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HomeMy WebLinkAboutSWG2024-00464 - SWG As-Built - 5/18/2026 t Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH Permit Number SWG 2024 - 0(3 Parcel# 12206-31-90081 Applicant Name Woo Shin Subdivision (Name/Div/Block/Lot) Applicant Address 818 SW 337th PI City, State, Zip Federal Way,WA 98023 Installer Name Tony Dumford Site Address E Cove View Dr Designer Name Rod Left _.a ._ 3w .a*., AC:`�*.:•?`s,. rra.- �.krr_,._.. _ _, -b,,..e._i �`;.. 3r3" rx _ ah �,;; ,wry_ ❑ Full System Installation ❑■ Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type Pump to Gravity Pr reatment Type z >5 ft. from foundation? ------ - V -- ❑ NIA ❑■ YES ❑ N0 >50ft.fromwells? ---------- '� -- --- - ❑ ❑■ ❑ >50 ft.from surface water? -- --- - - - ❑ 0 ❑ } Cleanout between building and tank? A ----------l Tankbafflespresent? --- ----- - ----- - ---�` - ❑ 0 ❑ 24"access risers over each compart q- -- _ _ -_�:"- - ❑ 0 ❑ ti Effluentfilterinstalled?---- ---- ------- --- ---- El ❑ UI Septic tank size 1200 gal Manufacturer Infiltrator D-box water level and speed levelers used? -------- ------- . ❑■ NIA ❑YES ❑ NO Manifold/D-box accessible from surface?------------- ---- ❑■ ❑ ❑ x�tfE Checkvalvesinstalled? -- ------- -- ❑■ ❑ ❑ Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) 19 2 ❑3 04 ❑ 5 ❑6 El Commercial/Other >10ft.fromfoundation?------ ------------- --- ---- UI NIA DYES ❑ No >100ft.fromwells?------------- ------------ ---- 0 ❑ ❑ -=t >100ft.from surfacewater?----- -- - ------ ------ ---- ❑ ❑ L(, 1>10ft.frompotablewaterlines?------ ------ ------ ---- ❑■ ❑ ❑ 'rL5ft.frompropertylinesandeasements?------------ ---- ❑■ ❑ ❑ >30 ft from downgradient curtain/foundation drains?--- --- ---- ❑ ❑ Drainfield level and observation ports present ---- --- - ------ 0 ❑ ❑ ❑ Graveless chambers or Clean gravel used? (check one) 4� { Proper cover installed over drainfield?-------------- - - --- 0 ❑ El Pump tank setbacks consistent with septic tank?------ --- ---- O p N/A Q YES ❑ NO Pump tank size 1200 gal Manufacturer Infiltrator r u 24"access riser(s)and accessible from surface?------ ------- ❑ © ❑ W1 !AlarmorControlPanelInstalled? ------------------- -- ❑ II ❑ Control Panel equipped with Timer/ETM/Counter --- -- ----- ❑ UI El Pump installed in ■❑ Bucket or ❑ On Block or ❑ Other Pump Make/Model Liberty 280 © Floats or ❑ Transducer Tank draw down 2.5 in/min Pump capacity 60 gpm Squirt Height n/a ft Pump on time 30 sec Pump off time 3 hr Daily flow set at 240 gpd Updated 812112019 Mason County OSS Installation Report pg. 2 Parcel# 12206-31-90081 Were existing septic components abandoned as part of this project? ---------- --- -- ❑ YES ® NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? -------- ❑ YES NO '+� �, � ,r•r -s ..,�:w z ,.F-s...=�₹- �-- �^:n� w i ^�- ,a—�h'- ,mot This is a permanent record and must be accurate and descriptive enough to re-locate In the need of maintenance activities and future development. Typical Record Drawings contain: Draintield&manifold orientation&layout,Septic/pump tank location,North arrow,reserve drainileld,existing and proposed buildings,location of wells,waterlines, wells,observation ports,cleenouls,and other maintenance access points. Incomplete Record Drawings may create additional delays In final Installation approval and related pemdts. Record Drawing Attached 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 cleared/approved by both 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. 5/5/26 Signature of Installer Date Tony Dumford Printed Name of Signee MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and t Record Drawing on behalf of Mason County Public EXPIRES a ER RES 1 r•151 Health: tQA4 $4 51ta4 Signature of Environmeikal Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 812112018 THIS IS NOTA SURVEY ALL PROPERTY LINES/BOUNDARIES HAVE RECORD OF CONSTRUCTION BEEN DEMONSTRATED BY THE OWNER(S)AND/OR THEIR AGENT(S). •ALL MEASUREMENTS WERE TAKEN FROM KNOWN POINTS DEMONSTRATED BY THE PROPERTY OWNER. -ALL MEASUREMENTS WERE TAKEN WITH AN OPEN-REEL FIBERGLASS TAPE MEASURE. NO FOUNDATION SPOILS OR BURNING ON DRAINFIELD AREAS. -DUE TO UNFORESEEN WATER TABLES.A CURTAIN DRAIN MAY BE REQUIRED. `DIRECT ALL DOWNSPOUT/SURFACE WATER AWAY FROM DRAINFIELD AREAS. ALL TANK ACCESS COVERS ARE RISERED TO FINISHED GRADE. I 57 SCENE b OVER AC ICI E DESIGN LEGEND EXPIRES GE 151 nL. 0'570 30' 50' 75' 100' !!� DATE- 4 MAY 2026 — -eLaAn:N°urn:rH P.O.8OX2954 I;1 .Low nnene SCALE(FEEn NAME- SHIN S!LVERDALE,WA. _rRHes„z ora TAX ID- 12208-31-90081 98383 STREET- E COVE VIEW DR TEL 360-698-8488 (D-CLEAN OUT INFO@ACMESEPTIC.COM O=1200-GAL SEP=TANK SCALE:1" 50' SITE PLAN Si-1200-GAL PUMP TANK 23205' 100.00' i� ;::�•'':. d m n iD rn 4444 � 2 O E COVE VIEW DR Fl. E COVE VIEW DR 232.05' � 394.00' E COVE VIEW DR E COVE VIEW DR 3