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Home My WebLink AboutABANDONMENT RECORDS-HOLDING TANK - SWG As-Built - 3/12/2025 am -A�oP] ) K4ffz6ke sp Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Pemet Number SWG COM2025-00058 Parcel# 422125011014 Applicant Name B.D&D,LLC Subdivision (Name/Div/Block/Lot) Applicant Address 1030STERVOLDRD City, State,Zip CATHLAMET WA 90620 Installer Name GENE BOND Site Address 150 N Lake Cushman Rd Designer Name NA INSTALLATION CHECKLIST ❑ Full System Installation ❑T@nk(s)OMy ❑Drainfield Only ❑Reparr E Other ABANDONMENT System Type etreatment Type- -5 ft.from foundation? --------------------------- .WA ❑yas ❑No >50ft.from wells? ----------------------------" ❑ ❑ _ >50ft.from surface water? ------------------------ ❑ ❑ FCleanout between building and tank? ------------------- E ❑ ❑ U Tank baffles present? ---- ---- ---- --------------- 0 ❑ ❑ E24"access risers over each compartment?---------------- 0 ❑ ❑ HEffluent filter installed?--- ---- -------------------- 0 ❑ ❑ Septic tank capacity(working) ral MrNdechrx O Dbox water level and speed levelers used? --------------- TWA ❑YES ❑No DO ManifokllD-box accessible from surface?----------------- ❑ ❑ O2 Check valves installed? -------------------------- 01 ❑ ❑ cQ Z Transport Line Size ScteduklClass Bedrooms installed(check me) ❑2 ❑3 ❑4 ❑5 ❑a ECommercay0ther >10 ft.from foundation?-------------------------- . WA ❑YEs NO >100 ft.from wells?----------------------------- W ❑ ❑ >100 ft.from surface water?------------------------ ❑ ❑ LL >10ft,from potable water lines?---------------------- ❑ ❑ QZ >5ft.from property lines and easements?---------------- ❑ ❑ LL' > 30 ft.from downgradient wrtain/foundation drake?---------- ❑ ❑ Drainfield level and observation ports present -------------- ❑ ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check arts) Proper cover installed over drainfield?------------------- ❑ ❑ Pump tank setbacks consistent with septic tank?------------- E WA ❑ YES ❑ No hd Pump tank capacity(flood) gal Manufecbrar Z Q 24"access dser(s)anti accessible from Surface?------------- � ❑ ❑ F 1 Alarm or Control Panel Installed? ------------^------' ® ❑ Control Panel equipped with Timer/ETM/Counter----------- ❑ ❑ 7 a Pump installed in ❑ Bucket or ❑ On 9odt or ❑ Other 6 Pump Make/Model ❑Floats or ❑Transducer f y Tank draw down Wain PunIP aWdty gpm Squirt Height ft Pump on time Plntq olfYme Daily flow set at gpd urw.anmrmke Mason County OSS Installation Report pg. 2 Parcel A 422125011014 ABANDONMENT RECORD Were "icing septic components abandoned as pan of this project? - - - - - - - - - - - -- -- YES NO If yes, lease descnbe. Were all components pumped out and properly abandoned per WAC246-272A.03007 - --- - --- ® YES NO RECORD DRAWING rnK x.rrw.e..e new.we..n a�.wnr w a.rdgx.nrsan r n�erwr r ex meG a..re.n.n..ewa.e.w na..errn..,K Trool a.wro omwa.mr.m oxmwenrwer m«�mens KryA s.mtlw.oK..aca.>n.rom tlmw l.w-nm.nra merq.m awov.aowrQ nnomdw.w wwr.: vMK od.mlon WT.dcmiK tlMMr nenMw�•®a V rib IIIrn11LrIe RKON QRMR^wY rnM eM1bMYbbY.m Ttl mYran.LOA'tl eMtlrY]Pmtf Record Drawing Aftactled CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER 1 certify that l installed the system m accordance with I cerdty that the system has been installed in accor- the septic design stamped'APPROVED'by Mason dance with the septic design stamped'APPRO VEO'by County Public Health and that any deviations shown Mason County Public Health and that any deviations hem have been cleared/epproved by both the designer shown hem have been cleamd/approved 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 certify that all intomnaeon contained on this /further certtly that all information contained on this form and