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Home My WebLink AboutSWG2025-00280 - SWG As-Built - 9/22/2025Mimiiiiimiiimumillommmommior Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00280 Parcel # 22105-51-00013 'ta E J Applicant Name SCOTT CRAWFORD Subdivision (Name/Div/Block/Lot) i G co Applicant Address 3960 E MASON LAKE DR W i Z' i City, State, Zip GRAPEVIEW, WA. 98546 Installer Name SCHOENING EXCAVATIO4 C I Site Address 3960 E MASON LAKE DR W Designer Name CINDY WAITE 1Nti 4 INSTALLATION CHECKLIST ii ;_ CI, kU"j 1 Full System Installation El Tank(s)Only ❑ Drainfield Only El Repair El Other System Type SAND LINED BED Pretreatment Type >5 ft. from foundation? - - ❑ N/A ® YES ❑ NO >50 ft. from wells? - - ❑ NI ❑ Z >50 ft.from surface water? - - ❑ 0 ❑ • Cleanout between building and tank? - - El 0 El ✓ Tank baffles present? - - ❑ E El d 24"access risers over each compartment?- - El 0 El co Effluent filter installed?- - El I=l ❑ Septic tank capacity (working) 1250 gal Manufacturer HAGERMAN 0 D-box water level and speed levelers used? - - ElN/A ❑ YES ❑■ NO oO Manifold/D-box accessible from surface?- - El El IN mZ Check valves installed? - - El ON ❑ 0 E Transport Line Size 2 Schedule/Class SCHEDULE 40 Bedrooms installed (check one) ❑ 2 U] 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - ❑ N/A © YES ❑ NO CI >100 ft. from wells?- - ❑ IN ❑ W >100 ft. from surface water? - - El El El u. >10 ft. from potable water lines?- - El El ❑ z > 5 ft. from property lines and easements?- El Ill Eld > 30 ft. from downgradient curtain/foundation drains?- 0 El El Drainfield level and observation ports present - - ❑ II El ❑ Graveless chambers or IR Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ ® El Pump tank setbacks consistent with septic tank? - - ❑ N/A Q YES ❑ NO • Pump tank capacity (flood) 1455 gal Manufacturer HAGERMAN Q24" access riser(s) and accessible from surface?- - ❑ ® El a Alarm or Control Panel Installed? - - El RI El j Control Panel equipped with Timer/ETM/Counter- - El CI d Pump installed in ❑ Bucket or ® On Block or ❑ Other 1k n' g Pump Make/Model LIBERTY 250 CIFloats or ® Transducer a Tank draw down 1.75 in/min Pump capacity 50 gpm Squirt Height 2 ft Pump on time 54SEC Pump off time 6 Daily flow set at 270 qpd Updated 8/21/2018 Mason County OSS Installation Report pg. 2 Parcel# 22105-51-00013 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - E■ YES E] NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? - - El YES El 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: Drainfield&manifold orientation&layout,Septic../pump tank location,North arrow,reserve drainfield,existing and proposed buildings,location of wells,waterlines, wells,observation ports,cleanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. ©owk ! 'ca//va,, k�,?v�� Gt��✓ a.. L ebv*r Pm. ? po - r fl- foamy, C4-%4 Lego pit" fo. p#11c. *44 —/-v Pie w ode vfry Cte.)tefe roe.? /4.4'iF 44.111 C. .7444. ig.Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER l certify that I installed the system in accordance with /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 info ation contained on this form and attached Record Drawing is accurate. form and attached Reco, wing is accurate. Sign re of Installer Date ^sti y� 1c c 5c.►t�-c n I ' ?t tip. Printed Dame of Signee 51 4 WA MASON COUNTY PUBLIC HEALTH CiN E SED DES N IQ The undersigned approves this Installation Report and Z 00,Kt:s 0500. Record Drawing on behalf of Mason County Public Health: I'4141 Signature of Environmental Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8/21/2018 J .t..., ..........„.._._."... __...„- ,......, ....,......,......- ..- t--., r., ---• et) ,..,- _ 47111hum_a 1 4 .(7 • --'- * 1-: Fr..i....mok.vit. Noiewsioisimmtiolotmotow ..- . , x,. 2 sit '0 bi3NDIS30 43S 011 • .'‘•"Iw. a v, to -'-- „, c 6-) •3,111/M .4),* • of. 8 al ir) ,„, . = ):. r 1 P?.A.''. . a 40, ... =,,,:„. . 81•:. ..#•kil : V °- .'1.1)51.. no•... 31......0'' .,... --• 0 a) 0 ..°- , 5 - 4'0 ! E tk ' ' — ' A 0 ii. ..• . •- = 1 Zr c V.-0• r- - dh .. 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