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HomeMy WebLinkAboutSWG2026-00133 - SWG As-Built - 7/28/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT! PERMIT INFORMATION Permit Number SWG 2026-00133 Parcel # 22325-50-06007 Applicant Name Jason Finley Subdivision (Name/Div/Block/Lot) Applicant Address 80 NE Steelhead Dr S City, State, Zip Belfair, WA 98528 Installer Name Tony Dumford Site Address 80 NE Steelhead Dr S Designer Name Rod Left INSTALLATION,CHECKLIST Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑Other System Type Pretreatmç.ntpressure Pretreatment Type NuWater a ❑ NIA Q YES El NO >50 ft. fromwells? - - - - - - - - - - ----- ---- ---F� - ❑ © ❑ >50 ft. from surface water? - - - - - - - -1 - L- Z J 282fi--I" ❑ 0 ❑ HCleanout between building and tank? -- ---- --- - - -- - ❑ EU ❑ v Tank baffles present? - - - - - - - - By- - - 1 -- - - - - El ❑ d24" access risers over each compartmen . - - - - - -- - ❑ 0 ❑ W Effluent filter installed?- - - - - - - - - - - - - - - - - - - - - -- --- - ❑ ❑ (] N Septic tank size 1000 gal Manufacturer Hagerman 0 D-box water level and speed levelers used? - - - - - - - - - - - - - - - M NIA ❑ YES ❑ NO 0a Manifold/D-box accessible from surface?- - - - - - - - - - - - - - - - - ❑ ❑ O? Check valves installed? - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ I ❑ 2 Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) R 2 El 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation? - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ N/A ■❑ YES ❑ NO >100ft. fromwells?- - - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ 0 El >100ft. fromsurfacewater? - - - - - - - - - - - - - - - - - - - - - - - - ❑ El iE >10ft. frompotablewaterlines?- - - - - - - - - - - - - - - - - - - - - - El ❑ ❑ Z > 5ft. frompropertylinesandeasements?- - - - - - - - - - - - - - - - ❑ Q ❑ 9 > 30 ft. from downgradient curtain/foundation drains? - - - - - - - - - - ❑ © ❑ Drainfield level and observation ports present - - - - - - - - - - - - - - El ® ❑ 0 Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?- - - - - - - - - - - - - - - - - - - ❑ ❑ El Pump tank setbacks consistant with septic tank? - - - - - - - - - - - - - ❑ N/A YES ❑ NO Pump tank size 1000 gal Manufacturer Infiltrator Q24" access riser(s)and accessible from surface?- - - - - - - - - - - - - ❑ © El Alarm or Control Panel Installed? ❑ © ❑ 2 Control Panel equipped with Timer/ ETM/Counter- - - - - - - - - - - ❑ 0 ❑ D O- Pump installed in If Bucket or ❑ On Block or ❑ Other it Pump Make/Model Liberty 290 ❑■ Floats or El Transducer 2 Tank draw down 1.5 in/min Pump capacity 33 gpm Squirt Height 8+ ft Pump on time 36 sec Pump off time 2 HR Daily flow set at 237.6 gpd Updated 8/21/2018 Mason County OSS Installation Report pg. 2 Parcel# 22325-50-06007 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? - - - - - - - - 0 YES NO RECORD DRAWING This Is a permanent record and must be accurate and descriptive enough to relocate in the need of maintenance activities and future development. Typical Record Drawings contain: Drainfield&manifold orientation&layout,Septicipump lank location,North arrow,reserve drainfield,existing and proposed buildings,location of wells,waterlines, wells,observation ports,cleanouls,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. 