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HomeMy WebLinkAboutSWG2024-00310 - SWG As-Built - 4/11/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2024-00310 Parcel # 32104-50-00089 Applicant Name AB Fine Homes Subdivision (Name/Div/Block/Lot) Applicant Address 871 E Beach Dr Alderbrook G&CC/Lots 89 &90 City, State, Zip Union, WA 98592 Installer Name Hanson Excavating Site Address 111 E Jack Pine Ln, Union Designer Name Arrow Septic Designs, Inc INSTALLATION CHECKLIST • Full System Installation ❑Tank(s) Only ❑ Drainfield Only ❑ Repair II Other 500 Gal Pre-Trash Tank System Type Shallow Pressure " - .atment Type NuWater BNR-500 >5 ft. from foundation? - - EraVS% ❑ N/A YES NO >50 ft. from wells? - 4__, ❑� ❑I ❑ Z >50 ft. from surface water? - - - r110 10 ❑ El ❑ HCleanout between building and tank? - - -�PR� ❑ ❑ ❑ U Tank baffles present? - I- - - - - ❑ U ❑ a 24" access risers over each compartment. in- - - - �_�� - - ❑ ■❑ ❑ s `W Effluent filter installed?- �(\12- El ❑■ Septic tank capacity (working) NuWater 500 gal Manufacturer Hagerman O D-box water level and speed levelers used? - - ❑ N/A ❑ YES 0 NO oO Manifold/D-box accessible from surface?- - ❑ ❑ ❑ m- Check valves installed? - a- u Ao,v` - 111U ❑ oQ 2 Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) ❑ 2 ❑■ 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - ❑ N/A 0 YES ❑ NO CI >100 ft. from wells?- - ❑ LII ❑ W >100 ft. from surface water? g-N Tr fl*a- 4'. ❑ ❑ Z >10 ft. from potable water lines?- - - 7,.. �'",; -,_ ; S❑ a ❑Q > 5 ft. from property lines and easem ? ❑ ® ❑ h Q > 30 ft. from downgradient curtain/fou -on dreg? 2 1- ��] ® ❑ Drainfield level and observation ports t - -N- 740sot CIE �HEAD D I] ❑ IN Graveless chambers or ❑ Cletwg0$LreQ� 2d�p�' one) Proper cover installed over drainfield?- v�� - ❑ 0 ❑ Pump tank setbacks consistent with septic tank? - - ❑ N/A ❑■ YES ❑ NO Y Pump tank capacity (flood) 1,000 gal Manufacturer Hagerman Z < 24"access riser(s) and accessible from surface?- - ❑ U ❑ n. Alarm or Control Panel Installed? - - ❑ UI ❑ E Control Panel equipped with Timer/ETM/Counter- - ❑ Pi ❑ D a Pump installed in ❑ Bucket or LI On Block or ❑ Other a' PumpMake/Model Liberty280 � ❑■ Floats or ❑ Transducer a Tank draw down 2" in/min Pump capacity _ 38 gpm Squirt Height 4 ft Pump on time 2.3 min Pump off time 6 hr Daily flow set at 360 gpd Updated 8:2120n8 Mason County OSS Installation Report pg. 2 Parcel# SZ0k*—SO'000gcl ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - ❑ YES ® NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? - - 0 YES 0 NO RECORD DRAWING This is a permanent record and must be accurate and descriptive enough to re-locate in the need of maintenance activities and future development. Typical Record Drawings contain: Drainfield&manifold orientation&layout.Septic/pump tank location.North arrow,reserve drainfield.existing and proposed tuildings.location of wells,waterlines wells,observation ports.cleanouts.and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and relates permits. iEa .;.,....--7‘, r ? " i • \it * ,,., „ , „„ , APR 1 ? 20 5 ` -.. h JBW U Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I certify that l installed the system in accordance with /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 County 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 Mason 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. 6. dyL t-l--► -ZS Sig ure of Installer Date �, Jared Hanson T ��� Printed Name of Signee %. •of .wAe,,'..AN 14. MASON COUNTY PUBLIC HEALTH `� • The undersigned approves this Installation Report and =-/%' st rl' Record Drawing on behalf of Mason County Public '�r�?. PAULA JOY JOHNSON.• s H LIMISi`ti bES64Pit" k��-�-rs»ex - ��; - U 1, (4- 11- q - ( I-ZS Siggiatu nvironmental Health Specialist Date (stamp, signature and date) i/ THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE 1,p0atec e»12018 c.,C(a) '2.01 .3,- CO 2,01 ., r--Yr•Q-.11s- 3‘4.6ki•\"-c\-3e&44---\`'''cli-•°`-',-s IQ0.4to' 5 - 1t SPWC'l` ( © @ O i fi o00 / s� 1 / I I I I l I I 1 I p 2 0' (2-n be v-k- , J 4 Gaff' 4.S pAtt..O L, kilti y j TII I I 1 I 1 I i GotirS?, alI. t Imo p ? ' _s t J - 1 ii! Ur�vewti / I 1 1 j \ i \ { • f. ? Ps I k „,,,, . '' ApR 1 2025 ' veTALNEPk.-iH SCALE: . 14NVIR n • \`� `., 5., ref M T 0 is 3oti'�a i ,egg E r ��L 5 J G o ci 10 -k--r ebTs At3 FINE t COMES --k- --k-`ziJII PPRc,FL4321o4-50-Ooo Lem - 3: 22.'' Ss I-t- v #e) —Fin R t F. ;TA Ci k T (N C Lt . CD Audio-Visual Alarm O Cleanout 40,5) ' 4 O3 500 Gallon Pre-Trash tankC `. • t O4 NuWater BNR-500 ATU Tanki" - ►� 1 l.It t 0 1,000 Gallon Pump Chamber /-Qt PAULA JOY3JOHNSON.. O Valve Control Box a. sicNVf . E -1RES 1