HomeMy WebLinkAboutSWG2026-00047 - SWG As-Built - 4/1/2026 4 °1
Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT)PERMIT INFORMATION
Permit Number SWG 2026-00047 Parcel# 42211-44-00400
Applicant Name Naomi Watrous Subdivision (Name/Div/Block/Lot)
Applicant Address 659 Battleboro Rd.
City, State, Zip Bernardston, MA 01337 Installer Name T.J.Goos
Site Address 161 N.Schoolhouse Hill Rd. Designer Name Dale L.Tahja
INSTALLATION CHECKLIST
®Full System Installation ❑Tank(s)Only ❑Drainfield Only ❑Repair ❑Other
System Type Oscar OS-1 00 Pretreatment Type
>5ft.fromfoundation? --------------------------- ❑N/A OYES ❑ No
>50 ft.from wells? ------------ - jjj- 0
>50 ft.from surface water? ------- l ItW ® ❑
�4. Cleanout between building and tank? -- ------ ❑ ® ❑
' R2-----7
Tank baffles present? ------ ------��°- - - ❑ ❑
24"access risers over each compartmen - ----- ------ - ❑ ® ❑
WEffluent filter installed?---- ------ By--- - ❑ ® ❑
Septic tank capacity(working) 1,000 ,gal Manufacturer Hagerman
0 D-box water level and speed levelers used? -------------- - ® NIA ❑YEs ❑ No
m0 Manifold/D-box accessible from surface?---------------- - ❑ ® 0
Qa Check valves installed? -------------------------- ❑ ® ❑
M Transport Line Size 1 inch SchedulelClass Sch.40
Bedrooms installed(check one) 0 2 ❑3 ❑4 ❑5 ❑6 ❑Commercial/Other
>10ft.;from foundation?-------------------------- 0 NIA YES 0 N
>100ft.fromwells?----------------------------- ❑ 0
W >100 ft.from surface water?----------------------- - ❑
11 >10 ft.from potable water lines?--------------------- - ❑ ® ❑
a > 5 ft.from property lines and easements?---------------- ❑ ® ❑
0L >30 ft.from downgradient curtain/foundation drains?-- -------- ® ❑ ❑
Drainfield level and observation ports present-------------- ❑ 1 0
❑ Graveless chambers or J Clean gravel used? (check one)
Proper cover installed over drainfield?------------------- 0
Pump tank setbacks consistent with septic tank?------------ - ❑ N/A ® YES ❑ No
ZPump tank capacity(flood) 1,000 gal Manufacturer Hagerman
< 24"access riser(s)and accessible from surface?------------- ❑ ® 0
Alarm or Control PanelInstalled? -------------------- - ❑ ❑
Control Panel equipped with Timer!ETM/Counter----------- ❑ 0 ❑
iL Pump installed in 0 Bucket or ® On Block or ❑ Other
Pump Make/Model McDonald E-30 ® Floats or ❑Transducer
IL Tank draw down 0.1 in/min Pump capacity 30 gpm Squirt Height Drip ft
Pump on time 0.48 min. Pump off time 3.52 min. Daily flow set at 240 gpd
Updated 8/2112018
■
thla pjo •rr rw-w r. rr - (as ❑ No
abandas dpT rrd.rrww• Ct�
711b a pt111!/n1m euwt bnaacum and dKclIS a t41R In"n need or . uaatdty► l►dsvllaØmint 1ed Rented
DrnedT Ion C
Record oraMng Armed
CERWIOTION OF INSTAU,AHON
r
NSIALLBR DESKENQ1N R
tlllY that I aIIed the syem M arxmrdence Ott I oer1N'that The system has been fnsislied In actor.
e septic des"atpd"APPROVED"by Mason dance wl1l the a epilc dae n stamped°APPROVED°by
County Public Health end that any deviations sham Meson County Public Health and thatanydeviadons
hem have been ales P by both the designer sttaur beta have been ciewed?øpproved by both
and Meson County Public Health and meet all State myself and Meson County Public Health end meet all
and Awn County Codes State and Meson County Modes
Ihultmu'oesUfy that all Information tsmtlehiedon this I Airtlierc ttlfythatBY frdaimation contained op this
tbrnt and after red DmvA%D Is fomj anal efteched R aid rsfrawjng Is accwete.
___________ r
tcS
Ftd_ted NBme I p�
MASON COUNTY PUBLIC HEALTH
77re unaTar !r+erd approS thds installethxt��� 5100214
Recant lira on behalf ot`Mason Count Pub No Deb L Tah�
Heaith: - ucso DESIGNE1) - - 5 ..
QfbeiaasnkW licallh SPecialiSt /?O4471 (stamp slgnatum and dam)
fRM•M BE SCAN RAND AVAILABLE FOR VI IV ON itiE MASONCOUNTYW8b SITE u anir�ote
c \
5100214
O Dale L.Tahja
LICENSED DESIGNER-J <" \ �C)
0
0
O
Pp
APR 41ASON 0 / 2026
COUNryFNV/ROR�
°J14 FNrA(HFACr8