HomeMy WebLinkAboutSWG2025-00072 TANK ONLY - SWG As-Built Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
'1,, APPLICANT/PERMIT INFORMATION
Permit Number SWGJC- 3t5- OW-2Z Parcel# 7-20n7- $1 -CCCe('
Applicant.Name, Icw� j /, A"J` t.h Subdivision (Name/Div/Block/Lot)
Applicant Address 2/04" E IAb4 ,L-tDa _
City, State, Zip �*wjh 1 WA 'AWW Installer Name
Site Address 2-W - yAk%-L44 4 Designer Name
_ INSTALLATION CHECKLIST
❑ Full System Installation JK Tank(.)Only ❑ Drainfield Only ❑Repair ❑Other
System Type Pretreatment Type ,y
>5 ft. from foundation? - - - - - - - - - - - - - - - - - - - - - - - - - -- ❑ NIA 25 YES NO
>50ft.from wells? - - - - -- - - - - - - - - - - - - - - - - - - - - - - .- ❑ A ❑
Z >50 ft. from surface water? - - - - - - - - - - - - - - - - - - - - - - -- ❑ ,�-{ a❑4
FCleanobt between building and tank? - - - - - - - -- - - - - -- - - -- ❑
Tank baffles present? - - - -- - - - - - - - - - - - - - - - - - - - - - - ❑ fr�j�' ❑
a 24"access risers over each compartment?- - - -- - - -- - - - - - - - ❑
W Effluent filter installed?- - - - - - - - - - - - - - - - - - - -- - - - - - - ❑ ❑
H `� al
Septic tank capacity(working) Manufacturer lafiL/
L, D-box water level and speed levelers used? - - - - - - -- -- - - - - - ,,,, NIA ❑ YES ❑ NO
�O Manifold/D-box accessible from surface?- - - - - - - - - -- - - - - - - ❑ ❑ ❑
�i Check valves installed? - - - - - - - - - - - - - - - - - - - - - - - - -- ❑ ❑ ❑
09
Transport Line Size
YLa Schedule/Class '40
Bedrooms installed (check one) Dd 2 ❑ 3 ❑4 ❑ 5 ❑6 ❑CommerciallOther
>10ft. from foundation?- - - - - - - - - - - - - - - - - - - - - - - - -- ❑ N/A YES NO
>100 ft. from wells?- - - - - - - - - - - - - - - - - - - - - - - - - -- - - -
❑ ❑
W >t 00 ft. from surface water? - - - - - - -- - - - - - - - - - - - -
- - - - ❑ ❑
LL >10ft. from potable water lines?- - - - -- - - - - - - - - - - - - - - - ❑ ❑
Z > 5ft. from property lines and easements?- - - - - - - - - - - - - - -- ❑ pf ❑
> 30 ft. from downgradient curtain/foundation drains? --.- - - - - - - - ❑ R]1 ❑
Drainfield level and observation ports present - - - - -z - - - =- --- ❑
❑ Graveless chambers or 9 Clean gravel used? (check one) ,,{
Proper cover installed over drainfield?- - - - - - -- - - - - - - - -- - ❑ -- .G���`lrrr ❑
Pump tank setbacks consistent with septic tank?- - - - --- - --- -�1--,,. ❑ NIA ❑ No
Y Pump tank capacity(flood) at Manufacturer IY�FLOt.."o
Q24" access riser(s)and accessible from surface?- - 4i _- — rQ y' M ❑
I- Alan or Control Panel Installed? - - - -- - - ---t - - - - yrr^+r'r+�' ❑
IL ❑ g{
Control Panel equipped with T ❑mer/ETM/Counter-- - - - - - - - - -
0- Pump installed in ❑ Bucket or 1�50n Block or ❑ Other IL Pump Make/Model 1i Is-2- lee- !�]�,/
Floats or [ITransducer
f
d Tank draw down OH I � /min Pump capacity gpm SquirtHeight s ft
Pump on time Pump off time Daily flow set at gpd
uwa W.M
Bamford septa Rapdr.LLC
301E Wallace Kneeland Blad STE#224-332 1treyPo=
Shelton. WA 96584
PROPERTY INFORMATION
Locadore 260 E TAHUYA DR
` - Shelton
Tax ID:220075100086
raw, ALLAN E LAWRENCE
1 260 E TAHUYA DR Use:Resideneel,Single Family(2 berm)
SHELTON,WA System Design Flow:240
985847904
ON ID:220075100086
County Area:Oakland Bay MRA
„rol ON-SITE WASTEWATER TREATMENT SYSTEM S • • Fo
Inspected:0T/2]Y2025 • ins pection Type:PROPERTY SALE - Connection Status:No corrections needed
Company 7
Work Peolarmed By: Bubmined 03 .025 by:
Samford septic.Respi Thaddeus Bamford Thaddeus Samford
COMMENTS S GENERAL INSPECTION NOTES
No Deficiencies Noted
Used wr erabr to run pump tome if drain side Is accepting water. Pump is goon and funoi but water in tank is wt going down. Exposed o
lateral end antl dniktl Iw a inb pipe tb verity pump. D O rock appears in good condition. More expbralory-vmrk would have to da performed to
determine Operator,of system. //
Tank only parrot pulled$WGM25-0OW2rewesong b update and repair sperm, Weaddedneweledncallrompowerm wrwwk kwithan
outdoor eland pox. Imtelled darks on tank bpemngs end gmbted with jet set cement Exposed all one finals and dwned holes visn roots
pracent arM flushed adding dean emirs rock as weer wiM Nkr kbrc aM deanouts el eMa of Onea IorlYMer melnnnenw.
