HomeMy WebLinkAboutSWG2025-00313 - SWG As-Built - 10/31/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 2025-00313 Parcel# 42011-00-60000
Applicant Name JOEL MANKE Subdivision (Name/Div/Block/Lot)
Applicant Address 80 SE WALDRIP RD
City, State, Zip SHELTON,WA. 98584 Installer Name MANKE EXCAVATING
Site Address 372 ENTERPRISE Designer Name CINDY WARE
INSTALLATION CHECKLIST
Full System Installation iiienk(s)Only ❑ Orsini! Id Only 0 Repair ❑Other
System Type . I tment Type
>5 ft. from foundation? - -1 0 N/A 0 YES 0 NO
>50 ft from wells? - ' 0 14 0
Z >50 ft from surface water? - ;,' - -� ��5 - 0 0 0
a Cleanout between building and tank? --- ' ---- 0 -En 0
V Tank baffles present? - - -!J -- 0 0
a24"access risers over each compartment? - 0 '® 0
11.1 Effluent filter installed?- - 0 El ❑
co
Septic tank capacity(working) 4 /a OO gal Manufacturer A S xi.vid P7a<<r1e,t7,,-
0. D-box water level and speed levelers used? - - ❑ WA 0 YES 13.NO
5 Manifold/D-box accessible fbm surface?- - [a ❑ 0
` aQZ Check valves installed? -- - y="--R-- i'9—L`- - - 0 ® 0
ca
Transport Line Se Schedule/Class S -e It�D
Bedrooms installed (check oh.) ❑2 ❑3 ❑4 ❑ 5 CI CommerciaUOther 0&tee .7 Yi.J.
>10 ft from foundation?-- - ❑ Nu BYES ❑ No
0 >100 ft. from wells?- - 0 ® 0
W >100 ft. from surface water? - - 0 ® 0
Ili. >10 ft. from potable water lines?- - 0 Pr ❑
? > 5 ft from property lines and easements?- - 0 Q 0
d > 30 ft. from downgradient curtain/foundation drains?- - ® 0 ❑
CI
Drainfield level and observation ports present - - 0 (g ❑
0 Graveless chambers or jg Clean gravel used? (check one)
Proper cover installed over drainfield?- - 0 V- 0
Pump tank setbacks consistent with septic tank?- - 0 WA B YES 0 NO
ZPump tank capacity (flood)1r /2-do gal Manufacturer _cdtet P/ace r'-1e1j
< 24'access riser(s)and accessible from surface?- - 0 lig. 0
d, Alarm or Control Panel Installed? - - 0 0
_' Control Panel equipped with Timer/ETM/Counter- - 0 54-- CI
a)(Pump Installed in 0 Bucket or gOn Block or ❑ Other Al
a Pump Make/Model L i/t 2So 13Floats or ❑ Transducer
2
0 Tank draw down r' 1-- 7 I min Pump capacity L/-. s_qpm Squirt Height 2`{y ft
a
Pump on time / rn/ d Pump off time Daily flow set at (ro qpd
tlpdr.d ema01$
Mason County OSS Installation Report pg. 2 Parcel# 42011-40-60000
ABANDONMENT RECORD
Were existing septic components abandoned as part of this project? • • 0 Yu a NO
If yes, please describe:
Were ell components pumped out and property abandoned per WAC246-272A-0300? - • 0 YES ❑ NO
RECORD DRAWING
This Is a permanent mad and must be accurate and descriptive enough to re-locate In the naafi of maintenance a:Wen and Muni da,Nopmant Typlc*Raced
Drnrr►ps contain: Dtir,netd S mar>rold orlsntatlon&layout.Septic/pm tank location.North WOW.reserve&arrield.editing and propoad a,ilar,a.Tasman a wells,..wr+«.
we11,obsorv.aon pans,de noUs,and Ohm maintenance access paw. rromnplele Road or.wr,ps may crew addton l dal.ys In Mai rntaledon approval Ind misled permits
as pet. del le
•
tB 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 aocor-
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.
' � . . .
l � /0 �j��� i. III,.•
4a of Installer ' Date r�Q. bore
Zak-rKI /4-i +._,JA �� t' `fi'
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Printed Name df Signee ..%i �i.:
•
MASON COUNTY PUBLIC HEALTH •;. st t . , tl.
:# cMDY '
The undersigned approves this installation Report and LICENSED DESION5R 141
Record Drawing on behalf of Mason County Public ...� - �� �\ II �•%\�a
L...•.u. .L lu
Health: 1 1 G r�
\Z,Ilai"
�m
0 inn nI,ern n/rnarnror inIAI LIm Hh Cnariallit# Mt Os all
1 Existing hanger
2 [AudioNisual alarm
3 Clean out
APPROVED 4 11200 gallon septic tank.
5 1200 gallon pump tank
NOV 1 3 2025 'Transport line
MASON COUNTY ENVIRONMENTAL HEALTH _ Primary drainfield
RET 9 Waterline r
J' - • C fed r1e ._. T .
BENCH MARK,
FOUNDATION 1 100.001 -
Septic tank 2 99.00
Pump Tank 3 98.50
Bottom of sand dralnfleld 4 96.50
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