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HomeMy WebLinkAboutswg2025-00005 - SWG As-Built - 4/22/2025 I , Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00005 Parcel # 22221-53-00041 Applicant Name Jeffery&Stephanie Logan Subdivision (Name/Div/Block/Lot) Applicant Address 281 E Snow Cap Dr TWANOH FALLS ADD#1 LOT: 41 City, State, Zip Belfair, WA 98528 Installer Name Bamford Septic Repair Site Address 281 E Snow Cap Dr, Belvair Designer Name Arrow Septic Designs INSTALLATION CHECKLIST ...� © Full System Installation ❑ Tank(s)Only ❑ Drainfield Only ® Repair ❑Other System Type Pressure Bed _'- eatment Type >5 ft. from foundation? pil Tt- tg-`iF - ❑ N/A 0 YES ❑ No >50 ft. from wells? - - ❑2Ei ❑ Z >50 ft. from surface water? `- /N"- -2.2Q25- - ❑ ❑ HCleanout between building and tank? -�1 • - - - ). - - ❑ © ❑ U Tank baffles present? - ,i_ - - ❑ II ❑ d 24" access risers over each compartme tRR7y- - ❑ 0 ❑ W Effluent filter installed?- - ❑ ■❑ ❑ N Septic tank capacity (working) 1,250 gal Manufacturer Infiltrator 0 D-box water level and speed levelers used? - - ❑ N/A ❑ YES ❑■ NO O Manifold/D-box accessible from surface?- ,O - ❑ 0 ❑ Ca-2 Check valves installed? - - - -a- - iPLA ❑ El ❑ OQ 2 Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) ❑ 2 ❑ 3 ❑■ 4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - - - - 5'e. --k.,.9-a-k,TQJr - ❑ N/A ❑ YES 0 NO CI >100 ft. from wells?- - ❑ 0 ❑ J >100 ft. from surface water? - - ❑ 0 ❑ W u. >10 ft. from potable water lines?- - ❑ ❑■ ❑ a Z > 5 ft. from property lines and easements?- - ❑ I ❑ re > 30 ft. from downgradient curtain/foundation drains?- - ❑ 0 ❑ 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? - - ❑ N/A ■❑ YES ❑ NO • Pump tank capacity (flood) 1,250 gal Manufacturer Infiltrator < 24" access riser(s) and accessible from surface?- - ❑ 0 ❑ I— a. Alarm or Control Panel Installed? - - ❑ I. ❑ 2 Control Panel equipped with Timer/ETM/Counter- - ❑ I ❑ m - Pump installed in ❑ Bucket or 0 On Block or ❑ Other d• Pump Make/Model Zoeller N152 ■❑ Floats or ❑ Transducer a Tank draw down 3 in/min Pump capacity 75 gpm Squirt Height 5 ft Pump on time 1.6 min Pump off time 6hr Daily flow set at 480 gpd Updated E.21.20t3 r • , Parcel+fir 2-Z-: — S - �efl4-‘ Mason County OSS Installation Report pg. 2 ABANDONMENT RECORDil ® Yes ❑ No project? - �a Were existing septic componentsabandoned as cart SS�r ® YES NO If yes, please describe: - - ' ' Were all components pumped out and properly abandoned per WAC246-272A-03a0. RECORD DRAWING Typical Retort e tia'ump tank location,North arrow.reserve drainfield,existing and proo dose installation aCP•tioal anwells. ieeawc a nes. This is a permanent record and must be accurate and descriptive enough to re-locate in the need of maintenance activities and future development Drawings s contain! pra. eld . man nld t ert n&layout.5 P P wells,observation ports.Geanouts,and other maintenance access pmts. ;rcempiete Record Drawings may create additional delays I ® Record Drawing Attached CERTIFICATION OF INSTALLATION DESIGNER/ ENGINEER INSTALLER I certifythat the system has been installed in accor- 1 certify that 1 installed the system in accordance with danc with the septic design stamped"APPROVED"by the septic design stamped"APPROVED"by Mason County Public Health and that any deviations shown Mason County Public Health and that any deviations here have been cleared/approved by both the designer shown here have been cleared/approved by both Public Health and meet all State myself and Mason County Public Health and meet all and Mason County State and Mason County Codes 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 attach ,,----- Drawing is accurate. • 1-f-to -7.-S ' Date Signature of lnstalle li &`` Q. �, ' of. ,�a ,� Printed Name of Signee e ;I t 'Y ,. r` r •ti` ' MASON COUNTY PUBLIC HEALTH A74 s.00s'l . approves this Installation Report and Y�Z• PAULA OY�c frlsoN '-4',, The undersignedonbehalfPublic P. LI-s4t E 1°'1=a• Record Drawing of Mason County ����t�� �� EXPIRES 9/15/ Health: l,� i /7)c- �•{ --Z2-ZS -I i signature and date) Date (stamp, g Signature of Environmental e21th Specialist Updated 8212016 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE t Lei Je 5Ry-SI -Ptkft‘< .oGAN 29tP,c *222 2 t-57-000t 1 Ze I 10\N CA VFN 2-47?------- 77' . Ze.LFFk \. \NI.F., 01e528 Kev: . She ' O. Audio-Visual Alarm Flo' Res eruc7 e Cleanout L_ a ed 1 3 3250 Gallon Septic Tank !9 2-Compartment with =� q ' Effluent Filter r!o•x3os Reserve i Ne.,,,) �� 0 1250 Ga1Ton Fump Chamber —.J 0 old ?c.r,ie. ?,ef,._e-v,,t1s ck, rEZ2 11- 62._c_L © n6 tl'' �, o _ 1 E_y,i.52k-\v`ci 1 cvettACA \ 4 p 1 i \ :4 61'e \- -v--F5- - 1 pik) 1/ oo --, tcl \ kr-- 2' ,v5°��-`K- MASONr, APR 29 2025 i MRFr NM 0 ehT4Z 11E4LTy 0 63Ec/ V cl'1 2-'11.\;'.1 --- '-''- A, �e�CSC' �f� . • �pqb s01 i8y.'97`.r?, .*:; F JT^ r y` ' J:kt•; PAULA JOY JOHNSON ' `(-U.-Zs