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HomeMy WebLinkAboutSWG2022-00108 - SWG As-Built - 11/21/2025 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT! PERMIT INFORMATION Permit Number SWG 2022-00108 Parcel# 32136-75-00030 Applicant Name Dale Arnold Subdivision (Name/Div/Block/Lot) Applicant Address 260 E.Willow Blue Ln. City, State, Zip Shelton,Wa Installer Name B&C Building Solutions Site Address Same Designer Name Bob Paysse INSTALLATION CHECKLIST II Full System Installation 0 Tank(s)Only � Drainfield Only El Repair El Other System Type Gravity `NI' AIM !- - ,atment Type >5 ft.from foundation? - ® N/A ❑YES Al ❑ NO >50 ft.from wells? - - --- ❑ ■ ❑ • >50 ft.from surface water? - �`��- 0 ■ Z ▪ Cleanout between building and tank? - -A - - I❑ I ❑ S ✓ Tank baffles present? - \.l t ,�"`'' ----- a 0 F= 24"access risers over each compartment. ' —"8 U ❑ d _ ❑ 0 t � Effluent filter installed?- -,`�-a- __--�� _ Septic tank capacity(working) 1200" gal Manufacturer Infiltrator E 0 D-box water level and speed levelers used? - - El N/A YES 0NO �J S' O Manifold/D-box accessible from surface?- - 0 U 0 N ari Check valves installed? - - 0 0 J CQ• Transport Line Size 4" Schedule/Class 3034 0 Bedrooms installed (check one) ® 2 ❑3 ❑4 ❑ 5 ❑6 0 Commercial/Other >10 ft.from foundation?- - III N/A 0 YES W ❑ NO G >100 ft.from wells?- - ❑ a 0 W El III El>100 ft.from surface water? - - Er. >10 ft.from potable water lines?- - ❑ a 0 Z >5 ft.from property lines and easements?- - El ❑ 12 >30 ft.from downgradient curtain/foundation drains?- - a ❑ ti, 0 Drainfield level and observation ports present - - ❑ e ❑ ❑ Graveless chambers or IM Clean gravel used? (check one) Proper cover installed over drainfield?- - ❑ ■ ❑ Pump tank setbacks consistent with septic tank?- - IIII N/A ❑ YES 0 NO • Pump tank capacity(flood) gal Manufacturer Z Q 24"access riser(s)and accessible from surface?- - ❑ ❑ I— Eva. or Control Panel Installed? - - 0 0 0 (� ac ' • Control Panel equipped with Timer I ETM/Counter- - El 0 ❑ °- Pump installed in 0 Bucket or 0 On Block or 0 Other `1 d• Pump Make/Model ❑ Floats or ❑ Transducer i .• Tank draw down iNmin Pump capacity gpm Squirt Height ft Pump on time Pump off time Daily flow set at qpd Updated 812112018 Mason County OSS Installation Report pg. 2 Parcel II 32136-75-00030 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 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. Typcal Record Dtawengs c»n;nn Dremfakr 6 man.bid orientetcm 6 layout,Sepbvpump tank bcanon North anov..rewvc dramfeld exol no and proposed buidngs iocatio,of weds watertrtas wets obsrvaton ports,deanrx.ts and other maintenance access pouts.ircomeiva Rec rt Drawngs may aea:e anr oral drlars n lrbf n7alfetbr approval and routed Permits, ® Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I certify that I installed the system in accordance with 1 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 1 further certify that all information contained on this 1 further certify that all information contained on this form and attached Record Drawing is accurate. form and attached Record Drawing is accurate. ti Lh'1`' 42)J\.c-1,--A.v\ 61 22- Signature of fistaller 1 Da 2 1\ 1 Cory Brownson A.'