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Home My WebLink AboutSWG2025-00010 - SWG As-Built - 2/18/2026 /Masn County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00010 Parcel# 12305-52-00024 Applicant Name JDR CONSTRUCTION Subdivision (Name/Div/Block/Lot) Applicant Address 7707 56TH AVE NW LOT 24 TIGER LAKE TERRACE TRACTS City, State, Zip GIG HARBOR, WA 98335 Installer Name MIKE SKINNER Site Address 101 NE LAUREL RD Designer Name TOM PURDUM INSTALLATION CHECKLIST 0 Full System Installation ■❑Tank(s)Only 0 Drainfield Only ❑ Repair 0 Other System Typekw OgSUrQ -I1 ‘,Q,v► Pretreatment Type -is.iutrJadw IC-SV 0 >5 ft. from foundation? - - - - - o N/A ❑■ YES ❑ NO >50 ft. from wells? - - r- - - - - 0 0 0 ' o ❑■ 0 Z• >50 ft. from surface water? - - - - - -' - - - • Cleanout between building and tan 1-To- - - - - - ❑ © 0 ✓ Tank baffles present? - ,3.A - Ma - 0 ❑■ 0 a24"access risers over each compart �lat?- - - - ��-Jam- - - O • 0 'Li Effluent filter installed?- ��.-!�" - 0 0 0 CI) Septic tank capacity (working) (0 'v ""y-- gal Manufacturer 1 `) &Z t/ 5 D-box water level and speed levelers used? - - I=I N/A ❑ YES ❑ NO DO Manifold/D-box accessible from surface?- - - , 0 0 QQ Check valves installed? - - 0 0 0 2 Transport Line Size Schedule/Class Bedrooms installed (check one) 0 2 0 3 0 4 0 5 0 6 0 Commercial/Other >10 ft. from foundation?- - ❑■ N/A ❑ YES ❑ NO O >100 ft. from wells?- - I=I 0 0 W >100 ft. from surface water? - - © 0 0 Z >10 ft. from potable water lines?- - ® O O Q > 5 ft. from property lines and easements?- - 0 0 0 ce > 30 ft. from downgradient curtain/foundation drains? - - In ❑ ❑ Drainfield level and observation ports present - - It 0 0 ❑ Graveless chambers or 0 Clean gravel used? (check one) Proper cover installed over drainfield?- - 0 0 0 Pump tank setbacks consistent with septic tank? - - 0 N/A ❑■ YES 0 NO • Pump tank capacity(flood) 1060 gal, Manufacturer INFILTRATOR Q 24" access riser(s) and accessible from surface?- - 0 U 0 a Alarm or Control Panel Installed? - • Control Panel equipped with Timer/ETM/Counter- - 0 MI 0 C- Pump installed in ❑ Bucket or 0 On Block or 0 Other a Pump Make/Model LIBERTY 280 IN Floats or 0 Transducer a. .Tank draw down 2 in/min Pump capacity 54 gpm Squirt Height 5 ft Pump on time 66 SECONDS Pump off time 4 HOURS Daily flow set at 360 qpd Updated 8/21/2018 Mason,county osp Installation Report pg. 2 Parcel# 12305-52-00024 ABANDONMENT RECORD Were"existing septic components abandoned as part of this project? •-- - - YES ® NO If yes,please describe: Wore all components pumped out and properly abandoned per WAC246-272A-0300? • • ❑ YES O NO RECORD DRAWING Thks Is a permanent record end must be accurM.and descriptive