HomeMy WebLinkAboutSWG2025-00201 - SWG As-Built - 9/15/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number swc aA ParrAi y 32109 • C4 .466
Applicant Name ft,je R �r3 -Lfi - SuhdivIelrir1 (Flame/Uiv/B16c10/01)
Applicant Address 5-(o� e t? � N` )
City, State, Zip vr.� r.�Sa _ Installer Name � � rye`-" `�Y"`-'f
Site Address ..544-1 v Designer Name f\t4 ' 24441e:f
INSTALLATION CHECKLIST
ull System Installation ❑ Ta �s)0 Dr ie,f old Oro/ ❑Pspa'r ❑Carer
JJJJ���� System Type / '-/ Pretreatment
I. // ��,,�1
t�relrr aUnent TypeA/U i��'�/� y _
>5 ft.from foundation? - - - - _ _ - C- - - -- _ 1.!-A 9_ _0 11.1ires Qar,
>50 ft. from wells? - Q Q
Z >50 ft. from surface water? • 0 ❑
H Cleanout between budding and tank? ❑ 0
0 Tank baffles present? - - ❑ Q
d 24'access risers over each compartr-;ent?• . ❑ Pliq ❑
N Effluent filter installed?- ❑
` �[(�Y!#'16AJ
03 -off Septic tank capacity(working) 1a(D(3 rjai f,1arrrfacvjrcrr !M 1
• e3 D-box water level and speed levelers kJsed% t , .up 0 IES 0
my DO f✓lanifoldlD-box accessible f u. rom surface?- - - .. 0 0 0
mZ Check valves installed? 0 0 0
• 00 D=3 0 Q 0 L�
o 2 Transport Line Size I S'iedule/C,aas 14"
N ,�,�
`� Bedrooms installed (check one) ❑ 2 K; ❑4 [j 5 0 a ❑Cornrr° rc..al/Other
i
>10 ft. from foundation?- 0lio
>100 ft.from wells? 0 ilif 0
; i--I >100 ft. from surface water? C3 ifik0
li
LT >10 ft. from potable water lines? 0 0
Z > 5 ft.from property lines and easements?- 0- X 0
Q
t` > 30 ft. from downgradient curtain/foundation drains?- - ❑ 0
Drairfield level and observation ports present - • 0 0
❑ Graveless chambers or ❑ Clean gravel used? (check one)
Proper cover installed over drainfield?- . Q / 0
Pump tank setbacks consistent with septic tank?- NIA
t�(YF� 0 NO
• Pump tank capacity (flood) i1 ,7 gal Manufacturer 'I k474- {'o ilia I'73
z
< 24'access riser(s)and accessible from surface?- - 0 , 0
a. Alarm or Control Panel Installed? - - - - ❑ 0
2 Control Panel equipped with Timer/ETM/Counter- - 0 0 0
a- Pump installed in ❑ Bucket r ❑ On Block or ❑ Other G
CI-
Pump►✓!ake/t/ladel0 2_,0 P tZ AFioats or Q Transducer
d Tank draw down e------ in/min Pump capacity 23gpm ;;c,. .t HeighHeight �' lw
Pump on time M i/U Pump off time be-As Daily low set at Z
wak-
,
aWt1ti OSS tratil .
vfw,e i.�c - . ABAN' �tiNT RECORD
'� wr,::.- 1.•ti\.,l.•e.t *-\''ter.
\ ir•%.ZettilioN•N.,.\ti'-0‘' ilk MACZNW:l'A t1.X\1 ' ...
RECORD
tea.a.......,, r „w i..ar.,....,i DRAWING
al.,. k' '�_ p`4a., 1r�`.wW M wrf""'w IP"w rt lv4 w.* ►444 10w.
amok at0e,,400.rus es ri r we, c
'"'f ...r.�.+ r`r�r. �`Atoms arw.y wwl+�~era tvitaw tit_.• . ».,\ sw .,
aaMw*fti woo w ill 44110.41.44•..,>., .....•,.•'•-.
