HomeMy WebLinkAboutSWG2024-00016 - SWG As-Built - 6/5/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH
APPLICANT/ PERMIT INFORMATION
Permit Number SWG , ,O≥k tY46 l to Parcel # '3/ < 5 2 dfO /'
Applicant Name t t, ,(1 A,y IA?KM Subdivision (Name/Div/Block/Lot)
Applicant Address ci bk
City, State, Zip 9 6 LJf iI≤ ! installer Name ),OGk <37ufu %
Site Address t E - G. " t] Designer Name \O p' owwtnt
INSTALLATION CHECKLIST
Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other_
System Type ç -- tAJ')Z;& Pretreatment Type (\.U.- 4A,16 vt N ? O
>5 ft.from foundation? - - ---- ---- ❑NIA NO
>50 ft.from wells? -- -- ---- - - - qA ❑
>50ft.from surface water? --- - - -- _ l� -- -- -- - ® ❑^ ❑
Z - -
Cleanout between building and tank? -- -�Q� Z 10 -- ❑ El
o Tank baffles present? --- - - -- - - - -- - 0 IT El
24"access risers over each compartmon -- - -- ❑ LJ El
WEffluent filter Installed?--- - - - - -- ----- -- - - - - - - ❑ El
Septic tank capacity(working).. 1 Z-OD gal Manufacturer .A Zl Aft
A D-box water level and speed levelers used? - -- --- - -- -- - - - - gNIA ®YES ❑ No
00 Manifold/D-box accessible from surface? - --- - - - - - --- -- - - [] ❑
®Z Check valves installed? - --- --- - --- - -- - - - - --- - ----- ❑ ❑' ❑
Transport Line Size I � Schedule/Class (40
Bedrooms installed (check one) lEf 2 [1 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other
>10 ft.from foundation?- -- - -- -- --- -- - - - - - - -- - -- - -- ❑ N1A ''YES NO
>100ft.fromwells?-- - - -- - --- -- - - - -- - -- - - -- - -- -- ❑ ❑
>100 ft.from surface water? - - ---- ---- -- -- -- -- ------ ❑ ❑
W
M >10 ft. from potable water lines?-- - - --- --- -- -- ---- -- -- ❑ L' ❑
eZ >5 ft.from property lines and easements?- - - -- - - ------- - - ❑ ❑
LL' >30 ft.from downgradient curtain/foundation drains?- ---- - - --- ❑ [' ❑
Drainfield level and observation ports present -- - - --- -- - -- -- ❑ El El
❑ Graveless chambers or ❑ Clean gravel used? (check one)
Proper cover installed over drainfield?---- --- --- ------- - - ❑ [' ❑
Pump tank setbacks consistent with septic tank? -- - ------- - - - ❑ N/A 0"YEs ❑ No
Pump tank capacity(flood) I MO gal Manufacturer n F,� ► kin
24"access riser(s)and accessible from surface?------ --- -- - - 0 13' ❑
Alarm or Control Panel Installed? --- -- - - - -- -- -- - ---- ❑ ❑
Control Panel equipped with Timer/ETM/Counter-- - - - --- ---- ❑ ❑
Pump Installed in ❑ Bucket or ( On Block or ❑ Other
Pump Make/Model O''t9J'C.b 1 CAJ [Floats or ® Transducer
Tank draw down . 0t In/min Pump capacity 2-V gpm Squirt Height ft
Pump on time Pump off time -2- L.,- t Daily flow set at gpd
<` updated 8/21/2018
Mason County OSS Installation Report pg. 2 Parcel 11
ABANDONMENT RECORD
Were existing septic components abandoned as part of this project? ---- ---- ---- -- - [] YES El 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 roust be accurate end descriptive enough to re-locate In the need of malntenanoo activitlos and future development, Typical Record
Drawings contaln: Dralnrleld&manifold odentalion&layout,Septic/pump tank location,North arrow,reserve drainfield,existing and proposed buildings.location of wells,waterlines,
wells,observation parts,cleanouts,and other maintenance access points, Incomplete Record Drawings may create additional delays in final Installallon approval and related permits.