enough to re-locale in the need of maintenance activities end future derv►lopneml, Typtral Flown] urunons contmn IAninrutd ti fermi art onoat.fun&layout,Fe vtlrlryrnp tank lu atlnn,North nrrnw,nroerya crelnaalrt,malting and ptnprne I t*rtlrhng4,Incetfao r't Wntlw,w.R•nlinec. wean,otnorvatxxt ports,Cioannule and altar maintenance access points.Incanptoto Recent Unmangs may uoato addiao al delays in fnnl enlrrllation approval and tt't tad patents. ® Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I certify'that 1 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 hero have been cleared/approved by both and Mason County Public Health and moat all State myself and Mason County Public Health and moot 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 attahed Record Drawing Is accurate, form and attached Record Drawing Is accurate. Signaturo of installer Date 4A ek-e Sh.iv,v/- • 3, Printod Name of Signoo r, m MASON COUNTY PUBLIC HEALTH • The undersigned approves this Installation Report and • Record Drawing on behalf of Mason County Public ;r`' 2:0J 29. Health: • ,CEN Eo' si6NER'_ ' MI TO O E%PIRES 2/07/2025 Signature of Environmental oalth Specialist Onto (stamp,signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE 14a21°"erJizgyn i __ • 0 N 89°59'32"E 85.00' SCALE: 1" = 20' 10'SEPTIC EASEMENT 0 20' 40' r AT LOT 24 ?UMP TANK ECK SUPPORT BEAM ECK SUPPORT(TYP) PANEL 0114.41/ SS /' co z LOT 23 -5.5,~ 6.5' LEAN OUT m 3-BR SFR 0) 2 I I I v : - 4 \ • •a CHECK VALV \ ° .a ' . . • FnN DRIVEWAY •: \ � \ d' 4 Q S 89°40'07"W 85.00' EX.INSTALLED 3"CL200 F s 2026 ED cn AP Ex.FORCEMAIN �4ASON COUNTY ENVIRON�{ENTAL HEALTH NE LAUREL RD RET HEALTH DEPT APPROVAL tee- .A SHEET TITLE: AB TANK INSET CLIENT: MDR CONSTRUCTION /z'4oFW"��H.<,\ v �— AMERICAN -�� "-- `�' DATE: JANUARY 20, 2026 REV: PROPERTY INFORMATION: 'r�� '' " 0 SEPTIC DESIGN LLC �o�' 2203 B29 N�0 � PO BOX 821 WAUNA, WA 98395 SHEET 4 OF 4 PARCEL: 12305-52-00024 / R.Thomas Purdum �`�-�- 253.509.2757 LOT 24 TIGER LAKE TERRACE TRACTS LICENSED DESIGNER � 4\ AMERICANSEPTICDESIGN.COM �� TOM@AMERICANISEPTICDESIGN.COM DRAWN BY: T. PURDUM SITE ADDRESS: 101 NE LAUREL RD NE EXPIRES2/07/2027 • SEPTIC SYSTEM DO'S AND DON'TS YOU,THE HOMEOWNER,ARE RESPONSIBLE FOR PROTECTING YOUR SEPTIC SYSTEM. DO: DONT: THIS IS A RESIDENTIAL PRE-TREATMENT TO PRESSURE ON-SITE SEPTIC CONTRACT WITH CERTIFIED PROFESSIONALS: ANNUAL INSPECTIONS USE A GARBAGE DISPOSAL UNLESS YOUR SYSTEM WAS SPECIFICALLY SYSTEM CONTAINING A PROPRIETARY TREATMENT DEVICE. MAY BE REQUIRED DEPENDING ON YOUR TYPE OF SEPTIC SYSTEM/ DESIGNED TO ACCOMMODATE ONE. ANNUAL OPERATIONS AND MAINTENANCE INSPECTIONS ARE REQUIRED. LOCAL COUNTY REGULATIONS. ROUTINE MAINTENANCE CAN LENGTHEN