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HomeMy WebLinkAboutSWG2025-00414 - SWG As-Built - 11/25/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025 00414 Parcel# 223305000150 Applicant Name Arwine John &Nicole _ Subdivision (Name/Div/Block/Lot) Applicant Address 23439 SE 264th ST City, State, Zip Maple valley Wa.98038 Installer Name Shumaker Construction Site Address 1460 NE Tahuya Blacksmith Rd. Designer Name N/A INSTALLATION CHECKLIST ❑ Full System Installation ®Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type pump to gravity Pretreatment Type • >5 ft.from foundation? - - fit } ❑ N/A ®YES ❑ NO >50 ft.from wells? - ❑ ® ❑ Z >50 ft. from surface water? - ❑ ® 0 HCleanout between building and tank? - - I- 5-2Q2--- ❑ ® El U Tank baffles present? - - ❑ ® ❑ a24"access risers over each compartmen ?--- - - - - - - - - El ® CI W Effluent filter installed?- By -- - CI 0 0 Septic tank capacity(working) 1250 gal Manufacturer Roth 0 D-box water level and speed levelers used? - - 0 N/A ❑� YES El NO OO Manifold/D-box accessible from surface?- - 0 Ui 0 co Q Check valves installed? - - El ❑� 0 E Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) E 2 ❑3 ❑4 ❑ 5 0 6 0 Commercial/Other >10 ft. from foundation?- - ❑ N/A 0 YES ❑ NO 0 >100 ft.from wells?- - ❑ ❑ 0 W >100 ft.from surface water? - - CI CI CI LT >10 ft.from potable water lines?- - ❑ ❑ 0 Z Q > 5 ft.from property lines and easements?- - CI 0 ix > 30 ft.from downgradient curtain/foundation drains?- - 0 ❑ 0 o Drainfield level and observation ports present - - ❑ 0 0 ❑ Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ 0 0 Pump tank setbacks consistent with septic tank?- - ❑ N/A © YES ❑ NO • Pump tank capacity(flood) 1000 gal Manufacturer Roth Q 24"access riser(s)and accessible from surface?- - ❑ © 0 aAlarm or Control Panel Installed? - - ❑ I 0 • Control Panel equipped with Timer/ETM/Counter- - 0 II ❑ O. Pump installed in IN Bucket or El On Block or ❑ Other I a• PumpMake/Model liberty280 El Floats or 0 Transducer a Tank draw down in/min Pump capacity 50 gpm Squirt Height ft Pump on time 2 Pump off time 6 Daily flow set at Z40 gpd Updated 8/21,2018 Mason County OSS Installation Report pg. 2 Parcel# 223305000150 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - 0 YES NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? - - 0 YES p 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 R.manifold onentation 8 layout.Sept.clpump tank location,North arrow,reserve drainfield,existing and p oposed 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. 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 Recor is accurate. form and attached Record Drawing is accurate. l7 2�ZS Signature of Installer Date 4'1 c Lc6 vr,r4- r' Printed Name of Signee MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and Record Drawing on behalf of Mason County Public Health: 1 l (zsi 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 812 112 01 8 1414 :-...\C".:.'N d 7 f 1 -------/ 4. 