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HomeMy WebLinkAboutSWG2025-00125 - SWG As-Built - 5/2/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2 025- 60i 2-.: I Parcel # 422/0 -54 - I a ! 70 Applicant Name A.461,Y! Ci 7,9b, -I(— Subdivision (Name/Div/Block/Lot) Applicant Address ? 0. qX ,3(o4 11 City, State, Zip t-it it)i4 985'S5 Installer Name -, ,�t , /-�Je�GrvraA Site Address Iff = C Att.w ,l gjDesigner Name WA- INSTALLATION CHECKLIST — ❑ Full System Installation ,®Tank(s)Only ❑ Dr:i;" ■ Repair ❑Other System Type _ r - retre t ent Type At v_ Lim >5 ft. from foundation? - - -- -rt- ❑ NIA ®YES ❑ NO >50 ft. from wells? - e-- - �+ - - 4 ❑ ❑ Y >50 ft. from surface water? - �nR �' - ❑ El ❑ Z r=.T H Cleanout between building and tank? - �- b-- ❑ r01 ❑ � Q V Tank baffles present? - A�V- .- -"- - - ❑ ® ❑ H 24" access risers over each compartment?- - �'�'`'`- ❑ © ❑ W Effluent filter installed?- C'� - - - - ❑ ® ❑ N Septic tank capacity (working) 1 2_ gal Manufacturer .-pk-H-6-,t ) O D-box water level and speed levelers used? - - rig N/A ❑ YES ❑ NO �J ❑ ❑ O Manifold/D-box accessible from surface?- ®- co Check valves installed? - - ❑ ❑ 0 Q �, 2 Transport Line Size `'( Schedule/Class 517 Q.-3 3— Bedrooms installed (check one) ❑ 2 0 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - ❑ NIA sj YES ❑ NO CI >100 ft. from wells?- - ® ❑ ❑ W >100 ft. from surface water? - - ❑ IA LT >10 ft. from potable water lines?- - ❑ m ❑ Z > 5 ft. from property lines and easements?- - ❑ ICI ❑ d > 30 ft. from downgradient curtain/foundation drains? - - ❑ (I ❑ cl Drainfield level and observation ports present - - m ❑ ❑ ❑ Graveless chambers or C Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ © ❑ Pump tank setbacks consistent with septic tank? - - ❑ N/A ❑ YES ❑ NO Pump tank city(flood) gal Manufacturer < 24" access riser( and accessible from surface?- - ❑ ❑ ❑ H Q. Alarm or Control Pane stalled? - - ❑ ❑ ❑ E Control Panel equipped with-T /ETM/Counter- ❑ ❑ m n- Pump installed in ❑ Bucket or ❑ o r ❑ Other d• Pump Make/Model — < ❑ Floats or ❑ Transducer R Tank drew-2down in/min Pump capacity a .pt . Squirt Height ft a Pump on time Pump off time Daily flow set at gpd Updated 8/21/2018 Mason County OSS Installation Report pg. 2 Parcel# ABANDONMENT RECORD Were existing septic componentsnn�� abandonedlf as part of this project? - /_ JI !AG . I - YES NO If yes, please describe:01/iI fib ClzAc ) � 4 V��.c -d- t✓/��/ k Were all components pumped out and properly abandoned per WAC246-272A-0300? - ® YES 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 buildings,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 related permits. gi Record Drawing Attached CERTIFICATION 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 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 fo and attached Record Drawing is accurate. form and attached Record Drawing is accurate. ature 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: fql\O\ q71(2—C- ental Health Specialist Date (stamp, signature and date) Signature of Environmental p ( p 9 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8f21/2018 APpouA1 • R�V� • • • • MAY M 02 2025 �P cw� R 4fi7 Eh ONMENTq RFC O ASON9 2o25 REr L HEALTH F/�F� © Caau,7,8 C/i. v. : /0 2- ,�,t+a4 / 30 0 7/v7ft-4 Q %+k ein 1r/oT /03° c//S 4. a;::, + CO-v7 t1owr?S tz/7/�. ?->e s dS „L\. tt „ 1cwtL J op. DUNryF'�v 9‘ S 440ti - MASON COUNTY HEALTH DEPARTMEN` "" ^ 428 WEST BIRCH STREET• i 1 9 i�81 SHELTON, WASHINGTON 98584 PHONE (206) 426-5561 ,td'r.. r 0 :Y _ T�i•_,raf RECORD OF FINAL INSPECTION OF YOUR SEWAGE DIVOM 'YSTEM OWNER /7--- h _l )R SADDRESS ft8-- 5398 7AIr/i4,-" q8 'c8 THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. LEGDESCRIPTION 1- ��i 8.�,�S ��IO P. A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER L _ IG r p 1 , WITH PROPER MAINTENANCE AND CAREFUL USE OF �_ w ��N �1 /r/�/ WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- .(Q� /A-- �• VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL 54,4/ �� �� �6�a a►•' BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS i.c wn4. AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE N� Z�q / s�z D 3' X/�6 - LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR DEPTH TO MONTH / FAULTY FIXTURES. WATER TABLE CO 7- OF YEAR �V 1/ THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY INSTALLER �� /�� TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE ,4 FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND SIZE THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SEPTIC TANK (S) /.Z 00 6a ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR• DRNGNHELO /� / FEET ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS /(/r r4 C. CARRYING OVER INTO THE DRAINFIELD. CALL THE TRENCH AREA SQ. FT. MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF .378 LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILEDEPTH ��^/S ' n CORRUGATED XRIGID ❑ CEMENT RECORD WHEN HE COMES. ROCK 6o- BELOW DEPTH �>� / TOTAL HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. // PIPE DEPTH DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, OAT p p�IS/T�N FIELD: 3�'� SQ. FT. SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING' 'I V ARE LATER CONTEMPLATED. SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO MAY 0 2 2025 THE SEPTIC TANK AS THEY WOULD INTERFERE 14C4 c:OUNTY ENVIRONMENTAL HEALTH CLEANING OF THE TANK. THEY CAN BE PLANTED IN RET DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE J • �1oJ�l� zt SUCH THAT SURFACE WATER IS NOT POCKETED ON THE � E. DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- Voz.f b CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. N� kAVI'� WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT 0to1 , n1 �c�1.1 '�yN}'�_ 2� EQUAL TO ONE HALF INCH OF RAIN PER DAY. . N�'I e��,��ru7` FOOTING DRAINAGE, DOWNSPOUTS AND WATER 2�� - 20 lay SOFTENER RECHARGE WATER SHOULD NOT BE CON- 1 NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE I DRAINFIELD AREA. THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE t, ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD . �6 (or ZO YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- 4,o JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TAN Q9 ;jq, qp ��/� HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE RFC c/4 84,�0i ��9 HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY k• �yj} <2 CHANGING THE CHARACTERISTICS OF THE SOIL. THE o F1�� �.S NORMAL USE OF BOWL CLEANERS OR CLEANING COM- ✓q /� SOUTH 6)04,,F POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW T�'yF DOWN THE OPERATION OF THE SEPTIC TANK. q� Z r/ THIS IS AN IMPORTANT DOCUMENT DATE /�J 0 BY KEEP IT WITH DEED OR OTHER ,i'-P-f C.--L L G • ESSENTIAL PAPERS. DATE CERTt BY 0