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HomeMy WebLinkAboutSWG2025-00075 - SWG As-Built - 5/21/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00075 Parcel # 32021-56-02015 Applicant Name Cannell Investments LLC Subdivision (Name/Div/Block/Lot) Applicant Address PO Box 448 SHORECREST TERRACE 3RD ADD BLK: 2 LOT: 15 City, State, Zip Spanaway, WA 98387 Installer Name Bill McTurnal Testing & Const. Site Address XX Panorama Dr, Shelton WA Designer Name Arrow Septic Designs, Inc INSTALLATION CHECKLIST © Full System Installation ❑Tank(s) Only ❑ Drainfield Only ❑ Repair ❑ Other System Type Gravity Bed tment Type >5 ft. from foundation? ig-2-\\ �V� ElNSA ❑■ YES ElNo >50 ft.from wells? - ❑ ❑ ❑ z >50 ft.from surface water? ��� 1 ❑■ ❑ � a� - - ❑ I CIF U Cleanout between building and tank? - - - , Tank baffles present? - 0 ❑ p - - • ❑ d 24" access risers over each compartment?. -gY - ❑ W Effluent filter installed?- ❑ 0 ❑ N Septic tank capacity (working) 1,250 gal Manufacturer Snyder Model CT 1250 Low Profile 0 D-box water level and speed levelers used? - ❑ NIA El YES NO ><O Manifold/D-box accessible from surface?- ❑ I CI m 2 Check valves installed? ❑ ❑ 0 Oa 2 Transport Line Size 4" Schedule/Class 3034 Bedrooms installed (check one) ❑ 2 0 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - ❑ N/A 0 YES ❑ NO >100 ft. from wells? ❑ 0 ID 0 W ❑>100 ft. from surface water? - ❑ ❑ u. >10 ft. from potable water lines?- - ❑ El ❑ z > 5 ft. from property lines and easements?- - ❑ u ❑ ec > 30 ft. from downgradient curtain/foundation drains? - ❑ U ❑ Drainfield level and observation ports present - - ❑ ® El ❑ Graveless chambers or 0 Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ IN El •-•.• tank setbacks consistent with septic tank? - - ❑ NIA ❑ YES : NO Pump tank ca.--' (flood) gal Manufacturer < 24" access riser(s) and a - ible from surface?- - ❑ ❑ Ir a Alarm or Control Panel Installed? - - ❑ ❑ 2 Control Panel equipped with Timer I ETM/Coun - ❑ El ❑ - n a- Pump installed in ❑ Bucket or • a- a ock or El • a Pump Make/Model ❑ Floa or ❑ Transducer 0. Tank draw • in/min Pump capacity gpm Squirt Height ft ump on time Pump off time Daily flow set at d ,;;xiateo 8,712C;d 3 a2o15 Parcel# 2 -— Mason County OSS Installation Report pg. 2 AABANDONMENT RECORD 0 YES ® NO Were existing septic components abandoned as part of this project? - - - - - - - - - 0 lease describe: YES 0 NO If yes: p per VJAC24o-272A-0300? - --- - - - - Were all components pumped out and properly abandoned RECORD DRAWING ment. Typical Record ive enough to relocate in the need of maintenance activities and f�future development oof wells.y al Record This is a permanent record and must bene accurate and Sep ic/ North anew.reserve drainfield,existing and proposed and rested permits. nu. Incomplete Record Drawings may create additional delays in Anal installation approval Drawings contain: Drain6etd&^acl`c1c o^entatier.8layeut,Septic/pump tank location, wells.observation pots,cieanocs:and etr,er maintenance access poi ® Record Drawing Attached CERTIFICATION OF INSTALLATION DESIGNER! ENGINEER INSTALLER 1 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 Mason nce with t h the septic nty Public Health nsnd amp d that"APPROVED" APPROany iat D by County Public Health and that any deviations shown 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 Pub!ic Health and meet all and Mason County Codes. State and Mason County Codes I further certify to t,information-contained on this I further certify that ali information contained on this form and ataE ecocd:l?rawing is accurate. form and attached Record Drawing is accurate. '' i 14*Lct*25A,), Signafura of Installer Date A1._, : o.. ,._-_—____________ - - _...,.. --. 0_\1), ,,i. , -7,7 4.....„,„,...s, .::,,A,..„,), „-4_, Printed Name of Signee �1 MASON COUNTY PUBLIC HEALTH �i 5IC034d ••.' h The undersigned approves this Installation Report and Nam. PAULA JOY JCHNSON •. IX •r51r i b� �IGN���.��� Record Drawing on behalf of Mason County Public orm IT\ Health' '$ •� 2.—ZiS col c--?Akc Signature of Environment /Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE li pcatec 821/2018 : ` '4, G V 4 t. T ► I \ ` " Z I � 7'A i -z, 3 0 AD 1 i 'B 0Ste. 3k I - • qS_t _r2stits_c2i_i_c_. 1 . ? -q• cLtLJ7 i_6 6.C20 v^ 1k-5. ° \a) , ; .1.1?,2C'aA D z L ,ll! ,., .. _ ► ota „J.:: , � \ / '�. ; r, o, :i! 4� .t �! r 'i2.7 tds w rA'Inl 3' ok ZZ.s A ; 50 ram. ! . r yr Ofi Ctfrve t ; S rve. IO vo, I , : I iii l f':�=' c; '-ems D t' �'�f1�.T � U C'eanout 3 1,250 Gallon Septic Tars 2-Compa"tmei t wi h Effluent Filter C -Box with speed-levelers `J and cover to surface 3 est__ APPROVED MAY 21 2025 ' MASON COUNTY ENVIRONMENTAL HEALTI ?' • ,; RET ' a ° . ,-( ••4 ri y.?�' 51C0349 51� ] �r 1 LorutZrittleyt..1111,10t1;111.7.- E>�1RES 1