(Record Drawing Attached
CERTIFICATION OF INSTALLATION
INSTALLER DESIGNER!ENGINEER
I certify that I 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 Tpd attached Record Drawing is accurate, form and attached Record Dra I g is accurate.
(1 j72
Signature of Installer Date : c r"tPl 2G
Printed Name of Signee
MASON COUNTY PUBLIC HEALTH \v: x` 0;O
The undersigned approves this Installation Report and 5t°°H112 ;
ADAM J.HUNTER
Record Drawing on behalf of Mason County Public i! n i''f i 1'.I' ; '.i it'i '
Health i.>.i,As Ur ,;�lu( c1 Signature of Environment Health Specialist Dale (stamp, signature and date)
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8121/2018
MASON COUNTY
Public Health & Human Services
FINAL INSPECTION:
SWG2026-00016
ADDRESS: 561 SE Crescent Dr
PARCEL: 319045200010
DATE: 5/1/2026
_ j4
tV i
iiUU.7L iU L U
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DRAIN FIELD TO HOUSE
Kayla Milam
From: Adam Hunter <adam@huntersepticdesign.com>
Sent: Wednesday, April 29, 2026 7:20 AM
To: jgunia@envirotechnw.com
Cc: Environmentalhealth
Subject: Re: OSS Inspection request for William Hamm - SWG2026-00016
Thanks guys,
I was out to inspect on Monday.
Adam
On Wed, Apr 29, 2026 at 7:19 AM DO NOT REPLY<noreply@masoncountywa.gov>wrote:
Submittal request for: William Hamm
Site Address: 561 Southeast Crescent Drive, Shelton WA
Permit Number: SWG2026-00016
Parcel Number: 319045200010
Installer Name: Josh Gunia
Installer Phone Number: 253-579-6769
Installer Email Address:jgunia@envirotechnw.com
Designer Name: Adam Hunter
Designer Email Address: adam�huntersepticdesi n_.c.om
Inspection Request Date: 2026-04-29
Inspection Type: Full System
Comment\ Notes: gate code for property#9477
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
Adam Hunter
Hunter Septic Design
2201 93rd Ave SW, Ste A
Olympia,WA 98512
(360) 753-1226
Hunter Septic Design, Inc
360-753-1226
2
SCALE: 1" = 3.0_FT
' O EXISTING 2 BDRM RES C8 > HEADWORKS
9 EXISTING DRIVE ( i 1"SCH40 SUPPLY/RETURN LINES(SLEEVED IN DRIVE)
7 EXISTING STUBOUT/CLEANOUT(IE.-104.0) (10 DRIP DRAINFIELD(IE.-102.0)
6 EXISTING 1200GAL.SEPTIC TANK
3 FAILED D F.(ABANDON-FAILED DUE TO AGE AND D/W)
1 NUWATER BNR600 IN ATU TANK(IN.EL.-103.0/OUT.EL.-102.7)
O1200GAL.PUMP CHAMBER(PUMP EL.-997)
14 O 0't
O
4
8
36'
/ 16'
W
5
9 t
10
/ 7.5'±
04/23/26
2 APPROVED
c�FSC: JUN 05 2026 r?r,
�To MASON COUNTY ENVIRONMENTAL HEALTH
RET
PRESSURE TEST COMPLETED BY INSTALLER:
SQUIRT HEIGHT:DRIP
DRAWDOWN:
TIMER SETTINGS-
ON:
OFF:
HUNTER SEPTIC DESIGN CONTRACTOR.
ENVIROTECH
PO Box 162/Olympia,WA 98507
360-890-2778/designs@hunterseptic.com INSTALL DATE 4/21/26
SITE ADDRESS I LEGAL.
RECORD DRAWING FOR 561 SE CRESCENT DR
ENVIROTECH
FINAL DATE. 4/21/26
SITE/PERMIT#:
PARCEL NUMBER.
319045200010 SWG2026-00016