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HomeMy WebLinkAboutSWG2025-00326 - SWG As-Built - 4/1/2026 e 0 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00326 Parcel# 123162300040 Applicant Name Benjamin Tyler Mannahan & Krista Subdivision (Name/Div/Block/Lot) Applicant Address 2450 NE Old Bellfair Highway City, State, Zip Bellfair, Wa 98528 Installer Name I01r',bU f ' - .--'k ,j Site Address 2450 NE Old Bellfair Highway Designer Name Nathan N Cleaver INSTALLATION CHECKLIST © Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type Elevated Sandlined Bed Pretreatment Type N/A >5ft.fromfoundation? --------- _ --_-__.__-_-_ ❑ N/A DYES ❑ NO >50ft. fromwells? - - - - ----- - _ __ Q �� ❑ it ❑ U J L z >50 ft. from surface water? - - - - ---- ---)--LL4 ffIri ❑ Q Cleanout between building and tank? -- -----' --II I TankbafFles resent. ------ --------------- 6__ ❑ 0 ❑ a24"access risers over each compartme ty- -- - - _ ❑ ® ❑ fW Effluent filter installed?- __ ___ __ _ __ _ ❑ Ii ❑ Septic tank capacity(working) 1250 gal Manu a Hagerman Precast LLC �a D-box water level and speed levelers used? - ----- - - - ---- - - ❑ N/A ❑YES ❑ NO �O Manifold/D-box accessible from surface?--- ---- --- -- - - -- _ ❑ ® El CQ Check valves installed? -- -- -- _ ❑ II LI N Transport Line Size 2" Schedule/Class Sched 40 Bedrooms installed (check one) ❑ 2 ❑3 it 4 ❑ 5 ❑6 ❑Commercial/Other >10ft. fromfoundation?- --- --- - -- -- --- - ------- ---- ❑ N/A ❑j YES ❑ NO >100ft.fromwells? ------ - ---------- - ---------- ❑ U tom{ W >100ft. fromsurfacewater? - - - -- --- ---- -- - -- - - ---- - ❑ ® •Q� !®-+ tL >10ft.frompotablewaterlines?------ ------ - - -- ----- _ ❑ II ❑ Z > 5 ft. from property lines and easements?-- -- --- ❑ © 4 ❑ > 30 ft.from downgradient curtain/foundation drains?------------ - - - - --- ❑ © ❑ Drainfield level and observation ports present -- -- - -- - -- - --•- ❑ 0 A,i/ ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?----------- --------- ❑ III ❑ Pump tank setbacks consistent with septic tank?------------ - ❑ N/A ■❑ YES ❑ NO Pump tank capacity(flood) 1250 gal Manufacturer Hagerman PreCast H24"access riser(s)and accessible from surface?------- ----- - O it ❑ Alarm or Control Panel installed? - --- ----- ----- --- - -- - ❑ 0 ❑ Control Panel equipped with Timer/ETM/Counter - - -- - - - - - - ❑ II ❑ 0 Pump installed in ❑ Bucket or ❑ On Block or J Other Pump Shroud I' Pump Make/Model Liberty FI-60 Series Floats or❑ (� Transducer p=„ Tank draw down 1.625" in/min Pump capacity 24 gpm Squirt Height 5' ft Pump on time 3 sec/62 sec ye Pump off time 2 hr Daily flow set at 480 gpd Updated 8121)2018 Mason County OSS Installation Report pg. 2 - Parcel# 123162300040 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? -------------- - YES ❑ NO If yes,please describe: d tM0 'L txs-'St i 4a -t fiKS - po pumped out andproperty abandoned per WAC246-272A-0300? -------- YES ❑ NO Were all components um RECORD DRAWING This Is a parmanant record and mud be accurate and dssertptivp enough to is-tacit.In Me need of mdMMwnce nutlMrrw and fuo+m dsyslopmNK Typical Record Drawlnpo contain: DraldteM&manifold oudtation&layout Septic pump tank location.North arrow,reserve drahtfeld,extaUng and proposed buildings,location of weir.waler*ra. ads,obamvatlon pods,deanarm,and otter makrtrnence acoess points. Incomplete Record Drawings may create additional dulays Inf ral instalatlen approval and related pemar. 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 clearedlapproved byboth 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. gnatITilof Installer Date Kofth Hurley Printed Name of Stance .Ii�w_ MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and t}f '�ra4efi Q, Record Drawing on behalf of Mason County Public exPIREs � Health: (( � ((// b 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 Updsa'd&212018 Site Name: Location:2450 NE OLD BELFAIR HWY Service Company: Belfair Tax ID:123162300040 R&S septic solutions Use 280 NE Roy Boad Rd Belfair,WA 98528 3609721528 Serviced:03/05/2026 by:Jesse Simpson Submitted 03/0612026 by:Jesse Simpson Dump Location:Bio-Recycling Jurisdiction ID:123162300040 COMMENTS I pumped this tank for demo for Quality septic and excavation. Tank Pumped: YES Total Gallons pumped from tank(Number only,no text): 1200 Tank Size(Gallons)(Number only,no text): 1200 Tank