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HomeMy WebLinkAboutSWG2024-0110 - SWG As-Built - 5/19/2026 , T Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT! PERMIT INFORMATION Permit Number SWG 2024-00110 Parcel# 32027-75-00210 Applicant Name Emilie Wilson Subdivision (Name/Div/Block/Lot) Applicant Address 230 SE Crater Rd TR-W OF S 1/186 NE1/4 City, State, Zip Shelton, WA 98584 Installer Name Mike's Septic Site Address same Designer Name Arrow Septic Designs, Inc ; INSTALLATION CHECKLIST Y FI S ❑ Full System Installation 0 Tank(s)Only ❑ Drainfield Onl Repair ❑Other System Type solids PumP fl \j7 tment Type >5ft. fromfoundation? - -- --- - -- - --- -- - -- -- ❑ N/A DYES NO >50ft.fromwells? -- -- -- - - - - -- - a - ��-- ❑ ❑ >50ft.fromsurfacewater? - - - - - - - - -- - - - ❑ ❑ Cleanout between building and tank? -- - - ' - - -- ❑ ❑ ❑ vTankbafflespresent? - - - --- - - -- - - - - - - -- ❑ ❑ ❑ � .• t— 24"access risers over each ment?- - --- -- -------- ❑ ❑ ❑ - 1t6 Effluentfilteri -- -- - - ----- - -- -- - --- - - -- - - ❑ ❑ ❑ • p is tank capacity(working) 1,200 gal Manufacturer Existing D-box water level and speed levelers used? -- - - --- -- --- --- ❑ N/A YES ❑ NO • Manifold/D-box accessible from surface?-- - - ------- ------ ❑ ❑ 0 ®¢r Check valves installed? -- - - -- - ---- - - -- - - --- - ---- - ❑ FW ❑ • Transport Line Size 2 inch Schedule/Class 40 Bedrooms installed (check one) ❑ 2 Ii 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10ft.fromfoundation?-- - - - - - ---- -- - - -- -- - ---- -- ❑ N/A ❑ NO >100ft_fromwells? --- --- - ----- --- - - ---------- ❑ ❑ ❑ --e >100ft. fromsurfacewater? - - - - - --- -- ------ -- --- ❑ ❑ fl3d,, '>10 ft.from potable water lines?- -- - -- - - --" ❑ ❑ ❑ > 5 ft. from property lines and easements?- - - - - - - ---- - - - ❑ ❑ ❑ • > 30 ft.from downgradient curtai ation drains?- -- - - - - - - - ❑ ❑ ❑ • GT Drainfield level and o a ion ports present - - - -- - - - - ----- ❑ ❑ ❑ ❑ Grave ambers or ❑ Clean gravel used? (check one) ercoverinstalledoverdrainfield?--- - - - ---- - - ----- - - ❑ ❑ ❑ Pump tank setbacks consistent with septic tank?-- ---- - ---- -- ❑ N/A 0 YES ❑ NO } Pump tank capacity(flood) 30 gal Manufacturer Zoeller 18"x 30"basin 24"access riser(s)and accessible from surface?--- ---------- ❑ ® ❑ Alarm or Control Panel Installed? - - - -- - ---- -- ----- - - -- ❑ ® ❑ • Control Panel equipped with Timer!ETM/Counter - - - - - -- - - - ❑ ❑ II Pump installed in ❑ Bucket or ❑ On Block or ® Other in bottom of basin • Pump Make/Model Zoeller M264, 0.4 hp 115V solids B Floats or ❑ Transducer �ti y Tank draw down -- in/min Pump capacity -- gpm Squirt Height — ft Pump on time -- Pump off time -- Daily flow set at — gpd Updated 8/21/2018 Mason County OSS Installation Report pg. 2 Parcel# J2o Z1 - 1 ABANDONMENT RECORD 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 RED©RD D WING 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: Drainfield&manifold orientation&layout,Septic/pump tank location,North arrow,reserve drainfield,existing and proposed buildings,location of wells,waterlines, wells,observation ports,cleanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. Record Drawing Attached INSTALLER DESIGNERI 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 l further certify that all information contained on this .l further certify that all information contained on this form and attached Record Drawing is accurate. form and attached Record Drawing is accurate. , d't 7z* _ - p j Signature of installer D ₹e Printed Name of Signee MASON COUNTY PUBLIC HEALTH The undersigned approves this installation Report and 44stoosas Record Drawing on behalf of Mason County Public taAULA JOY JOHNSON Health: r - Signature of Environ ntal Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8121/2018 Rear. cr =mod ' OI Cleanout o .1,20G(ralibn Septic Tank _______ \ 2-Compartment with Effluent Filter D-Box with speed-levelers ; 3 202 7 -002.1O and cover to surface 2 0 5S GKk-MK'u q -94 fa—e aK dexK d Zs ?( sO 3a @ - a /bd - ti S H * • c s ems` A1 \ • � taJ� E� A hV 226 " MEN�AI.HEA�SH i COUNTS EPdV1RON i �` �i MASON - ,,. j 51 OO349 .c PAULA JOY JOHNSON L9L�i1�u 15_aik�ty!; `� TM WASTE PAK PUMP COMPANY PERFORMANCE o - * 'P, kt(A WiP THE ZOELLER WAY: Every pump manufactured by PUMP PERFORMANCE CURVE Zoeller is 100% tested before leaving our facility to ensure MODELS2641267 out-of-the-box reliability. 25 TOTAL DYNAMIC HEAD/FLOW PER MINUTE = 6 20--- C-) MODEL 264 267 0 15 4 267 Feet Meters Gal. f Liters Gal. Liters 10 5 I 1.5 90 341 115 435 z6a 2 10 3.0 60 227 85 322 ' 15 4.6 23 87 45 170 0 Shut-off Head: 18 ft.(5.5m) 20.5 ft.(6.2m) GALLONS 20 40 60 60 100 120 140 LITERS 0 100 200 300 400 500 SELECTION GUIDE ROW PER MINUTE 159185 "e I f .4 HP No 912-1141** Integral Yes 912-1147 No 912-1143 .5 HP Yes 912-1149 24"x 24" Yes 2" Poly No 912-1142x* .4HP Yes 912-1148 Piggyback No 912-1144** .5 HP Yes 912-1150 .4HP No 912-0007 Integral Yes 912-1007 No 912-0010 .5 HP 2" PSF Yes 912-1010 .4 HP No 912-0005 Indoor No Simplex Piggyback Yes 912-1005 No .5 HP No 912-0017 Yes 912-1017 Integral .5 HP No 912-0070 No 912-0055 18x30" 2"* Poly Piggyback .4 HP Yes 912-1055 .5 HP No 912-0056 Yes 912-1056 .4HP No 912-0086 Integral Yes 912-1086 .5 HP No 912-0088 Yes 2" PSF Yes 912-1088 .4 HP No 912-0087 Yes 912-1087 Piggyback .5 HP No 912-0089 Yes 912-1089 Duplex 24"x24" Yes 2" Poly Integral .5 HP Yes*** 912-1161 Yes Simplex 18"x30" No 2" Fiberglass Piggyback •4HP No 912-0016 LA.Code .5 HP No 912-0020 .4HP No -i 912-0082 Integral Yes 912-1082 .5 HP No 912-0084 Outdoor No Simplex 18"x30" No NA PSF Yes 912-1084 Hp No 912-0083 a x0 __C�Yes 912-1083 /r�iP�syy"n �HII' IL,)No 912-0085 Yes 912-1085 a"2"Integral vent Can be used outdoorwith 10-5157 riser *"Residential alternator MAY 1 2026 FM3467 0326 P 1ASON CO "'RNVIRONMENTAL HEALTH Supersedes ©Copyright Zoeller"Co.All rig is reserve . RET 1224 WASTE PAKTM PUMP COMPANY )' SYSTEM COMPONENTS APPROVE . MAY 19 2026 AAS0N COUNTY ENVIRONMENTAL HA RET AUTOMATIC PUMP HIGWATER ALARM BASIN • Integral Float Switch or (OPTIONAL) ° Poly Structural Foam(PSF)or Piggyback Switch • Simplex systems available polyethylene basin and cover • 115 Volt with or without high water o 10'Stack comes with a alarm.Systems that include fiberglass basin,steel cover, • 0.4 HP(9.4 FLA) r high water alarm will have 4"cast iron inlet hub and the alarm float preinstalled. qualifies as a LA.code system • 2"PVC discharge • Duplex system uses an ° 2" PVC discharge.Through Note:Check valve required.Sold separately. alternator with built in the cover for indoor or side high water alarm discharge for outdoor systems. • 4"Inlet 3/16"vent hole pre-drilled • 18"x 30"— 30 gallon N (113 liter)capacity ........:..;::I IIr�, 24"x 24"—41 gallon (155 Liter)capacity NOTE Packing peanuts found in basins are corn starch based and will dissolve once water is added. ..i•::, 9d�° W Kay.. �... SK3412 SK1342 Copyright Zoeller"Co. All rights reserved. • .0 a � ue 3_ _ _ - - .. .. w . fLP COMPANY A f y F f *. " u. SEWAGE EJECTOR f � �rvr a.� :"`�°ti v$--- EMS < PACKAGE SYSTEMS '.• J.� • • •o• • •r Site Name: 230 SE CRATER RD Service Company: p v: Shelton Tax ID:320277500210 Mike's Septic Services LLC use: 320 SE Campfire CT Shelton,WA 98584 3605560171 Serviced:03131/2026 by: Mike Fesenbek Submitted 04/01/2026 by:Mike Fesenbek Dump Location:Bio-Recyding Jurisdiction ID:320277500210 COMMENTS .. 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): N/A 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: NO Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO Compartment 1 Scum accumulation(Inches,if other specify): 12 Compartment I Sludge accumulation(inches,if other specify): 6 Compartment 2 Scum accumulation(Inches,if other specify): 1 Compartment 2 Sludge accumulation(Inches,if other specify): 6 APPROVED MAY 19 2026 MASON COUNTY ENVIRONMENTAL HEALTH RET This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation orfuture perfomrance. RepordD:872864 View pump reports online at www.onlinenne.com Page 1 of 1