1v1. • ik11,1444/. /\,,,, ,\ ,141,4... N/ weft i So+ i i'Lt4P / , ,. ,,,, 7- .0 k .... APPROVED • OCT202025 ''l LA! MASON COUNTY ENVIRONMENTAL HEALTH RET APM iv•`" 7- N�coLe . . . . . f (4 Co NE. �h� b/rc‹4. Pb.4'ci A. T 1�i��s4k. ?6s$e 280-SERIES IiheijPunips' Cast Iron Submersible Sump/Effluent Pump A Family and Employee Owned Company • 1/2 hp 1-1/2" Discharge 3/4" Solids Handling Quick connect • Power Cord 11 Features ' _ • Liberty Pumps unique, one-piece T "Uni-Body"casting • Quick-connect 10'standard power cord allows replacement of cord in seconds without breaking Motor One-Piece ngt Motor Housing seals to motor(other lengths available) - • • Permanently lubricated upper and tower bearings • Oil-filled, hermetically sealed motor h:ncrg " with thermal overload protection tlrnlr l,t • Stainless-steel removable bottom screen • Stainless-steel rotor shaft - . Il POWDER C • Stainless-steel fasteners [! , OATED, TOUGH" 115V Models 280 Manual 281 Wide-Angle Float Switch with Quick-connect 283 Wide-Angle Float Switch, Series Plug 287 Vertical Magnetic Float (VMF)Switch for heavy-duty sump pump applications Model 283 208-230V Models (Year Warranty) 280HV Manual 281HV Wide-Angle Float Switch with Quick-connect r 283HV Wide-Angle Float Switch, Series Plug i 287HV Vertical Magnetic Float(VMF) Switch Ve awgh OCT 2 0 202 t Vertical Magnetic Wide-angle float switches are mercury-free, Float Switch mechanically activated. MASON COUNTY ENVIIRONM; RET 1111111111111111 s pj SP- �S 280—Series Impeller Bearings Vortex style engineered polymer Upper and lower ball bearings Paint Minimum Sump Diameters Powder coat Models 281, 283 14' Model 287 10' Max Fluid Temperature FACTORY SWITCH MODELS MODEL 140°F(60°C) Intermittent SETTINGS 281 &283 287 104°F(40°C) Continuous duty Turn on level 13' 9.5" Turn off level 7" 4" Motor Specifications The Model 283 features a fully adjustable wde-angle float switch.Differential 1/2 hp 8A(ll5V)4A(208/230V) adjustments can be made easily by tethering the float switch to the discharge pipe or other mounting point.Vertical float switch Model 287 is not adjustable. Oil-Filled:Thermally Protected (PSC) Permanent Split Capacitor Cord Lengths Power Cord Type MODEL 10' 25'[-2) 35'[-3) 50'[-5) SJTW(10'and 15' models) 280 Standard Optional Optional Optional SJTOOW(35'and 50'models) 281 Standard Optional Optional Optional 283 Standard Optional Optional N/A Motor Housing 287 Standard Optional N/A N/A 10'cord length standard on all models.For optional lengths,add--2.-3 Class 25 cast iron or-5"suffix to model number. Example:for model 280 with 35'cord,order 280-3 Dimensional Data Performance Curve Weight:29 lbs 60 Hz,3450 RPM Height:13 Liters Per Minute Major Width:10'(Model 287) 0 189 379 56.8 737 94.6 113.6 1323 1514 1703 1893 208.2 2271 2461 265.0 40 at 35 Shaft 10.7 30 91 Stainless - 1``•_ r Z 12 Hardware 7 0 2{ 20 61 •--ems...-�- —.. OCT1 11.1 [- !+ LlJ[� 15 4.6 4 Stainless • MASON COUNTY EUVlRONMEfII1;110`. ' ' 3.0 Mechanical Shaft Seal ''7 � s 15 Unitized ceramic carbon • 0 5 10 15 20 25 30 35 40 45 50 35 60 65 70 US Gallons Per Minute Effluent Models Sump Models I )P. Li J Mode1280 1�® Model 281 �;! / Model 283 r Model 287 ir,.. Manua;, 7d�' Wide-angle r,-`�I Wide-angle a�• VMF-Series • no float switch f float switch I float switch Vertical magnetic IIILII with Ouicl< with seriesMI_ � '_ float switch for connect � (piggyback) .jl lI smaller pits will •all •. Il 'i41 �Iii mpip plug •t .ri.lp operate in a 10' diameter sump Specifications subject to change wimoutnotice. Liberty Pumps-7000 Apple Tree Avenue-Bergen,New York 14416 Copyright 0 Liberty Pumps.Inc.2020 Al!rights reserved.WT002000-R01/20 Phone 800-543-2550-Fax 585-494-1839-LibertyPumps.com , 1., R+•Y HD Fowler Company Submittal - RTRMT12502P 82650 SCR.. t 4 , ,‘ a 1 , 4 ..! Rpm , ) , „..:_,.: ., if ,, ,, ,i , , ,,, , , _,_,, , s_, [g.,,,,,R,,,,,,,,i t � � �i I ,,I . i . i: eti -, .