attached Record Drawing is accurate, form and attached Record Drawing is accurate. (,Au/ 311t I ,s S19 ure of Installer Date Printed Name of Signee MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and Record Drawing on behalf of Mason County Public Health' �w 3/)zlzS Ssnattaa of Heam Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED ANDAVAIIABLE FOR PUBDC VIEW ON THE MASON COUNTY WEB SITE ecrKa n'rmre RECORD DRAWING continued I Rhonda Thompson From: Sound Septic, Inc -soundseptic@outlook.com> Sent: Tuesday, March 11, 2025 8:31 PM To: Rhonda Thompson Subject: Re:OSS Inspection request for B, D&D, LLC-COM2025-00008 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. Sorry, kind of confusing, it was an above ground holding tank and a below ground holding tank that was a "septic tank", it was not attached to a drainfield or anything.lust a tank. From:Rhonda Thompson<RThompson@masoncountywa.gov> Sent:Tuesday, March 11,20251:15:12 PM To:Sound Septic,Inc<soundseptic@outlook.com> Subject: RE:OSS Inspection request for B,D&D, LLC-COM2025-00008 Sorry,what was that septic tank attached to?i thought you were just abandoning the holding tank. Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 6' St.Shelton,WA 98584 360-427-9670 ext.581 Rthompson@masoncountywa.gov From:Sound Septic, Inc<soundseptic@outlook.com> Sent:Tuesday, March 11,2025 1:12 PM To!Rhonda Thompson<RThompson@mawncountywa.gov> Subject: Re:OSS Inspection request for B, D&D, LLC-COM2025-00008 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. Got in,done! From: Rhonda Thompson<RThompspn@)masoncountywa aov> Date:Tuesday, March 11,2025 at 1:06 PM To:Sound Septic, Inc<soundseotic@outlook.com> Subject: RE: OSS Inspection request for B, D&D, LLC-COM2025-00008 1 150 N I-AKE CUSHMAN RD Service Company: HOBdsport Tax ID:422125011014 Sound Septic,Inc w. PO BOX 14151 Olympia,WA 98511 360.790.8089 SarvieadA 111212024 by:Jeff Palm Submitted 0311312025 by:Gene Bond iww, w,:BbRecyding-Cecrare Jurisdiction ID:422125011014 COMMENTS PUMPED SEPTIC TANK AND HOLDING TANK FOR ABANDONMENT. Tank Pumped. YES Tank Size Gallons(Number only,no text: 1080 Effluent level within operefpnel Nmlb(if NO explain In commada): YES Total Gallen pumped from tank(Number only,no text)'. 1080 Effluent retuminy back Into unit after pumping: NO Tank depet below grade(Inches): 0 Access Risers installed!W grade(WA if not present): NO Tank Construction Material: Blame Tank Condition Good: YES Beilles in condition(WA g not present): YES Effluent screen cleared(WA Nnot sent): WA EIIII agrfecing around site components(WA If not checked): NO Tank aherdoned after pumping: YES Were repairs made W the Tank or Tank Coro ants? if YES explain in comments): NO Compartment 1 SW m accumulation(Inches,If Bitter Specify): 0 Compartment 1 Sludge accumulation(Indoa,if other specify): 1 Compartment 2 Scum accumulation(Inches,if cuter specify): 0 Compartment 2 Sludge accumulation Inches.N oMer ): 1 TANK Holding Tank serving need eSt kitChn,r) Tank Hempen YES Tank Size(Gallons)(Nurri only,no text). 500 Effluent level within operational Iimite(if NO explain in cummenle): YES TOWIGallons umpedfrom tank lNumber only,no text: 400 Tank depth below grade(inches): 0 Access Risers installed to grade(WA N nM prevent): WA Tank Construction Material: Plastic Tank Condition Good. YES EMuent surfacing around site cumponents(NlA if not checked): WA Tank abandoned after pumping: YES Were repairs made W We Tank or Tank Com ante?if YES"plain in comments): NO This tank was not pumped or serviced. TANK Prim, Trk This tank was not pumped or serviced. ra+wMFW�euaN W,tlXfea.Ynmw�wr,>me*w»meNwx nmwrawaK'wauwwaw4ur4nvYngMw'n. Remrl 7811487 VlewPurrN feyarfaoMbr Nww.oMNremre.cem Papa 1 oft