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HomeMy WebLinkAboutAFTER THE FACT - SWG As-Built - 3/4/2026 , _______, _i_ , r- r _toc9,e_c_Ncc,-. 1 - 1\ �AILT�COU PUBLIC HEALTH Mason County OSS Installation Report pg. 1 MASON AI PUC IOI KRM. IFORMAT N Permit Number SWG 6/23/1986 Parcel# 32214-52-02004 Applicant Name Woody Flynn Subdivision (Name/Div/Block/Lot) Applicant Address P.O. Box 55 Maggie Lake Add.#3 BIk 2 Lot 4 City, State,Zip Tahuya,WA 98588 Installer Name Frank Demiero Site Address 50 NE Cedar Lane Designer Name Dale Tahja representing health dep - i: . . M... . . . NSTALLATIO HE CLI "' ... : ;. ._ .. . . Full System Installation O Tank(s)Only O Drainfield Only O Repair O Other System Type Gravity Bed Pretreatment Type >5 ft.from foundation? - - - -- ❑ N/A 0 YES ❑ NO >50 ft.from wells? - � -�` -�- -•- ❑ © O ' >50 ft.from surface water? - ..._-_ � \--' - - O ® O Cleanout between building and tank -- l- - 1 - O O O A.'!:1,:. Tank baffles present? - - El © O _?24"access risers over each compartm - ��-.- - -- �` O O O x Effluent filter installed?- - --- =---- --•- ❑ O O Septic tank capacity(working) 115 kr af1- Manufacturer "Hill"-;D-box water level and speed levelers used? - - 0 N/A ❑YES ❑ NO taiManifold/D-box accessible from surface?- - IN O O ; 'Check valves installed? - - 0 O O .A Transport Line Size 4 inch Schedule/Class ^4: Bedrooms installed (check one) 12 O 3 ❑4 ❑ 5 O 6 O Commercial/Other >10 ft.from foundation?- - ❑ N/A ® YES O NO >100 ft.from wells?- - O IN O >100 ft.from surface water? - - O ® O _. >10 ft.from potable water lines?- -= er. >5 ft.from property lines and easements?- - O ® O 32 : >30 ft.from downgradient curtain/foundation drains?- - O O O :: Drainfield level and observation ports present - - O O O O Graveless chambers or O Clean gravel used? (check one) .t ` --_ Proper cover installed over drainfield?- - O O O yPump tank setbacks consistent with septic tank?- - O N/A O YES O NO Pump tank capacity(flood) gal Manufacturer ,._ ;_24"access riser(s)and accessible from surface?- - O O O " Alarm or Control Panel Installed? - •- O O O Control Panel equipped with Timer/ETM/Counter- - O O O Pump installed in O Bucket or ❑ On Block or ❑ Other Pump Make/Model O Floats or O Transducer Tank draw down in/min Pump capacity gpm Squirt Height ft Pump on time Pump off time Daily flow set at gpd Updated 8/21/2018 Mason County OSS Installation Report pg. 2 Parcel# 32214-52-02004 Were existing septic components abandoned as part of this project? - - 0 YES 0 NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? - - O YES El NO This is a permanent record and must be accurate and descriptive enough to re-locate in the need of maintenance activities and future development. Typical Record Drawings contain: Drainfield&manifold orientation&layout,Septic/pump tank location,North arrow,reserve dralnfield,existing and proposed buildings,location of wells,waterlines, wells,observation ports,cleanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays In final installation approval and related permits. 0\-r - k\ 7 Q(c \\ e_,A0\\oV4r- '\C-s -&---\\„\c„A • 0 Record Drawing Attached 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 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. "j Signature of Installer Date 441 1% Printed Name of Signee rER Signature of Environmental Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8/21/2018 Mason County Public Health &Human Services 415 N. 6th Street Shelton WA 98584 Date: March 3, 2026 Subject: Clarification of 1986 Septic System Permit Parcel#: 32214-52-02004 Address: 50 NE Cedar Ln., Tahuya, WA 98588 To Whom it may concern, I, Dale L. Tahja was working as an Environmental Health Specialist in 1986 and 1987 for the Mason County General Services Department. During my employment,I approved a Sewage System Permit on 6-25-1986. The number of bedroom on the permit indicated 1 bedroom, requiring a Filtration Area Total of 150 square feet. On 12-15-1987 I conducted a fmal inspection of the septic system installed by Frank Demiero. The septic system installation was found to be a 10ft.x 361 bed, consisting of 360 square feet. It is my professional opinion that the septic installed was 210 square feet larger then the required footage for a 1 bedroom capacity, giving it more than adequate volume for a 2 bedroom capcity. Respectfully Dale L. Tahja \\ On-site Sewage System Designer cc: Woody Flynn A‘ „0.44 5100214 ���+ O Dale L.Tahja LICENSED DESIGNER • Y-`7assimaimasswpsimismimism AGE SYST Ni PERi1A•ITAPPLICATION. • • •No. Permit Expires •• A , -1, / L MASON COUNTY DEPARTMENT OF GENERAL SERVICES, F• - e E• • 'TM E NT USE •N L Y ENVIRONMENTAL HEALTH, i./col DATE BASIS FOR FEE AMOUNT RECEIPT# 303 NORTH 4TH/P.O.BOX 186/SHE N,WA 9858r' -).5.,,,,6 ,._?