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HomeMy WebLinkAboutSWG2020-00220 ASBUILT - SWG As-Built - 7/3/2022 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT! PERMIT INFORMATION Permit Number SWG 2020-00220 Parcel# 52004-50-00029 Applicant Name Donald R Skolrood Subdivision (Name/Div/Block/Lot) Applicant Address 436 Beacon Hill Dr City, State,Zip Hoquiam,WA 98550 Installer Name Owner Site Address 331 W. Nahwatzel Beach Designer Name Ayres&Assoc's,PLLC INSTALLATION CHECKLIST © Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type PRESSURE DISTRIBTION Pretreatment Type >5 ft.from foundation? --------- ❑NIA AYES O N >50ftfromwells? ----------- ❑ © ❑ z >50ft.fromsurfacewater? ------ ------------ ❑ 0 ❑ HCleanout between building and tank? - -MA ?-B-2O-Z�-- o O V Tank baffles present? -________ __:--- ___ -, ❑ M ly0 a24"access risers over each compartm rj- - - ----- ❑ ® y El[ Effluent filter installed?-________ ❑ r' ❑%Septic tank size 1,530 gal Manufacturer Infiltrator Inc. D-box water level and speed levelers used? -------------- - ® NIA ❑YES ❑ No 0 Manifold/D-box accessible from surface?---------------- - ❑ ❑ Check valves installed? -------------------------- ❑ 0 ❑ ME Transport Line Size 2" Schedule/Class 40 Bedrooms installed(check one) ❑� 2 ❑3 ❑4 ❑5 ❑6 ❑Commercial/Other >10ft.fromfoundation?------------ -------------- ❑ N►A ©YES ❑ NO t7 >100ft.fromwells?----------------------------- ❑ 0 ❑ W >100ft.fromsurfacewater?------------------------ ❑ ® ❑ E: >10 ft.from potable water lines?--------------------- - ❑ ® ❑ Z >5 ft.from property lines and easements?---------------- ❑ t O >30 ft.from downgradient curtain/foundation drains?---------- ❑ ® ❑ IO Drainfield level and observation ports present -------------- K Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?------------------- ❑ ® ❑ Pump tank setbacks consistant with septic tank?------------ - U NIA © YES ❑ NO Pump tank size 1,100 gal Manufacturer Infiltrator,Inc. Z z 24"access riser(s)and accessible from surface?------------- ❑ I] ❑ , Alarm or Control Panel Installed? -------------------- - ❑ ® ❑ Control Panel equipped with Timer/ETM/Counter----------- ❑ UI ❑ d Pump Installed in ❑ Bucket or ® On Block or ❑ Other IL Pump Make/Model OSI PFEF50 1/2 HP, 115V, High Head ® Floats or ❑Transducer n Tank draw down 1.75" in/min Pump capacity 22.5 gpm Squirt Height 5 ft I3. Pump on time 2 min. Pump off time 1.5 h Daily flow set at 240 gpd Updated 821/2016 Mason County OSS Installation Report pg. 2 Parcel# 52004-50-00029 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? --------------- lj YES 0 NO If yes, please describe:Existing tank pumped,filled with sand and lid destroyed. Were all components pumped out and properly abandoned per WAC246-272A-0300? -------- Q YES 0 NO RECORD DRAWING This Is a permanent record and must be accurate and descriptive enough to re-locate In the flood of maintenance activities and future development Typical Record Drawings contain: Draintield&manifold orientation&layout,Seplldpump tank location.North arrow,reserve dralnfield,existing and proposed buildings,location of wets,waterlines. wells,observation ports,cloanouts,and other maintenance accoss points. Incomplete Record Drawings may create additional delays In final installation approval and related permits. Q Record Drawing Attached CERTIFICATION OF INSTALLATION 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 cont ' ed on this I further certify that all information contained on this f and att ,�d rawin is ac urate. form and attached Record Drawing is accurate. rgnature of Installer C a �P oY �rtA Slri�f �d ri L-p V J o (.-4eoo Printed Name of Signee MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and .0 37273 Record Drawing on behalf of Mason County Public � T Health: Signature of nvironmental Hea Specialist Date (stamp,signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE updated 812112018 'f SEC. 4 TWP. 2ON`J f I `6G. 5 W.,W.M. SKOLiROO1D FESIIDENCE 2 - M SEFTIC SYSTEM AS _ EUILT PLAN of EW a' VICINITY MAP (nts) 20 20 SCALE IN FEET 1:20 a I IM-1530 Gallon 2—00MPT. Septic Tank IM-1060 Gallon ' Single—Compt. Pump Chamber Plastic. 14-6" Long x W I • 5' Wide. 5' Wide x 10'-6" Long. -,l ♦ Wdl R.Sa' �i I r 10.5 1 tad P Transport Pip 2'Dia t3' �\ • a2 LLLL1pPcat _ Ine LLLL C ' I �uturel Stlructure �}I TH p1 atdt ' LLLL - LLLLLLL c6 P��a LLLLLLL TH ° J _ Q)I I 9 1 TLLL !S A LLLLLLL ® 26.2' �� LL 2-BDRM_L LLLLLLL TM 02 Prknary --I Z 117 LL HOME _L ' R-s° •LLLLLLL • Dralntlela QD AS = ! �� 22 L1,184 ft2_LL L �9 NI I A Drolntleld L 1 g LLLLLLI��L i !! a l WWII R-taa'—.� I - - _ - 25 3 > o J N Z _ 40'FT - T .+. P3,ca Exiatlnq DRWY O0 LL] X61 N Property Una 'Z F !' u0 —224'-t .ITV Q LEGENDPM o L� Ri POLE TIER gyp c•+. 4" ® Bali Valve Manlrold p18t. Encloeure 321 W. Nohnatzel BeoM Dr. o, U pia. Tlghtltne Parcel$320045000028 zCD ® Stub Cleanout211 ' Or Dia. 5ch. 40 Transport to DD.F.F "Ppa�oinneid"°9 l Future) 1,53O Gallon Septic Tank. ® Pump Controls and Alarm (temporary Ioeatlon) ( ) Dbl.Comps.Plastic Infiltrator Tank. FaoF'�tsq/�cJ' Well Soil Survey Mason County (WA643)per O1,060 Gallon Pump Tank �h A S _ 5 I I L T USDA,NRCS Map Unit Symbol: Si. Single Comps. Plaetlo Infiltrator Tank Map Unit Name: Shelton gravelly Bandy loam. Parcel Number. 520045000029 Legal Deecrlptlen: '0Is-rt NAHWATZE%.BEACH lit 29 "`��,SS/ L ES�G\ Size In Aareai 0.30 AT NT AYRE5 4 a550CIATi=5 DATE: loc t'or• or home / / T 'SEPTIC AS.. FOLLOW DIMENSIONS.DO NOT SCALE THE Donald R&Kathryn Skolrood /3/22 / 2 l un; rove lists . 331 W.Nahwatzel Beach DR. DRAWINGS.THE ALL RUL 4 BUILDER REGULATIONS Shelton,WA 98584 COMPLY WITH ALL RULES 4 AB1 Parcel 0520045000029 F THE MASON COUNTY REACTµ DEPT. OF u4a ea61'Car pR K T.IG,3609x95 t9 AB1 OLr A iAttsco Fee,3601D9.92l3