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HomeMy WebLinkAboutSWG2024-00480 - SWG As-Built - 3/9/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2024-00480 Parcel # 52001-34-90083 Applicant Name Alexander Burich Subdivision (Name/Div/Block/Lot) Applicant Address 31706 47th Ct S City, State, Zip Auburn WA 98001 Installer Name House Brothers Site Address 3000 W Martin Rd Designer Name e Ao��.�. �-1.. ,-e9 INSTALLATION CHECKLIST. ® Full System Installation 0 Tank(s)Only 0 Drainfield Only 0 Repair 0 Other System Type sand lined pressure Pretreatment Type >5 ft. from foundation? - - ❑ N/A ® YES ❑ NO >50 ft.from wells? - - O III O z >50 ft.from surface water? - - O 0 O < Cleanout between building and tank? - O ® O o Tank baffles present? - - O 0 O I- 24" access risers over each compartment?- - ❑ ® O W Effluent filter installed?- - ❑ 0 O e Septic tank capacity(working) 1200 gal Manufacturer HB Precast Ci D-box water level and speed levelers used? - - 4 NIA ❑ YES ❑ NO XO Manifold/D-box accessible from surface?- • ® ❑ ❑ £e2 Check valves installed? - - 0 ❑ ❑ CI et E Transport Line Size 2 Inch Schedule/Class Schedule 40 Bedrooms installed (check one) O 2 0 3 O 4 O 5 O 6 O Commercial/Other • >10 ft. from foundation? LIE '' 4 9 Q YES ❑ NO O >100 ft.from wells? ` ``g" =f IN O _ >100 ft.from surface water? �� ® ❑- W t j 2-6 ZU26 N © ❑. ti >10 ft. from potable water lines?- - > 5 ft.from property lines and easements?• By - ❑ ® O W > 30 ft.from downgradient curtain/foundation dra 2 - 0 O ca Drainfield level and observation ports present - • O ® ❑ ❑ Graveless chambers or o Clean gravel used? (check one) Proper cover installed over drainfield?- • O ® O Pump tank setbacks consistent with septic tank? - - ❑ N/A 0 YES O NO Pump tank capacity(flood) 1500 gal Manufacturer HB Precast Q24"access riser(s)and accessible from surface?- - ❑ ® 0 III F-a Alarm or Control Panel Installed? - - O Control Panel equipped with Timer/ ETM/Counter O NO O m a- Pump installed in O Bucket or El On Block or O Other a Pump MaKe/Model Liberty 290 0 Floats or O Transducer a ' Tank draw down 2" in/min Pump capacity 14�_ gpm Squirt Height 5 ft a Pump on time ::----71 - 1.5-A4.1^-, Pump off time 4 HR Daily flow set at (2.7C) gpd J ca:. °!21:2013 Mason County OSS Installation Report pg. 2 Parcel# 52001-34-90083 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - ❑ YES Q NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? - - 0 YES 0 NO RECORD DRAWING This Is a permanent record and must be accurate and descriptive enough to re-locate lit the need of maintenance activities and future development. Typical Recoro Draveings contain: Drainhieid&merito!d o-ientaticn&layaa.Sea::bump tank iodation.North arrow.res_n,a dram`elc.ex:sliing and proposed tuad'-=.gs.Iota:ion of wells.waterlines. welts.observation cons,cteanoits.art other ma:ri:enance aa:,oass pints incatrote:r P.ecord Dra.rencs may create ace. onal delays in final instaiiation approval and re aced permas. 0 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 th t all information contained on this i further certify that all information contained on this form and attache Record Drawing is accurate. form and attached Record Drawing is accurate. I 0'1it 12/23/25 _ "(-- Signature cif installer Date 212-r l'[-6 Joe House A p a�: 7.' Panted Name of Signee h ' „.IIVUMASON COUNTY.PUBLIC HEALTH .5 The undersigned approves t is Installatih ¢3egort and :., �,00a?z •` +i ADAM J.HUNTER i Record Drawing on behalf o �CoutntY sliz926 i_;�i'h t't5 lbl t;i.,NF�" Health: / (�/ ®' '�1 /i/1/1 � i ra-,i:C5 07 I. •'d•,y 3l / ( z V lcD-�� �feN Her. Pi Signature (Environmental Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updates£,21inlii To whom this may concern: I, Alex Burich, request that Adam Hunter sign off on my septic installation. Cindy Waite refuses because she didn't make it out to inspect it but I feel that with the county's inspection and the fact that House Brothers is a reputable company it will be fine as it is. I am waiting for my occupancy permit so I would much rather have Adam take care of it at this point. Sincerely ZAS—/-74,2d Alex Burich • Ppp mAR 0 9 2026 IWASpN CoNN/rENVIRO D J NhfEN7AL A HEALTH SCALE: 1" = 30FT 317.2'ill t 1" --I) SEPTIC T PUMP CHAMBER STUBOUT/CLEANOUT • -DECK 3 BDRM RES FORCEMAIN 158.8 174.4 O.O d INSPECTION PORTS r II -• 10FTX36FT RESERVE AREA WATERLINE I IIII \' I I I I I 36.0 WELL I I IIII D IVE r , L J 1 . 1 1001 INSPECTION PORT /LAT.CL NOUTS 1 0' 5 !?-1,' 3817 9 _f MARTIN RD 02/2 (26 l '.Y, n :4` ` '' ter ti: ,AOALI J.HURTER•,�: lit t.1l''' 1.111�>.i'.` S1\`CS (i.1t1.1., PRESSURE TEST COMPLETED BY INSTALLER: SQUIRT HEIGHT: so" JIM HUNTER& ASSOC. CONTRACTOR: PO Box 162/Olympia,WA 98507 HOUSE BROTHERS DRAWDOWN: 2 IN/MIN INSTALL DATE: 2/25/26 360-890-2778/designs@hunterseptic.com AP TIMER SETTINGS- SITE ADDRESS/LEGAL: �' ON: 2MIN RECORD DRAWING FOR: 3000 W MARTIN RD �r�; OFF: 4I-IRS BURICH NA a+A _ �• FINAL DATE: 2/25/26 SITE/PERMIT#: PARCEL NUMBER: s°NC®0,0„' �a�� � 520013490083 2024-00480