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Home My WebLink AboutAFTER THE FACT - SWG As-Built - 2/10/2026 AFTER THE FACT RECORD DRAWING, pg 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Owner Name ,...rrN A- /-I i e, Assessor Parcel# 722O S — II —°00-1 r, Mailing Address 25I A)1, 'r�,ko,Lac, Rots- R.. .. O/M Specialist Name ./q.•( L,ii 14 Iv CIS a City, State, Zip 1c,1.,,pi`c� OA qfi eg. Installer Name ( lei kho,�N Site Address Sc""-- mss ,>ict,`Li u Designer Name r t Please complete this checklist to the best of your knowledge. If items are unknown leave blank. INSTALLATION CHECKLIST System Type (3r..v,L.0 Pretreatment Type Drainfield Ln. Ft. CO t I- Drainfield Sq. Ft. Drainfield depth Z'41-- >5 ft. from foundation? - ❑ N/A ❑YES r'� NO L.... - >50 ft.from wells? - - O 21 MI Z . >50 ft.from surface water? - O El -71 i mgi Q Cleanout between building and tank? - - - O ❑ N ✓ Tank baffles present? - - O O—~. 24"access risers over each compartment?- - O ❑ ll .j i Ill Effluent filter installed?- - - 0 0 , cr; g Septic tank size I2 00 gal Manufacturer Cow-r I.c a ,, ,7 0 D-box water level and speed levelers used? - - 0 NIA ❑YES IN NO DO Manifold/D-box accessible from surface?- - O O Q u. oQ Check valves installed? - O O [a I 2 Transport Line Size y i' Schedule/Class PVC., Bedrooms installed (if known) O 2 ❑3 ❑4 O 5 ❑6 O Commercial/Other >10 ft.from foundation?- - 0 NIA Ei YES ❑ NO O >100 ft. from wells?- - O ® O W >100 ft. from surface water? - - O ® O u. >10 ft.from potable water lines?- - ® O O QZ >5 ft.from property lines and easements? - O [4 O Q• >30 ft. from downgradient curtain/foundation drains?- - ❑ ❑ Observation ports present? - - O II ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield? - lv./ O O Pump tank setbacks consistant with septic tank?- - gl,NIA O YES O NO • Pump tank size gal Manufacturer < 24"access riser(s) and accessible from surface?- - O O O a Alarm or Control Panel Installed? - - 0 0 0 2 Control Panel equipped with Timer/ETM/Counter- - O O O D a- Pump installed in O Bucket or ❑ On Block or O Other 0' Pump Make/Model O Floats or� 0 Transducer a Tank draw down in/min Pump capacity gpm Squirt Height ft Pump on time Pump off time Daily flow set at gpd Updated 2129/2016 AFTER THE FACT RECORD DRAWING, pg 2 Assessor Parcel# 222-05-- 11- (")OO7 c7 RECORD DRAWING. Drainfield&manifold orientation&layout w/dimensions for re-location. 'DI,Trench/bed dimensions and critical distances within layout n Septic/pump tank Location w/dimen- sions for re-location Dit Location of buildings existing/proposed Observation ports, clean-out locations, &manifolds/d-boxes a Location of wells, surface water,roads, &waterlines. Reserve area(s) It North Arrow • If needed drawing may be attached on a separate page No.Pages Attached CERTIFICATION OF INSTALLATION DESIGNER/APPROVED O/M SPECIALIST I certify t the information contained in this document is accurate to my knowledge. The drawing and information has b obtained through common locating practices. Signature of Designer or Approved OM Specialist Date MASON COUNTY PUBLIC HEALTH This is an after the fact record drawing, which may or may not include a county inspection. This information is to only docume an xisting OSS location and components. 