HomeMy WebLinkAboutSWG2022-00176 - SWG As-Built - 9/23/2025 Mason County OSS Installation Report pg. 1
MASON COUNTY PUBLIC HEALTH
APPLICANT/PERMIT INFORMATION
Permit Number SWG 2022-00176 Parcel# 22105-52-00034
Applicant Name Charles Paradis Subdivision (Name/Div/Block/Lot)
Applicant Address 12324- 136th Ave
City, State,Zip Gig Harbor,Wa 98329 Installer Name Spear Const.
Site Address 2700 Mason Lake Drive East Designer Name Bob Paysse
INSTALLATION CHECKLIST
®Full System Installation 0 Tank(s)Only ❑Drainfield Only ❑Repair ❑Other
System Type ATU-pressure Pretreatment Type Nuwater
>5 ft.from foundation? -
-
>50 ft.from wells? - El N/A ®erg 0 NO
->50 ft.from surface water? - 0 El CI- 0 •® 0
Cleanout between building and tank? - - ❑ ® 0
V Tank baffles present? - - ❑ IN
0
d 24"access risers over each compartment?- _ ❑
W Effluent filter installed?- - El
Septic tank capacity(working) Nuwater II ❑ 0
gal Manufacturer Sound Placement
9 D-box water level and speed levelers used? -
CO Manifold/D-box accessible from surface?- - 0 N/A 0 YES ❑ NO
GI IL
Check valves Installed? - - 0 ® El
2 Transport Line Size 2" Schedule/Class 40 ❑
Bedrooms Installed(check one) 0 2 ®3 ❑4 ❑5 ❑6 0 CommerciaVOther
>10 ft.from foundation?- •- ❑ N/A 5 I.J! YES 0 NO
0 >100 ft.from wells?- - ® NAK,I4 0
0
W >100 ft.from surface water?- - 0
r' II
Z >10 ft.from potable water lines?- - 0 In
4 >5 ft.from property lines and easements?- - El III
>30 ft.from downgradient curtain/foundation drains?- ® 0 0
CI
Drainfield level and observation ports present -
0J Graveless chambers or ® Clean gravel used? (check one) El IN 0
Proper cover installed over drainfield?- - ❑
Pump tank setbacks consistent with septic tank?- - ❑ N/A ® YES
❑ NO
Pump tank capacity(flood) 1500 gal Manufacturer Sound Placement
F 24"access riser(s)and accessible from surface?- - 0 IN
tZ Alarm or Control Panel Installed? - - 0
Control Panel equipped with Timer/ETM/Counter- - 0 ® ❑
a Pump installed in 0 Bucket or ® On Block or 0 Other
r3- Pump Make/Model liberty 290
g ®Floats or 0 Transducer
Tank draw down 2 in/min Pump capacity 60 gpm Squirt Height 48" ft
0.,
Pump on time 1 min. Pump off time 4 hrs Daily flow set at 360 gpd
Upd.a.d 8252018
Mason County OSS Installation Report pg. 2 parcel# 22105-52-00034
ABANDONMENT RECORD
Were existing septic components abandoned as part of this project? YES Q NO
If yes, please describe:
Were all components pumped out and properly abandoned per WAC246-272A-D300? 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 Retort!
Drawings contain: Dreinfield&manifold orientation&layout,Septic/pump tank location,North arrow,reserve drainfieid,existirg and proposed buildings,location of wells,waterlines,
wets,obse vat ports cleoneuis,and other maintenance access points. incomplete Record Drawings may create additional delays In final installation approval and related permits.
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® 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.
* 41- / 2-5
Signet re of Installer Date
Logan Spear l eo •
Printed Name of Si nee �I I °k� ihk
of ' AQIIP
MASON COUNTY PUBLIC HEALTH
The undersigned approves this Installation Report and �1t 5jt�,„
RosER7 H ill es.'.e
Record Drawing on behalf of Mason County Public �t
Health: EXPIRES
°f lZ 3 (
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 arztnote
(%,i REVISION: UPDATED RECORD DRAWING
WITH PROPOSED HOME.
N APPROX.
ABANDON SHORELINE .--\
EXISTING TANK
\
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// O EXISTING ,.--\-- �..
i/ WELL \ .' \
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1 / A.
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3 BEDROOM SHED \ / / - / =' \ li
DRAINFIELD i`� , rr /
. 1 4o------� " ! \
R25' I
ck"� i:_l :
�� . -__ ' EXISTING
��.P i.%, � —k-- WELLS
`fir �`.. �:IP,
\ \
\ / \' \ - /
.\
- \ `\ PROPOSED HOME.-'"
� �\\ '—. NEW OUTLET FOR
\ ,�--- HOMES PLUMBING
\ (SUMP PUMP IN BASEMENT)
\� Sef't'e- 1'3-�tWI 1:%-.- w;M� 7C. .51ewrr9 ;r`
ABANDON INSTALLEDU NWATER s1.1''`.10 ?IPe-
EXISTING TANK .''\ ez PUMP TANK i.HP,
o
A APPROVED
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MASON COUNTY ENVIRONMENTAL HEALTH-- -- --- -_-
1Z-er'::::I''..•-G✓%✓t-.rL.: RET
PIONEER DIGGING, CUSTOMER: CHUCK PARADEM�I:30 '
INC. PARCH.4:22105-52-00034 TEST H��l E t TEST I I��LE 2
SEPTIC DESIGNS ADDRES& 2700 MASON LK DR W 0-60 car (X O G\U
3083 E MASON BEN ON RD. GR.APEVIEW,WA 985* DESIGNER: ROBERT H.PAYSSE
JFF10E-360.420 t803 FAX-300 427-2353 DESIGN PAGE RECORD DRAWING