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Home My WebLink AboutSWG2026-00210 - SWG As-Built - 9/4/2026 - Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2026-00210 Parcel# 12233-50-00027 Applicant Name ROBBERS FAMILY TRUST Subdivision (Name/Div/Block/Lot) Applicant Address 32 ROCKY POIT LANE Sc An b-er ra € .r Gil u""" 4 City, State, Zip BELFAIR,WA. 98528 Installer Name Site Address z- L-Vt Designer Name CINDY WAITE INSTALLATION CHECKLIST • Full System Installation ❑Tank(s)Only ❑ Drainfield Only ❑Repair ❑Other System Type OSCAR COILS Pretreatment Type XO2 >5 ft.from foundation? - - ---- ----r .±:' -..-r 1- - ❑N/A a ❑ No >50 ft.from wells? -- - - ----'�� LTV❑ _ / ❑ - >50 ft.from surface water? - I i - - - 0 is ❑ Z i, ?h2E__: FQ- Cleanout between building and tank'♦I t! .-_'a-_- I 0 Tank baffles present? - -- -- - - ,. -� — -- ❑ O" ❑ P 24"access risers over each comps vit?---. - ❑ ❑ Iii Effluent filter installed?-- -- - --- - - - - - _ //y- --7f-� ❑ Septic tank capacity(working) gal l"Mahufacturer I4 +' ere.- ca: D-box water level and speed levelers used? -------- ^N/JA ❑YES ❑ No OLL Manifold/D-box accessible from surface?------------ L�' IPz Check valves installed? - - -- ------- ----- -'---' -- ❑ Ly ' ❑ �2 Transport Line Size Schedule/Class Bedrooms installed(check one) ® 2 ❑3 ❑4 ❑5 ❑6 ❑Commercial/Other >1oft.from foundation?- _ _ ____ _ _ _ _ _ _ _ _ _ _ _ _ _ _____.- ❑ WA ❑YES ❑ 1O >100 ft.from wells?-__ _ __ _ _ __ ________ _______ _ _ _- ❑ ❑ [21 ZW >100 ft.from surface water?- -- ------ ❑ ❑- -- - - - _ ❑ LL >10ft.frompotablewaterlines?- - - - --- - -- - -- -'---- - ❑ a ❑ ZZ >5ft.from property lines and easements?--- -- ------- -- - - ❑ >30 ft from downgradient curtain/foundation drains?- -- -- - - - -- ❑ ® ❑ Drainfield level and observation ports present --- -- -- -- - -- -- 11 ❑`L ❑ Graveless chambers or ❑ Clean gravel used? (check one) ❑ Proper cover installed over drainfie ------ -- Old? -- -- Pump tank setbacks consistent with septic tank?-- - -- -- - 0 N/A YES NO Y Pump tank capacity(flood) gal IoOc Manufacturer °'y Y1^ )- f2 (rC,K,/t• Z 24"access riser(s)and accessible from surface?-- - ------ --- - ❑ 'Y` ❑ Alarm or Control Panel Installed? - - - - - - - -- - - - -- -- - ❑ ❑ ❑ Control Panel equipped with Timer/ETM/Counter- - - - - -- -- -- ❑ - Pump installed in ❑ Bucket or ❑ On Block or Other p l-' f1 Pump Make/Model 'OZ 7-2bSOt 2 p T X 2 Floats or ❑Transducer Tank draw down X0-Z in/min Pump capacity � 0 gpm Squirt Height n ft Pump on time 22 JP.- Pump off time `�a � 3S 'r Daily flow set at IF'! 1Pd Updated 812112018 Mason County OSS Installation Report pg. 2 Parcel it 12233-50-00027 ABANDONMENT RECORD Were existing septic co onents abandoned as part of this project? - ----- dYES ❑ NO If yes, please describe: YU .� l �,f&SSa I (hll I Ou-t / V'n()Lld { ' Were all components pumped out and properly abandoned per WAC246-272A-0300? - -- -- -- - I YES ❑ NO RECORD DRAWING This I.a pxnun.M nwM and must be accurate is dexami tve enough to n-locate In the n..E of matnt.n.nw.aLNYn and fedure d.v.wpmml. Typical Record Drawings amain: Dreinfieid It manifold WNntation It layout.Septic/pump tank lootbn North arrow,reserve drsinfiieid.existing and proposed buiitirgs,bonbon of wells,wetxllnes. wets,a servetan vwb.deenouu,end other mant.nance access points. lmvmpisle Record Drawings may create addiaonal de ays in final instal approval and related permits. G xr e Jet r, w al �a �N Cha r"J ❑ Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER/ENGINEER I certify that I installed the system in accordance with Iced/fr 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 attached Record Drawing is accurate, form and attached Record Drawing is accurate. � e-2d•Zb Signature of Installer Date _ YtWIA is - Printed N e of Signee MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and Record Drawing on behalf of Mason County Public Health: .I '&B 1(9 Signature of Environmental Has Specialist Date (stamp,signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE updated Y[fota , !o (" siaaaiA n I ENSU venire l .� IiCEY5E0 prt31GNER � O ti L 1o.o• 0 3 v c z o loo m HeiT > > 9 3 o (1 _ � uavflD xpA � c0 r $ _ a „ zQ ca Oa m 'fib n i �� C c O' D I o BIZ 4ttc nil t m d3 0 a ova /L / 3\\� MASON COUNTY Public Health & Human Services FINAL INSPECTION: SWG2026-00210 ADDRESS: 32 E ROCKY POINT LN PARCEL: 122335000027 DATE: 8/24/2026 Y 4r}a FF$f we . HOUSE TO DRAINFIELD* _ I DRAINFIELD TO HOUSE Rhonda Thom son Fr DO NOT REPLY snore Sent: P ncountywagov> Saturday, August 22, 2026 9:21 9:21 PM To: Environmentalhealth Iom. Subject: OSS Inspection request for Robbers family trust -SWG2026-00210 Submittal request for: Robbers family trust Site Address:32 e rocky point In Permit Number:SWG2026-00210 Parcel Number: 122335000027 Installer Name:Schoening Excavating LLc Installer Phone Number:3607422982 Installer Email Address: brayden@schoeningex.com Designer Name:Cindy Waite Designer Email Address:cindyewaite@msn.con Inspection Request Date:2026-08-24 Inspection Type: Full System ,Comment\ Notes: Repair system.X02. ank you for submitting your final install request.The install should be complete and ready to inspect on the'Inspection Bequest Date'and remain uncovered for three business days to allow staff time to inspect. Poor weather situations may; e accommodated by contacting onsite staff. Installer is responsible for obtaining Septic Designer/Engineer installation pprovaI prior to backfill of system components. If no contact is made by the health department within the three usiness days of notice,the installer may cover. Mason County Asbuilt Form, Record Drawing, and Installation fee must ubmitted for final installation approval.