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HomeMy WebLinkAboutSWG2024-00240 - SWG As-Built - 11/18/2025 RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number SWG2024-00240 Assessor Parcel # 32021-56-02039 Applicant Name Tom Roth Subdivision (Name/Div/Block/Lot) Applicant Address 1537 NW Woodbine Way City, State, Zip Seattle,WA 98177 Installer Name Richard Moore-South Shore Construction Site Address 760 E Wood Lane, Shelton Designer Name Becky Rieger INSTALLATION CHECKLIST x❑ Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑ Other System Type Pressure Pretreatment Type >5 ft. from foundation? - - ❑ N/A ® YES ❑ NO >50 ft. from wells? - - ❑ x❑ ❑ Z >50 ft. from surface water? - - CI E CI FQ- CI 0 CI between building and tank? - - V Tank baffles present? - - ❑ x❑ ❑ d24" access risers over each compartment?- - CI ❑ W Effluent filter installed?- - ❑ ❑x ❑ u) Septic tank size 1200 gal Manufacturer Infiltrator o D-box water level and speed levelers used? - - © N/A ❑ YES ❑ NO oOJ Manifold/D-box accessible from surface?- - CI © CI mZ Check valves installed? - - ❑ ® ❑ OQ E Transport Line Size 2" Schedule/Class SCHD 40 Bedrooms installed (check one) ❑ 2 x❑ 3 ❑4 El 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- - ❑ N/A x❑ YES ❑ NO CI >100 ft. from wells?- ® ❑ rc• s.± q �'. ___i_-s_:_:_1 —� >100 ft. from surface water? r. -1. ' s E ❑ w >10 ft. frompotable water lines?- V y tf "t` x LJ ❑ ❑ Q > 5 ft. from property lines and easements?- - - - �g-I-g 2425 ❑ .,, ❑x ❑ ec > 30 ft. from downgradient curtain/foundation ns COUNTY ENVIRONMENT> IEALTH ❑ ❑ Drainfield level and observation ports present - _``RR - l�J x❑ ❑ ® Graveless chambers or ❑ Clean gravel used? (checl g Proper cover installed over drainfield?- - El ❑x ❑ Pump tank setbacks consistant with septic tank? - - ❑ N/A Q YES ❑ NO • Pump tank size 1200 gal Manufacturer Infiltrator < 24" access riser(s) and accessible from surface?- - ❑ © ❑ ~ Alarm or Control Panel Installed? - - ❑ I ❑ a 2 Control Panel equipped with Timer/ETM/Counter- - ❑ x❑ ❑ D a Pump installed in ❑ Bucket or © On Block or ❑ Other a• Pump Make/Model Liberty 280 x❑ Floats or El Transducer EL Tank draw down 1.5 in/min Pump capacity 24 gpm Squirt Height 7 ft Pump on time 2.5 min Pump off time 4 hrs Daily flow set at 360 gpd Updated 12/7/2015 MCPH RECORD DRAWING (ASBUILT) pg. 2 Assessor Parcel# 32021-56-02039 RECORD DRAWING Drainfield&manifold orientation&layout w/dimensions for re-location. XQ Trench/bed dimensions and critical distances within layout © Septic/pump tank placement X❑ Location of buildings existing/proposed Q Observation ports, clean-out locations, &manifolds/d-boxes X❑ Location of wells, surface water,roads, &waterlines. Q Reserve area(s) ❑X North Arrow If the designer or installer feel the need for additional information/comments, it may be attached. Record drawing may also be on a seperate page attached. No. Pages Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER 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 - ord Drawing is accurate. form and attached Record Drawing is accurate. i%��� 10.09.2025 Signature of Installer Date it Richard Moore + r�..1:l Printed Name of Signee p�+ 3/ so MASON COUNTY PUBLIC HEALTH , ; �,� The undersigned approves this Installation Report and s 51 A°.i! Record Drawing on behalf of Mason County Public •�' Becky J.Rieger H • 6tiE . ._... !t EXPRES s /13 late S �� 10.09.2025 Sig atur vironmental He .th Specialist (designer's stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 12/7/2015 LL lJ �, 0 0o Z z o z J •-- 0 a w v)cm o w 0. a m KU .. C U ° I 9988 O0 r U I- _= d d f6 1 B z 8 I ! Q O O o z a� tL '. •••Exen w , W. S F 2 !!; r� xCOO N �?�W CV 6 n• W m m N O _I!:!< T1fl W ts N N 2 j Z a,rz Zx- \ m o a p i QU z J C O W Q U Q z(c2 = W N CA 7 •I•1 .' o n 6 m 3 o E N + /y Q NU �7G a- J U'� �1\I NN g W e� () . ly W z $ C /1O z ."-• Q O 7d ZW JWN ' s W m Q .V N ry;�" U Q Q O O U O Z O J . a > > i g ++.. mi-a. 2 ceMtn ? O J 4, i 5 z z o i' W �`L^LY/ a w ti w p F z i� E € ac 0 Z a cc APPROVE ::. o NOV 1 d 202 • ' Ce c...) 5 • III 'MASON COUNTY ENVIRONMENTAL HEALTH t. Ce JBW __` �s sty / 6 g ____ 1.0 • . \_ o — Q Q w K Ow w U Y ce K o o CC w Q m N p 1" M W cC F m W CC W 2 Q a J J LL LI_*U.. 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This means that you have two tanks, a pump, a panel, a proprietary NuWater system and trenches that contain gravelless technology. From the house the effluent will travel to the NuWater Tank where it will be treated and be processed through the NuWater system before flowing into the Pump Chamber.The Pump is set up to a control panel that has been programmed to come on and pump for a certain amount of time. After the effluent has been treated it will be pumped to the Laterals in the drainfield.The Drainfield consist of PVC lines that are covered with a gravelless technology known as a chambers.The PVC lines have small holes spaced out at a set dimension that allows the treated effluent to be disposed into the chamber and continue its treatment process in the