depth below.grade(inches): - 12 Effluent level within operational limits(if NO explain in comments): YES Effluent returning back into tank after pumping: NO Access Risers installed to grade(N/A if not present): YES Tank Construction Material: Concrete Tank Condition Good: YES Baffles in good condition(N/A if not present): YES Effluent screen cleaned(N/A If not present): N/A Effluent surfacing around site components(N/A if not checked): NO Tank abandoned after pumping: YES Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO Compartment 1 Scum accumulation(Inches,if other specify): 6 Compartment I Sludge accumulation(Inches,if other specify); 6 Compartment 2 Scum accumulation(Inches,if other specify): 0 Compartment 2 Sludge accumulation,(Inches,if other specify): 6 Tank Pumped: YES Total Gallons pumped from tank(Number only,no text): 300 Tank Size(Gallons)(Number only,no text): 1200 Tank depth below grade(inches): 12 Effluent level within operational limits(if NO explain in comments): YES Access-Risers installed to grade(N/A if not present): YES Tank Construction Material: Concrete Tank Condition Good: YES Effluent screen cleaned(N/A if not present): N/A Effluent surfacing around site components(NIA if not checked): NO Pump operating as intended: YES Controls operating as intended: YES Alarm working as intended: YES Tank abandoned after pumping: YES Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO Compartment 1 Scum accumulation(Inches,if other specify): 0 Compartment 1 Sludge accumulation(Inches,if other specify): 2 This report indicates certain characteristics of the onsile sewage system at the lime of visit.In no way is this report a guarantee of operation orfuture performance. ReportlD:867538 View pump reports online at www.onlinerme.com Page 1 of 1 . 1 r 1 /LEGEND // // 'f / Neighboring / / 10'No Build SFR / / I // // NeightPROPERTY LINES AND CONTOUR LINES SOURCED FROM: -- Soil Log SF #123-1-623-00040; MASON COUNTY WA GIS SCALE: 1"=40' // / 1' 10' 20' 30' 40' Building Envelope /r / / / ��_---� Setback !� fr. // // NOTES: THIS IS NOT A SURVEY Existing Septic rt r` ti / / p / �/ / / 1. ALL WATER LINES MAINTAIN≥10 SETBACK TO ALL SEPTIC COMPONENTS. Component / // l / f Tree �� _ -----= I //` / �" ' " oo`.S, •i`" Neighboring /f/` / MEASURE TABLE J -.. // SFR /// // (A) Clean Out / r'���i;;, J / A 37-0' 1 0' ------ `�a� ` // �:' B- 43.0 i 28.0' B.2 48.0' 34.1 (B) Septic Tank +, S Red4Cer� �6ar // / DST. (C) Orenco Effluent Filter hfe�d�� �` / D j 64.0' 78.0' / S�,, ', / 100%Primary Area (D) Pump Tank �,' „ o Tank ZiTr'a lGd�� / 10'x 8o'Elevated Sandlined Bed a 95.2' - 118.0' I (8)40'Laterals;2'O.C. ,r" b 66.0' 61.2' (E) Manifold r /� 5 nspo��Lii, •., , `'� // Total Required=80o Sq Ft APR 0 1 2026 c 86.5' 109.0' rr , �°� , a` [Aligned To Contours] rr / ,' J/ �(SeeAttached Detail) f MASON COUNTY ENVIRONMENTAL HEAL d i 52.6' j 48.0' -- -- 4 _ -- - -- ------== RED_ -_ ' r'l �t Driveway �� 'I / ��r -- / --------------------� i II 1/,!/// Existing Drainfield - Well I , 1,/j/ (5)42'Laterals 1 1 r -� ,/, 1 [Ponded&Biomatted] Water Line--i�� / f -ABANDONED 1 / r Ir/. I'•y .y ti / j 90 • - r { tY SLOPE a % 75'Surface Water Setback go y i ) �' From Union River ` . _ 'r r ' I �`�st•'7 51`4••LE .... '�Y`:1 ` �� '� 1 \ ioo'Surface Water Setback ' i� I tCEras��l E .y l ;,i r /j From Union River ' r Abandoned(B) 1 f47r - ----- ----- �w Old(D) PUMPED& \\ l DECOMMISSIONED\/I / Neighboring `� —Old(B) \\ \ ry`r Drii ei�ay PUMPED& y VICINITY MAP_ W �� DECOMMISSIONED , 4 loo'Setback From /1 \\ \ •J \ - / Nathan Cleaver Septic Design, Inc. O 1 - �—Neighboring Well j , l' �+ / I' + �2x~ Phone:(360)598-6546,Fax:360-598-6548•Neighboring 1 i ', ( t i r' < , • ///// 23E-mail:naathan@nathancleaver.com• 994 NE Orseth Rd, Poulsbo,WA 370 SFR I � I •1 • f• ' 0' CUSTOMER: BENJAMIN MANNAHAN Neighboring •.