HomeMy WebLinkAboutSWG2025-00199 - SWG As-Built - 3/23/2026 Mason C.oi�uity ®88 Installlairion Deport pg. I MASON COUNTY PUBLIC HEALTH
APP�O,CANT/P��EET WORMATIO ,
Permit Number SWG 2025.00199 Parcel # 520013-51-0001
0
Applicant Name 62 WEST LLC C/O i3-LINE CONST Subdivision (Name/Div/SfoclrlLof)
Applicant Address 2971 E o®HILLiPS LK Lip RD
City, State, Zip SHELTON WA 98584
Installer Name S-LINE CONST.
Site Address_ G2,W LAKE NAHWATZEL DR Designer 9 Name CINDY WAITS
® Fu il System Installation r]Tanks) }ni
Y 0 Draintiirlo' Oriy D Repair ❑Other
System T ' E
Yp PRESSURE Pretreatment, Type l3NH 1000
-
Cleanout betwe w din
g and tank. - _•..��� -.-
Tankbairlespresnti' - - _ _ - _ - -
24"access risers'over each.compartm t?. _ __ - f
1
Septic tank capacity (worhirtg) 150
gal Manufacturer SOUND PLACEMENT
D-box water invci'and speed levelers used? - - - - - - - - - - - -
ManjifoldlD-b c t_
a.,oEssir' C from surface?. o
Check/,aivees instaliLd? - - -- - --- - -- - --- - -
- -- --- -- - --- - - - --- -- -- - -
TralsPortLinoSize i_
__ Schedule/Class SCH�;0 i
Barred:ns instaile€t.(che cqi one) 2
>I0 rt. from ffoundation?- _ - - - - - ° �6 OCommercialrCthar E �c��Nv.
110E f. t rotri well"s? - - _ _ - _ - - - - -
- - - - - - O NJA vas �!O
I; . >l00ftfrornsuewater?- - - -- - - - - - - - - - - - - - - -- ---- - - -
I >10ft. fromPO'Wlawetez.lines�- - - -- - - - - - - - ® \� (
' 5f. non ro er.?7ine - - - - - -- - - - Dn �fil
p p s and easements?. .. ❑ f
i
-°30 ft.from dowfl radient curtain/Foundation drains?- - - - - - - --- -.
_ _ _ _ _ __ _ I�
0
Dra-nfield level and!observation parts present - - - - - - - - - - - - - _ l `� o `3
El Craveless chanil�ees �, H
y 0"r 3 Clean gravel used? (check one)
Proper cover inst5liad`over drainfield?---- - --- --- -- - --- - - 0
-- - --- --- -- -
t
Pump taik setbacks consistent with septic _
tank?
f �f Pump tank capacity ;`flooei) 2 i 65 ! ------ -- ---. L' No
ga Manufacturer CE
SOUND PLC IEMENT
7d"�CC�SS r:5er ) aid a cceSSiuie from Surface? - - - - --- - - - - 1,
Alairn or Control F8'tef Gcts:,alied" - - -- - - - ® C ®
Controf, - - - - - -- - -
Pa
nom. Wquin;.ad with Tuner/ETM/ ..oun.^ r
er- - -
Pum.pi;.tsta{4d in - - --
'--- Bucket or Block or Other PUMP VAULTPum
z
" LIBERTY 2u�0
Tank drew down -331 Floats oP `.Transducer
irl in Pump C2pacit;r GO
----_gP►n Squirt Height
PUr�tp Ort t+ln�� '�.2�P.niPl l
Daily flow set at 6?2 gpd
LIFdB(�d tl�?/F41;
Mason County Ofi5;Installation Report pq. 2 Pa rcel#
ABANDONMENT RECCRI
Were existing;septic ompanents abandoned as,part of this project?
l.f;yas..pleasedasznbe �.► ------- ---`- 'vEs No
Ware(all.calriyponents p al iped,out and properly andoned per WAC246-27 ? .-- - -_..
2A 0300. YES' NO
R CARD:�1F'' "WINGS_
Th7s'is.a permanent'.record an .must:be accurate and.descriptive enough to re locate,In.the,need of maintenance activities and future,diver
0rawiitgs cunlain:Drautilerti;&'m nrruld nnontai,nn It Inynur,Spptit Jp1uzip lank location.Norte arrow.mservt dlCIiiIiiettl.erusling std Proposed tiw7tl6rgs,1, U�a
welli3:ohservat'ion parts..rloarteuLs..anri Littler maintenance acces:Lpamis rncempiale R:rr rnD: epment: Typical,Record
II unys.may crealeadddrnnaUd rwelis,v�ateriimits
e'ay4•in:RnaometellaUL)aepprpvatand related'perm,i:t.
•
1 �
Record Drawing Attached:
CERTIFFC-ATla �,ir s Athar�:aN
INSTALLER.
DESIGNER)ENGINEER
I certify that I installed t 4e system in accordance with 1 certify that the system has been installed' .
the septic di sign slam ev'`APPRC VED'by Mason in accor
dance with:the septic desigtz:stamped q`pPREVE "by.
County Public Health a d:that any detriaNarrs yhowia
here have been cleave tappr.oved by boththe desi nee Mason County Public Health and that any deviations,
9' shown here have been cleacd/approvect by both
and Mason County Pub/c Health and meet all'State
myself and MVlason County Public Fleaith and meet all
and Masan County PGQCu a
I furtherErtify that all iirOrmatiOrt captained on this State and Mason County Coates
t further certify that all,iltf abort contained as this
form an 's?t2cJted Reco d Drawing is accurate.
form and attached Rear accurate.
9najr of lnstallar Date .
Printed t11'a .. signee � C'.%� `.ti. \ '
_?.8'
MASON CC UN PIJB IC:HEALTH: Pp
,1 .p�' C DY .WAIT�E
c r ►59ED pIGNE�
I TJre undemigned'apprvv s this Installation Re• It affil '` r
Record•Dr~a4�ing on beha f'of'N/asol?County'Pr to �f9` c•.' _s .: ,n
ryeNir
Signature at Errvirariinet�tal' .with Specialist Date lJ,/q� FNTgi stern
HF ( p,signature and date}
THIS-FORM M Y BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Upd381r2019
A
62 w Lake Nahwatzd01 Shelton,WA i�564 US
asom?o P&cel!d:6ZaD85'i000'!0
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�efl°t .. - T (FOUNDATION 7 3f30.a0
f''' ' - e.'� Trlshtank 2'�r.d ' BM 1000 3
98.50
(�j / '/ ti�yR B�Ut17p T ni 4. 98.00
I11/4r44" " fl5pthofLeta
atiGto ¢ oefs 7.2.3 5. 98.00
i.,��+ :' f [kplh of IL t5tels 4, ��� �s
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L
L Xy V i
Cv l.Bl ♦/ 1 �,p '
� ♦ �✓.ter i 1 �1
�I Q� } ♦'rI • r e
;� �; �T,�' >✓ AMR
2 Audiovisual alarm �FN�iRov,
3 1500 gall trash tank DJ's
r 5 -7 s ailor pump tank
Audio%Vfsuai alarm
6 Priman�+/reserve drainfield
Gazebo
10 Gara
.. - � ge AptJ
11 Well
,� �; 12 Waterione V a !
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Printed Fro M son County DMS
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Printed from AATson County DM8