THE LIFE OF YOUR SEPTIC SYSTEM. IGNORE PROBLEMS. IF YOU SUSPECT A PROBLEM OR SEE SURFACING YOUR SEPTIC SYSTEM WAS DESIGNED FOR A PEAK FLOW OF 360 SEWAGE, CALL AN OPERATIONS & MAINTENANCE PROVIDER RIGHT GALLONS PER DAY.YOUR SYSTEM SHOULD BE USED AT 75% CAPACITY HAVE YOUR SYSTEM INSPECTED EVERY 1 TO 3 YEARS (BASED ON AWAY TO HELP DIAGNOSE THE PROBLEM. OR 270 GALLONS PER DAY. RUNNING YOUR SEPTIC SYSTEM AT PEAK SYSTEM TYPE). INSPECTIONS HELP IDENTIFY AND AVOID POTENTIAL PROBLEMS. FLUSH THE WRONG ITEMS OR"YOUR TOILET IS NOT A TRASH CAN. " CAPACITY FOR EXTENDED PERIODS COULD CAUSE PREMATURE FAILURE. NEVER FLUSH ANYTHING OTHER THAN HUMAN WASTE AND TOILET HAVE YOUR SEPTIC TANK PUMPED AS NEEDED: HOW OFTEN YOU PAPER. THIS INCLUDES PAPER TOWELS, "FLUSHABLE"WIPES, YOUR SEPTIC SYSTEM IS NOT RATED FOR COMMERCIAL USE PUMP DEPENDS ON THE AMOUNT OF WATER USE IN YOUR CLEANING WIPES, BABY WIPES OR ANY MOIST TOWELETTES, HOUSEHOLD OR BUSINESS. AS A RULE OF THUMB, THE MORE PEOPLE FEMININE HYGIENE PRODUCTS, DENTAL FLOSS, DIAPERS, CIGARETTE YOUR SEPTIC SYSTEM IS DESIGNED FOR HOUSEHOLD STRENGTH WHO USE YOUR SEPTIC SYSTEM, THE GREATER YOUR WATER FLOW. BUTTS, CONDOMS, COTTON BALLS OR SWABS, HAIR, BAND-AIDS, WASTE (228 mg/L CBOD, 80 mg/L TSS AND 20 mg/L OIL & GREASE).AN THIS MEANS YOUR SEPTIC TANK WILL FILL UP FASTER AND WILL COFFEE GROUNDS, CAT LITTER, GREASE OR COOKING OILS, INCREASE IN WASTE STRENGTH BEYOND HOUSEHOLD STRENGTH WILL REQUIRE MORE FREQUENT PUMPING. HOUSEHOLD CHEMICALS (GASOLINE, PESTICIDES,ANITFREEZE, PAINT, CAUSE PREMATURE FAILURE. ETC), PRESCRIPTION MEDICATIONS, ETC. FLUSHING THESE ITEMS CAN KEEP YOUR SEPTIC TANK LIDS CLOSED AND SECURED: A LID THAT IS LEAD TO PREMATURE SYSTEM FAILURE! IMPORTANT CONTACTS: OPEN OR NOT SCREWED SHUT IS A SAFETY HAZARD. PEOPLE CAN INSTALLER: MIKE SKINNER (360)710-3538 FALL INTO TANKS THAT ARE NOT SECURED. MAKE SURE TANK POUR EXCESSIVE FATS/OILS/GREASE, HOUSEHOLD CHEMICALS O&M: 4SIGHT SEPTIC (360) 710-0296 ACCESS LIDS ARE NOT CRACKED OR DETERIORATED TO PREVENT A (GASOLINE, OIL, PESTICIDES,ANTIFREEZE, PAINT, ETC. DOWN THE DESIGNER: TOM PURDUM (253)509-2757 SAFETY HAZARD FROM HAPPENING. DRAIN. AVOID USING TOXIC OR HARSH CHEMICALS OR CLEANERS/ ANY CLEANER THAT CONTAINS QUATERNARY AMMONIA. THESE ITEMS COMPOST OR THROW AWAY FOOD WASTE INSTEAD OF SENDING IT WILL KILL THE BENEFICIAL BACTERIA IN YOUR TANK. POURING THESE THIS IS NOT A SURVEY: DOWN THE DRAIN. ITEMS DOWN THE DRAIN CAN LEAD TO PREMATURE SYSTEM FAILURE! SITE FEATURES,TOPOGRAPHY, ELEVATIONS,AND BENCHMARKS ARE BASED ON USE BLEACH IN MODERATION. BLEACH CAN KILL THE BENEFICIAL DIRECT STORM WATER RUN-OFF OR OTHER OUTSIDE SOURCES OF ASSUMED DATUM PROVIDED BY THE OWNER, COUNTY PLANNING RECORDS, GIS BACTERIA