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HomeMy WebLinkAboutSWG2025-00472 - SWG As-Built - 4/29/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLI_CA I f PERMIT I IFORM�1TI N_ Permit Number SWG 2025-00472 Parcel# 22018-54-00036 Applicant Name Schoene Enterprises Subdivision (Name/Div/Block/Lot) Applicant Address 1315 Rockcress Dr SE TIMBERLAKE#6 TR 36 City, State, Zip Olympia,WA 98513 Installer Name TNT Excavating Site Address 420 E Herron Dr, Shelton Designer Name Arrow Septic Designs, Inc iST ,LL;ATl6_CH�GICgS'f„ Full System Installation ❑Tank(s)Only ❑ Drainrield Only ❑ Repair 0 Other 500 gallon pre-trash tank System Type Shallow Pressure Pretreatment Type NuWater BNR-500 >5 ft.from foundation? -- ---- - -- -- � ❑ N/A D YES ❑ NO >50ft.fromwells? - - - - - - - - - - - - ❑ Q ❑ >50ft.fromsurfacewater? -- - -- - - - - El UI ElAAR1�i2-d Cleanout between building and tank? - -- - - ------ - - - ❑ EU ❑ Tankbafflespresent? - - - --- - - -- - - - - - -- - - - --- ❑ UI El 24"access risers over each compartme ty- - - ❑ ❑■ ❑ tt9 , Effluent filter installed?-------/i\_j VI r1 r ❑ ❑ ❑■ Septic tank capacity(working) NUWater 500 gal anufacturer Hagerman � D-box water level and speed leveler Bused? --L-= -- , ;r ❑ N/A ❑ YES ❑■ Na � ` I 1l T nvi— n Manifold/D-box accessible from r a��er?� L-N_Y1Fj 4E4. HEALTH- ❑ II ❑ Check valves installed? -- - - - - - -- - - - "` u- - - - --- - ❑ ■❑ El Transport Line Size 2 inch Schedule/Class 40 Bedrooms installed (check one) ❑ 2 [I]3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10ft.fromfoundation?-- - - - - - -- - - - - - - - - -- - - - - - - - ❑ NIA ❑■ YES ❑ No .HHr0 >100ft. fromwelis?---- -- -- - ------- - -- -- ---- ---- ❑ ❑■ ❑ >100ft. fromsurfacewater?- - - - - - - - -- - ---- -- - - - -- -- El EU El >10ft.frompotablewaterlines?- -------- - --- - -- -- -- - - ❑ 0 El > 5ft from property lines and easements?--- - - - - - - -- -- - - - El III ❑ � I> 30 ft. from downgradient curtain/foundation drains?- - - - - - - - - - ❑ ® ❑ Drainfield level and observation ports present - - -- - - - - - - --- - ❑ ® ❑ ❑ Graveless chambers or ® Clean gravel used? (check one) Proper cover installed over drainfield?--- - - -- --- - - --- -- -- ❑ Ii El Pump tank setbacks consistent with septic tank?-- ---- - ------ El N/A Q YES El No Pump tank capacity(flood) 1,000 gal Manufacturer Hagerman 24" access riser(s) and accessible from surface?-- - ------ --- AlarmorControlPanelinstalled? - - -- - - - - - - - - - - - - - - --- ❑ ® ❑ '.., Control Panel equipped with Timer/ETM/Counter-- - - - -- - - -- ❑ ® El Pump installed in Q Bucket or ❑ On Block or ❑ Other Pump Make/Model Liberty 280 0 Floats or ❑ Transducer Tank draw down 2 in/min Pump capacity 38 gpm Squirt Height 4 ft Pump on time 2.3 min Pump off time 6 hr Daily flow set at 360 gpd Updated 8/21/2018 t � ' Mas©n Gaunt+ OSS tnataala_�On RGPOr Pg. 2 ABANDOi E dT RECORD _ YES ; NO If yes, please descrbc: Were J - NU ��( ^ roy a� re -per W C tiC24C-L:..rr:: '.;V f - ��G-'all co�^�orerts�u:�:�•ea v'..i.6:�. p oer ab :oo.. + RECORD DRAWING accurate-...,descriptive a ough a:e; ca e? tr a nee or rzntecorce zca::aes cna tu;ura ee.rato�r..en:. -yof.�:i Rrco w This is a pem anent record any nest be act '� _ is ;itn c'wvus.e" erti^-� lccat ':c cser.•r. d=. . .ex,zi-a a^ optset b nys. . Drzv- contain: Cminnz c 3^s cld ..yjts$ =y0_:,dew v✓u y <. _ : � p5: a;On 8, _z Vr,•rgic�_..�.Ce c . -ct .r •!c-a� ed na^ ,ys. � t v 2026 n' r MASON COUNTY ENVIRONMENTAL HEALTH Record eor ',r^^, rin, !T h CSR I? Cr�'ON iOF !°NSTA' L T90N i�aSiALLER DESIGNER!ENGINEER e system in accordance .:." certify that t system has been installed 7!'•I accor �certify that!installed�f? S)/.. '.: with the septic design `tamped-APPROVED'by ih2 septic design stamped••r'•r,RJL�Y-„b, Mason � dance ,^ ,,. .. c; yr.„ fdeviations shown Mason County " deviations COun?�,/Public Health and_1?a[any,. a•0:. � �. _ Pi: +iC Health 2�,G t�8:any here have beer claareo'app'Jf cc s7,r��Ot t.?c esi`g e' S^G ;^Pere's e 'see ',ea:ed/acoro./ec by bo h and Masol Coui.y r^uc• �. •• - and Mason ounty --� a State and Mason County Codes :a• nc' �,ri ai;.. f0'ie 3',C r;ai e''G??eT;S ;ry 8i 3d(1?v Ta:`?Or7 CC/. i7 eG' ?;S ;u .. c :,c for ' t and attached RecordDrawing..S 20cu'2'a C form arc ached Re G,v Drawing is o.^.cunate. Sigrati;'a ot'r.•s at er Dare @:• 4`p \6 ftr'•. �OC ri y• �t P^ntted Name of Signer • MASON COUNTY PU L!C HEALTH ya 5 49 S� The :.e undersigned approves this installation Repotand PAULA JOY JOHNSON \/ Record Drawing On,Oene i or Mason COurz/�ubbc fit: .`�s 1?� ait� E ' Health EJ4P1PM�! - J^Qii'V; Sigl'8re erd cat ), ' Sigrrar `_ i _ -'riS FORM MAY SE SCAN RD _.. O . rASON COITY?ES.S^..i . Et: r/ ZO A to P 0 'o .o 3e 40 A5U['\ \(S\ \'S ' \ LL \\ \\ \NA C-E'.___ .0 4 \ \ \\/c\\ \ 7 4 . MASON COUNTY ENVIRONMENTAL HEALTH \\/f \\ S . o 0O' d Audio-visUal Ata� • 3 B O Cleaaout O3 500 Gallon Pre-Trash tank Ho i • O NuWater BNR-500 ATU Tank O1,000 Gallon Pump Chamber o Valve Control Box PAULA JOY JOHNS(?N . ',�y�l GXPIRES 9 `