- Not all tanks are created /, • a i� ,'I �j I equal. Roth's revolutionary I` ;. process changes everything. f . I . ' '+ . . ' ) State-of-the-art computer • • - I I • I ' controlled multi-layer blow molding process produces perfect parts. Repeatable process, repeatable field _____ �_ performance you can trust. ..: , ,_'� ` ' i I ,.f,'� •I r;, Our tanks are manufactured la . -- —4 by a unique and proprietary ,� I blow-molding process �* . I ; I �_ I ;I) - resulting in the most .` 1, 11 -' i, 0 ����� structurally utank on t h e polyethylene market. APP 1\/Pr - 0 . After decades of --;- I conventional technology, i.ii`;°;t1,;COUNTY l Roth brims 4O+'years of k1 I ` j blow molding experience to , , I , , ,, I the North American market. l:d3k]1+x I I P7-4 r.� 1 . 9,`- �' 5.!4{ _ .. �-,w a "�SiC ' •,.wi:. �ai,'+iia .xii.. iti!i :-c.'..,.1.:. ,�• 4L 4,_..p.,,,„,. } F i;�-�IA,ts1 i ,A01 ,�1 -1iii-A- . 'tiri\1 iiiTie��0-1 1ii.--ii i 4'oi-c1 1♦ •' ,L• r l 4 . 1'( in;1�1 ` 1-'�� c .T c i� c cl c! t TOM . if.131-S . " U l 1�T"ri gY_ t/ ra(wind L.jg. 6J? �.�X I� * ' is ixYaD ) • =t'w 3 ,01� =; — 1. 1 ,: : t4010-�1." (tl�t ialuti (k o:, a 1F_UC- P r1i;r, DIM-1 - ..1"•, 1 1 : 1i 4"- ' RMT-500 _51(1295) 62(1575) 60(1524) 225(102) 535/2025 1070/4050 1605/6075 : • .,'4 1• . ,�`'!...� RMT 750 51(1295) 62(1575) 103(2616) 360(163) 1000J3785 2000/7570 3000/11356 `;'11 ':'�° '41.;;••. is RMT-1000E 51(1295) 62(1575) 118(2997) 450(204) 1147/4394 2294/8683 3441/13025 • i ^ RMT-1060 51(1295) 62(1575) 133(3378) 520(236) 1337/5061 2674/10122 4011/15183 ' 4 • Al 1250 51(12)51 02(1575) 143(3159) 500(254) 141.)!551,0 7',33 11171 4407:1668.' . t<rFr;' 4 i 7—' 51(1295) 62(1575) 177(4496) 640(291) 1771/6703 3542/13407 5313/20111 • •+ 4 e•*1'44 *4 ' yr--�.,' i y -Mb t'clonal; laslit9. oz 2 syrac e, N 14,41A, ,y:.+ -. . .- +'•., q , y+y - '�'1 + wivuvX:Rdfi1Mtll#itarTk,4gi 1 . Er66-Vii1vj2Ar 4 :.1 1 e.:•''' HD Fowler Company Submittal - RTRMT12502P 82650 SQ-0+:L.- 444< -i .. • ''. ._- 't, E - 2 Z ..• • CI) Z (/) •' O "0 > M . 7' > M b Z M m 11 0,71 2 r- .1•71 > 5 o 0 o • 01 o c n ):2' 4 25"TYP. 6 .0 2 (8) o ), _ o m 0 .i=1 6) -i :I (3) > — • 0 r- C r-> Pi cn r- cn O r.) z :,, (-) --I i ,,. -..•- -7:-*Nzt\ > ,, =A • cn M 1-1 --6 ,-- ----.7- ( _:, . , -;----7; r-x, : i70 -< 'T.,•, m : '...,.. .- -0 * • . ./1— --_, 0 :.; 7J :; 3c 0, c7,- El ; --..r-,—= M a) c n Ft r- 33 X M HEIGHT51"= cl --I -1 .... - „ 6....------- -- j--r--=m.-- ) -t, N I rs)--:===-- 3). > > I Ul -__=--______4)) • — _ „-_-_k___ - ., ' 1 '•\ :-.- r:: 1C-1)- „S lir ::_,_) ...r. 1....:, 17 i • L(C:: 2 o • olij - -\....- u 0 ,-. — .11.-......: .. " ,.. m 1-11 ----- — -- — --I 0 - > 7. _ . • " -. -— — I ._A\---- . 0\•1 . 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