HomeMy WebLinkAboutSWG2026-0118 - SWG As-Built - 5/18/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG 2026-00118 Parcel# 51908-50-00099
Applicant Name Wes Graves Subdivision (Name/DivlBlock/Lot)
Applicant Address 2272 E.Brockdale Rd Star Lake
City, State, Zip Shelton WA 98584 Installer Name Wes Graves
Site Address 124 W. Blakely Dr Designer Name N/A
INSTALLATION CHECKLIST
❑ Full System Installation ❑■ Tank(s)Only ❑ Drainfield O epair ❑Other
System Type Gravity ent Type
>5 ft.from foundation? ---------- - NIA Q YES ❑ NO
>50ft. fromwells? ------- ------ --- `��� - - ❑ ❑■ ❑
>50 ft. from surface water? ---- - ---- - �4'a�aa- - -- - -- - UI ❑
Z
H Cleanout between building and tank? ----- -- - ❑ IN ❑
V Tank baffles present? -- -- ---- -- ---- ---- - ---- ❑ ❑■ ❑
24"access risers over each compartment?----�y --------- ❑ ■❑ ❑
W Effluent filter installed?--------------------------- 0 U ❑
N
Septic tank capacity(working) 1060 gal Manufacturer Roth
0 D-box water level and speed levelers used? --------------- UI NIA ❑YES ❑ NO
DIL
O Manifold/D-box accessible from surface?- ----- ----- ------ UJ ❑ ❑
CQCheck valves installed? ------ ------ - ---- --------- M ❑ ❑
g Transport Line Size Schedule/Class
Bedrooms installed (check one) . 2 ❑3 ❑4 ❑ 5 ❑6 ❑Commercial/Other
>10ft. fromfoundation?------------ ----- -- - ----- - ❑ N/A DYES ❑ NO
>100 ft.from wells?----- ------q- ---- -- - ❑ ❑ ❑
J >100ft.from surface water? ------ --� -- -- ❑ ❑ ❑
W p -- -- ❑l ❑ ❑
ti >10 ft from otable water lines?--
Z >5 ft.from property lines and easements?-- ----- ------ --- ❑ ❑ ❑
>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?------------------ - ❑ ❑ ❑
Pump tank setbacks consistent with septic tank?---------- --- ❑ N/A ❑ YES ❑ NO
ZPump to capacity(flood) gal Manufacturer
< 24"access nser(`")s-and=a- 'ble from surface?----------- ❑ ❑
aAlarm or Control Panel Installed? -----b-.n ti---- ❑ ❑ ❑
Control Panel equipped with Timer/ETM/ er- - ------- ❑ ❑ ❑
d Pump installed in ❑ Buc or ❑ On Block or ❑ Other _
a Pump Make/Model ❑ Floats -3r�[]Transducer
a Tank draw do n in/min Pump capacity - .gpm Squirt Height,_ ft
Pump on time Pump off time Daily flow set at gpd
Updated 8/212018
RECORD DRAWING continued
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APPROVED
MAY 16 2026
MASON COUNTY ENVIRONMENTAL HEALTH