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Home My WebLink AboutSWG2023-00406 - SWG Application / Design - 10/10/2023 MASON COUNTY 4t5N BSHELTON: ,SHELTON0,FXT 400 SH STREE ,SHEL ON, EXT404 BELFAIR:360-2754467,EXT 400 Public Health & Human Services ELMA:3600-482-5269,EXT440 FAY:360-427-7787 On-Site Sewage System Permit: SWG2023-00406 APPLICANT AB Fine Homes Phone: 360.898.0055 Address: 871 EAST BEACH DR UNION,WA 98592 OWNER ALDERRROOK PROPERTIES LLC Phone: 360-898-0055 Address: 871 EAST BEACH DR UNION,WA 98592 SEPTIC DESIGNER PAULA JOHNSON Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION,WA 98592 Site Address: 331 E Vine Maple Ln Primary Parcel Number: 321045700046 Permit Description: New SFR 3-bedroom OSCAR X02 system w/0550 coils, and permit expiration extension Permit Submitted Date: 09/22/2023 Permit Issued Date: 10/10/2023 Issued By: David Anderson Current Permit Fees Paid: $695.00 (addmonai fees may be required upon installation of system). Permit Expiration Date: 09126/2028 (based on date of mspecton) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Grainfield installation not to exceed designed ups/ape and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670,extension 400. Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 2025-00413 Parcel#52024-13-90010 Applicant Name DAHL PROPERTIES LLC Subdivision (Name/Div/Block/Lot) Applicant Address 261 N HAMILTON RD City, State,Zip CHEHALIS WA 98532 Installer Name ANDREW LEHMAN Site Address 1481 W Highland Rd, Shelton Designer Name ADAMHUNTER INSTALLATION CHECKLIST • Full System Installation ❑Tank(s)Only ❑ Dralnfield Only ❑Repair ❑Other System Type PRESSUREDISTRIBUTION Pretreatment Type >5 ft.from foundation? ---- ------- --- -- - - - -- ---- -- ❑ NIA EYES ❑ NO >50ft.from wells? -- ----- - --- -------- - -- ---- - - - >50ft.from surface water? ---- ------- -- - -- -------- ❑ ■ ❑ Cleanoutbetweenbuildingandtank? --- - -- - - ----------- ❑ ■ ❑ tl Tank baffles present? ---- - -- - -- - -- --- -- - --- - - --- ❑ ® ❑ 24'access risers over each compartment?- --------------- ❑ ® ❑ NEffluent filter installed?-------- ----------- - ------ - ❑ U ❑ Septic tank capacity(working) 1284 gal Manufacturer HB PRECAST 9 D-box water level and speed levelers used? ----- - - ------- - ■ NIA ❑YES ❑ No �O Manifold/D-box accessible from surface?--- - -- --- - ----- - - ❑ ® ❑ IZ Check valves installed? -- - -- -------- - - - ---- --- - -- ! ❑ ❑ GQ 2 Transport Line Size 2 INCH Schedule/Class CL 200 Bedrooms installed(check one) ❑ 2 ❑3 X 4 ❑5 ❑6 ❑CommercieVOther >10 ft.fromfoundation?-- ---- - -- --- --- --- ----- - -- ❑ NIA AYES No >100ft.fromwells?-- -- -- - -- - --- -- ❑ ® ❑ W >100ft.fromsurfacewater?-- ---- ---------- --- ----- ❑ ® ❑ LL >10ft.frompotablewaterlines?-- ----- ---- --- -------- >5ft.from property lines andeasements7-- ------ --- - ---- ❑ 0 ❑ > 30 ft.from downgradientcurtain/foundalion drains?--- --- -- -- ❑ ® ❑ Dreinfield level and observation ports present --- - -- -- - ---- ❑ ® O ❑ Graveless chambers or 0 Clean gravel used? (check one) Proper cover installed over drainfield?- -- - ----- - ---- -- - -- ❑ U ❑ Pump tank setbacks consistent with septic tank?-- --- ---- --- - ❑ NIA YES O N Z Pump tank capacity(flood) 1200 at Manufacturer HB PRECAST a 24 access riser(s)and accessible from surface?