HomeMy WebLinkAboutSWG2026-00020 - SWG As-Built - 4/14/2026 P �
Mason Count OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 2026-00020 Parcel# 223365200002
Applicant Narrie Tony Faranda Subdivision (Name/Div/Block/Lot)
Applicant Add ess 380 NE MATTHEW DR LYNCH COVE#2 TR 2
City, State, Zip BELFAIR WA 98528 Installer Name Max Walker
Site Address 380 NE MATTHEW DR Designer Name Jim Zimny
INSTALLATION CHECKLIST
❑ Full System Installation ❑Tank(s)Only ❑Drainfield Only I Repair ❑Other
Syst1m Type Pump To i Pretreatment Type
>5 ft. fromIfoundation? ---------- - �l ❑N/A ®YES ❑ NO
>50ft.fromwells? ------ ------ ❑
Z >50 ft.frorI surface water? ------ - - -`�P� ���- ❑
Cleanout between building and tank? Sp-- ---------- ❑ E ❑
Tank baffI spresent? --------------------/-- --- - ❑ III ❑
24"access risers over each compartment?--------- ❑ ® ❑
W Effluent filter installed?------ -'t ;i ti - s - ❑ ® ❑
`
Septic tani capacity(working) 1200
gat �e Manbfactrf unknown
� D-box water level and speed Ieve/le�sed?�t R- . �� s�,.�- � - - ❑ N/A f YES ❑ NO
�O Manifold/D-box accessible from S 1t ee6 -E- HEALTH ❑ ❑ ❑
ME, Checkval'esinstalled? -- --- -- ------ - /-- -AL------ ❑ ® ❑
011
M Transport fine Size 2" Schedule/Class sch 40
Bedrooms installed (check one) ❑ 2 A 3 ❑4 ❑5 ❑6 ❑Commercial/Other
>10ft.froTfoundation?----- - ------ ----------- --- ❑ N/A AYES ❑ No
>100ft.frdmwells? ------------------------ ---- ❑
W >100ft.fromsurfacewater? ------------------------ ❑ ® ❑
M >10ft.frompotablewaterlines?---------------------- ❑ ® ❑
z > 5 ft. frorrj property lines and easements?---------------- ❑ ® ❑
>30 ft.from downgradient curtain/foundation drains?------ ---- ❑ ® ❑
C1 Drainfield level and observation parts present -------- ❑ ® ❑
X Graveless chambers or ❑ Clean gravel used? (check one)
Proper co}er installed over drainfield?-- ------------ --- -- ❑ ❑ ❑
Pump tanl setbacks consistent with septic tank?------------- ❑ NIA ® YES ❑ NO
Pump tank capacity (flood) 1250 gal Manufacturer infiltrator
< 24"acces I nser(s)and accessible from surface?------------- ❑ ® ❑
0. Alarm or Control Panel Installed? --------------------- ❑ ❑
Control Pal el equipped with Timer/ETM/Counter----- -- ---- ❑ ® ❑
Pump installed in ❑ Bucket or ® On Block or ❑ Other
Pump Make/Model liberty 280 ® Floats or O Transducer
Tank draw down 40 gal in/min Pump capacity 40 gpm Squirt Height n/a ft
Pump on tine 1 min 30 sec Pump off time 4 hrs Daily flow set at 360 gpd
Updated 8/21/2018
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Mason County SS Installation Report ARAN pD. 2 DONMEWT RECORD
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MASON COUNTYENVI
RONMENTAL HEALTH
ecord Drawing Attached
CERTIFICATION OF INSTALLATION
DESIGNER] ENGINEER
INSTALLER
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ae'nairons Mason County
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State an Mason 'y
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MASON C�UNTY PUBLIC HEALTH
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County Stamp
AS—Built
Fence 190'
Design amp
f----- 75'
O O �: r0 ion331mn
o bedroom Home LEn
121' Designer Info:
b- Jim Zimny
' APD
7178 Windflower PL NW
185' Seabeck,WA 98380
p APDdesigns@icloud.com
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rz Applicant Info:
H
w Anthony& Latina FARANDA
O
380 NE MATTHEW I F
BELFAIR WA 98528
; ham #223365200002
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Date:
PR F w_ 4/1/2026
,aSoN C ap �
oUNTVENV/RONMENTgL HEALTH Page
Scale
1" = 40'
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