer Name Jm7,mn INSTALLATION CHECKLIST ❑Full System Installation 0 Tanks)Only ❑Drainfield Only ❑Repair ❑Omer System Type C r ~' 3 f — Pretreatment Type ❑NIA ■YE6 ❑ NO 15 ft. from foundation? -- - -- ----'__ ❑ e ❑ >50 ft.from wells? ------ "-- ""------ ------- ❑ ❑ Y >Sof.from surface water? - - ---- --- - -"- """ ❑ ❑ Z ? -_________________ ❑ H Cleanout between building and tank. ❑ V Tank baffles Present? --- --------- - - - -- ---- ------ ❑ ❑ IL 24"access risers over each ccmpartmem ❑ ■ ❑ ul Effluent inter installed?----- -" HAGAERMAN Septic tank capacity (working) 1200 dal Manufacturer ❑ WA ❑YEa NO O D-box water level and speed levelers used? ---- -""-- - ❑ J ❑ O Manifokt/D-box accessible from surface?------ Q ❑ __ ❑ IDZ Check valves installed? --- -- ------ " "-" pQ Schedule/Class�— f Transport Line Size 3 ❑4 ❑ 5 ❑g ❑CommerciallOther Bedrooms installed (check one) ❑2 ❑ NO ❑NIA ❑ YES >70 ft.from fountlation?------ - ----" ❑ ❑ ❑ >100 ft.from wells?----- _ ❑ ❑ W >loall from surface water? ---------------------- ❑ ❑ LL >10 ft.from potable water lines?----- --`-" - ❑ ❑ ❑ Z >5 ft.from property lines and easements?-_ ____ _ _- ❑ ❑ ❑ >30 ft.from downgradient curtain/fountlation drains? - --- ---- -- ❑ ❑ ❑ Drainfield level and observation ports present ----- ------"' - ❑ Graveless chambers or ❑ Clean gravel used? (check one) ❑ ❑ ❑ -'--"_""" Proper cover installed over drainfield?------ � ❑ NIA � YES ❑ NO Pumptank setbacks DDnslstenlwth seplictank. ------ ----"-- HAGAERMAN ■ ❑ Z low Oat Manufacturer Pump tank capacity(flood) ❑ Q 24" access risers)and accessible from surface?-___-________ ❑ � ❑ F- Alarm Of Control Panel Installed? -- -- --- ❑ IL Control Panel equipped with Timer/ETM/Counter-- IL Pump installed in a Bucket or ❑ On Block or ❑ Other IL pump L-280 ❑Floats or ®Transducer 2Pump MakelModel NIA fl 2 1• iNmin Pump capacity 20 opm Squirt Height a Tank draw down 270 gpd 10 SEC Pump off time 10 MIN Daily flow set at Pump on time uwmee az+rs,e Percents ('Z� a cr7�[1ACd— Mason County 0 11 53 Insta11 lla 11 tion Report pg.2 ENT RECORD 0 No Wem esatirq "PW comPonenis ebmdoned as pert of 1Na vrd�T '-- B yesNe II Yea Please describe: Were all compawnis Wnred out and PmI abandoned per WACY4&2T?A 09W'1 -" RE0ORDDRAWING Taw srwa paWYaM wx+M...••1Own 1e,• •le��+ earaah0.rarN1an n�^+'°dmnw.lueuona�rYwlaaaa Tnro ro.o.�n.�a�� -'"..wra awa.s•aeT'^v u+.rson wax wmwr ��a��ntia.�nswmmra we�.l.w ra.+ wn.om.r.m000na.e..dn.waw�••�en.wnortw .mN.ro 'Record Drawing Attached CERTIFICATION OF INSTALLATION DESIGNER/ENGINEER INSTALLER I cavity the,the system has been installed in a000I- 1 o>dily that I installed the system in accordance with dance with the Who design stamped'APPROVED'by the septic design stamped"APPROVED'by Mason Mason;County Public Heath and that any deviatbns many by bothdesigner shown here have been GeereduaPP/°�by both County Pubic n clea end that any by both the shown myself end Meson County Public Health and areal ell Hera have been cleereNePP and Meson County Public He91fh and wheel tit State State and Mason County Codes and Mason Canty Codes. I ludhor