Loading...
HomeMy WebLinkAboutSWG2022-00629 - SWG As-Built - 5/27/2025 , Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2022-00629 Parcel # 32127-51-00193 Applicant Name Aaron Araujo Subdivision (Name/Div/Block/Lot) Applicant Address 1230 E Glenwood Ave LAKE LIMERICK 2 TR. 193 City. State. Zip Fullerton, CA 92831 Installer Name Mason County Excavating Site Address 361 E St Andrews Dr, Shelton Designer Name Arrow Septic Designs, Inc INSTALLATION CHECKLIST © Full System Installation ❑Tank(s) Only ❑ Drainfield Only ❑ Repair ❑ Other System Type Shallow Pressure P treatment Type NuWater BNR-500 >5 ft. from foundation? - ❑ N/A 0 YES ❑ NO d ❑>50 ft.from wells? El El >50 ft. from surface water? - Z ��- - ❑ 0 ❑ Cleanout between building and tank? - �P �-3 - ❑ 0 ❑ o Tank baffles present? - - - - - - - ❑ C ❑ F- 24'' access risers over each compartmen ?- - - - - - - - - ❑ .. 0 a.W Effluent filter installed?- 1- 0 0 El cn Hagerman Septic tank capacity(working) NuWater 500 gal Manufacturer g 0 D-box water level and speed levelers used? - - ❑ N/A ❑ YES 0 NO DO Manifold/D-box accessible from surface?- ❑ El ❑ m Z Check valves installed? - ❑ X ❑ o a 2 Transport Line Size 2 inch Schedule/Class 40 Bedrooms installed (check one) ❑ 2 ■❑ 3 0 4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - ❑ N/A 0 YES ❑ NO ro >100 ft. from wells?- - 0 0 0 J >100 ft. from surface water? - - ❑ . ❑ W LT >10 ft. from potable water lines?- - 0 x 0 Z > 5 ft. from property lines and easements?- - ❑ li ❑ a It > 30 ft. from downgradient curtain/foundation drains?- - ❑ [ff El 0 0 II Drainfield level and observation ports present ❑ ® Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ 0 0 Pump tank setbacks consistent with septic tank? - - ❑ N/A n YES ❑ NO Y Pump tank capacity (flood) 1,000 qai Manufacturer Hagerman Z El Q ❑ < 24" access riser(s) and accessible from surface?- - F Alarm or Control Panel Installed? - - El • CI a E Control Panel equipped with Timer/ ETM/Counter- - ❑ I ❑ n a Pump installed in ❑ Bucket or • On Block or ❑ Other a Pump Make/Model Zoeller N152 0 Floats or ❑ Transducer =• a Tank draw down 2.5 in/min Pump capacity 48 gpm Squirt Height 3.5 ft Pump on time 1.9 min Pump off time 6 hrs Daily flow set at 360 gpd , _ �— do ��3 Mason County OSS Installation Report pg. 2 Parcel# 12'1 ABANDONMENT RECORD YEs , NO Were existing septic components abandoned as part of this project? - If yes, please describe: � ___ _- - 17 YES ❑ NO Were all components pumped out and properly abandoned per WAC24d 272A-0�y RECORD DRAWING to relocate in the need of maintenance activities and future development Typical Record cord This Ls a Permanent ecodd and must re accurate yound descriptive enough and nor. f wells,d ad Permits. D,Mngs wntain: Crti^5eld&manifold o^eniztion&layer.:.Septia`P�i�tank Incomplete ors Drawin,North arrow.gs gray create addltc�zl delays;n proposed �installation approval o`wells, A wells,observacon Ports.spa-ou's,and other maintenance access Po n • i f i4G (-41 1 —E4 Record Drawing Attached I CERTIFICATION OF INSTALLATION i INSTALLER DESIGNER!ENGINEER i 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 form and attvhed Record Drawing is accurate. form and attached Record Drawing is accurate. 7,--.:•r-"-.--- ---- ' CS/NEIZg Siignatuia of Installer Date / ...,t Printed Name of Signee �HEALTH o< o • q., 1MASONCOUNTY PUBLIC ��~ 1�7.#.e • i. • +� The undersigned approves this Installation Report and : �,. . ,Ii� 510J345 ,-1, Record Drawing on behalf of Mason County Public u=_ PAULA JOY JOHNSON "t'` Health: ��'ltCr'�f5� ;��:si�N�a'� �-\ lz�l��' -� , ,4 IC\+-1CY1) s-ca-Zs Sign tore of Environmental Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY'NEB SITE 'Pc-It"an-rzo,s le _ / a 0 ate �: -T--� S � 30 jo 60 . • , i; _i_,, ..k.,,Js.. , W -7-4: r I \ I/ t . i /// \11 ,6,‘ si_ . s i . ,-4. 1.. 1 sz. / Iif I [� ( )3' �c J I / / / / Ili IikE.1� cii f5 , �s JE i 1 t, 4- �� t '- 5igirF � • Fv-c€ Seq II 14 � iVa Q €i �' t 4 P _ is R VE D '' `` i; MAS pN Cp 11 MAY 2 7 2025 -S ^ 4. k { •' RET MENTAL HEALTH Li ' 410 Rh 4 k i �, ! f`--1i ___ ,\.6 tl ` . t wee: ® 0 \ ii U Aadio-Visaw:'i._a.%... 1 .C)6 Q \ i1 {{t Clean n cut F eci- •{ 0 • 0 uWater B:�R-SO0 ATU Ta-�k D ' a 1,000:: : Cham. er Vale .f> ' --t i. 5160249 ). �` PAULA JOY JOH JSON-r.i1, al„_:ty_cafTtlAw s- 13- -