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INSTALLER CERTIFICATION
RwZ.n+ tr,ry And 1.p
CERTlFCERTIFICATIONOF INSTALLATION
ZESiG�,ER!ENGavECR
i.tear Oat t etrate,2 ray syave:an acowartos saw t coly Me ayMen,M3 been arm oin aooai%
t te SADOC css"SOMOKI APPROVED-CI miser dance aN M aspic dMily,,stampipc*AP'ROVED'by
C.N.rly PtZJIc Hama arc not all cr,aaeea aNzaaln Mason Comet Rib*HMO and a+N any dtwihv►;
ha Nate been G'ti
Juart c sd '.�rsc by Oolh set det er shown hoe Arse seen Drb.e0 by both
riZy Attic t ose and meet att S.,:tva mar Mason
County Pubic tieo h and sheet al
ai Mart O OxIst arm l Cema ly tea
I Miele,'OseslY nit a+rubr°t+tece Contained.1n ras t VOW may NW at inavalapayi lbntafr on en*
Jlym*NI savcrv‘i Psalm,Drs +s R =•;,,•d, torn*be sowed Remy!Orrrnno is atruslr.
ai
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S.V:f4r1litj' ',461".C111114 •Nli. q 1 t t 40. •
if IA
•.1 4 of 4 Nii:),IN
MASON COUNTY PUSUC I4EM. H r` t '�'ti
The:x� �`5,:W-s4-.N-03 Ss frstaikeati d� aid %
fZBI��"y L SAR<`,'� ! 'Jf 1�aSLY! r ,".:..: .r. r i; - r a1 1
q rick/c
Ss ;_ -. :.» , - _: ___
stay- syrstav and two)
•. a u UM':E.`.i.`�a`^44 is 4 Adauc yew co,The MASON COUNTY w0 Sill `�"�'�'s�s'�-
100% RESERVE AREA
(675 SQFT)
I . .... 8U I
TRASH, NUWATER, i
& PUMP TANK I •
I +II
(INFILTRATOR TANKS) •
• 0 I
iii ,r
_�L i 1
INSTALLED 3 BEDROOM
e DRAINFIELD (675 SQFT)
0 SUB-SURFACE DRIPFIELD
OUTLET BROUGHT —
I
TO BACK OF HOME p EXISTINGHOMEco
, C- 1110
I o
r z cn -O
ABANDONED OSS ', — Z
irrici
I Z No
I I '='I 1 �• ` m NT'I
�a, H
m
I D
I e rPRESUMED /fr Q
WATERLINE
LOCATION I ; o I
Li •
Iof„ .1�
E COUNTRY "� �• �lb,
CLUB DRIVE Ails = t-
E % :61000 i
or," Atli LOUS PM* • Ti
It 1 N
RECORD DRAWING "'"
CUSTOMER:JEFFREY GRUBER TEST HOLE I: TEST HOLE 2: TEST HOLE 3: TEST HOLE 4&5: N
.I� 020 GLC 0-22 GIS 0-9(1S 'I IAND DUG HOW
I................................... PARCEL: 32104-60-00008 20+U LUR20 22+rILV R-22 9+I ILL/It-9 0-I8+CIS
ALPINE SEPTIC SITE:581 COUNTRY CLUB DR (NO I.SUFI-ABLE)
-DESIGN—
ALEX L PAYSSE,DESIGNER SHEET:ASBUILT SCALE: 1"=30' DISCLAIMER: THIS IS NOT A SURVEY. REFERENCES INCLUDE:APPLICANT/COUNTY PROVIDED PLATS OR
3089 E MASON BENSON RD SURVEYS.FIELD MEASUREMENTS AND COUNTY GIS. DESIGN INTENDED FOR SEPTIC PURPOSES ONLY
GRAPE
GRAPEVIEW
WA 648 98546 L L I PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER DEPARTMENT/AGENCY REVIEW. DESIGNER NOT
3E0
RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS.