HomeMy WebLinkAboutSWG2023-00171-ASBUILT - SWG As-Built - 7/9/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
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gPPLICANT/ PERMIT INFORMATION ,
Permit Number SWG 2023-00171 Parcel# 32029-42-00150 -
Applicant Name Susan Solais Subdivision (Name/Div/Block/Lot)
Applicant Address 661 SE Mill Creek Rd
City, State, Zip Shelton,WA,98584 Installer Name Korbyn Hurley
Site Address 661 SE Mill Creek Rd,Shelton,WA Designer Name Rod Left
INSTALLATION .8C.KLLST..z_.. _ � �. ...'' *` .,t !/
Q Full System Installation ❑Tank(s)Only El Drainfield Only ❑Repair ❑Other CF/
System Type Standard Pressure Pretreatment Type
>5ft.fromfoundation? --------- -;-=-ti------ ❑ N/A AYES ❑ NO
>50ft.fromwells? ----------- f -�r-?-�r- ❑ UI ❑
Z >50ft.fromsurfacewater? -------H-'---- ----- 0-------- ❑
Cleanout between building and tank? !lS4 - - -�(}z - ❑ ❑■ 0
5~ 4
_111 Tank baffles present? ---------- -4---- -- --- ❑ ❑■ ❑
24"access risers over each compartme t2�----- ------ ❑ ❑■ ❑
W ; Effluentfilterinstalled?----------i ---- ------ ❑ 0 ❑
Septic tank size 1250 x2 gal Manufacturer Evergreen Precast
D-box water level and speed levelers used? --------------- ■❑ N/A ❑YES ❑ NO
O� Manifold/D-box accessible from surface?----------------- ❑ ❑■ ❑
00 Checkvalvesinstalled? ---- ------ ---------------- ❑ ❑ III
oQ .
{Transport Line Size 1 1/4 Schedule/Class Sch 40
Bedrooms installed (check one) ❑ 2 ❑3 ❑4 ❑ 5 0 6 ❑Commercial/Other
>10ft.fromfoundation?-------- -- ---------------- ❑ N/A DYES ❑ NO
>100ft.fromwells?----------------------------- ❑ III ❑
>100ft.fromsurfacewater? --------------------- --- El ❑■ ❑
u. >10ft.frompotablewaterlines? --------------------- ❑ ❑■ ❑
>5ft.frompropertylinesandeasements?------- --------- El ❑■ ❑
''>30 ft.from downgradient curtain/foundation drains?- --------- ❑ ❑t ❑
Drainfield level and observation ports present ----- --------- ❑ ❑■ ❑
UI Graveless chambers or ❑ Clean gravel used? (check one)
Propercoverinstalledoverdrainfield?------------------- ❑ 0 ❑
Pump tank setbacks consistant with septic tank?------------- ❑ N/A ❑■ YES ❑ NO
Pump tank size 2000 gal Manufacturer Evergreen Precast
24"access riser(s)and accessible from surface? ------------ ❑ ❑
AlarmorControlPanellnstalled? --------------------- ❑ JZ] ❑
�., Control Panel equipped with Timer!ETM/Counter----------- ❑ ❑
Pump installed in ❑ Bucket or ❑ On Block or (U Other flow inducer
Pump Make/Model Orenco 500511 0 Floats or ❑ Transducer
Tank draw down 3" inlmin Pump capacity_17-1 _gpm Squirt Height 6+ ft
Pump on time , p Sec Pump off time 2 HR Daily flow set at 7ck)_gpd
Updated 8/21/2018
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CERTIFICATION _
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ALL-ATION �- - - :.t�:::::,:_INSTALLER DESIGN
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P. esign stamped:..APR.b .,,.