�•. T��,.a 01, PHONE(206)426-55 _e 9,� , ?1/,„6- APPLICANT -SIGNATURE ' //[/C� SITE:Appro(v�ed No Approved ADD E�.�'4p r 6153' v•� �i .y._�..�. PHONE P . BY: �`~~`,a . ,.. .... PROPEER --" rx •, � �"p �.• DESIGN SYSTEM REQUIRED J ADDR SSA bS7 PHpNE INSTALLATION: Approved O Not Approved i, O , , - SEWAGE SEWAGE -\ $Y: CONTRACTOR DESIGNER LEGAL DESCRIPTION DEPTH TO WATER TABLE .off' L{- B 1 ne w at 4 mat q ie ©`—\(t` ..‘,.4\\(*. \ SO!L TYPE. r� �� ��;Y I�in n t-! .,.� _ TYPE OF NO.OF L07123'0;44 t e W 4) 6°\r t e BUILDING Hb s- BEDROOMS I SIZE )1v-- r . CiCk C SINGLE SYSITRENCE O EMM S�IIC TEMWATER O NAME ` l,.j\ . 6 r� S'�(1 (� COMMERCIAL ONLY LIQUID WASTE G.P.D. t•\oY '{" rl\ DIRECTIONS TO SITE: "', SEPTIC TANK(S)\POD GAL. PUMP REQ. Mal CI I c. 161- eo / DISTRIBUTION TILE TOTAL _rl5-0 • FEET lY e ,er C/�et/C2/.- 4Z�7 ILTRATION AREA TOTAL \SO SQUARE FEET FINAL INSPECTION REQUIRED BEFORE B CKFILUNG 0-[ ZenFA -cNa e‘,3 2"STRAW OR APER •• .:[ ris • %:;-�• it✓ 7`�%���w •• c...,pc,..,. ,..:, _(•.\,,, \ OVER TILE - \\" z. ; +�.:iF l . bill j Pt E SIZE . C � at..�•'i;`► • i �-I E- '`-1ST NE . . SITE PLAN AND SPECIAL STIPULATIONS 1<_____ , ____ 1 UNDER TILE (INDICATE DIRECTION OF DRAINAGE) CROSS SECTION OF TRENCH • ' •' •rye i-:._. _r-j- ;1' _- w-',fYT], .? 1T13TEir ..M,; 1 dp i'_• _ , �• ,� �• N.A-1 •I "HE �`D�4 -•INI rP uiOb1 O'-{P' s ,. V • :-OEvr•• . EPTIC O '_:$Ysrt .. E_3?RE;... z'�'.�. -- •!' . .r �C E} REQUIRE $ TI'fI„A�.I PEIGTTON�.`,�~' l;tr 1`'±' . ''J ! i■° •tA• . TWO3 . � • •• r'• ' : : : A ; 4.' • 1 . " i • J. . .. . I , .}‘e!2': . .. . • . . . ...1...4._.i..,...','I` w.,.,.'f.y.1..;.. ...L..{.. ' l i ' ,''- -, .O. . . . . • . .. .a.. {..1-...I.-•,...". �....� ,. �� 3 4,..1._ J...N7.1 • • .4.t.•; I: - .}_..I•y".....--,•.i•_._:a.-._ t- ■ .^f_-{'.^ .�...,_r..e •'- r•.» : -.: ~,l'-':—T.; I"1- I .c. '..:(,fir .^) .--: •:•-;--,•: '-1.- : 7- -;-•."I•--;'"i--1---.•-i- ri-t'77-±-1 - • ,1 4.70!*13 y -. _`.Y -.- -4�-I { 5...1I.r --- 4 .- i Jr-44r+:-44 i•-.--. •.. . . . _ . ,...•�t:_, L. i4,F (: ,.;ti., OFFICE COPY MASON COUNTY GENEIIM SERVICES DEPARTMENT P.O.BOX 186•303 NORTH 4th STREET•SHELTON,WA 98584 2796 PHONE(208)42&5581 RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM OWNER ADDRE po 2oX V �hMe1 �A ch >r�R / THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. CITY ZIP �'{�( A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER ! A-HUY 4 L4 .S t7 WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL DESCRIPTION WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- L i4g-- 156-41 z ' a! ;/ a -- /M 1,A=1-.4416' VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL' BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH \.COMMENTS Lr A4'[ 7 .SAA v 6� ! G�-AA.d 4-Z.$ AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE ��11 l FIELD X LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. 1, o O SIZE FAULTY FIXTURES. DEPTH TO MONTH THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY _WATER TABLE OF YEAR It-ll 1 7 TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER r.... FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE; AND '� 14-R 0 THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SIZE iNG AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD FEET LENGTH /0 X 36 23i CARRYING OVER INTO THE DRAINFIELD. CALL THE TRENCH AREA SQ. FT. MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE 3 6 0 CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE `` ❑ CORRUGATED E.-RIGID O CEMENT RECORD WHEN HE COMES. DEPTH ! ROCK DEPTH - TOTAL HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. /3, 3 BPIPEW G DEPTH DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: SQ. FT. SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING ' f NORTH ARE LATER CONTEMPLATED. SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO THE SEPTIC TANK AS THEY WOULD INTERFERE WITH CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE SUCH THAT SURFACE WATER IS NOT POCKETED ON THE e ' NC"t DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE f co • TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. I eX 3L WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT EQUAL TO ONE HALF INCH OF RAIN PER DAY. I FOOTING DRAINAGE, DOWNSPOUTS AND WATER SOFTENER RECHARGE WATER SHOULD NOT BE CON- / j NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE DRAINFIELD AREA. / THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE I ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY CHANGING THE CHARACTERISTICS OF THE SOIL. THE NORMAL USE OF BOWL CLEANERS OR CLEANING COM- POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW , SOUTH DOWN THE OPERATION OF THE SEPTIC TANK. //-//- 0 q 9--,_:e,..-:-• PrirteHIS,1 1�A �! UrNifilty r SI(i OF INSTALLER Prix' OWAY Di DATE SIG RE OF SPECTOR 1E�7�W►L`�'