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Home My WebLink AboutSWG2024-00281 - SWG As-Built - 2/10/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/PERMIT INFORMATION Permit Number SING 2024-00281 Parcel# 32122-50-00037 Applicant Name Brand[Bogoslan Subdivision (Name/DivlBlock/Lot) Applicant Address 3048 Belvidere Ave. SE City, State, Zip Seattle,We 98126 Installer Name Spear Const. Site Address 250 E.Way To Tipperary Designer Name Bob Payne INSTALLATION CHECKLIST E Full System Installation ❑Tank(s)Only ❑Dramflisd Only ❑Repair ❑Other System Type ATU-Pressure Pretreatment Type NuWater BNR 500 >5 ft.from foundation? -------------------------- - ® wA ❑yes ❑ NO >50ft.from wells? - ---------------------------- ❑ ® ❑ _ >50ft.from surface water? -----------------------. ❑ IN ❑ N Cleanout between building and tonlf? ------------------ - ❑ ❑ V Tank baffles present? --------------------------- ❑ ❑ 1 24'access risers over each compartment?---------------- ❑ � ❑ Wy Effluent filter installed? ------------------- ❑ ❑ Septic tank rapacity(working) 1050 OY Manufacturer Sound Placement 0 D•boxwater level and speed levelers used? --------------- EWA ❑vas ❑ NO Q�QS Manifold/D-box accessible from surface?.--------------- - ❑ 0 ❑ aj— Check valves installed? - --- --------------------- - 0 ❑ C Transport Line Size 2' Schedule/Clees 40 Bedrooms installed(check ons) ❑2 03 ❑4 ❑5 ❑6 ❑CommerciaVOther >701L fromfoundation?-------------------------.- ® WA ❑vas ❑ NO C >100 ft.from wells?----------------------------- ❑ M ❑ W >100 ft.from surface water?------------------------ ❑ ❑ [L- >10 fL from potable water lines?---------------------- ❑ ❑ _Q >5ft.from property lines and easements?--------------- - M ❑ C >30 ft.from downgradient curtain/Nundation dmins?---------- ■ ❑ ❑ Dralnfield level and observation ports present ----- ❑ e ❑ ❑ Graveless chambers or a Clean gravel used? Icheck one) Proper caver installed over drainfield?------------------ - ❑ ❑ Pump tank setbacks consistent with septic tank?------------- ❑ WA me ❑ NO Y Pump tank capacity(flood) 1500 at Manufacturer Sound Placement 24"access risers)and accessible from surface?------------- ❑ 0 ❑ ~ Alarm or Control Panel Installed? --------------------- ❑ ® ❑ a = COntrol Panel equipped with Timer/ETM/Counter----------- ❑ 0 ❑ 1 Pump Installed in ❑ Bucket or ® On Block or ❑ Other 1 Pump Make/Model Liberty FL 100 ■ Floats or ❑Transducer 0 Tank d.down 2,5 in/min Pump capacity 7D gpm Squirt Height 8 ft Pump on time . $5 A.:O- Pump oft time Daily flow set at Pd weave m+nsia Mason County OSS Installation Report pg.2 Parcel it 32122-50-00037 ABANDONMENT RECORD Ware existing septic components yAben/W ad as pen of this project? -------------- - ® YES NO If yes,please describe: Kf fir :T/a: / Ware all componems pumped out anE properly abandoned per WAC246-27ZA M? ------- - ® YES NO RECORD DRAWING row m a Dammiml nram.ea moth r.mv+..w wmw....wvk w�+e..I.m nA i.w a mws..�..wiw..e ws..w.l.w+.m. Tro..�RwE Deanpemdan: paMw04meMb4 ais-1e1bn8eyau43gtlrIDmYDlenklmtlon.Nuflk w'wl. ewrve dteinAeN.earetlry eM O�Wr��Y�mliee.IrceNon WweYe.waGaw. 'wW,ab.rv,Ibn Pvn.W.mue..M otlmrm.IK.nw eve.PYma. mmrolm.fl.w'0 Dmnras miY nWe WCIWnI�Y.In flIW IrcWlmion eD%wN eq�elYtlO Daa1e. Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I cenbty that I installed the system in accordance with I certify that the system has been installed in acccr- 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 clearsompproved by both the designer shown here have been deareamppmved 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 I further candy that all information contained on this 1 further candy that all information contained on this torn and sits,.led Record Drawing is accurate. form and attached Record Drawing is accurate. Ia tore of I stellar Dete Logan Spear Printed Name of Sighs n MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and a =cePR'ws.. I' Record Drawing on behalf of Mason County Public DIRss Health: �t mow, Z� ItILA Signature of Enraonmmaal Health Specialist Data (stamp,signature and data) THIS FORM MAY BE SCANNED ANDAVAILABLE FOR PUBLIC VIEW ON THE MASON CAIINTY WEB BYLE DPMV rrnmu WAY TO TIPPERARY PRIMARY ® �� & RESERVE AREAEMMA W o � ® I 10' FOUNDATION o SETBACK I ' APPROVED 30' DOWNSLOPE FOUNDATION/PERIMETER I I FEB I 0 2025 DRAIN SETBACK I MASON COUNTY E,NVIRONMENTALHEALTH I i PET I FUTURE I BUILDING AREA i I ' I I NUWATER I� 6t PUMP TANK I 1 II O ,�n$amn. 7��^�`p ^^�' INCAKE LIMERICK PUMM DRAVMG PIO'' DIGGQVNG CLLTOMFR BRANDIBOCCNAN TESTHOLE1 6( I: i5 11 ili 4% HVE 3: PARCEL k 32M500W37 *3ar�.� SEPTIC DESIGNS ADDRESS: 25DWAYTOTWERARY Rari�®3s Ran«w 3ML�+M BP'RD. GRAr ILW,WA91 DEgGNER: ROBERTKPAYSSE FTICE-36<M2&M)3 M 3 "27B53 SHEEP: AWAT SCALE E'=30 a �• =��w^ �^