IN YOUR SEPTIC SYSTEM. DISCARDED WATER TOWARDS THE DRAINFIELD AREA. INFORMATION AND ARE INTENDED ONLY FOR THE REVIEW, CONSTRUCTION AND INSTALLATION OF THE SEPTIC SYSTEM. AMERICAN SEPTIC DESIGN LLC BE WATER-WISE: USING LESS WATER MAY INCREASE THE LIFE OF DISTURB SOIL IN/AROUND DRAINFIELD AREAS. NO DRIVING OR RECOMMENDS THAT A LICENSED SURVEYOR ALWAYS BE USED TO SET CORNERS, YOUR SEPTIC SYSTEM. USING TOO MUCH WATER IS A FREQUENT PARKING WITHIN PRIMARY OR RESERVE DRAINFIELDS. ESTABLISH LOT LINES, DETERMINE ELEVATIONS/TOPOGRAPHY AND OR PROVIDE A LEGAL SITE PLAN FACTOR IN FAILED SYSTEMS. REGRADE OR DISTURB GROUND COVER ON OR AROUND DRAINFIELD METHODS AND EQUIPMENT: DIRECT WATER FROM LAND AND ROOF DRAINS AWAY FROM THE AREAS, INCLUDING THE 100% RESERVE DRAINFIELD AREA. FIELD MEASUREMENTS PERFORMED WITH A TOPCON QS3A ROBOTIC TOTAL DRAINFIELD: THIS EXTRA WATER MAY PREVENT THE DRAINFIELD STATION,TOPCON ROBOTIC PRISM,TRIMBLE FC3 DATA COLLECTOR, EMLID REACH FROM WORKING PROPERLY. CREATE CUTS WITHIN 10' OF ANY DRAINFIELD AREAS (UP OR DOWN BASE/ROVER GNSS, DJI MAVIC 3E DRONE AND A RAG TAPE. SLOPE) LANDSCAPE WITH LOVE: GRASS IS THE BEST COVER FOR YOUR SEPTIC TANK AND DRAINFIELD. OTHER PLANTS WITH SHALLOW ROOT CREATE CUTS 16" IN HEIGHT OR GREATER WITHIN 50' DOWN SLOPE OF SYSTEMS CAN BE USED FOR LANDSCAPING. KEEP SEPTIC TANK LIDS DRAINFIELD. I "FLUSHABLE"WIPES ARE ( ACCESSIBLE. CONSULT WITH A CERTIFIED KEEP DRAINFIELD AND TANK AREAS CLEAR OF BLACKBERRY LARGE TREE ROOTS, ETC. TAMPER WITH THE SEPTIC SYSTEM COMPONENTS TYPICALLY THESE I , SEPTIC PROFESSIONAL PRIOR TO LANDSCAPING WITHIN DRAINFIELD ACTIVITIES SHOULD ONLY BE HANDLED BY A CERTIFIED �OF AREAS. PROFESSIONAL (ACCESSING SEPTIC TANK LIDS, ADJUSTING MANIFOLD FLUSHABLE. VALVES, ALTERING SAT (5VItUTC.) MAINTAIN ALL MINIMUM SETBACKS: ALL SEPTIC COMPONENTS MUST DISPOSE ,INI TRASHI. BE 10' MINIMUM FROM WATER LINES, 100' MINIMUM FROM LINED , FEB 18 2026 PONDS, ETC. HEALTH DEPT APPROVAL MASON COUNTY ENVIRONMENTAL HEALTH �� L ir, �� 0 -` RAT 1.f WAS,yiNC f.A A M E R I C A N SHEET TITLE: SYSTEM NOTES CLIENT: JDR CONSTRUCTION y�=a,F o .. SEPTIC DESIGN LLC DATE: JANUARY 20, 2026 REV: PROPERTY INFORMATION: � �, PARCEL: 12305-52-00024 O " `��c_2_ --.... _ lilPO BOX 821 WAUNA, WA 98395 SHEET 1 OF 4 3= 22030829 r. �'✓,i,.., ,_ � 253.509.2757 LOT 24 TIGER LAKE TERRACE TRACTS r LICENSED DESIGNER ��\� AMERICANSEPTICDESIGN.COM As 6" TOM@AMERICANSEPTICDESIGN.COM DRAWN BY: T. PURDUM SITE ADDRESS: 101 NE LAUREL RD NE EXPIRES 2/07/2027 -_ ---r - - r _s- • AIL 0 i LOT 24 PUMP TAN ,U I SCALE: 1" = 50' EXISTING DRAINFIELD WAS LOCATED BY FIELD PN o Ana. OBSERVATION. DRAINFIELD WAS NOT LOCATED WHERE I ° 0 50' 100' ORIGINALLY SHOWN ON THE APPROVED AS-BUILT. LOT23 E 2 EXISTING OSS INFORMATION: RESERVE AREA HAS NOT CHANGED. I �� WI L� I OSS TYPE: PRETREATMENT W/PRESSURE DISTRIBUTION DAILY SEWAGE FLOW: 360 GPD `, DRAINFIELD INFILTRATIVE SURFACE: 600 SQ FT CHECK VALV •"• DRAINFIELD LENGTH:200 LF oa,EWAV, DRAINFIELD CONSTRUCTION: ROCK AND PIPE ;:;;' LATERAL PIPE SIZE: 1.25-IN .;.