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Home My WebLink AboutSWG As-Built - 1/23/2025 RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number SVM 020ap Assessor Parcel# LAL69L I bI 0I DOW Applicant Name nP, TUY1a 11 Subdivisionm� (Nae/Div/Block/Lot) Applicant Address 11 W - -f inrX1 Irs��(A City, State, zip +{ Yt t W11�" 996 Installer Name DTVIOMan Site Address �OML a� 20V Pi Designer Name M✓1 INSTALLATION CHECKLIST ^� ❑ Full System Installation ❑Tank(s)Only ❑ DJJrainfield Only ❑Repair Other LC�I-✓ ✓ i System Type Rr - oSLar.Q it r4-4dPretreatment Type 160- >5 ft. from foundation? - -- - --------------------- -- ❑ NIA E/ YES ❑ NO >50ft. from wells? -- - - - - - - -- ------------------ - ❑ ❑ Z >50ft. from surface water? - -- - - ----------------- - - ❑ ❑ FCleanout between building and tank? ----------------- - - ❑ L� ❑ t) Tank baffles present? - - -- -- - ------------------- - ❑ ff ❑ a24°access risers over each compartment?---------------- ❑ m ❑ a W Effluent filter installed?------------------- -------- ❑ ❑ Septic tank size -19k11 I Viog., MYradYChlrer U ` O D-box water level and speed levelers used? - - ------------- g WA irEE ❑ No OJ LL Manifold/D-box accessible from surface?--- -------------- ❑ �Z Check valves installed? - - - - - - -------------------- ❑ �N Transport Line Size Schedule/Class Bedrooms installed (check one) (L2 ❑3 ❑4 ❑ 5 ❑5 ❑ComrnarciaVOlher >10 ft.from foundation?---- ----- - - - - - - - ---------- ❑ WA ❑YES ❑ NO >10011.fromwells?--- ---------- - - - - - - ---------- ❑ Ed ❑ W >100ft.from surface water? - --------- - - - - - --------- ❑ 12r ❑ a >10ft.from potable water lines?-------- - - - - - - -------- El CI ❑ K > 5ft.from property lines and easements?--- - - -- - - ---- - - ❑ Q ❑ 2 i > 30 ft.from downgradient curtain/foundation drains?-- - -- - - - - - ❑ Q Drainfield level and observation ports present - - - - - ---- - -- -- ❑ Q ❑ v N ❑ Graveless chambers or ❑ Clean gravel used? (check one) 1 0 Proper cover installed over drainfield?-- - -- - - ---- -------- ❑ Q Of Pump tank setbacks consistent with septic tank?---- --------- /� ❑ WA ❑ yES ❑ No m Y Pup tank size�+ 1.1/I i gal ManufacturerN IYN 1-Irlf7A 'f01r Q24•access riser(s)and accessible from surface?- - - ---------• aInstalled? ❑ [�( ❑ ~ Alarm or Control Panel Installed? - - - - - - - -- -----------• ❑ [J El g Control Panel equipped with Timer/ETMICounter-- -------- - ❑ Q- ❑ 7 a Pump installed in ❑ Bucket or On Block �ror ❑ Other Pump Make/Model T�1��d 1jgAV' Z lll� I'r VFloats or ❑ Transducer 1 Tank draw down in/min Pump capai:46 (e,6 7gpm Squirt Height A Pump on time Pump off time c Daily flow set at gpd urame+vrao+s MCPH RECORD DRAWING (ASBUILT) pg. 2 Assessor Parcel # RECORD DRAWING ❑ Oraiddeld&manifold orientation&layout wlduransions for re-location ❑ Terntbed dimensions and .4,.l detaroes within layout ❑ Sepwpump Unk placement ❑ Location of buildings existing/proposed ❑ Obsembon ports. daaud tla®lldns, &mandolds/d-boxes ❑ Location of well, suface water mad.. &waledines. ❑ Reserve steals) ❑ North Arrow If the desgner or installer feel the need for additional informalionicomments.R may be attached. Record tlrawing may also be on a seperate page attached. No. Pages ARactled CERTIFICATION OF INSTALLATION INSTALLER DESIGNER I certify that I installed the system in accordance with I certify that the system has been installed in accor- the septic 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 clearedrapproved by both the designer shown here have been clearedlapproved by both and Mason County Public Health and meet all State myself and Mason County Public Health and meet all and Mason County Codes. State and Mason County Codes 1 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 accurate. lc-� 1111712 1 �i Signature of1haftiver ,.I Datejr bb .' Footed Name or Signee MASON COUNTY PUBLIC HEALTH N The undersigned approves this Installation Report and 510 Record Drawing on behalf of Mason County Public ` ADANI J.NUl Health: 1'iC@NS4h"dF4'itarWKR'' 00 ' �''�°�s "` � u Signature of Envimnmenta/Health Specialist Date (designer's stamp, signature and date) THIS FORM MAV BE SCANNED ANDAVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY Vi SITE rha+rd'v'nors Rhonda Thompson From: Adam Hunter <adamj.hunter@gmail.com> Sent: Tuesday,January 28, 2025 11:56 AM To: Rhonda Thompson Cc: 1HANDASSOCIATES@HOTMAIL.COM;brandon@bayshoreconstructionoly.com Subject: Re:SWG2023-00336 Septic Permit 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. Hi Rhonda, Bayshore did install the tanks in the 30mil liner with bulkhead fittings. They did shift the tanks slightly further awayfrom the creek, but were still within the 50ft buffer as noted on the drawing. Adam Adam Hunter Olympia,WA 98512 Mobile: 360.890.2778 On Tue,Jan 28,2025 at 10:59 AM Rhonda Thompson <RThompson0masoncountywa.¢ov>wrote: Hi Adam and Brandon, I have the asbuilt here for this job.Were the plastic tanks installed with 30mil bag and bulkhead fittings for all penetrations per the design? It looks like they got shifted slightly farther from the stream, but accordingto the record drawing still within 50ft of creek. Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 61h St.Shelton,WA 98584 t r \ - I � z I ƒ \ • i m | \ co 00 ■� . , � ,' \ | \ § ) { ! §k »« . § z j� Q / 00 k d ° mC) ° 8 � § / / ` ! ` D § 9 m O " % $ — m } \ \\ | > � � 0