0 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 contained on this I further certify that all information contained on this form and attached Record Drawing is accurate. rtp form and attached Record Drawing is accurate. Signature of Installer Date Printed Name of Signee -_ MASON COUNTY PUBLIC HEALTH 2 `o; $1001 The undersigned approves this Installation Report and LICENSE ESIGNER Record Drawing on behalf of Mason County Public Ex�irei:e Izr isf Health: Signature o Environme al Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8212018 MASON COUNTY Public Health & Human Services FINAL INSPECTION: SWG2026-00133 ADDRESS: 80 NE Steelhead Dr S PARCEL: 223255006007 DATE: 7/10/2026• ..lif 1. F _ •C HOUSE TO DRAINFIELD } T1- 1 - - DRAINFIELD TO HOUSE (ayla Milam 'rom: DO NOT REPLY <noreply@masoncountywa.gov> :ent: Thursday, July 9, 2026 4:02 PM o. Environmentalhealth ubject: OSS Inspection request for jason finley - swg2026-00133 ubmittal request for: jason finley ite Address: 80 NE Steelhead Dr. S. Belfair Wa 98528 ermit Number: swg2026-00133 arcel Number: 2232550-06007 l n�-1 J U L 0 2026 istaller Name: Tony Dumford By istaller Phone Number: 3606899958 istaller Email Address: tcsepticinc@tcsepticinc.com resigner Name: rod left ,esigner Email Address: info@acmeseptic.com )spection Request Date: 2026-07-09 'spection Type: Full System omment\ Notes: hank you for submitting your final install request. The install should be complete and ready to inspect on the 'Inspecti equest Date' and remain uncovered for three business days to allow staff time to inspect. Poor weather situations me e accommodated by contacting onsite staff. Installer is responsible for obtaining Septic Designer/Engineer installatior pproval prior to backfill of system components. If no contact is made by the health department within the three usiness days of notice, the installer may cover. Mason County Asbuilt Form, Record Drawing, and Installation fee mus e submitted for final installation approval. • y. - J . AIR P P 3 L :. 0 �6' fl- -• 0' 20' 30' 40' 50' 60' 80' 100' ANEL 6, ' h /Th . : ;] QT SCALE (FEET) 2-BR HOUSE: w r LLI. / 7j%/ 7. tLl / : ' A I - w -EXLSTING Z aQ pay Qt' , •DRIVEVVA' ROVED P P WorP ] h 9—�f 1 2 n JUL 282026 ^ " 2 26 126.89' o LICEN ED ,TONER L -�: tr;cFlf:L.. ,21 �2b MASON COUNTY ENVIRONMENTAL HEALTH CULVERT RET ,. EXISTING TANK CERTIFIED BY INSTALLER RECORD OF CONSTRUCTION WATER LINE DISCLAIMER: IF WATER LINE RESIDES WITHIN PROPOSED DRAINFIELDS AND/OR THIS IS NOTA SURVEY. ALL PROPERTY LINES/BOUNDARIES HAVE CONSUME ALL FINANCIAL ORANYRBILITY OMEOWNER CONSUMES ALL FINANCIAL RESPONSIBILITY BEEN DEMONSTRATED BY THE OWNER(S) AND/OR THEIR AGENT(S). LEGEND *ALL MEASUREMENTS WERE TAKEN FROM KNOWN POINTS DEMONSTRATED BY THE PROPERTY OWNER. = NIC) LAG A ICI E D E --• = NO BUILD ZONE * ALL MEASUREMENTS WERE TAKEN WITH AN OPEN-REEL FIBERGLASS TAPE MEASURE. CLEARING LIMITS DATE- 11 JULY 2026 I i` = LOW AREAS ` " P.O. BOX 2954 * NO FOUNDATION SPOILS OR BURNING ON DRAINFIELD AREAS. =TREES - 12" OIA NAME- FINLEY Q SILVERDALE, WA. * DUE TO UNFORESEEN WATER TABLES, A CURTAIN DRAIN MAY BE REQUIRED. = CLEAN OUT - - - - 98383 Qz =EX.SINGLE COMPARTMENT TANK TAX I D- 22325-50-06007 * DIRECT ALL DOWNSPOUT/SURFACE WATER AWAY FROM DRAINFIELD AREAS. O =ATU DEVICE *ALL TANK ACCESS COVERS ARE RISERED TO FINISHED GRADE. p = 1000-GAL PUMP TANK STREET- 80 NE STEELHEAD DR S TEL. 360-698-8488 =SPLITTER SCALE: 1"=30' ROC INFO@ACMESEPTIC.COM