GENERAL SITE 6 SYSTEM CONDITIONS
The General Site and mtem w Ions ware: n
YES
CgmpanenNecceesible W semca_
At required service Performed(t no-spetlfY om ter' peOtoo It..in males)' YES
Budedn8 edhop hom any component(induct ng mountl seepageg_ _ NO
___ _. — _ YES—._......_.__
Compperntsappaarteba uouLe t-.ri sual leaks _ -
ImgopxenrmarhmentlstmcWresdmpennomsWacesl, _ NO
Ad near has securely faen sted Ypw rture:depa NIA
ElacNcal reptin needed If YESdenc.okinwmmenta. NO
Impacted wmwnents appearto ba in good phyekal mnEaion: YES —_
"— NO
RmtintrvNon en� wmperwnts. IIYE9dincoem rds: R: _....
SeMing pmolen�c observed. AYES tlasediourn.nibe in commenk: NO ..._
The housNSWnure was vacant or used inheguently.eaxssment of th dreilfiek coos rem potolds. NO
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
This caropcioent was Fupylnepecbe
Effluent levol whin rational limits It NO ex lain in wmmants: ;Foey
NJ required souks In lace NIA=No bales wired:
Cam rtment 1 Scum eccumuktion lecher,know a 1:
Co rlmeta 1 Slu awumuletian themes.A oeter c
Co armant 25wm acwmuktion InMas if others
Co adment251ud eawumvlation Ineheel — rs Ic
Pumoin recommended:
This cdm nenl x'a5 This cam el wasCon VYIS IUnGtpnln Tested gallons cer minub lbw:
Repi 13T84T0 View irradiation reports online at vww.00linerme.com Page f ol2
MASON COUNTY
• GENERAL SERVICES DEPARTMENT
POGO%tBB 4RBWEBTCRDAB E WELTOH.WAPMl
PHONEIM ART-RBTO
�RECORD �FINAL ECTION OF YOURSEWAGE DISPOSAL SYSTEM
OWNER ADDRESS J_JX3
THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. CITY UJ J ZIP 5, 3(D
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER L AL DES RIPTIO11{
WITH PROPER MAINTENANCE AND CAREFUL USE OF �f
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SEA- 0 , I
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIOMMENT$ Ol�.r• q� 0.W
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER. CLOTH ,N FIELD -}
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE \ SIZE /OO X 3
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO.
FAULTY FIXTURES. DEPTH TO N MONTH /t,L,ya•
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE % OF YEAR
INSTALLER
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND SIZE (�
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED.CLEAN- SEPTIC TANK IS) T d L I k
ING AT THE RIGHT TIME WILL AVOID THE RISK OF IN1UR- DRAINFIELD SET
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS LENGTH E00' 9 UJLL
CARRYING OVER INTO THE DRAINFIELD. CALL THE ,TRENCH AREA SQ. IT
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF OO
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE —�
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS �� - j1' ❑ CORRUGATED a'GIGIO ❑ CEMENT
RECORD WHEN HE COMES. ROCK EILow TOTAL
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. VF- 1L RR — R' DEPTH
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS. REPLACEMENT DISTRIBUTION FIELD: SO. FT.
SWIMMING POOLS. OR EXTENSIVE GRADING OR FILLING } NO
ARE LATER CONTEMPLATED.
t I
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO P
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH { I -
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE I _\
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. I
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE
DRAINFIELD. ANY SETTLING OF THE GROUND OVERiTHE
TRENCHES SHOULD BE FILLED IN WITH SOIL DO NOT EX
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. 'Q gS•
WATER EVAPORATION FROM THE INtAINFIELD IS ABOUT
EQUAL TO ONE HALF INCH OF RAIN PER DAY.
FOOTING DRAINAGE, DOWNSPOUTS AND WATER
SOFTENER RECHARGE WATER SHOULD NOT BE CON-
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE
DRAINFIELD AREA.
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE-
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY
CHANGING THE CHARACTERISTICS OF THE SOIL. THE
NORMAL USE OF BOWL CLEANERS OR CLEANING COM- SOUTH {
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW
DOWN THE OPERATION OF THE SEPTIC TANK.
THIS IS AN IMPORTANT DOCUMENT DATE srorvnmRE O IHBTA L
KEEP IT WITH DEED OR OTHER S 97 O/re cof /yV
ESSENTIAL PAPERS. DATE f SIGHATUAE OgIHSPEcroH