�,.m ORIFICE SIZE: 3/16-IN a INSTALLED]• F ORIFICE SPACING: 36-IN �� TRENCH INSTALLATION DEPTH: 12-IN ADDITIONAL DF COVER: 12-IN NE LAUREL RD PUMP CONTROL PANEL: NUWATER S1 PUMP: LIBERTY 280, 115V, 1/2 HP DRAWDOWN: 2"/MIN PUMP FLOW: 54 GPM RESIDIAL HEAD AT LAST ORIFICE: 5 FEET ON TIME: 66 SECONDS SS -SS- OFF TIME:4 HRS r - GALLONS PER DOSE: 60 DOSES PER DAY: 6 1n MAXIMUM DAILY SEWAGE FLOW: 360 GPD tn CC: 000019 I ETM: 00000:30 co W ATU: NUWATER B 500 NR LOT 18 LOT 17 LOT 16 LOT 15 I LOT 14 LOT 13 PUMP TANK: INFILTRATOR IM1060 W co INSTALLER: MIKE SKINNER CONSTRUCTION, (360) 710-3538 O, co L 112 11 wm muu�Fu ' rtsrAusorasrmowx 6666 I I KI oI of I I I I wnmornrounoom m- I I APPROVED PA�«n n o HE 11 I R aorusw m I I FEB 18 Ml I 2026 I I MASON COUNTY ENVIRONMENTAL HEALTH _ RET f______________________________________________________________________ HEALTH DEPT APPROVAL i� r� of WAsA, �J_ 1 ....--- ....,. AMERICANSHEET TITLE: AS-BUILT OVERVIEW CLIENT: JDR CONSTRUCTION _J �� o -`y- DATE: JANUARY 20, 2026 REV: PROPERTY INFORMATION: ,:v. ,6 . .„.. ...,.. „ SEPTIC DESIGN LLC . � ��` PO BOX 821 WALUNA, WA 98395 PARCEL: 12305-52-00024 R.Thomas Purdum _._.;..,,..„.......,),4 253.509.2757 SHEET 2 OF 4 �, AMERICANSEPTICDESIGN.COM LOT 24 TIGER LAKE TERRACE TRACTS �� TOM@AMERICANSEPTICDESIGN.COM DRAWN BY: T. PURDUM SITE ADDRESS: 101 NE LAUREL RD NE EXPIRES 2/07/2027 • MA 0 / -..". i- ss ss ss -ss 1n rcn SCALE: 1" = 30' 0 30' 60' 1 IMMIIIImeiMMI 1n 1n rn LOT 18 LOT 17 LOT 16 LOT 15 LOT 14 rn I 1n 0) I rn 0) I L Co (n 10'SEPTIC EASEMENT SS -SS - 112' i i It,STALLED 3"ASTM D 3034 1 HEADER MANIFOL� I I I 1 5 td.P'I I D FI ❑ / P 1 LO 12 I I I I I I 1 1 1 1 1 I PARCEL NUMBER 1230523-00010 • I I I 6-IN MONITORING PORT(TYP j 1 I 1 I 1 1 EX 00% ESE E 6-IN FLUSHING PORT(TYP 1 I D NFI LD F R EX I LO 24 I I I I I I AP FEB 18 2026 PROVED MASON COUNTY EN'd1RONMENTAL HEALTH RET HEALTH DEPT APPROVAL 42- A L O SHEET TITLE: AB DRAINFIELD INSET CLIENT: JDR CONSTRUCTION _y OF WASH:' ' �� AMERICAN :-� ` N`� `Ji `- DATE: JANUARY 20, 2026 REV: PROPERTY INFORMATION: �:• �� .„. ...,,, ,_ SEPTIC DESIGN LLC �� PO BOX 821 WAUNA, WA 98395 SHEET 3 OF 4 PARCEL: 12305-52-00024 ` £ �` R.Thomas Purdum ��/�\\ 253.509.2757 LOT 24 TIGER LAKE TERRACE TRACTS r LICENSED DESIGNER AMERICANSEPTICDESIGN.COM �� TOM@AMERICANSEPTICDESIGN.COM DRAWN BY: T. PURDUM SITE ADDRESS: 101 NE LAUREL RD NE EXPIRES 2/07/2027