Loading...
HomeMy WebLinkAboutSWG2025-00154 - SWG As-Built - 8/25/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00154 Parcel# 42209-54-00095 Applicant Name JAMES FRASER Subdivision (Name/Div/Block/Lot) Applicant Address 10131 N E 116TH PL City, State, Zip KIRKLAND, WA 98034 Installer Name SCHOENING EXCAVATION Site Address 531 N MOUNTAIN VIEW DR Designer Name CINDY WAITE INSTALLATION CHECKLIST ® Full System Installation ❑Tank(s)Only I ❑ Drainfield Only ❑Repair ❑Other System Type JaND 1 ,Alec( �'Lck Pretreatment Type >5 ft.from foundation? - - ❑ NIA ®YES ❑ NO >50 ft.from wells? - (1]1 aµt _ ❑ Z >50 ft. from surface water? " U ❑ a ❑ fCleanout between building and tank? - le'�`} _ _- ❑ ® ❑ V Tank baffles present? - "CT- i\ - - - _ _ _ ❑ • ❑ a24" access risers over each compartmen . - _ _ ❑ ❑� ❑ W Effluent filter installed? _ _ _ _ _ ❑ ® ❑ Septic tank capacity(working) 1251 gal Manufacturer HAGERMAN �O D-box water level and speed levelers used? - ® N/A ❑ YES 0 NO O W Manifold/D-box accessible from surface?- - - --'G- Ve, _"(_ - ❑ ❑ 0 GZ Check valves installed?.s. ❑ l ❑ Z Transport Line Size 2 Schedule/Class SCHEDULE 40 Bedrooms installed (check one) ❑ 2 I] 3 iFy p $r' 6 ❑Commercial/Other >10 ft. from foundation? - --- V { - ❑ NIA ® YES El NO O >100 ft. from wells?- ❑ ® ❑ W >100 ft.from surface water?- - - Q 2S Lj)y L. - ❑ ® ❑ it >10 ft. from potable water lines?- ❑ 4 ❑ z > 5 ft. from property lines and eas - ❑ ® 0 Q R",n®0is4'- - - .. G > 30 ft. from downgradienl curtain/foundation drain?- Q ❑ ❑ Drainfield level and observation ports present - ❑ ® ❑ ❑ Graveless chambers or 0 Clean gravel used? (check one) Proper cover installed over drainfield?- ❑ I. ❑ Pump tank setbacks consistent with septic tank? - ❑ NIA ® YES ❑ NO Pump tank capacity(flood) 1455 gal Manufacturer 1250 HAGERMAN z r 24" access riser(s)and accessible from surface? ❑ • ❑ y Alarm or Control Panel Installed? - ❑ O ❑ f Control Panel equipped with Timer/ETM/Counter- ❑ MI ❑ 7 0- Pump installed in ❑ Bucket or ® On Block or ❑ Other f Pump Make/Model LIBERTY 280 ❑ Floats or Transducer aTank draw down 2 in/min Pumpcapacity 51.96 — - P Y gpm Squirt Height 3 ft Pump on time_ -S) u-„a; Pump off time 4 HRS Daily flow set at 265 gpd up,ated 0/2112a19 1 • t3 Mason County OSS Installation Report pg. 2 Parcel# 42209-54-00095 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - Q YES NO If yes, please describe'. Were all components pumped out and properly abandoned per WAC248-272A-0300? Q 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' Dramaem a mamola ostentation a layout.septic/pump tank location.North arrow.reserve dramrield,existing and proposed buildings,location of wells,welemnes, wells.observations pone.cleanouls,and other maintenance access points Incomplete Record Drawings may create additional delays in finalnatalleton approval and staled/Wet, taled/ poet, F(Yr.7 Ud4vr; IN f717 uacc.// ad bi9 rivrr•� °( `ad, /'L4riap Apppv AUG 2 5 2025 o 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 form and attached Record Drawing is accurate. form and attached Record Drawing is accurate. Signature of Installer Date Printteded Nome of ofSignets MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and a 51n a, Record Drawing on behalf of Mason County Public LCEvsEoeoESlGNNEN t f Health C N-RtS 05/101 / dibsve �rr�5 S n of Environm ntal Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated d11/2018 k � } } 0 `3 � / } > �/ }� | ! ; 0: ® l i8E a __ § 2 _ ; -- _ a. al § a. 252_ i\\ pppg VEp ƒ § »lal2 , - § a � © ' - f + J 9 2025 i.. z n � q, , ABu » Z5z, , , EN 2 § § : © W § 1 . `! n 1 \ %..‘1.‘..../. .1 ) | , 2ww, z T \ . \ 4 / \ \�\ , ~' . _ / 2 2 ) \ :' -- -- . I ` © - - . ` N 14C » . % / } f } : `1\ ' \ & CD A I ,4 Air ` :, % I � ‘ � H\> �� �