HomeMy WebLinkAboutSWG2025-00160 - SWG As-Built - 8/22/2025 Mason County OSS Installation Report pg. 1
MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 2025-00160
Parcel# 32134-50-00071
Applicant Name David&Carey Turner
Subdivision (Name/Div/Block/Lot)Applicant Address 1261 E Mason Lake Rd
RAINBOW LAKE LOT:71
City, State, Zip Shelton,WA 98584 Installer Name Joe Fass o E ca ating
Site Address same Designer Name MowSeptic Desi n
INSTALLATION CHECKLIST
Drainfield Only ❑ Repair ❑Other
_____--
System Full System
em Typeellation 0 Tank(s)Only 0 NuWater BNR-500
Shallow Pressure — • �atment Type
System
, !t -\ ❑ NIA ®YES ❑ NO
>5 ft.from foundation? 3,�CB�\4,.'�,t `� ® 0
>50 ft.from wells? .UR .y t) a ❑ 11 ❑
Z >50 ft. from surface water? W _ - - U ❑
HCleancut between building and tank? - ® ❑
U Tank baffles present? - ® ❑
R24"access risers over each compartment. �7 "L � 0 0
ul Effluent filter installed?- .p
y Hagerman
Septic tank capacity(working) NtlWater __ gal Manufacturer
N/A ❑YES MI NO
G D-box water level and speed levelers used? Q a ❑
J
0 ManifoldiD-box accessible from surface?- ❑ i. ❑
rG Check valves installed?
GQ f Transport Line Size 2 inch Schedule/Class 40
Bedrooms installed(check one) ❑ 2 0 3 ❑4 0 5 ❑6 0❑ MA Commercial/Other YES ❑ NO
>10 ft.from foundation?- 0 ® ❑
O >100 ft.from wells? �. MY. ❑ ❑ M
W >100 ft. from surface water? L,K5" U ❑
>10 ft. from potable water lines?- ❑ ❑
Z17_ ❑
Z > 5 ft.from property lines and easements?- ❑ M ❑
ce > 30 ft.from cowngradient curtain/foundation drains?- - - - ® ❑
o
Drainfield level and observation ports present ❑
® Graveless chambers or 0 Clean gravel used? (check one) ❑ ❑
Proper cover installed over drainfield?
Pump tank setbacks consistent with septic tank? - D N'A
® YES ❑ NO
Hagerman
Pump tank capacity(flood) 1,000 gal Manufacturer ❑ 0
Z
G 24" access riser(s)and accessible from surface? 0 O ❑
F- Alarm or Control Panel Installed?
a PI ❑
2 Control Panel equipped with Timer I ETM /Counter ❑
m
a Pump installed in . Bucket or 0 On Block or 0 Other
O. Pump Make/Model Zoeller N152 0 Floats or ❑ Transducer
3 in/min Pump capacity 57 gpm Squirt Height
6 ft
a Tank draw down
6 hours Daily flow set at 360 gpd
Pump on time 1.5 minutes Pump off timea e_s 1Ya
l
— o o-I 1
Mason County OSS Installation Report pg. 2 parce 32t 4 soo
ABANDONMENT RECORD 6-1
No
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n YES
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Record Drawing Attached
CERTIFICATION OF INSTALLATION
DESIGNER/ENGINEER
INSTALLER :. e^ry matthesy tem has e2 hsra e f a s „r-
t ceseY ice' I design
stad the system in ccor Mason'h c ice v the see is design strived'APPROVED' by
Co ntyac dlic H alth and that
an-APPyROVED- Mason r y:Tubbs He and that any e✓iabons
County havebe Health and+h any de/rations tons snov nr rov by both
here been created/approver:by bothhe designer shows here have been e d app
and Masonony Public Health and meet State :nisei arc Mason Ccu y e`c eieafth and meet 2.7 1
and Mason County Cones State ant Mason ✓ Cone=
I further certify:net as .at all 1 nna r cc its
form and s a h c Rectors ..r. s sa cur 'amorn arca d teecora 0-adoott Is ccuate 1
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MASON COUNTY PUBLIC 4EALTM
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