- f / / � TAX ID#: SFR , l / / y 123-1-623-00040 I i' / /� LOCATION: 2450 NE OLD BELFAIR HIGHWAY I'/ / • Neighboring Well I i' v BELFAIR WA 98528 Recoled/Drawin, j • / / / DRAWN BY: JLB,KLO,ROC.KTH .7 / - - r :' / / • // CHECKED BY: i r r' / / f r / / } DESIGN BY: NATHAN N.CLEAVER rl f' 7 / / DATE: 28 APR 2025 ROC: 19 MAR 2026 ti x Page 3 of 3 NOTICE TO PROPERTY OWNER INSTALLER GENERAL NOTES This Septic Design has been created based on the most current regulations found in o o - Contact Designer at least 24Hrs Before install. the Washington Administrative Code, Chapter 246-272A, and the Standards and W -Abandon Existing septic tank per WAC246-272A-0300 Guidelines adopted by the Mason County Health Department, all of which are to - Installer must divert all stormwater away from all septic components protect public health. - It is advise to place a rebar stub near observation ports and valve boxes for future locating. -Tanks Must be on certified list of approved tanks from DOH The property owner is aware it is the property owner's responsibility to obtain all o -Tanks are to be Bed onto 3" of Sand or Peagravel or to manufacturer specs. necessary county, state, and federal permits before the commencement of any M - Installer may use equivalent products meeting same standards with Owner&Designer consent development of this property or the installation of the On-Site Sewage Disposal o - Contractor is responsible to get underground utilities located before construction System (Septic Project). o Z - Place all components according to this design 04 -All Materials and Workmanship must meet county and state regulations , O - Deviation from this design without approval from designer will make this plan null and void. Neither the Designer, Micah Halverson nor the Mason County Health Department are - Designer May have additional Charges for redesign work and final inspection responsible for any disputes which may arise between neighbors, or contractors, 0 - Owner is responsible for all permits and fees including any HOA/covenants rules, fees and any approval subcontractors, suppliers, and engineers that are chosen to work on the Septic process required. Project. ai W - Designer requires"Owner"to approve the installation,methods and components used by installer If this land is in a development that has a Homeowner's Association, it is the property L O before final approval by designer. co - Installer must follow all conditions from Mason County owner's responsibility to review and discuss with that governing body if the Septic W - Reference additional design form attached to this design. Project is subject to specific protective covenants, restrictions, rules, or regulations - For any questions Please contact Designer at 360-490-6365 that would prevent the installation of the Septic Project. C The Designer, Micah Halverson, and the property owner (or the person representing to the Designer that he/she is acting as.agent for the owner) have signed an U) employment contract, whereby the Designer has prepared a septic design for a Septic Tank Replacement (previously installed by Workman Contracting LLC)for a residential dwelling on the land described herein. Q LO oco All additional work by designer is subject to additional payment. Additional Work LI includes site visits, revisions, record drawings (aka Asbuilt), consulting with owner's W engineer, project manager and/or county officials. Designer does not warrant his work C. p PP R O V E D to Owner's transferee or buyer. cocn W APR 0 1 2026 The property owner shall be responsible for establishing all property lines, easements U) JASON COUNTY ENVIRONMENTAL HEALTH and if an easement for any septic drainfield, tanks, pipes ,wires or ingress/egress, RET establishing/locating the boundaries lines of that easement. The property owner shall assist designer and installer in locating all known wells, surface water, critical areas and buffers within 100' of the property. Owner/ Applicant: The property owner is responsible for all costs associated with the employment of contractors and those materials/components used in the installation of the designed septic system. 0 E The property owner is responsible for all future maintenance and inspections as J co adopted by Mason County Health Department M o O) Co Non-survey equipment was used to determine if .c the proposed site would be suitable to support an O '� On-Site Sewage Disposal System. The following Cl) ai equipment was used to prepare this septic N L 5100409 design: Kubota excavator, Spectra Precision > X 5 Laser level (model#LL500), Komelon Steel o Tape (model#N5300, Stanley 30'tape, Suunto = DESIGNER . Tandem Clinometer and Compass, and a Keson 0 = Wheel Tape (Model# RR319N). Software used owtREs:oarte>~.� to prepare this design: Chief Architect Premier. "Vertical Datum: Assumed"