# Printed Name of Signee \ . 1 •tli 4 MASON COUNTY PUBLIC HEALTH t //1 ; D J ate`` The undersigned approves this Installation Report and .. , row '. › 1 RO/C��M ROW -ice Record Drawing on behalf of Mason County Public 11 •, ,,:, a of . f: ` Health: EXPIRES IIf7Afr<S Signature of Environmental H alth Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 61'4ola 1 N 2 BEDROOM I g� DRAIN FIELD14:1114147 ,..\.1111%\i, 1 AS PER DESIGN I \\ I EXISTING \\ `. HOME N \ R I ,- I \ APPROX. TANK \•• \\ LOCATION ---\ APPROX. FUTURE I �• HOME LOCATION —O 0 I • • \ I \ I 1 co2 O D. � Q• I 1 5 O e r I I N s'` I 1 [ 7. I o Or� V tirH+Mr{a[ I Z c=, EXPIRES I 1 I- I ■ -� L---J I z r F- -1 I I I i 1 I I 1 1 1 1— J 1 I EXISTING 1 I r I GARAGE i / L-- 1 I / -- -- I I I / j APPROX. EXISTING I / I PRIMARY AND RESERVE / / I i � CUSTOMER: DALE ARNOLD IL 1:100PIONEER. DIGGING, INC. f ARCEL 3?13 ALE ARN0 T HLE 1: TEST F LF.2 SEPTIC DESIGNS ADDR a.sCl'ESS 26o E WILLOW HLU[LN ,4;MS 341.'w3083 E MOON BENS RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE 45 R-34 OFFICE 360 42(Nl$03 F.1N-36t4427 2353 DFSIGN PAGE: ASBUILT t IS I' ~�t�J' 4& 30 � f 30. e -. 3o' - / i, rr , - ► r _, 4 $ k t i `ZS' a _ �� r r S 'ram Sc�Lq, = t O • Z-,rn�s 14K4. O( Cam. 0 5 fG AS Zoo M l,its. ' );, ___ , • co 30 /• ZS .E hed• 40 L.�/-eft ac.S r * N }, �G) 3/!6 ` O2tcteEs F� LA* • ( O O- . 5 c^.3.g .7,rJ, PAULA JOY JOHNSONC �� ._ _,��f, (pacts LiP.Ns.8ti15 1GNra- • 1 :TV-72:-L-fr .e."...s..1... 1-0-`14-L• H.�-25 � '� . U).' �n �n Sou 'V -Is Naftzlepi..mgar.r_ • X+tr ASM C-33 z�`1 ®Eo �e,. * S\-.oc --ers-t ' -ay. . e t. zet_ Per'"''` I84- • 6,-- co" (.1sk-. Vie. ar-o k�. ey e 4ee41`) .r.a,� &. bras ,- Secf�� • 3 c�.R e,: ``= z' 0 / ' z 2' i r , ii--SCREW ON CAP 45 DEGREE ELBOW OR NOV i 9 2025 LATERAL SWEEPING 9U NOTE, "AS�NCC!�t,'ryEN��I 0""°. . T " O=OBSERVATION PORTS TQ BB p. END OF. PVC PIPE FROM BOTTOM` OF TRENCH DIT r TO FINISHED GRADE. REMOVABLE DETAIL CAP SHALL BE INSTALLED CLEAN OUT ON OBSERVATION PORT PIPE. • L 1 Y A.7 £atteM of oSsc orriou poeT• NOTE, CLEANOUT TO BE FROM 0 TO 6 INCHES BELOW FINISHED GRADE. TOTAL OF IN SYSTEM. t23�t h I JJ s TAU- A 7`$c rt a n QC C •3 3 SAND MARK ENDS WITH REBAR. CLEAN OUT **LATERALS ARE TO BE CENTERED REQUIRED AT END OF EACH LATERAL. IN TRENCHES. Length Length Orifice # Distance from Distance from Lateral # (In.) (Ft.) Spacing Orifices Feeder Line (In.) Cleanout(In.) 1 360 30 28 13 12 12 2 360 30 28 13 12 12 3 360 30 28 13 12 12 4 360 30 28 13 12 12 Total Lateral Length 120 Total#Orifices 52 GPM = 33.28 (with 5/32 orifices) Dynamic Head Calculations Selected residual pressure: 5 ft. Length (Ft.) # Orifices Transport Pipe 40 52 0.65 ft. Feeder Total Lateral Line Length Lateral#1 30 4 34 13 0.30 ft. Lateral#2 30 2 32 13 0.29 ft. Lateral#3 30 2 32 13 0.29 ft. Lateral#4 30 4 34 13 0.30 ft. Total Elevation Lift 8.00 ft. Total Dynamic Head 4%, 14.83 ft. r!!'ot w,., '..;.