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Home My WebLink AboutWAI Health Waiver - 10/25/2022 (2) MASON COUNTY •i i. z SERVICES v _ COMMUNITY SE V -,,,,, `1,aY{a Building,Planning,Environmental Health,Community Health ')•lilaV)t 415 N 6th Street, Bldg 8, Shelton WA 98584, Shelton: (360) 427-9670 ext 400 •:• Belfair: (360) 275-4467 ext 400 S• Elma: (360)482-5269 ext 400 FAX (360)427-7787 Application for Waiver/Appeal Amount Paid: c i Receipt Number: go,.),9" (7.57ff C1 Instructions 1. Complete Parts 1 and 2. No determination can be made until these parts are fully completed. 2. Fees may be billed for waivers and appeals, based on the Environmental Health Fee Schedule. 3. Submit completed application with attachments to Mason County Public Health for review. PART 1. Applicant/Parcel Identification ii) E 1 IE I V Name of Applicant HARRISON LAIRD Telephone OCT 2 5 2022 Mailing Address of Applicant 1322 S SUNSET DRIVE By City TACOMA State WA Zip 98465 12-digit Tax Parcel No. 2 2 1 0 5 - -- 5 0 -= 0 0 0 3 4 Site Address 931 E MASON LAKE DRIVE EAST Subdivision Name and Lot PART 2: Nature of Waiver/Appeal ❑ Contractor Certification Requirements ❑ Class B Reduction in Vertical (Installer, Pumper, O&M Specialists) ❑ Separation ❑ Food Sanitation Requirements ❑ Building Permit Review Policies 0 Group B Water System Regulations El' Location, WAC 246-272A-0210 0 Water Adequacy Requirements ❑ Holding Tank WAC 246-272A-0240 0 Enforcement Timelines ❑ Mason County Onsite Standards 0 Departmental Determinations O Other Description of Waiver/Appeal (include justification, additional material may be attached.): REDUCE SETBACK FROM LAKE TO DRAINFIELD DOWN TO 50FT FROM DRAINFIELD SEE ATTACHED FOR MORE DETAILS Applicant Signature:PA/ ee,4 $4r) Date: i v I YZ t aa. J:\EH Forms\Waiver-Appeal Mason County Local Rey ised 1'20'20I 7 Page 1 of 2 PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: Type of Onsite Waiver(if applicable) Appeal L Waiver None required (Class A -- Class B L. Class C 2. Identification of Specific Code/Standard/ Determination (include date of determination or latest Code/ Standard revision) 3. Nature of Appeal: --Q�� 4. Hearing Official: ❑ Board of Health 0 Health Officer O Pollution Control hearing Board 0 Public Health Director O Certified Contractor Review Board 0 Environmental Health Manager 5. Mitigating Factors: -{- d Cy`-- ct(A2 , L'� D.5, � 6. I have received this waiver/appeal request. It is complete and mitigation required by the state and local policy has b ubmitted. J.6 Staff Signature: V Date: I PART 4: Determi ation of the Hearing Official The hearing official has determined that approval of this request will not adversely affect public health and is hereby granted. This decision is based on the following findings and conditions: ❑ The hearing official has determined that approval of this request could potentially adversely effect public health and is hereby denied. This decision is based on the following findings and conditions: Hearing Official Signature: Date: /2/7/Z 2 J:\EH Forms\Waiver-Appeal Mason County Local Revised 1/20/2017 Page 2 of 2 Granting Waivers from State On-Site Sewage System Regulations Chapter 246-272A WAC Effective Date: July 1,2007 Revised April 2017 On-Site Sewage Systems (Chapter 246-272A WAC) Request for Waiver from State Regulations Section I. I (completed by applicant) Name: (1) HARRISON LAIRD Local Health Department/District (2) (see instructions) Address: 81322 S SUNSET DRIVE TACOMA WA 98465 Telephone: ( ) Signs e:/�� rrl�'^'u" l DII.f?.Z Property Identification: (3 22105- 0-00034 Section II. 1 (completed by applicant) WAC Number: (4) WAC Requirement: (5) Waiver Sought: (6) 246-272A— 0210 100FT DF TO WATER 50FT DF TO WATER Subsection: TABLE IV 50FT RESERVE, 80FT PRIMARY Justification(mitigation measures to be provided): (7) SEE ATTACHED Section III. I (completed by health officer) Review Criteria: (8) Mitigation Measures(in addition to those proposed): (9) Comments/Conditions: (10) Type of Waiver: (11) 14 Class A [ ]Class B [ ]Class C—Request DOH review before granting? Yes_ No Neighbor Notification: (12) Required? Yes_ No_ If needed, are agreements, easements, etc.properly filed? Yes _ No Section IV. I (completed by health officer) This Request For Waiver From State Regulations has been reviewed according to the provisions of Chapter 246-272A WAC On-Site Sewage Systems. The review criteria applied,and the mitigation measures proposed and/or required,have been evaluated for their ability to provide public health protection at least equal to that provided by this chapter WAC. [ ] Denied [,.Approved /Granted—Subject to all comments,conditions and requirements noted i Sections II and III. Local Health Officer (13) Date: ( 2.noted DOH 337-021 Page 26 of 32 PIONEER DIGGING INC. Robert H. Paysse 3083 E Mason Benson Road Grapeview WA 98546 9/30/2022 Mason Co. Health Dept. Re: Harrison Laird Reference Requirement Request Mitigation WAC246- 100ft from drainfield 50ft from drainfield See below 272A-0210 (4) to surface water (reserve)to surface & Table IV (lake) water(lake). Primary @ 80ft Reserve @ 50ft 1. Enhanced Treatment Performance: System will be pretreated w/a BioMicrobics Bio-Barrier MBR 0.5 which is approved at Treatment Level A. Primary area will maintain 24"of vertical separation and reserve area will maintain 12". TLA component was chosen to compensate for lack of 24" in reserve area(see site plan and test hole information). 2. Performance Assurance of Treatment System: System will require annual O/M per WAC and Mason County Code. Mason County Public Health has an O/M 4•114 l Oda program to assure on-going maintenance activities. sa 3. Hydrogeologic Susceptibility: System has been designed w/a 50%increase to absorption area beyond that required in WAC and includes timed dosing w/drip distribution. Site location, topography and design details chosen has low hydrogeologic susceptibility from contaminant infiltration. • Proposed system will replace a conventional gravity system from 1968 (50+years old). • Use of reserve area highly unlikely due to amount of treatment and filtration utilized in primary system. r7 "4' MASON COUNTY ;-:- 0101 `1;-i _z �._ • COMMUNITY SERVICES -w Building,Planning,Environmental Health,Community Health 141) 415 N 6th Street, Bldg 8, Shelton WA 98584, Shelton: (360)427-9670 ext 400 Belfair: (360) 275-4467 ext 400 •• Elma: (360)482-5269 ext 400 FAX (360)427-7787 Application for Waiver/Appeal fjJ 1 Q U IE Amount Paid: DEC 0 8 2022 Receipt Number: Instructions By 1. Complete Parts 1 and 2. No determination can be made until these parts are fully completed. 2. Fees may be billed for waivers and appeals, based on the Environmental Health Fee Schedule. 3. Submit completed application with attachments to Mason County Public Health for review. PART 1. Applicant/Parcel Identification Name of Applicant HARRISON LAIRD Telephone Mailing Address of Applicant 1322 S SUNSET DRIVE City TACOMA State WA Zip 98465 12-digit Tax Parcel No. 2 2 1 0 5 - -- 5 0 -= 0 0 0 3 4 Site Address 931 E MASON LAKE DRIVE EAST Subdivision Name and Lot PART 2: Nature of Waiver/Appeal ❑ Contractor Certification Requirements O Class B Reduction in Vertical (Installer, Pumper, O&M Specialists) O Separation 0 Food Sanitation Requirements O Building Permit Review Policies 0 Group B Water System Regulations 121 Location, WAC 246-272A-0210 0 Water Adequacy Requirements ❑ Holding Tank WAC 246-272A-0240 0 Enforcement Timelines ❑ Mason County Onsite Standards 0 Departmental Determinations 0 Other Description of Waiver/Appeal (include justification, additional material may be attached.): REDUCE SETBACK FROM PROPOSED FOUNDATION TO PROPOSED DRAINFIELD/TANKS 5FT+TO DRAINFIELD, 2FT+TO TANKS (SEE DRAWING ATTACHED) BUILDING FOUNDATION IS UPGRADIENT PER WAC246-272A-0210(3) Applicant Signature: Date: J:\EH Forms\Waiver-Appeal Mason County Local Revised 1/20/2017 Page 1 of 2 PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: Type of Onsite Waiver(if applicable) Appeal r Waiver - None required - Class A _ Class B 1 Class C 2. Identification of Specific Code/Standard/ Determination (include date of determination or latest Code/ Standard revision) f U C e tt`i)''`/ " 6)Z I U 3. Nature of Appeal I-4AI { D c- �UU/1f�C4 f'I N /TJ 4. Hearing Official: ❑ Board of Health 0 Health Officer O Pollution Control hearing Board 0 Public Health Director O Certified Contractor Review Board 0 Environmental Health Manager 5. Mitigating Factors: 0-10 ,154.,A„, 6. I have received this waiver/appeal request. It is complete and mitigation required by the state and local policy has been submitted. Staff Signature: b.l ��V Date: 1-(6 --`2j if) PART 4: Determination of the Hearing Official IgL The hearing official has determined that approval of this request will not adversely affect public health and is hereby granted. This decision is based on the following findings and conditions: ❑ The hearing official has determined that approval of this request could potentially adversely effect public health and is hereby denied. This decision is based on the following findings and conditions: Hearing Official Signature: / Date: V z- VLJ J:\EH Forms\Waiver-Appeal Mason County Local Revised 1/20/2017 Page 2 of 2