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HomeMy WebLinkAboutSWG2025-00452 ASBUILT - SWG Application / As-Built - 5/12/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00452 Parcel# 32232-50-61010 Applicant Name Ann Marie Fazio Subdivision (Name/Div/Block/Lot) Applicant Address 2200 E Webb Hil Rd UNION HOOD CANAL LAND& IMP CO BLK:61 City, State, Zip Union, WA 98592 Installer Name Joe Fassio Excavating Site Address 360 E McReavy Rd, Union Designer Name Arrow Septic Designs INSTALLATION CHECKLIST Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑ Other System Type OSCAR Pretreatment Type XO2 >5 ft.from foundation? ---- ----- - - -- - ❑ N/A DYES ❑ NO >50 ft. from wells? - - - - -- -- ---- -W ❑ UI ❑ Z >50ft. fromsurfacewater? - - - - - - - - - - ---- - ---- ❑ ❑� ❑ Cleanout between building and tank? ---HH ❑ ® ❑ Tank baffles present? -- - - - - - - - - --s- -()- - - - ❑ 0 ❑ a 24"access risers over each compartment By-2c- ❑ ® ❑ W Effluent filter installed?---- - - --- -- - ----- - - - - - - - ❑ ❑ II U) Septic tank capacity(working) 1,000 gal Manufacturer Hagerman _9 D-box water level and speed levelers used? - - - - --- - - -- - - - - ❑ N/A ❑ YES • NO ©0 Manifold/D-box accessible from surface?--- -- ----- - - - - - - - ❑ ® ❑ mz Check valves installed? - - - - - - - - - - -- - - - -- -- - - - - - - - ❑ ❑ ❑t nQ 2 Transport Line Size 1 inch Schedule/Class 40 Bedrooms installed (check one) ❑I 2 ❑ 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation?- -- - - --- - - - - - - - - - - - - - - - - - - ❑ N/A IYES 0 N >100ft. fromwelIs?------ - - -- ------ - ---- - --- - - - - ❑ © ❑ 11J1, >100ft. fromsurfacewater?-- - - ---- -- - - ----- - --- - - - ❑ ® ❑ Z >10ft. frompotablewaterlines?- - - - - -- - - - - -- - - - - - - - - - ❑ 0 ❑ Q > 5ft. frompropertylinesandeasements?-- - -- - - --- - - - -- - ❑ UI ❑ I > 30 ft. from downgradient curtain/foundation drains?- - - - -- - - - - ❑ ® ❑ Drainfield level and observation ports present - - - - - - - - - - - - - - ❑ ® ❑ Proper cover installed over drainfield?--- - - - - -- - - -- - - -- - - ❑ ® ❑ Pump tank setbacks consistent with septic tank?-- ---- - - -- --- ❑ N/A ® YES ❑ NO Y Pump tank capacity(flood) 1,000 gal Manufacturer Hagerman 24" access riser(s) and accessible from surface?-- ---- --- --- - U ® ❑ AlarmorControlPanelInstalled? - - --- - - - - - - - - - - - - - - - - ❑ UI ❑ Control Panel equipped with Timer/ETM/Counter - - - - - - -- - - ❑ UI ❑ Pump installed in ❑ Bucket or ❑ On Block or • Other on bottom of tank Pump Make/Model AY McDonald E30 ® Floats or ❑ Transducer CL Tank draw down — in/min Pump capacity 30 gpm Squirt Height — ft a Pump on time 32 seconds Pump off time 3 min,28 sec Daily flow set at 240 gpd Ceti ���{1_.Qo-c -71 Op �.(�ytJ�POP,-�„ — Updated 812 112 0 1 8 Mason County OSS Installation Report pg. Parcel 3223z-50 -co tO t 0 ABANDONMENT RECORD Were existing septic components abandoned as part of:his Dr0Jacti - - -- -- - - -- -- ❑ YES No if yes, please describe: _- 1❑ YES ❑ NO Were all components pumped out and properly abandoned per WAC2/-S-Z?2A-Q300 RECORD DRAWING This is a permanent record and nanfold orientation&layout Septic/Pump tank location.curate ad deacñPe enough to ovatNorearrow,in a reserve drainfiel need of d naflGe existirg andtie ad proposadfcord Dra buildings,location o`wells,waterl es, wells. gs contain: Drti. eldcle wells.observation ports.Geanouts,and other maintenance cress points. Incomplete Record Drawings may create additional delays in nnai installation approval and related permits. pp Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER!ENGINEER I certify that I installed the system in accordance with 1 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. I 26 signature of Installer Dore Printed Name of Signee 'JO* MASON COUNTY PUBLIC HEALTH _ �h The undersigned approves ttiis rnetarlation Report and '• 5700349 Record Drawing on behalf of Mason County Public PAULA JOY JOHNSON Health- 11L`EfdSEt3 4 k�3# Signature of Environmenra Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILAB_E FOR PUBLIC VIEUV ON THE MASON COUN `!WEB SITE updates 8O1O018 •u ��.�r 6 � �"� � :��-.�� •� '11'%`x_ 'Y �J ' c �� � ✓_mil * oo TiTi �+ r � � .i C�c µ„ms��- ��^-�T-�'�°C�/• APPROVED 5 < MASON COUNTY ENVIRONMENTAL HEALTH 1• M i7 ' PAULA JOY JQHNSON �� LiCESt3riiM� E'ft" r/ Control Panel with Audio-Visual Alarm_ 1 ( Cleanout ;vi` l € ` s ly C �. 25�yoe ti✓ = N � 1,000 Gallon Septic/Aeration Tank o� gl oohs•� � 2 ' X g 5 � . ; � �ox�� 2-Compartment with air diffuser O4 1,000 Gallon Clarifier/Pump Tank Zg►x�'EIS` 2-Compartment � s oar ' Z`F OS Headworks s �� c2 O OSCAR XO2 Mound Drainfield Rhonda Thompson From: DO NOT REPLY <noreply@masoncountywa.gov> Sent: Friday, May 1, 2026 9:25 PM To: Environmentalhealth Subject: OSS Inspection request for Lon Weber- 2025-00453 Submittal request for: Lon Weber Site Address: 360 e Mcreavey Rd. Permit Number: 2025-00453 Parcel Number: 32232-50-61010 Installer Name:Joe Fassio Installer Phone Number: 3604905519 Installer Email Address: psulaj@hctc.com Designer Name: Paula johnson Designer Email Address: paulaj@hcc.com Inspection Request Date: 2026-05-06 Inspection Type: Full System Comment\Notes: Thank you for submitting your final install request.The install should be complete and ready to inspect on the 'Inspection Request Date' and remain uncovered for three business days to allow staff time to inspect. Poor weather situations may be accommodated by contacting onsite staff. Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. If no contact is made by the health department within the three business days of notice,the installer may cover. Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 1 MASON COUNTY Public Health & Human Services FINAL INSPECTION: SWG2025-00452 ADDRESS: 360 E McReavy Rd PARCEL: 322325061010 DATE: 5/14/2026 LLr H9JS'ETO DRAINFIELD as - DRAINFIELD TO HOUSE L 5A 'y'di�' - yet \\ \� _ a