Pe R VED.;�by=Mason'= 'a1ance. e` .`;. . with se:`bc'alesi`0"sfa
p g rripecl.:APPROVED, b'
County Publicthat fid °aii-°deviaSoas'sro a. :' ;_::deviationswn�. TMaso Confi Eubl`'
ty...,, re Keaftl►and'tha€an :
era.have been ea Y
rd red/aPR,wed by,ofii,.the des ners:` shown
,, . -.g,. wn hero°have been cleareaf%a
_ PProved:y..�iaffi
and Y
d.Mason
ublia;Fiealth
h!. .: and all :myself and
y nd;tilasori County Publis,HSlthybrirl.irieei all
and'Mason'.Coun
County :State'.
and Mason-County Codes
I further cerfr€}x tai allinfoimation contained 0 this:'.
Ffurfher.cerfify That a!1 In1ormation contained
r iaiid attach` this
for rr
attached Record praWng is:accurate: =.form�and'affachedy ecogj�
Sign roa:ns w. it :Date'
PrintedNaim ofSignee • `x'• .icy.
MASON:.COUNTY
PUSLIC':HEALTI '
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:. .. . OA EN MASON
a:'' Y,.BE CANNED VAILAHLE FOR PU<3LIC\%I ON THE' COU ,>:: ' a ,_s. .
THIS:•FOOl N .$ .;h N iYtYVEB SITE'': u nii�rz5te.`;.,,y,;�:,.
}r :.»L..• a:�I:: .1 ..r:'' — r I.. `P'ti, •:.2.r. $:_ "r,:.:••i;a"'L:'a':'. .t;t_i.;.�
1315.33'
100' 0
TO WELL TO ELL
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.�I�•:.i'.' '11'PANEL
•' 3-BR H USE - -- -
APPROVED A
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o NMASON2026
ENV1RO"EN
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} m EXPIRES 121151
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HOUSE NOT CONNECTED TO S AT T OF INSP ON
tip:d'!- .'` •
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Ul
RECORD OF CONSTIJJCTION
SCALE(FEET) -z-- - ---
THIS IS NOTA SURVEY. ALL PROPERTY LINES/BOUNDARIES HAVE LEGEND
BEEN DEMONSTRATED BY THE OWNER(S) AND/OR THEIR AGENT(S). SI= SOIL LOG A M D E N
---- = NO BUILD ZONE
*ALL MEASUREMENTS WERE TAKEN FROM KNOWN POINTS DEMONSTRATED BY THE PROPERTY OWNER. -- =CLEARING LIMITS DATE-
LOW AREAS 20 OCT 24
ALL MEASUREMENTS WERE TAKEN WITH AN OPEN-REEL FIBERGLASS TAPE MEASURE. = TREES - 12" OIA NAME P.O. BOX 2954
SOLAIS SILVERDALE, WA.
*NO FOUNDATION SPOILS OR BURNING ON DRAINFIELD AREAS. Q = CLEAN OUT
* DUE TO UNFORESEEN WATER TABLES,A CURTAIN DRAIN MAY BE REQUIRED. = 1250-GAL SEPTIC TANK TAX ID- 32029-42-00150 98383
Q
*DIRECT ALL DOWNSPOUT/SURFACE WATER AWAY FROM DRAINFIELD AREAS. Q =2000 GAL PUMP TANK STREET- 661 MILL CREEK RD SE TEL. 360-698-8488
*ALL TANK ACCESS COVERS ARE RISERED TO FINISHED GRADE. INFO ACMESEPTIC.COM
® = SPUTTER SCALE: 1"=50' ROC
1315.52'
'fl
EFT
LICENS 0 DESIGNER (�
�x�t��� �zrisrZ l
700' TO LL
TO WELL
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rJ
3-RH USE °' o
•'sr 0US
7•.•�; HOUSE NOT CONNECTED T AT OF INSP
CJ.' SCALE(FEET)
E DESIGN
OCT 24
P.O.80X 2954
?'-•'s' OLAIS SILVERDALE,WA.
9-42-00150 98383
CREEK RD SE TEL.380-ssa-8488
INF0@ACMESEPTIC.00M
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