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Home My WebLink AboutSWG2024-00466 - SWG As-Built - 2/1/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2024-00466 Parcel# 61931.40-90110 Applicant Name CHAD JENKINS Subdivision (Name/Div/Block/Lot) Applicant Address 740 E SATSOP RD W City, State, Zip ELMA. WA. 98541 Installer Name SCHOENIN 3 EXCAVATION Site Address 740 E SATSOP RD W Designer Name CINDY WAITE INSTALLATION CHECKLIST ❑ Full System Installation ❑Tank(s)Only ® Drainfield Only ❑Repair ❑Other System Type PRESSURE Pretreatment Type >5 ft.from foundation? --------------------------- ❑ WA ®YES ❑ NO >50ft. from wells? -__________________ ❑ Z >50 ft.from surface watel7 - _ _ _ ___________________- ❑ ® ❑ HCleanout between building and tank? ------------------- ❑ ® ❑❑ V Tank baffles present? - - --- - - - -- ---------------- ❑ ~a 24"access risers over each compartment?-______________. ❑ El N Lu Effluent filter installed?-____ __ _ _ ________ ____ ____ _ ❑ ® ❑ Septic tank capacity(working) 1200 at Manufacturer EXISTING ❑ 9 D-box water level and speed levelers used? - - - - - - _ _ ® MIA YES ❑ NO O Manifold/D-box accessible from surface?-- --_ ❑ ❑ CZ Check valves installetl? -_ _ _ ___ _____ _____________ ❑ ® ❑ F Transport Line Size 2 Schedule/Class SCHEDULE 40 Bedrooms installed (check one) ❑ 2 ®3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10ft.from foundation?------------------------ - - ❑ WA ® YES Q NO p >100 ft. from wells?- ---------------------------- ❑ ® ❑ W >100 ft.from surface water?-______________ _ ❑ 110 ft. from potable water lines?-_______....... ❑ ❑❑ > 5ft. from property lines and easements?---------------- El ® ❑ >30 ft. from downgradient curtain/foundation drains?--- --____. ® ❑ ❑ Drainfield level and observation ports present - -- ----___ ___ . ❑ ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?- ___ ___ ____ ____ _ _ _- ❑ ® ❑ Pump tank setbacks consistent with septic tank?----________- ❑ NIA ® YES ❑ NO Y Pump tank capacity (flood) 1000 Dal Manufacturer EXISTING 2 H24"access riser(s)and accessible from surface?-----_____ __ . ❑ ❑ a Alarm or Control Panel Installed? -__ _________________ - ❑ ❑ jControl Panel equipped with Timer I ETM/Counter--- -- --- --- ❑ ® ❑ I- Pump installed in ❑ Bucket or ® On Block or ❑ Other fl Pump Make/Model LIBERTY280 � El Floats or Transducer d Tank draw down 2 inlmin Pump capacity 44 apm Squirt Height 2 ft Pump on time 1 Pump off time 6 Daily flow set at 264 gpd Mason County OSS Installation Report pg, y Parcel# 61931-40-90110 A Were existing septic components abantloned a B pNDONMENT RECORD rt of If yes, please describe; Project? ------ -___ ___ Were ell components pumped out and property abandonedYES ® No per WAC246272q-0300? -__ ____. � YES Ej NO Th1i Ia a RECORD DRAWING PeaNMllt nOORI iM mYat b 1CLyye a,p eeaorlPON MOYOh tO IH OmWInOe mnhN: OnNlpltl 6 manilOq pleMayon 8 0pia OOeN N ma nw0 W m ftan.m aaNXMa MG/MIn eNi1 vnYa.Obaematl0'I porN.dWouN,anY other mae�MnaMa accea�p' Y�4nk buepa,Norm e,ma,. ,h Opmanl. Typical aemm Oryinflee,eiiaeiN NO mopoya WIgNBe,laceepa pf vreMe,vmeainea, W^Mleb eefAm Dnln'NW meY CANa aIXlillmal Ee4ye In fl�lnet811aXon approval an8 MekO parmila. � Record Drawing Attached INSTALLER CERTIFICATION OF INSTALLATION I certify that/installed the system in accordance with DESIGNER/ENGINEER the septic design stamped-APPROVED"b d cemfy that the system has been installed in accor- County Public Health and that any deviations dance with the septic design stem 'APPROVED-by here have been deamd/athe Mason County Public Health and that any deviations and Mason County Public Health end meet all Statedesig shown shown here have been cleared/a and Mason County Codes. myself and Mason County public pHea m and bpm,ad by oth a// I further certify that all information contained on this state and Mason County Codes form and attached Record Drawing is accurate. I further certify that aN information contained on this Joan and attached Record D wing is accurate. Signs ure of lnstaller 3 I te d Date 1ltlnfed Name of S/gnae ory MASON COUNTY PUBLIC HEALTH The undersigned approves this/nstailation Report /t L Record Drawing on behalf of Mason dgynty P(#lg UDEN ED DESIGR Health: Signature ofEnvironmenta/Health Specialist �iFy r (stamp,signature and date) THISFORMMAygE SCANNEDANOAVAILABLEPUBLIC VIEW ON THE MASON COUNTY WEB SttE Wsaewvmte ti o :::::❑ - 9 ti i -- .._... ------------ I YF 4 � Y O ' Y• i DMEN All Y S FMugk!LLYIp `� Aq0 i soh�p�h 81023' e, ry o q Nn, yra H��rN 4OL i .. a !� w r2 'O RI Jam - n� = 'g i5 .31 S tcm • c a o _S: e fm (c . � � y `�i � G PIN o � � may om %jp 7to . x AppROV , -Nl � i E� . m' MAR 0 7 2025 ��-' MASON COUNTY ENVIRONMENTAL NF