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HomeMy WebLinkAboutSWG2025-00001 - SWG As-Built - 8/4/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00001 Parcel # 32134-75-90121 Applicant Name Jonathan & Sarah Meikle Subdivision (Name/Div/Block/Lot) Applicant Address 50 E Catfish Lake Rd City. State, Zip Shelton, WA 98584 Installer Name County Line Development Site Address 441 E Catfish Lake Rd, Shelton Designer Name Arrow Septic Designs, Inc. INSTALLATION CHECKLIST • Full System Installation ❑ Tank(s)Only ❑ Drainfield Only ❑ Repair II Other Soo gal Pre-Trash System Type _ Shallow Pressure Pretreatment Type NuWater BNR-500 >5 ft. from foundation? - i ' ❑ N/A 0 YES ❑ NO >50 ft. from wells? - B -tj L -U 1- ❑ © ❑ Z >50 ft. from surface water? - - ❑ 0 ❑ N Cleanout between building and tank? - - - �u�-2 8 202� - ❑ I ❑ U Tank baffles present? - - - - - - - - ❑ I ❑ d24" access risers over each compartment. -y- - - - ❑ 0 ❑ uJ Effluent filter installed?- - ❑ ❑ 0 to Bhr t- Septic tank capacity(working) NuWater 500 gal Manufacturer Infiltrator C) D-box water level and speed levelers used? - - ❑ N/A ❑ YES ❑■ NO oO Manifold/D-box accessible from surface?- - ❑ El ❑ mZ Check valves installed? - - ❑ I ❑ ❑Q 2 Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) ❑ 2 El 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - - - - if i ''''1;. - - ❑ N/A 0 YES El NO CI >100 ft. from wells?- '...1 - ;' ❑ I ❑ --I >100 ft. from surface water? - :44- - - ❑ ❑ LT >10 ft.from potable water line - - ❑ ❑■ ❑ Z_ ��pp��nn���r^nnII IIi�TY ENVIRONMENTAL HEALTH Q �v►t > 5 ft. from property lines and 8� �fttEttt5. ❑ ❑ rx > 30 ft. from downgradient curtain/foundationl�rl ri- - ❑ X ❑ Drainfield level and observation ports present - - ❑ 0 ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ ■❑ ❑ Pump tank setbacks consistent with septic tank? - - ❑ N/A El YES ❑ NO Pump tank capacity (flood) ,_, 1.060 gal Manufacturer Infiltrator Z Q 24" access riser(s) and accessible from surface?- - ❑ pi ❑ dAlarm or Control Panel Installed? - - ❑ El ❑ • Control Panel equipped with Timer/ETM /Counter- - ❑ • ❑ a Pump installed in ❑ Bucket or 0 On Block or ❑ Other 2 Pump Make/Model Zoeller N152 Q Floats or ❑ Transducer a Tank draw down 1.5 in/min Pump capacity 38 gpm Squirt Height 6.5 ft Pump on time 2.3 min Pump off time 6 hr Daily flow set at 360 gpd Updated A 2'?0 t a Mason County OSS installation Report pg. 2 Parcel# 32-1Z4'1- °`�—\ ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - ❑ YES 111 NO if yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? - - ❑ YES ❑ NO RECORD: WING This is a permanent record and must be accurate and descipt ve enough to re-locate in the need of maintenance activities and future development. Typical Record Drawings contain: Drai dorm:&manifold orientation&layout,Seotidpump tank location,NoM arrow,reserve dainfield,edging and proposed buildings,location cf webs,waterlines, weft,observance ports,deanr"",and otner maintenance acess points. incomplete Record Drawings may create addiliaral delays in final installavon approval and related permits. 5te— s4 —C ROVE AUG042025 MASON COUNTYPP ENViRCNMENTAL HEALTH 111 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 Geared/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 fu e ertify that all information contained on this 1 further certify that all information contained on this fo attached Record Drawing is accurate. form and attached Record i/wing is accurate. Signature of Installer Date 4• F MICHAEL LOVELYr � ����;�f • Printed Name of Signee MASON COUNTY PUBLIC HEALTH 'k) The undersigned approves this installation Report and Q.: PAULA JOY JOHNSON . Record Drawing on behalf of Mason County Public S1= SiGN7 :31Tr3: /t5 Health: Signs of mental Health S ialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated satrzota A `LI) 3'x5( ?riw,ary D.F. Trel7�hes S1.�11.v' 1 " -�p, @ 5� p.c. wtK, Qesef� .fie, fl ,5 30 60 A _ , 1k- - — ._ __ ( 321 - � 345 -°iyt2i 617 06' _y `� I E c,i-A , L L ,� • © ($1 E SheI�a1, IAA ge58ci ©ti ,L2ca .13-- 32r 2Tx56' ' g O. Audio-Visual Ai OCleanout 0 500 Gallon Pre-Trash tank 0 NuWater BNR-500 ATli Tank M 3 1,000 Gallon Damp Chamber 0Valve Control Box r` Zy`xZy' �arage L��' r , ..„.g:-mtz-....*), 1 A4Of .ei . ..„0 0 I,;-)1Y - ‘..• ..1. i( `e Q PAULA JOY JQNNSON A�1 • I )k$:::: " \ItAREWTT - .."A/'-'-' i 1"VS"'11S-- I q ✓ PPROVE :i.- .......- ....._ ....., AUG 0 4 2025 i � �� � 11a� Qati MASON COUNTY ENVIRONMENTAL HEALTH j r JBW