soil. At the end of each Lateral is a Clean-Out to be used for Operation and Maintenance. There is also an Observation Port which is used to check the system during Routine Maintenance and for observation when troubleshooting the system if issues arise. Septic System Maintenance & Recommendations Now that the system is installed it is important now to learn how to maintain and keep a healthy system. The first step in keeping a system healthy is knowing what is good for it and what is not. Here are a few things to keep in mind with your septic system: 1. Know the location of the drainfield and the components of the system. It is important that you,the homeowner, know where these are located so the system parts are not driven over (unless they have been designed and installed with that in mind), is not built over and for maintenance purposes. Some Drainfield systems can be landscaped on, however;the use of landscape plastics to keep weeds from growing should not be used. 2. Watch your water consumption. There are many water saving devices and appliances on the market today to help with this. It has been seen that too much wastewater in the system can cause system failure so it is important to be aware of how much is going into the system. 3. Inspect your Septic Tank and Pump Chamber at least once a year.This inspection can be done by the homeowner or by a Septic Professional. When inspecting the tank not only does everything want to be checked to see if it is functioning well, but also this is a good time to hose off the effluent filter. 4. Pumping the system. It is recommended that a Septic Tank be pumped every 3 to 5 years. This is important to keeping your septic healthy and knowing if it is functioning properly.A Septic Professional will also be able to help you with your pumping schedule. 5. Limit use of garbage disposals. This places solids in the septic tank that are hard to break down. 6. Do NOT use septic additives, dispose of hot tub water,or put strong chemicals down the drain as use of these can disrupt the growing of the good bacteria in the system. 7. Do NOT flush solids such as diapers,tampons, cigarette butts, condoms, grease and coffee grounds as these can cause harm to the system. 8. Direct water from downspouts and roofs away from the septic tanks and drainfield. It is recommended that a pumping schedule be contracted with a Pumping Professional. This will help to sustain the life of your system. There are also Septic Professionals which offer Operation and Maintenance programs,which is a service that will include the inspection of your system and the repair if needed. It is important to ask what is included in this service as each can vary. Contact Information The following is the contact information for the Designer, Installer and County Inspector of your system. Designer Information: Environmental Design, LLC Designer: Becky Rieger 2041 Little Hanaford Road Centralia, WA 98531 Phone: (360) 219.3343 Installer Information: South Shore Construction Phone: (360) 509-1342 Local Health Jurisdiction: Mason County Environmental Health Phone: (360)427-9670 . 1 s t 4 N .;,S: : ▪ "i'x{ 2?'x Goz O `III ,ti:e t32 ,, 5::3::`.a .. J �U: ;:lfi: 4. . : z? '' 3 r: ..am \ C Spy# k #i:x. ,.. :1,- aa` . . C .ea a 3 C .O , a s N a id C a. u ,1 = 5. ., 1 a g a 8 O & 1 7 G O v a 3 y u 41 E• ° T e Q o • y 3 A y 41 ' Ti a O ° _ 8 C ° u O a A �o ` .ao •o rz . .e is N aS cii • J 1i1I ni EHIdi ° 0 3 ° puE` ihi -' nyA • � 'QQN3` & c• .o . 5n3 ox . t . G. o' oN s-• ag ° go c • :.. 0 I Ja• — m `Z2 > ° a• u ET 8 y Ez = _ T � a � = ' o �-? O .t g 0 � 0a .ovUc g• tz0 g•o Q g- � o .c - u O:fl'O E & h3 as 1Gs0 3 -a u F 8,4et 1 O 4. 6 1.4 `. 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L E 3 L w 4� U L -L C O i-t L ro i+ ° L ro a > L L `�- O = •(C `- ° .c N _C QO C - C—S a-, L (Q _ 4, N O ua tn E d° O O"� , Q) .: E (Q L u L L C au G O Lv �E �a 3 ciO v) c ; aoroc_ TEc ° *1.. co LO Na n-�-0 O .N S O T u ro a° p s_ O '^ L O > ° C c L L ro C a)"- L a a° _N a) ro E a) +- a) °CAN— (� E ° �; oro0N . U- O , � > �v (a �, Via) C +� 0.>.E N ro Da t T , ro c s ° 0 tB O C) C + p +s .L ° CD a E O v, , ro ° O et ° 3 3 a) a;` 3 ro c ro ro O N cco= ° E E c }� � C 0. >�000 etc d � ,°„ > n3oaoC °c°0ro �- a) CD coL 0� � � o N 2ro Cl) +.. O,�,, (n q „ •N v, o u .L N U ° •//, -o C v, °v f° 3 O •7 d (C n.E L. c N °� d� 0 c a) a c-0_o D 3 N v i_ ,, °v; x o O ro ao x o 0 �- v c Y +r v, o 0 — a) .c (Co °L i- L— o O • CU c X -- ODcc—OC 3c • n—iL n M Q >°. d F-� d iCOv/ F- U) a CD ,� a. O 3 cn C N oC 0 w F- . • . References: Washington State Department of Health Website. http://www.doh.wa.gov/ehp/ts/ww/pubs-ww- topic.htm#Home Owner. Lewis County Environmental Health Website. http://lewiscountywa.gov/environmental-health/permits-forms . Thurston County Environmental Health Website. http://www.co.thurston.wa.us/health/ehoss/dos donts.html. Cowlitz County Environmental Health Website. http://www.co.cowlitz.wa.us 2014. Mason County Environmental Health Website. https://masoncountywa.gov/health/environmental/index.php