cents that all Information combined an this 1 htdher certify that all inlorrushon contained en This /ova and attached Record Drawing is accurate. to no att had Record Drawing is accurate. -2 H Si re oflnstelar Dale G �, Yl pMtetl NCame of SN/nee MASON COUNTY PUBLIC NEALTN The arhdersigned approves this msreNmion Roper!and Record Drawing on behalf Of Mason County P"I Heellh: 1-141-7 � �n alist Date (stamp.Signahlre an,.date) 1m1B Signalu olEnvim'mlenfet HeaNb Spear TIM FORM MAY BE SOANNEO ANo AVAILABLE FOR PUBLIC VIEW T rMSON OOUNIY WEB$IiE X v o V N b VI R $ p O n E 6 `5 a 0 ° d m E N C Gd V S C N vnli ry N -L o— a0 II w03o V ei O0 Q ; eQ In a '� m WATER 6 POWER Y i O a ^' r d SC r1 OO p 1 N �QLD L O m S 6 f M L O SbT i O 1 y 1 e 1 D a M Sol .5'bl N 1 00 N C d 3 . s V a >, N y � z N �l O v Z N N L APPROVED DEC 11 2024 MASON CCU NTYEWR NMENTAUNEAUTN Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2020-00510 Parcel# 12105-52-00066 Applicant Name DEREK WEIGEL Subdivision (Name/Div/Block/Lot) Applicant Address 592615TTH ST SW City, State, Zip EDMONDS WA. 98026 Installer Name BAMFORD SEPTIC REPAIR Site Address 460 E TREASURE ISLAND DR Designer Name CINDY WAITE INSTALLATION CHECKLIST ❑ Full System Installation ❑Tank(s)Only ® Drainfeld Only ❑Repair ❑Other. System Type GLENDONS Pretreatment Type - >5 ft.from foundation? ---- --- - ---- -- - ---- - ---- -- - ❑ NIA d s NO >50 ft.from wells? - --- --- -- - -- - - --- ----- - ---- - - - ❑ ❑ >50 fL from surface water? - - - - -- - -- - - --- - - - -- - - - -. ❑ A.- 1 O `.f.F Cleanout between building and tank? ---- -- - ---- --- ----- ❑ 'V Tank baffles present? ---- - - - - - - -- --- - - --- - ❑ ❑ ❑ ,d 24"access risers over each compartment?- -- -- - - - - - -- -- -- ❑ ❑ O W Effluent filter installed?-- --- -- - - --- --- -- -- ❑ ❑ U) Septic tank capacity(working) gal Manufacturer ? -- - - - - - - - - -- - - ' WA YES ❑ NO , O D-box water level and speed levelers used. ❑ ❑ ❑ rO0Z Manifold/D-box accessible from surface?-- ---- -- - - - -- ---- ❑ih ❑ ❑ eOZ Check valves installed? - - - - - -- - - - - - -- - - - - - - - - ❑ - a Transport Line Size Schedule/Class Bedrooms installed (check one) ❑ 2 0 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other ❑ >10 ft,from toundation?- - - -- -- --- - - -- - - - " - - - - - -- ❑ NO 0 NIA YES El>t 00 ft. from wells?----- -- - ----- -- --- - - - --- ----- >100 ft.from surface water? -- ----- -- - - -- -- - -- -- --- - ❑ �'C: >JOft.from potable water lines?- - - --- -- - - -- -- ----- " - ❑p; > 5ft. — from property lines and easements?-- --- - - - - - --- - E3 ❑ r O Cl 30 ft.from downgradient curtain/foundation drains? - - - - - - -- - - rp ❑ Drainfield level and observation ports present ----- - - -- - - -- - ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) ❑ . - --- - - -- - Proper cover installed over dramfield?---- -- - --- ❑ ---- -- - --- - --- - - -- - Pump tank setbacks consistent with septic tank? - - ---------- ❑ NIA ❑ YES ❑ NO 2 Pump tank capacity (flood) gal Manufacturer 24"access riser(s)and accessible from surface?--- ---- - ---- - ❑ ❑❑ Q _ ❑ ~ Alarm or Control Panel Installed? - -- - - -- - - - - -- - -- -- - - a ❑ ❑ f Control Panel equipped with Timer/ETM/Counter- - - - -- - - -- - ❑ ' 4 Pump installed in ❑ Bucket or ❑ On Block or ❑ Other +-,a- Pump Make/Model ❑ Floats or El Transducer gpm Squirt Height ft 2 Tank draw down tnlmin Pump capacity Pump off time Daily flow set at 9Pd Pump on 6me upetl.e en+rzo+e Mason County OSS Installation Report pg. 2 Parcol It 3t` S j" LYr'Z---) ABANDONMENT RECORD Were cxlslmg Septic cnmpunenls A!ll)atlaln:d as pail of mrv' pruy;ct� - - _ _ . . _ _ .. .. .. .. _ _. Q cs NO If yes. plcase. doscnbn: Ware all wInponents pU111pUd out did prUperL/abAr1cU01111 pUf WAC216-272A-b!i)1I/ _ YES NO RECORD DRAWING Th:.:.a uwmanom maa.a aM mum Intl...71.-11101.101 In:..1-..:n mi :x.ua ul 1,r I '.I :::n.�p II '1A m•Jn: .J I ..:: :Fll ....I 'u ln..Nm I � n ..:.c-::. .I n..nbm I :Lw.l".A.. ledl :.n:.:la:.... �GafN �,�rd o� ly ( Tj-AI UIeA �e 0^ I ( I /L/ Za2y NI'I �✓ G�' �-lK. Le 6.4 1� tr. 5 -�,--4/4 dr "`«oral Ceti (�.1,/r to zO - D(Recard Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER )certify trial I installed the system m acc9Mancu pith I cortify flint tho system has boon installed in aceor- the septic design stamped "APPROVED'by Mason dunco with the septic design stamped"APPROVED'by County Public Health and that any deviations shown Mason County Public I loalth and that any doviations hero have been cleared/approved by both the designer shown here have been cleared/approvod by bolt? and Mason County Public Hoalfh and meet all Smto rnysNf and Mason Gounly Public,Health and meel all and Mason County Codas. Slate ana Mnsun County Codes I further certify that all inlomNuion ronmined on (his )fumler canity,that aft information Gnnta reed on this Than and attached Re !d Drawing is accurate. form and attached Record Drawing is accumle. Signaler nstall ei ((__ Dal,, '�t(��JIGYi'1�Ldrl� ----- Printed Name.of Sgni a --, 6EXPI� MASON COUNTY PUBLIC HEALTH The undersigned approves this Irmhalation Rerwrtand Record Drawing en behalf of Mason County Pubic`HOalth: 2 yA Signature of hnmromnenwl Healill SIW.Gallsl Vale ls(nnlp.slgnaturo and dote) MIS FORM NIA)' DC SCANNLDANEI AVAILALS.L••lit PuB1,C.viLW ON Tr.L NNSON COON"WLa 511E " t' �lLo F TscasuaC Srl I .d G+�dr i S' I T-- liar V fjl/ M.-k iv {lave ta:r 20.1N#�t�M. d4 t1__ ry oa u6s ;,„ I b4 S4ak¢1 t3 GL4+T f_ *e,-e fiewo6v11 CINDY E WHITE LICENSED DESIGNER C—d3 Ste. L �M,OIN+ -1 Aar 01 �14r%jo 1 -�y „ IV Asp" 0 V E I ' "I 112120 -30NCOU4TYENVIROHiIENTALHEALT� JBW !9v i 1. residence 2. 1200 gallon concrete double chamber septic tank 3. 1200 gallon concrete pump tank ' j a 4. Glendon modules(3-14.5'x16) 5. Glendon basis(3-6'x10") 6. Audio/visual alarm ' 7. Flow Splitter 8. Transport line 9. Clean out 10. Waterline 11. Soil logs#1&2 12. Soil log#3 13. Reserve area i I i i V E. ydt a ? ! Q AIM a_ LI NSE9OESIGNER 7 1'- 5 ' oc Rhonda Thom son From: Liz Nunez <lizjnunez@gmail.com> Sent: Monday,December 2,2024 1:17 PM To: Rhonda Thompson Re:Permit I Weigel BLD2024-01151 Subject: External Email Warning!This email has originated from outside of the Mason County Caution: Network.Ex not click links or open attachments unless you recognize the sender, are expectingthe link sends you to a website where you are asked to validate email,and know the content is safe. If a usingyour Account and Password, DO NOT DO SO!Instead, report the incident. Wonderful news! I will plan to head to the island this weekend and carefully remove the scotch broom and send photos. Thanks again, Liz Nunez 206.356.3553 On Mon, Dec 2, 2024 at 12:13 PM Rhonda Thompson<RThomo onCcDmesoncountvwe aoY>wrote: Hi Liz, I made a site visit last week to this property to take a look at the retaining wall built between the reserve and house.Thankfully it is less the howso doesever Cindy Waite made anot meet the definition note on theasbu It that there es sco scotch broomc code.I am good to proceed with the approvals, growing in the glendon pods and needs to be removed.Would you be able to get that carefully removed and send me photos? Thanks, Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 61h St.Shelton,WA 98584 360-427-9670 ext.581 RtllgttlpsonQmaaQM0untYW9-9Qv 1 Rhonda Thompson From: Liz Nunez <lizjnunez@gmail.com> Sent: Wednesday, December 11, 2024 9:46 AM To; Rhonda Thompson Subject: Re: Permit I Weigel BLD2024-01151 Caution:External Emall Warning!This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender, are expecting the email,and know the content is safe. if a link sends you to a website where you are asked to validate usingyour Account and Password, DO NOT DO SO! Instead, report the incident. Hi Rhonda, Included are pictures showing the scotchbroom removed,which is now my least favorite plant:) Please let me know if you need anything additional! Thankyou, Liz t Y.. !�� .�� ,t ,T- � tip . u 15 , G � � � � � &�� . Rhonda Thompson From: Liz Nunez <lizjnunez@gmail.com> Sent: Wednesday, December 11, 2024 9:47 AM To: Rhonda Thompson Subject: Re: Permit I Weigel BLD2024-01151 Caution: External Email Warning!This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender,are expecting the email, and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. On Wed, Dec 11, 2024 at 9:45 AM Liz Nunez<UZjnunez@gnnail.com>wrote: Hi Rhonda, Included are pictures showingthe scotchbroom removed,which is now my leastfavorite plant:) 1 S�. .n On Mon, Dec 2, 2024 at 1:17 PM Liz Nunez UZinuneZj@QmajLcoM>wrote: Wonderful news! I will plan to head to the island this weekend and carefully remove the scotch broom and send photos. Thanks again, Liz Nunez lil 206.356.3553 On Mon, Dec 2,2024 at 12:13 PM Rhonda Thompson<RThemo onComa on osntvwa.aov>wrote: Hi Liz, I made a site visit last weekto this propertyto take a look at the retainingwall built between the reserve and house.Thankfully it is less than 5ft so does not meet the definition of a cut or bank in our septic code. I am good to proceed with the approvals,however Cindy Waite made a note on the asbuilt thatthere is scotch broom growing in the glendon pods and needs to be removed.Would you be able to get that carefully removed and send me photos? 3