Loading...
HomeMy WebLinkAboutSWG2023-00288 - SWG As-Built - 7/2/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2023-00288 Parcel # 224065000007 Applicant Name Melissa Walker Subdivision (Name/Div/Block/Lot) Applicant Address 4731 36th Ave. NE Longwood Beach TR7 City, State, Zip Seattle , WA 98105 Installer Name NW Dirtworks-Hunter Shinners Site Address 40 N. Triton Head Dr. Designer Name Tim Quayle INSTALLATION CHECKLIST ❑ Full System Installation ❑ Tank(s)Only ❑ Drainfield Only ❑■ Repair ❑Other System Type ATU to s ment Type NuWater BNR-600 >5 ft. from foundation? ❑ NlA ® YES LINO Ii1 >50ft. fromwells? - - - - - - - - - - -jff -J -7n, ❑ 0 ❑ >50ft. fromsurfacewater? - - - - - - - - - - --- --=` J-- ❑ 0 ❑ Z HCleanout between building and tank? - - - - - - - - - ❑ ® ❑ U Tank baffles present? - - - - - - - - - - - ❑ © ❑ a24"access risers over each compartment?- - - - - - - - - - - - - - - ❑ © ❑ `W Effluent filter installed?- - - - - - - - - - - - - - - - - - - - - - - - - - -- ❑ ❑ Septic tank capacity(working) 1111 gal Manufacturer Infiltrator-1060 D D-box water level and speed levelers used? - - - - - - - - - - - - - - - • N/A ❑ YES ❑ NO DOManifold/D-box accessible from surface? - - - - - - - - - - - - - - - - ❑ ❑ C9 Check valves installed? - - - - - - - - - - - - - - - - - - - - - - - - -- ❑ ❑ OQ 2 Transport Line Size 2" Schedule/Class 40 Bedrooms installed (check one) ■❑ 2 ❑3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10 ft. from foundation? - - - - - - - - - - - - - - - - - - - - - - - - -- ❑ N/A 0 YES ❑ NO >100ft. fromwells?- - - - - - - - - - - - - - - - - - - - - - - - - - - - - ❑ [U [' w >100ft. fromsurfacewater? - - - - - - - - - - - - - - - - - - - - - - - - ❑ U: >10ft. frompotablewaterlines?- - - - - - - - - - - - - - - - - - - - - - ❑ ❑ a > 5ft. frompropertylinesandeasements?- - - - - - - - - - - - - - -- ❑ ❑ 0 W > 30 ft. from downgradient curtain/foundation drains? - - - - - - - - - - ❑ U ❑ Drainfield level and observation ports present - - - - - - - - - - - - - - ❑ U ❑ • Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?- - - - - - - - - - - - - - - - - -- ❑ ® ❑ Pump tank setbacks consistent with septic tank? - - - - - - - - - - - - - ❑ N/A Q YES ❑ NO Pump tank capacity (flood)_ 1309 gal Manufacturer Infitrator-1060 Q24" access riser(s)and accessible from surface?- - - - - - - - - - - -- ❑ Si ❑ Alarm or Control Panel Installed? ❑ U ❑ Control Panel equipped with Timer/ETM /Counter - - - - - - - - - - ❑ 0 ❑ Pump installed in ❑ Bucket or ❑ On Block or U Other Flow Inducer CLPump Make/Model Orenco PF3005 turbine U Floats or ❑ Transducer a Tank draw down .75" in/min Pump capacity 18.75 gpm Squirt Height 8' ft Pump on time 1.25 min Pump off time 3 hours Daily flow set at 188 gpd 23.44 gallons per dose Updated8/21/2018 Mason County OSS Installation Report pg. 2 Parcel # 224065000007 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? - - - - - - - - - - - - - -- Q YES U NO If yes, please describe: Old tank was removed by installer 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 re-locate In the need of maintenance activities and future development Typical Record Drawings contain: Drainfield&manifold orientation&layout,Septic/pump tank location.North arrow,reserve drainield.existing and proposed buildings,location of wells,waterlines, wells,observation ports,deanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. Notes: There is a kitchen type sink and toilet ring (no toilet)in the outbuilding. There is no plumbing connection to the onsite system -verified by the installer. It may not be connected without prior approvsl. See attached ROC drawing. ( r, Ft JUL 0 ? MASON COUNTY EN. IM Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ ENGINEER I certify that 1 installed the system in accordance with l 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. 