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HomeMy WebLinkAboutSWG2024-00289 - SWG As-Built - 1/15/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/PERMIT INFORMATION Permit Number SWIG 2024-00289 Parcel# 61918-42-90003 Applicant Name Mathew Suarez Subdivision (Name/Div/Block/Lot) Applicant Address 1 D608 192nd St Ct E LOT 3 OF SP#3050 AF#1939915 PTN OF NW BE City, State, Zip Graham WA 98338 Installer Name County Line Development Site Address 8174 W Matlock Brady Rd Designer Name Arrow Septic Designs. INSTALLATION CHECKLIST ■ Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other q System Type Shallow Pressure Pretreatment Type >5 ft. from foundation? -- - ---- - - ----- - - - - ---- - - - - - ❑raA ® YES >50 ft.from wells? -- -- - -- -- --- --- --------- --- -- ❑ W >50ft,from surface Water? - - --- ------ ----------- - - ❑ ® ❑ F Cleanout between building and tank? ------------------- ❑ ❑� ❑ U Tank baffles present? - - -- ---- ---- --------------- ❑ ® ❑ 1 24'access risers over each compartment?-- ------------- ❑ ® ❑ tY Effluent filter installed?----------- ----- -- -- - - - - --- ❑ ■ ❑ to Septic tank capacity(working) 12&(2 gal Manufacturer Infiltrator O D-box water level and speed levelers used? - -- --- ---- ----- ❑NIA ❑ vsa ■ NO D ' J OLL Manaoid/D-box accessible from surface?-- --- - ----------- ❑ ■ ❑ �= Check valves installed? - - -- --- ----- -------------- ❑ ■ ❑ 0Q i Transport Line Size 2" Schedule/Clan 40 Bedrooms installed (check one) ❑2 ■3 ❑4 ❑ 5 CIS ❑Commemial/Other >10ft.from foundation?-- -- --- ----- -------------- ❑ WA ® Yes NO 0 >100 ft.from wells?-------- ----- ------- --------- ❑ ❑ w >100 ft.from surface water- -- -- --- ---------------- ❑ © ❑ LL >10ft.from potable water lines?- - -------------------- ❑ in] ❑ > 5 ft.from property lines and easements?---- ---- -------- ❑ ❑ > 30ft.from downgradient curtain/foundation drains?-------- -- ❑ ff ❑ Drainfield level and observation ports present - ----- ❑ ® ❑ ■ Greveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfeld?--- -- -- - - - -- -- ----- ❑ ■ ❑ Pump tank setbacks consistent with septic tank?-- - - - - - - - - - - - ❑ WA ■ YES ❑ No Y Pump tank capacity(flood) 1.250 at Manufacturer Infidel Q24-access nser(s)and accessible from surface?-- - --- - - - - - -- ❑ ■ ❑ H Q. Alarm or Control Panel Installed? - - --- - - -- - - - - ❑ ® ❑ Control Panel equipped with Timer/ETM/Counter - - - - -- - - - - ❑ ■ ❑ a Pump installed in ❑ Bucket or ■ On Block or ❑ Other S Pump Make/Model Zoeller Ni52 ■ Floats of ❑ Transducer g a Tank draw down 1.8 in/min Pump capacity 52 gpm Squirt Height 7.5 ft Pump on time 1.7 min Pump off time 6 hr Daily flow set at 360 gpd owe'"a e�,mia Mason County OSS Installation Report pg. 2 PacN iF (-,19 �$-�'2-90003 ABANDONMENT RECORD Were exisung aeptc Lamponenm eeandoned as part Or this prciscrt -_____________. ❑ Yea ■ NO If yes,please desrrioe: Were au components pumped out and property abandoned per WAC246.277AA-03D39 ._-----. 13YEs ❑ NO RECORD DRAWING ThY Y a ae^de nwia are nacre b...M eevYM".mavn R sb:@ A eke�wG of ge4neu ulrlV•me foam M1wY9mna TNOI a.mtl dmv¢mW[ u.e.YYa�wNMae�wma'aNA CapeaWOYN botim.NM�artox, neEtinMk.waN pa yegy.a GYNnaa.YONFlaM.wM'.w. ..Y,a.rwea�oaa ewi.�r.me w.....r.m.em rw.n. i�m*p.Ya®aa...m�.rvw,eamrern Yerein�m.wm swwa.e�Ya w�YY. Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I certiry that I mstalled the system M accordance wdh I cerby that the system has been installed in aocor- are septic design stamped"APPROVED'by Mason dance with the septic design stamped'APPROVED"by County PubNc Heatth and that any deviations shown Masan County Pubffc Health and that any,deviations here have been cleemot appmvad by both the designer shown here have been tlearedtappmmd by both and Meson County Pubric Health and meet ell State ryseaand Meson County Public Hearth and meet all and Mason County Codes. State and Mason County Codes I to fry that sit intormab'on n contained on this I tundra,canny that ad information contained on this to sfteched Record D wing is accurate town and attached Record Drawing is accurate. 2 1�.2f Signature of Inter Dab�� MICHAEL LOVELY .' Prinbtl Name oI Slgriae C OMASON COUNTY PUBLIC HEALTH SO,I. ✓.ql, � 3a` The undersigned approves this Installation R and Record Ors,/ on ehaHotMason Counry Fu09Ey�. Health: N�y9 PA LA JOY JONNSON ;'�/t W Errvp°"maMar Haala'speewer oars y (a(.mp!sighatdre%data) IrHIS FORM MAY BE SCANNEDANDAVAIUBLE FOR PUBLIC VIEW ON THE MAaON COUMY WEB Sl E c z se �stoo 2 '—� 1918-42 90co3 8I-74 W MKWLO�Y. �4) 3'x50' prm� ayy df J,—WEL.�- � �r.qCA ® A r oti wi' % vtS�wL in, l7ckwUtn. / /�tt�p++�•a 9r0brt�itl GV IOFI� J lot r If I I III 1 Q I 1 I TT X 5�• fit l+^'!t 38a Houfa APPR VED JAN 15 2025 MASON COUNTY ENWROI MENTAL HEALTH a DJA U O Audio-Visual Alarm 6 w © Cleaaout A 1?-S9 Gallon Septic Tank �? 2ComPartmant with . y '_�� F.>ZlUent Fllter f_ j O4 I LSO Gallon Pump Chamber ~ P LA5JOY3;0H4SON .� .�. � a��l NEH OS Valve Control Bax t- r5-zs