----- --- --- -- ❑ i ❑ ILAlarm or Control Panel Installed? - ------ ---- ------- -- - ❑ ® ❑ 7 Control Panel equipped with Timer I ETM/Counter- -- --- -- --- ❑ ❑ ❑ Il Pump Installed In ❑ Bucket or ® On Block or O Other O. Pump Make/Model LIBERTY 280 ®Floats or ❑Transducer a n Tank draw down 3 in/min Pump capacity 60 ppm Squirt Height 8 ft Pump on time 1 MIN 11 SEC Pump off time 4 HRS Daily flow set at 480 gpd u,.u,.e erzrao,s Mason County OSS Installation Report pg. 2 Parcel# 520241350010 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? --------------- ❑ YES Q NO If yes, please describe: Were all components pumped out and properly abandoned per WAC246-272A-0300? -- --- - -- O YES NO RECORD DRAWING This Is a pnmemnt record and must be weur.N end Maeripave enough to re-least.In the need of maintenance.stiNil a end More development. TypIc I Reco d Drawings contain'. Drell&manifold odentsben&layout,Sepddpump tank bcason,North arrow,reserve tlralnflek,atlsbng and proposed buildings,bastion of wells,waterlines. wells,observation pods,deanouta,and other maint.nence access points. Incomplete Record Drawings may create etlditlonel deleye in foal Installation approval end related permits. ❑ 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 eccor- the septic design stamped"APPROVED"by Mason dance with the septic design stamped"APPROVED"by County Public Health and that any deviations shown Meson County Public Health and that any deviations here have boon cleared/approved by both the designer shown hem have boon 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 maand attached Record Drawing Is accurate. form and attached Record Drawing is accurate. ✓L ✓'--� 8/19/26 Signature of Installer Date �i•.ay Fl/t1/2[ ANDREW LEHMAN 3° `F,t'r Printed Name of Slgnee MASON COUNTY PUBLIC HEALTH -'P" C" The undersigned approves this Installation Report and y „00..12 .� Record Drawing on behalf of Mason County Public '' ADAM J.HUNTER 'L'tt:i'ASL'ti1SKBt NER"' iuJ7 Signature of Enthrone ta/Health Specialist Date (stamp, signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB SITE uPdaad M1I20le • . O , ; ui:ii i1iu,aIsI:Ls1uI Ka la Milan' - From: DO NOT REPLY cnoreply@masoncountywa.gov> Sent: Thursday,July 16,202610:10 PM l*: To: Environmentalhealth Subject: OSS Inspection request for DAHL PROPERTIES LLC - SWG2025-00420 Submittal request for: DAHL PROPERTIES LLC Site Address:W HIGHLAND RD Permit Number:SWG2025-00'JW 41 3 Parcel Number; cZ0Zsf- l3-9OO/ O Installer Name:Andrew Lehman Installer Phone Number:3604704914 Installer Email Address:Washingtonsepticsewice@gmail.com 0j 11016 Designer Name:ADAM HUNTER '�-- Designer Email Address:ADAM@HUNTERSEPTICDESIGN.COM Inspection Request Date:2026-07-17 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 toRequest Date' and remain uncoverred for three usinss days allow nsite staff.Installer is responsible for tobtaining Septic Designerr/Enghneertinstallationy aiftime to inspect.Poor weatersiLlatiofls ma be accommodated by contacting health nt within the three approval prior to once,lt of he system mayo over.Mason county Asbuilt Form. If no contact is made by Record Draw geand installation fee must business days of notice, be submitted for final installation approval. 1 ,' . . ° ^ 2 2 w« . - » �\\ \ -y \ § / ) 2 » e @@s@a@\se / . . JY ! ! / § ; n ■ , = . , . � + S -D 2 » ° m � / O ; ^ ( 0 \ / / / / ( �* / } (0 \ \ } \ / §Iii \ r & a N \ \ • ; . rn \ � § ) ) \ `