HomeMy WebLinkAboutSWG2024-00318 - SWG As-Built - 9/11/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPUCANTI PERMIT INFORMATION
Permit Number SWG 2024-00318 Parcel # 32232-75-90032
Applicant Name Colby Fuller Subdivision (Name/Div/Block/Lot)
Applicant Address 200 W.Shadow Valley Dr. Lot 2 of SP#2429 1445,7
City, State, Zip Shelton, WA 98584 Installer Name T.J. Goes RFp,. elf
Site Address 81 E. Union Heights PI. N. Union Designer Name Alex Paysee
INSTALLATION CHECKLIST
• Full System Installation ❑Tank(s)Only ❑Drainfield Only ❑Repair ❑Other
System Type Pressure Trenches Pretreatment Type N/A
>5 ft.from foundation? - - - - - --- --- - -- ------ - --- -- ❑ N/A DYES ONO
>50 ft.from wells? - --- ----- - - - - - - - -- - - - - - - - - - - - ❑ U ❑
>50ft.from surface water? - - - - - - - - - -- - - - - - - -- - - -- - ❑ ❑
H. : Cleanout between building andtank? - --- --- ----- ------- ❑ e ❑
V Tank baffles present? -- - - - - - - - - - - - - - - - - - - - - - - - - - ❑ U ❑
P- 24" access users over each compartment?- --- - - - -------- - ❑ S ❑
L
W Effluent fitter installed?- -- - - - - - - - - - - - ---- - - -- -- - - - ❑ UI ❑
N
Septic tank capacity(working) 1,500 gal Manufacturer Hagerman
0 D-box water level and speed levelers used? --- - -- -- ----- - - - N/A ❑ YES ❑ NO
0O Manifold/D-box accessible from surface?-- --- - -- - --- - - - - - ❑ ® ❑
C9 Check valves installed? -- -- - - -- -- -- -- -- -- -- -- -- -- ❑ - ❑
OQ
2 Transport Line Size 2 inch Schedule/Class Sch.40
Bedrooms installed (check one) ❑ 2 ❑3 ®4 ❑ 5 ❑6 ❑Commercial/Other
110ft.from foundation?-- - - - - - - - - - - --- ❑ N/A YEs NO
>100 ft.from wells?- - - - - -- - - -- --- ------ - - ----- -- ❑ ® Cl
W. >100 ft.from surface water? -- - - - - - - - - - - - - - - - -- - -- - - ❑ l® ❑
tL >10ft.from potable water lines?--- ----------- - --- --- - ❑ - ❑
24. >5ft.fromproperlyimesandeasements?- - - - -- - - - - - - -- - - ❑ IM ❑
> 30 ft from downgradient curtain/foundation drains? - - - - - - - -- - ® ❑ ❑
Drainfield level and observation ports present - - - - - - - -- - - - -- ❑ • ❑
M Graveless chambers or ❑ Clean gravel used? (check one)
Proper cover installed overdrainfeld?------- ------------ ❑ lM ❑
Pump tank setbacks consistent with septic tank? ❑ N/A ® YES ❑ No
Y Pump tank capacity(flood) 1,500 gal Manufacturer Hagerman
24" access riser(s)and accessible from surface?- - - - - - - - - -- -- ❑ I ❑
Alarm or Control Panel Installed? -- - - ----- - ------ --- -- ❑ \\AX
Control Panel equipped with Timer/ETM/Counter- - - - - - - - - - - ❑ ��'P n{. ❑
a Pump installed in ❑ Bucket or • On Block or ❑ Other t'^
gPump Make/Model Liberty 280 0 Floats or M Transducer
Tank draw down 1.75 in/min Pump capacity 46 gpm Squirt Height 3 ft
Pump on time 1.2 min. Pump off time 4 hrs. Daily flow set at 480 gpd
Updated 812112010
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81 E Union Heights Pl N -Septic Install
Colby Fuller
200 W Shadow Valley Dr, Shelton,WA 98584
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360-463-7253
To whom it may concern,
While installing the 4-bedroom pressure trench system at my property at 81 E Union
Heights PIN (32232-75-90032), there was a misunderstanding between my septic installer,
Ti Coos with Ti's excavating and the designer, Alex Paysse with Pioneer Digging.When Alex
went on site to as-build the install, he was not willing to approve it. Being that the install
was approved by the county three days prior to Alex being on site,we asked Alex if we could
have a different designer approve the as-build. Alex agreed that a different designer would
be allowed to approve the installed system. We reached out to Dale Tahja and he was
willing to approve the installed system for us.