21(0'11O6' Si ature of Environmental Health Specialist .Date THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 229/2016 M,Halverson Design LLC PO BOX 1519 3604906365 Shelton, WA 98584-6508 PROPERTY INFORMATION Location:351 NE TAHUYA RIVER DR Tahuya Tax ID:222051100070 Mall To: Karen AAllen 351 NE TAHUYA RIVER DR Use: Tahuya,WA GENERAL SYSTEM TYPE:Conventional (Non-Pressurized) ON ID:222051100070 County Area: Hood Canal Fold ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold Here Here Inspected:02/05/2026 - Inspection Type:ROUTINE - Correction Status:No corrections needed Company: Work Performed By: Submitted 02/09/2026 by: M.Halverson Design LLC micah halverson micah halverson COMMENTS&GENERAL INSPECTION NOTES No Deficiencies Noted Used sewer camera to locate drainfield(see After the fact asbuilt 2/8/26).Was able to locate about 60'of perforated drainfield pipe.No roots, ponding or sediment were observed in drainfield pipe.Currently one occupant. GENERAL SITE&SYSTEM CONDITIONS The General Site and System Conditions were: Fully Inspected Components accessible for service: YES All required service performed(if no-specify omitted inspection items in notes): YES Surfacing effluent from any component(including mound seepage): NO Components appear to be watertight-no visual leaks: YES Improper encroachment(structures/impervious surfaces) NO All riser lids securely fastened upon departure: YES Electrical repairs needed. If YES describe in comments: N/A Inspected components appear to be in good physical condition: • IYES Reserve Area Condition:If a reserve area is designated on the property,is it undisturbed?(select N/A YES only if no reserve has been designated) Root intrusion on any components. If YES describe in comments: NO Settling problems observed. If YES describe in comments: NO System Functionality:Based on the review of records and/or inspection reports,is the OSS operating as YES designed? The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. NO ONSITE SEWAGE SYSTEM INSPECTION DETAIL ANK:Septic Tank-1 Compartment This component was: Fully Inspected Effluent level within operational limits(if NO explain in comments): YES All required baffles in place(N/A=No baffles required): YES Compartment 1 Scum accumulation(Inches,If other specify): 4 Compartment 1 Sludge accumulation(Inches,if other specify): 10 Pum.in.recommended: NO Drainfield(disposal):Gravity This component was: Fully Inspected Component appears to be functioning as intended: YES Ponding present?If YES explain in comments: NO Drainfield was vacuumed,flushed or hydro-jetted?(If YES,explain in comments) NO This report Indicates certain characteristics of the onsite sewage system at the time of visit.In no way Is this report a guarantee of operation or future performance. ReportlD:1491994 View inspection reports online at www.onlinerme.com Page 1 of 1 Tabloid 11"X 1r N 7 G C N d @ N \ L B N at.(D O.C 7 D 7 N g N N•fD(Li?, Q • \ y n-ARE- al N O O 7 0 �� \ O'O O N,<N, 0 n J fn (D"< u) , D7 E2.N 2m H .....- • i \ .� G-O C'O 0-0.1:12, (0 W`G g A g 3p 0 D.,N..O a \ O --0 y , O Q O.ci N N ca co• C7 O N E D)ijj'O Q ≤ O O 0 O Occ).3 'O N N D) o 13 a O -o m o_01 _5[A- oo O_o w c N N•y O O N ,LZ(D O 3N _-O N O •N = 9, coN 3 O I e-g .. CA CD j -o O ,Z �• a / V / 1 -0 / ED 1 m c 0 rt co g " 4. o u3 CD 5/. m x CD C0_ yc f � ncn w X o- a0 � CD CD cn CD z N o N m 2 N CD 0 CD 2 2 W 0 O-J O 0 n 3 0- CD m -+ CD Cl p 7 I N / n O / N / (c,N O / 4) Z //aa 4 g m n / o' z _ z N / ��`•" M. *,o v o -- / 2ti 0 S N / D 2 O O --I -I p O (/) 2 2 - //��°� m c N) / oq X. 0 C. O 5'CD w w s w w o //a\v� CO * OO O O 0 CI)N.1 // eb 0� oot7al o 8 o mph , om 3 '< m3- 3o`< cn o m m ° co Da o °i v o O = o. m —I Ch 0_ CD CD 0 2 m E CD n . Da CD CD a M.Halverson Design LLC a° ALLEN, KAREN A Site Info: Parcel#22205-11-00070 SHEET NUMBER PO Box 1519 Shelton Wa 98584 f® Mailing: 351 NE TAHUYA RIVER DR 351 NE TAHUYA RIVER DR 1 Halversondesignlic(a7outlook.com " TAHUYA WA 98588 REVISI0N#: