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Home My WebLink AboutSWG2026-00011 - SWG As-Built - 7/2/2026 Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/PERMIT INFORMATION Permit Number SWG 2026 00011 Parcel# 12105 52 00098 Applicant Name Michael Bruemmer Subdivision (Name/Div/Block/Lot) Applicant Address 2224 11th Ave E. City, State, Zip ' attle, Wa 9d102 Installer Name Spear Construction Site Address 770 E. Treasure Is. Dr. Designer Name Bob Paysse INSTALLATION CHECKLIST ® Full System Installation O Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type Oscar XO Pretreatment Type Oscar >5 ft. from foundation? - _ ____ ___-------- ON/A YES O N 4ELt -�`p - - - - ❑ ® ❑ z >50 ft.from surface water? -- + . ❑ ® ❑ Cleanout between building and to - N-�. �U�6 ❑ ® ❑ Tank baffles present? -- - - - - _ _- 24"access risers over each comp-(tment?------------ --- W Effluent filter installed?----- - Septic tank capacity(working) 1200 gal Manufacturer Sound Placement �a D-box water level and speed levelers used? -- - - - - - - -- -- - - - ® N/A [] YES ❑ NO p� Manifold/D-box accessible from surface?- --- - -- -- --- - - - - - - - - - ❑ ® ❑ mZ Check valves - ❑ ® ❑ oa 2 Transport Line Size 1" Schedule/Class 40 Bedrooms installed (check one) ❑ 2 LJ 3 ❑4 ❑ 5 ❑6 ❑Commercial/Other >10ft.fromfoundation?- - - - - - - - - - - - - - - - - - - - - - - - - - ON/A ® YES ❑ No >100ft.fromwells?-- - - - - - - - - - - -- - - - - - -- - - - - --- -- ❑ ® ❑ W >100ft.fromsurfacewater?- - - - - - - - - - - - - -- - - - - - -- -- ❑ 2 -10 ft.from potable water lines?-- - - - - - - - - - - - - - - - - - - -- 0 ® 0 >5 ft.from property lines and easements?- - -- - - - - - - --- - - - ❑ ® ❑ >30 ft.from downgradient curtain/foundation drains?- - - - - - - - -- 0 0 Drainfield level and observation ports present - - - - - - - - - - -- -- ❑ ® ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) Proper cover installed over drainfield?--- ---- - - -- ----- - - - ❑ ® ❑ Pump tank setbacks consistent with septic tank?---- --- -- --- - (] N/A ® YES ❑ NO Pump tank capacity(flood)_1200 gal Manufacturer Sound Placement . 24"access riser(s)and accessible from surface?- ---- - ------ - 0 MI ❑ f- a. Alarm or Control Panel Installed? -- -- - - --- --- - - - - --- - - ❑ ❑ Control Panel equipped with Timer/ETM/Counter- - - - - - - - - - - ❑ MI ❑ a Pump installed in ❑ Bucket or ❑ On Block or • Other— Turbine free standing Pump Make/Model per mfg ® Floats or ❑ Transducer Tank draw down per mfg 9 in/min Pump capacity per mfg ctpm Squirt Height n/a ft Pump on time per mfg Pump off time per mft Daily flow set at 360 gpd Updated 8'21!2018 Mason County 0SS Installation Report pg. 2 Parcel# 12105 52 00098 ABANDONMENT RECORD Were existing Septic components abandoned as part f this project? Q YES NO - - - - - - - - -- - - If yes, please describe: Were all components pumped ut 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: Dramfiela&manifold orientation&layout,Septic/pump tank location,North arrow,reserve drainfield.existing and proposed buildings,locution of wells,waterlines, wells,observation ports.cleanouts,and other maintenance access points. Incomplete Record Drawings may create additional delays in final installation approval Ord related permits, 0 Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I certify that I installed the system in accordance with I 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 cleated/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 t further certify that all information contained on this form and attached Record Drawing Is accurate. form and attached Record Drawing is accurate. Sig lure of III alley Dat Logan Spear, Printed Name of Signee �P r r MASON COUNTY PUBLIC HEALTH • �� The undersigned approves this Installation Report and v.' TH ►�5, �. Record Drawing on behalf of Mason County Public ,Iy Health: EXPIRES z/z Signature of Environr ental Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE Updated 8/21/2018 - EXISTING QIN. DRIVEWAY NEW OSCAR X02 TANKS 100'SETBACK � `Q FROM SHORELINE ,/ T $:/.4 /7AW OSCAR X02 / (PRIMARY&RESERVE) EXISTING // 3 BEDROOM // HOME / APPROXIMATE / SHORELINE (CASE INLET) -' v� APPROVE JUL 0 2 2026 MASON COUNTY EN4]RON,MENTAt RET HEALTH .f �Y 51rF T'I fit►1 FCQE% CUSTOMER: MIKE BRLIFIvt\1FR IE.,I IkXIIt.. I1 I Ik)i.i:2. n:�riti"u:3: PIONEER DIGGING, INC. p�KCEI.s l2lo5-5zio 98 `}-,`y. ID1. `}19```. 24+'1111. 14+ 22+in1. SEPTIC DESIGNS ADDRESS: 770 TRLSURF IS.DR. RI 24 RXI I') Ra'TS-22 3&1113 F_MtAS'N BENSON RD. GRAI'EVIEW.\\A 9x510 DESIGNER: ROBERT I I.PAYSSE ru.po R N!"VRYt 1110 YC"O/IOIOB"t O GOlM1Y 06.OOOMIM t"CN000 iOR tiV eR OFFICE-3(0-42trix03 FAX-360-127-2353 SI IEET: ASBllILT SCALE: I"=30' "r ook, ' iO I eevnc=M"barm Kayla Milam From:Sent: DO NOT REPLY <noreply@masoncountywa,yov> Tuesday, May 12, 2026 2:28 PM To: Environmentalhealth Subject: OSS Inspection request for Sarah Bruemmer- SWG-2026-00011 Submittal request for: Sarah Bruemmer Site Address:770 E Treasure Island Dr Permit Number: SWG-2026-00011 Parcel Number: 121055200098 Installer Name: Logan Spear D — MAY 1 22026 Installer Phone Number:36021541 �. =LInstaller Email Address: Ispearconstruction@gmail.com By Designer Name: Bob Paysse Designer Email Address: pioneerdigging@yahoo.com Inspection Request Date:2026-05-12 Inspection Type: Full System Comment\ Notes: Please call to meet on site Logan 36-239-1541 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. •I 1(1111 aLf ' + 1" f f I > tK � h:".. : .w * •s is-w•'`x �"'i� it = ct.Y �1ti �Y .:•` *, v AR y a. ..