\,.3. lif i .F4 .J .:/�• 51003e 9 1 it PAULA JOY JOHNSON . <k-c•+-Z,s NOV 19 z�; /14Sav 2 0 2$ON �� 0NI A �FNTq yF4ZTH 13Z 139, • Bronze construction available(139 series) aa�� • High head version available(145 series) • Double shaft seal versions available for added protection Flow-Mate on models 140/145. For more information,see Technical Data Sheets FM2782,FM2783. In high head dewatering or effluent applications where pumping performance is critical, this robust '_ g PUMP PERFORMANCE CURVE family of pumps is known for reliability, MODEL137n<on4s durability and performance. These = ' , �......... pumps are especially suited for harsh t~ • ,■■■.■■■■■ environments.Zoeller's cool run design } • < ■,■■■■■■■■ en and corrosion resistant powder coated .,■■■■■■.. C epoxy finish add up to a long-lasting, 3 trouble free product. ` " „ ����E����� 'O APPLICATIONS: ■.._ ,'•■■■■■ i ml1 • STEP or onsite applications ■",�•■■■■■ m • Water transfer PP s ■■�`■■■•■■ C • Light commercial dewatering u 111111111101...111111111 2 y .■.■",■■■■ 2 SPECIFICATIONS: 6., , x ''■•,■■■• 1-1/2"'NPT discharge .■..,!„�'■■ • 1/2 HP through 1 HP •' IE MADE IN THE USA • Available in automatic or nonautomatic AliEAA4LJETY,itLSSIA1ir ����.,1�". • Model 137,139,140:1/2"(12 mm)spherical solids • s IIIIIIIIM �®��� EI® capacity with vortex impeller .• ID v b x 10 x ro c 10 CA L.0S • Model 145:3/4"(19 mm)spherical solids capacity with u • ., •a Ze 130 vortex impeller "0 "'0kW, 52 /5 4 15` �, k:EN'� I� I PUMP PERFORMANCE CURVE • • • E Dose-Mate So MODEL 151/152/153 , - This is our fastest growing line of effluent 14- 153 I pumps.The 150 series is truly a workhorse i designed for reliability under extreme 12- w conditions in an effluent environment. 150 series pump curves cover a wide range < 7D_ 152 of applications. They are well suited to U 30 • M applications with low pressure pipe(LPP) a and enhanced flow STEP systems.Zoeller's o 6- 25 t5' cool run design and corrosion-resistant, o powder coated epoxy finish, in addition s- zo to the hermetically sealed, oil-filled motor 75 and non-clogging vortex impeller add up to 6— a Long-lasting,trouble-free product. 70 ' 2- APPLICATIONS: elk. ....... 5 . • STEP or onsite applications 0 , II 1 MADE IN THE USA 10 20 30 40 50 60 70 30 90 100 • Light commercial dewatering 8IIEAUMIIIn 0IILtC01'EI' GALLONS SPECIFICATIONS! LITERS 0 40 80 1'l10 160 200. 210 210 320 340 • 1-1/2"NPT discharge ° FLOW PER MINUTE 014sca � • 3/10 HP through 1/2 HP ', , " ;r4 • Available in nonautomatic or with a variable level `` W L/7 ' piggyback mechanical switch 'D� • 1/2"(12 mm)spherical solids capacity with vortex / thermoplastic impeller {>L'�()`r, ?0?5 7,, For more information,see Technical Data Sheet FM2784. ©All rights reserved. ZOELLER PUMP CO. 1502-778-2731 1800-928-7867 I zoellerpumps.com o ji kiik-i/TA( 9 f �TF H . - --- -- --- i . • i 1 - 1 SW.Reaf'.iiV irrr_ g rg=5 •17- 7- ---fr-. .--, -, . . • i ; 24,v.ALLIETA i , itCeege=Elk ,_ —.. . e.—Dagi Maris : \ . ; ----------------,. i I . i -----_ ---_ ----_ - ; 1 . . • • i: t .---------'----------------"------rs—'—' 1 . : : 1... 7.- -.7.--: ',---c—.------ _....... , • . : —.._ —,--1_,;.----------- ______.--------, , 1 i ----r---J-------r----.—T,.. , ; ! . . _ mcittsewAsg , • \I . ot= ! i , - , , itawumeo . ? , FiFwEir 1 ;MMI .• i / ; 1 i i i - 1 1 • ; , MIMI i • 1 i 1 1 I i 1 • i , . 1 1 1 ' =Iiirrg 1 1 i ..*. ........ . .. .......„.=2 ,%.„„... 