6/19/2026 Signature of Installer Date ril inter Rhinners Prin'ted Name of Signee tr/��oF WASMti9 L__ MASON COUNTY PUBLIC HEALTH �„ u►, m The undersigned approves this Installation Report and TIM OUAYLE Record Drawing on behalf of Mason County Public LICENSED DESIGNER He 7 ,2-,74 Si not f Environmental Health Specialist Date (stamp, signature add date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8121/2018 ROC 40 N. Triton Head Dr., Lilliwaup Quayle Septic Designs 224065000007 360-440-4249 Repair septic design - ROC N - Blowup new water meter 1:20 location 3' valve box *.scale bar 15' 300' / ,1 / ` tree All Foreste ' f o `. o new sleeved - 20 20' C water line .f'`y/ slo e r ` z o 300' ater spigot removed ' Possible Oscar �� 1000 pump tank reserve area \�-�, rn �' water _ \ �' 35' EL meters 112' - ' _ rn ��.A. NuWater BNR-600 ATU retaining wall _' / \, 2 bedroom old tank N. Triton • house was removed Dr. ; lyl \approx. ordinary high ; _ water mark raised ., \. f 0' EL concrete 4 f ,'/ // r shed-see note ,r parking , , /1 I /{ � / steep bank Hood canal 2x25' # ! j��/'�`#4 / "'-.. � shed ,r short wall- / 1 no plumbing approved, 'f : has sink and toilet ring only, not connected to anything 335' 21C348021' TIM QUAYLE LICENSED DESIGNER s • Site Name: Location:40 N TRITON HEAD DR Service Company: Lilliwaup Tax ID: 224065000007 KITSAP SEPTIC PUMPING use: 5201 E.Hillcrest Dr. Port Orchard,WA 98366 360.871.5258 Serviced:05/2012026 by: Ross Miller Submitted 05/21/2026 by:Kim Powell Dump Location:BO-Recycling Jurisdiction ID:224065000007 COMMENTS Tank pumped for demo. Tank Pumped: YES Total Gallons pumped from tank(Number only,no text): 1000 Tank Size(Gallons)(Number only,no text): 1000 Tank depth below grade(inches): 12 Effluent level within operational limits(if NO explain in comments): YES Effluent returning back into tank after pumping: NO Access Risers installed to grade(N/A if not present): YES Tank Construction Material: Concrete Tank Condition Good: YES Baffles in good condition(N/A if not present): YES Effluent screen cleaned(N/A if not present): N/A Effluent surfacing around site components(N/A if not checked): NO Tank abandoned after pumping: YES Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO Compartment 1 Scum accumulation(Inches,if other specify): 0 Compartment 1 Sludge accumulation(Inches,if other specify): 2 /d _� rat U �/�� :� �� �� S���f(C✓Z /'�vi�--��' . Gam- y�Pof W^?h r?` 21034802 TIM.D.AYLE.,._...•. ICENSEDj DESIGNER This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee or operation or future performance. ReportlD:884522 View pump reports online at www.onlinenne.com Page 1 of 1 MASON COUNTY Public Health & Human Services FINAL INSPECTION: SWG2023-00288 ADDRESS: 40 N Triton Head Dr PARCEL: 22406500007 DATE: 6/8/2026 O HOUSE TO DRAINFIELD � r y • %___. . ri C L M r^ DRAINFIELD TO HOUSE