HomeMy WebLinkAboutSWG2025-00059 - SWG As-Built - 4/15/2025 Mason County OSS Installation Report pg. 1
MASON COUNTY PUBLIC HEALTH
�R IT F" . M(iSi1
Permit Number SWG 2025.00059 Parcel# 31904-13-00030
Applicant Name KATHRYN FELIX Subdivision (NamelDiv/Block/Lot)
Applicant Address 2311 BE COLE RD.
City, State, Zip SHELTON,WA. 9854 Installer Name SCHOENING EXCAVATION
Site Address 2311 BE COLE RD Designer Name CINDY WAITE
ET .. I IQ <G >l.
M Full System Installavon ❑Tank(s)Only ❑ Drainfleid Only ❑Repair ❑Other.
System Type PRESSURE
.}i(f�_ 1�y(J}Pretreatment Type
ly lY/�� Fl LLj ONIA YES {] NO
>5 ft.fromfoundatlon? •--------- ® ❑
>50 ft.from wells? -------- - ❑ O
>50 ft.from surface water? ------- - APR-UG 1Q2�
Cleanout between building and tank? --
-- ---'------ ❑ ❑
Tank baffles present? --- -- - - --
- El El
access risers over each compartmen - ❑ ❑
Effluent filter installed?- - - --- --- ----- --- - -- --- - - - -
Septic tank capacity(working) f � eel Manufacturer
❑ ❑
D-box water level and speed levelers used? •--- �----____ -_ - NIA YES NO
❑
- Manlrold/D-box accessible from Surface?---------------- -
❑❑ Cl
valves Installed? - ------- ------- ,
Transport Line Size 1 ry Schedule/Class -S�e /�'�ry�
Bedrooms Installed(check one) ❑2 03 ❑4 ❑5 ❑S ❑Commercial/Other
>10 ft,from foundation?-- ------ ---- • ❑QUA ® Yes NO
>too ft.from wells?--- -------------------------- ❑ IN ❑
>100 ft,from surface water?--------- ----------- ❑ JE
El
>10 ft.from potable water lines?---------------------- ❑ ORO
>5ft.from property lines and easements?------------- -- -
❑ ❑ ❑
>30 ft,from downgradlent curtalnlfoundatlon drains?-------- ®10 ❑
D2lnfleltl level and observation ports present - -----
________
❑ Graveless chambers or K Clean gravel used? (check one) ® ❑
Proper cover Installed over drelnFleld?---------- �y
Pump tank setbacks consistent with septic lank?- - ❑ NIA Ibi YES ❑ NO
Pump tank capacity(flood)- 016d��tank?
, �fF^t'L ❑
24"access riser(s)and accessible from surface?------------ - ❑ ® ❑
Alarm or Control Panel Installed? - --- -- - -- --- -- O ® 13
Control Panel equipped with Timer I ETMI Counter----------- )
Pump installed in ❑ Bucket or ® On Block or ❑ Other
Pump MakelModel L r6/L• 1 ya __ ❑Floats or Transducer N,
Tank draw down —;� in/min Pump capeclly �S pm SquIR Height '-! ft \
Pura off time rlY Daily flow set at Z�a 9131
p �-
Pumpontime G
40SCL- (l(lt �✓ 6olOSeSLc "m`�e01
1i..51-ellw^ `Iltzlt�
Mason County 088 Installation Report pg. 2 Percel 0 31904-13-00030
ABANDONMENT RECORD
Were exleting septic components abandoned as pan of this project? -- - - - ---- --- - - - N YES El NO
If yes, please describe:
Were all components pumped out and property abandoned per WAC246-272A-03007 --- ---- - ® YES ❑ NO
RECORD DRAWING
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® Record Drawing Attached
CERTIF- /,1TION OF INSTALLATION
INSTALLER DESIGNER/ENGINEER
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 Courtly Public Health and that any deviations
here have been cleared/approved by both the designer shown here have been cleared/approved by both
and Mason County Public Health and meet all State myself and Mason County Public Health and meet all
and Meson County Codes. State and Mason County Codes
I 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.
Signature of Installer Date
Printed Name of S/gnee
MASON COUNTY PUBLIC HEALTH
• ` Y
The undersigned approves this Installation Report and t� t re
cINp ENS a
WA
Record Drawing on behalf of Meson County Public LICENBEp GE81ESP
GNEq
Health: ENniNFS P41q
LiLl'� �IIIsl2�
Signature ofEnvironmenta/Health Specialist Date (stamp, signature and date)
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY W®SITE We[ua eaviol°
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