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I 1 Bili PialeL= I i "'"'''n!‘2MT a'r *" '-- , • . /!eir,f.M.M16 .....: ;• i i 1 -7 5-`." -=•-• " F.---.--f ; . ‘ • i - 1 1 . szeiEtter=— - . 1 E : geTSCITUGAI., 1 POW t 1 , # i I frtolnea..0 • 4 =Ag XIIZEDEB . i 4 z - , ; i •r....,4 -::',..i../;Ee"r±:::::,•"-i.-,--2. 272c 4--*No,•=n $eptic Tanks 7:714.5t meet acinzter-cs r . .i __,—__ _. . . FiGuRe. 2 !I .- I i ,.., . -,,,......,.., :,...4....,...-.....,ze.„...,....„, e.,...1.:,.-te=.r.,71.ec =•;x isey...... CT 1 t . . I i -- . 1 • Queue Septic Deis'Ow, rtc. f4. A f stt a� •' t INSTALLATION & MAINTENANCE jj` 4s• . .11; . Pressure Distribution Systems—Sand Lined Bed S1c.0349 icy• PAULA JOY JOHNSON '7 1. Install Laterals with contour of the ground. 1.!cOrs bn� - Fxat�si1�o 2. Install bed bottom level. I1-144..5" 3. Ensure sand is clean and meets C-33 standards. 4. Install locator tape or rebar at each end of all drainfield laterals. 5. Install observation ports as indicated on the plot plan. One required in each corner of the bed. Two with bottom extending to the bottom of the drainrock and two extending to the sand/native soil interface. Glue"T"to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 6. Install drainfield during dry weather and soil conditions; any soil smearing must be eliminated by hand raking. 7. Install threaded clean-outs at the end of all laterals(cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 8. Install audio/visual high water level alarm. 9. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area,not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank and block under pump. Pull bio-tube every 6-12 months and flush back into tank. 10. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 11. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock, (do not glue), after pressure test and Environmental Health Dept. approval,turn orifices down (6 o'clock) and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 12. Filter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade, run the filter fabric at least 2 inches down the trench wall. 13. Waterlines must be a minimum of 10' to any tank or drainfield(a reduction to 5' may be obtained with a State waiver on lots that meet minimum lot size). Encase all water lines within 10' of septic transport lines and under any driveway/parking areas. 14. Divert all storm water runoff away from on-site sewage system. 15.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 16. Have the septic tank and pump chamber pumped or inspected every 3 years minimum. 17.No vehicular traffic over drainfield area or tanks. 18. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 19. All materials and workmanship must meet County and State regulations. 20. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 21. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 22. All pressure systems with a pump chamber outlet higher than the drainfield must have an anti-siphon valve or a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. Ensure anti-siphon hole sprays down/away from tank opening. 23. Homeowner is responsible for all property lines and easements. a _d NOV 19 2025 q COUNTY ENVIRONMENTAL NEALT' DJA