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Home My WebLink AboutSWG2026-00060 - SWG As-Built - 5/18/2026 4 ) p Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH PPL ICANTI t [T°II F�RB�/��I t� � Permit Number SWG 2026-00060 Parcel# 32021-56-01005 Applicant Name Joel Roswall Subdivision (Name/Div/Block/Lot) Applicant Address 2038 Beverly Beach Dr NW SHORECREST TERRACE 3RD ADD BLK: 1 LOT:5 City, State, Zip Olympia,WA 98502 Installer Name Mason County Excavating Site Address 70 E Panorama Dr, Shelton Designer Name Arrow Septic Designs ® Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑ Repair ❑ Other System Type Shallow Pressure reatment Type NuWater BNR-500 >5 ft.from foundation? ---- ----- - ❑ N/A YES O N } >50ft. fromwells? ----- ------ - ! ❑ ® ❑ >50ft. fromsurfacewater? --- -- - - -- ❑ ❑ Cleanout between building and tank? - � - ----- ' ❑ ❑ Tankbafflespresent? --- -- --- - - - -- - - ❑ I1 ❑ �xF 24"access risers over each compartment. ' .'- - ❑ ® ❑ Ltd Effluent filter installed?--- ----- --- ------ --- - - - - ❑ ❑ Septic tank capacity(working) NuWater BNR gal Manufacturer Hagerman D-box water level and speed levelers used? ------- -- - ----- ❑ N/A ❑YES f No Manifold/D-box accessible from surface?--------- --- ----- ❑ ® ❑ Checkvalvesinstalled? ---- - --- -- ----- ------ -- - - ❑ ❑ r 3 Transport Line Size 2 inch Schedule/Class 40 Bedrooms installed(check one) ❑ 2 E1 3 ❑4 0 5 ❑6 ❑Commercial/Other >10 ft. from foundation?---- - ------- -------- - ----- ❑ N/A AYES NO >100ft.fromwells?------- ---------- - ---------- - ❑ Q ❑ p-� >100 ft. from surface water?------ ------- -------- -- - ❑ ® ❑ EEd >10ft. frompotablewaterlines?- - - ------------ ---- - - - ❑ Q ❑ u� 5ft from property and easements? ---- ------- - ---� p p Y lines ❑ ® ❑ > 30 ft.from downgradient curtain/foundation drains?- -------- - ❑ I1 ❑ f v'j Drainfield level and observation ports present --- --- - - - ---- - ❑ ® ❑ k 'W Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?-------- ---------- ❑ ® ❑ Pump tank setbacks consistent with septic tank?-- ---- ------- O N/A 11 YES ❑ NO Pump tank capacity(flood) 1,000 gal Manufacturer ` 24"access riser(s) and accessible from surface?-- - -- '�---- - --- ❑ lI ❑ _�7FJ6 --- - - ® �,� Alarm or Control Panel Installed? ----- - - ❑ ❑ Control Panel equipped with Timer/ETM/Counter - - - ----- - - ❑ ® ❑ Pump installed in ❑ Bucket or ® On Block or ❑ Other Pump Make/Model Zoeller N152D Floats or ❑ Transducer �xrt Tank draw down 2 in/min Pump capacity 38 gpm Squirt Height 12 ft Pump on time 2.3 minutes Pump off time 6 hours Daily flow set at 360 gpd Updated 8/21/2018 P Mason County OSS Installation Report pg. 2 arce!# ?20 2.[— 5(�— Ot O05 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? -------- ❑ 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 drainfield,er65ting and proposed buildings,location of wets,waterlines, wells,observation ports,deanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval and related permits. eL (XWcok4 Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER /certify that!installed the system in accordance with /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 atta ed Record Drawing is accurate. form and attached Record Drawing is accurate. d 5 O 5 2(p sign atd of Installer 'Date Printed Name of Signee i t WAS l MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and h tj' f �PAULA JOYJOHNSON Record Drawing on behalf of Mason County Public Health: LtCE�lSEfit� Si6Nl= " Signature o Enidronmental N Ith Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8212015 , rr S • • s • / F j(1 J [J rC ' 510034,9 .f� 't•:.: ti =- {' PAULA JOY JOHNSON vJ �S16AIt�t^ . a 5 __ _ 't �• $drab �'�� j r �•�� ,j ��i� D• I i •• L � -r°��`c�.r5 �c � `�!� �GQ• Ltd i-i�,y� ! -fs T yn'c vt OAudio-Visual?lawn -.A-O toe. w�,V%IcA }e d►ou9e vr.?��„ A P P ROVED • NuWate= r z-500 QTU Tank MAY 1 8 2026 1,0000-`pzm$Cla:arnber P IASON COUNTY ENVIRONMENTAL HEALTH w -t - arc- RET OValve Control Box • MASON COUNTY Public Health & Human Services FINAL INSPECTION: SWG2026-00060 ADDRESS: 70 E Panorama Dr PARCEL: 320215601005 DATE: 5/4/2026 „�+e�r,. i. 'hftr4° •i.c!-x sj z+"Jrry s sE't ) w' rg..y,ZXi �s.i<.'v yz h r �Y !✓ c'� ��r'�j hoc--,r, �J �{ ��' cam, ^7r♦..„} !-�.' d rfi ,ei �?a�`.,e Fs c�':'. g..('�?ft��t�� t Y�x� t,� 2 �r r _,,r tr.,�-,i✓,, i� ?,'d'�a�ta e. tR3,.��e4 rn r 1:a`. nr- r �, �s�1+Fa•!r'�2N f ` i".+._,,,�"�.c, .`rte �. :,s s.c' F J y x a, 6•I7r,,,.-k'�Y'�y4+f,} � � 1 �rs-.l• F1r z'4F' �F �� j,1{d,,.rC "c 4•q`rn��l� r r .+3 r�1y� ar�Sr �'� V- ` � HOUSE TO DRAINFIELD F � r E �y L P � DRAINFIELD TO HOUSE Kayla Milam From: DO NOT REPLY <noreply@masoncountywa.gov> Sent: Monday, May 4, 2026 12:17 PM To: Environmentalhealth Subject: OSS Inspection request for Joel Roswall - SWG2026-00060 Submittal request for:Joel Roswall Site Address: 70 E Panorama Dr,Shelton Permit Number:SWG2026-00060 Parcel Number:32021-56-01005 Installer Name: Mason County Excavating Installer Phone Number: 360-490-3144 Installer Email Address: masoncountyexcavating@yahoo.com Designer Name: Arrow Septic Designs, Inc Designer Email Address: paulaj@hctc.com Inspection Request Date: 2026-05-04 Inspection Type: Full System Comment\Notes: Thank you for submitting your final install request.The install should be complete and ready to inspect on the 'Inspection Request Date' and remain uncovered for three business days to allow staff time to inspect. Poor weather situations may be accommodated by contacting onsite staff. Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. If no contact is made by the health department within the three business days of notice,the installer may cover. Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 1