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HomeMy WebLinkAboutSWG2025-00301 ASBUILT - SWG As-Built - 12/15/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00301 Parcel# 22228-76-90161 Applicant Name Kwik Contracting LLC Subdivision (Name/Div/Block/Lot) Applicant Address PO Box 4 City, State, Zip Wauna,WA 98395 Installer Name Jason Schauer Site Address 20 E Meadow Mist PI Designer Name Rod Left INSTALLATION CHECKLIST ® Full System Installation ❑Tank(s)Only ❑ Drainfield Only El Repair ❑Other System Type Sand Lined Pressure Pretreatment Type >5 ft. from foundation? ---------- N/A •YES ❑ NO >50ft.fromwells? -- --- --- - -- - - 9 r� U ® ❑ >50ft. fromsurfacewater? -- - --- - - -- --- - - - ® ❑ 2026 Cleanout between building and tank? -- _MAI J_ .__ _ _ J U ❑ v Tank baffles present? -- - --- - --- -Gu-u- - --- - - -- - - EU ❑24" access risers over each compartment -- - -- - ❑■ ❑ W Effluent filter installed?---- -- ----- ----- - --- -- - --- - ❑ I ❑ U) Septic tank size 1200 gal Manufacturer Hagerman o ! D-box water level and speed levelers used? -- - - - - - - - - - - - - - ® N/A ❑ YES ❑ NO �O Manifold/D-box accessible from surface? - - - - - - - - - - - - - - - - ❑ © ❑ mZ Check valves installed? -- - -- - - - --- - - -- - - - - -- - --- - ❑ 0 El 2 Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) ❑ 2 9 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft.from foundation?-- --- - - -- -- - - -- - -- - - - --- - - ❑ N/A ❑■ YES ❑ NO >100ft. fromwells?----- - - -- ---- ------ - - - -- - - --- ❑ UI ❑ >100ft. fromsurfacewater?--- - - -- - ---- -- - -- - ---- -- ❑ U ❑ U: >10ft.frompotablewaterlines?- - - --- - - -- -- - - - --- - - - - ❑ 0 El QZ > 5 ft.from property lines and easements?-- - -- - - - - - - - - - - - ❑ ❑■ ❑ > 30 ft.from downgradient curtain/foundation drains?- - - - - - - - - - ❑ © El Drainfield level and observation ports present - -- - - - - - - - -- - - ❑ 0 ❑ 0 Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield? ---- - - -- -- ---- -- -- ❑ U ❑ Pump tank setbacks consistant with septic tank?-- -- -- ----- -- El N/A 0 YES ❑ NO Pump tank size 1200 gal Manufacturer Hagerman 24" access riser(s)and accessible from surface?--- -- - --- - - - - ❑ © El a Alarm or Control Panel Installed? - - -- - -- - - - - --- - - - - -- - ❑ ® ❑ Control Panel equipped with Timer/ETM/Counter -- - - - - - - - - ❑ 9 ❑ - Pump installed in ❑ Bucket or © On Block or ❑ Other n' Pump Make/Model Liberty 280 II Floats or El Transducer Tank draw down 1.25 in/min Pump capacity 30 gpm Squirt Height 5 ft Pump on time 1 min Pump off time 2 hr Daily flow set at 360 gpd Updated 8/21/2018 Mason County OSS Installation Report pg. 2 Parcel# 7 c,0161 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 444 ❑ No This Is a psrrnnsnt record and must be&carob and dsaaiptM enough to re-locab In the need of mdrtmnancs ac9vtdas and tutors deveioprnent Typical Rouxd Draw ,cont : Drah leld&rnanWoid oriarrhrhon&layout, parrP tank ldaton,North arrow,rwrva drsiofietd,ax stag and proposed buildings,ionthorn of wale,waterMee. Weis,observation ports,deanaAz,and othr mardsnanca aocass points. Inoornplets Rsoord Dramngs may orseta addaanei delays in final irstalabon approval and re}abd permits. O 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 clearedlapproved 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 /further certify that all information contained on this I further certify that all information contained on this fo and attached Reco cawing is accurate, form and attached Record Drawing is accurate. Si ature of installer Date ________________________ A doh Sa kkct,4-� Printed Name of Signee " P� MASON COUNTY PUBLIC HEALTH jZs The undersigned approves this installation Report and orb sit Record Drawing on behalf of Mason County Public LICENS DE3aaNER .Health: EXPIRt_S 12(15/.rr Signature ofEnvironmen l Health Specialist Date (stamp,signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE updated 1112112111 196.00' EXISTING 30' 0'510 30' SO- 70' 100' ACCESS/UTILITY E MEADOW MIST PL EASEMENT SCALE(FEET) EXISTING 60' ACCESS/UTILITY c-') EASEMENT O 100% ,C7 z ci RESERVE rn �� �.1an1 O _i Q ICENNECDESIONER m Z o C EXPIRES 12115126 m O - P • z m z cn RECORD OF CONSTRUCTION m PANEL = THIS IS-NOT A SU-aVEY. ALL PROPERTY LINES/BOUNDARIES HAVE -< BEEN DEMONSTRATED BY THE OWNER(S)AND/OR THEIR AGENT(S). O •ALL MEASUREMENTS WERE TAKEN FROM KNOWN POINTS DEMONSTRATED BY THE PROPERTY OWNER, 3-BR HOUSE '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. LEGEND ACME DESIGN r :�owq;E sMrs DATE- 13 MAY 2026 P.O.BOX 2954 19438' O - -IA NAME- KWIK CONTRACTING SILVERDALE, WA. @ =CLEAN OUT TAX ID- 22228-76-90161 98383 WATER LINE DISCLAIMER: ( =1200-GAL SEPTIC TANK RAM,IERIPERESEESWANPROPO1EODRN'F'E0DS�NDAR OQ =1200-GAL PUMP TANK STREET- 20 E MEADOW MIST PL TEL.360-698-8488 MEEDS TORE REE FO R CR 000 REASON HOMEOVMER -' COMSIMESMODSED EDRElPON51S10TO © =SPUTTER SCALE: 1"-40' TSITE PLAN INF0@ACMESEPTIC.00M Kayla Milam From: DO NOT REPLY <noreply@masoncountywa.gov> Sent: Friday, May 8, 2026 8:13 AM To: Environrnentalhealth Subject: OSS Inspection request for KWIK CONTRACTING - SWG2025-00301 Submittal request for: KWIK CONTRACTING OV Site Address: 20 E MEADOW MIST PLACE rOJJI Permit Number:SWG2025-00301 } ' u IVA 2p Parcel Number: 222287690161 Installer Name: FINAL VISION INC. Installer Phone Number:360-801-5681 Installer Email Address:SCHAUER9@MSN.COM Designer Name:ACME Designer Email Address: imnotsure@msn.com Inspection Request Date: 2026-05-08 Inspection Type: Full System Comment\Notes: PLEASE CALL 360-801-5681 WHEN YOU HAVE INSPECTED. DESIGNER HAS BEEN NOTIFIED 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 ran₹.!I T' ri MASON COUNTY iitn Public Health & Human Services FINAL INSPECTION: SWG2025-00301 ADDRESS: 20 E Meadow Mist P1 PARCEL: 222287690161 DATE: 5/8/2026 �vE1u.,a A i'qi a �yrtg.B,1�.a HOUSE TO DRAINFIELD aN DRAIN FIELD TO HOUSE