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HomeMy WebLinkAboutWAI2022-00143 - WAI Health Waiver - 12/30/2022 w1 )-s' 1- - Cotkc3 ` MASON COUNTY � '•_ ' 1 COMMUNITY SERVICES ,, iPp. .i„,,, .,.„7 Building,Planning,Environmental Health,Community Health 415 N 6`r 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 rmT. , , Tio, Amount Paid: t--).- 1 DEC 3 0 2022 Receipt Number: 0)...--,-- Instructions By 4\. � _____� 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 NameofApplicant � 1 a•% \ 0`t1 eu Telephone (5tY ) '16I- .1495 5 Mailing Address of Applicant I (12()B (0 1,0a\-1 E City L-a-ceN} State w ft Zip I SS-0 12-digit Tax Parcel No. 3 2. 0o 2 1 -- 5- -1 - 0 2- 0 1 g Site Address 3 1 E ' o u-tick. kl r eO b r_ 51n° 1 f v)i I,0117't F Subdivision Name and Lot S\OYeU(yeS+ beauk E5 s 4-2 81 K ' 2 (- OT I ) S 4-1/le-7 PART 2: Nature of Waiver/Appeal O Contractor Certification Requirements ❑ Class B Reduction in Vertical (Installer, Pumper, O&M Specialists) ❑ Separation 0 Food Sanitation Requirements ❑ Building Permit Review Policies 0 Group B Water System Regulations yZ' 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.): See- ii-i4ac- ft ecP Applicant Signature: Q Date: t Z' 3o—Z O.(\gs _ S-WA - sj'&r " E — J:\EH Forms\Waiver-Appeal Mason County Local Revised 1,20/2017 Page 1 of 2 On-Site Sewage Systems (Chapter 246-272A WAC) Request for Waiver From State Regulations Section I. I (completed by applicant) Name: (1) Local Health Department/District (2) t l ' o 1 eau (see instructions) Address: ' /_0- C0-}� W Q, 1 wA- 916505 Telephone: (Spq) g t 4415 Signature: 1 Z.' O )?r - 1,, `^� A°r ()A — 1 (� Property Identification: (3) S i�Lo I�Q Gres+ ec. *1_ E� -e s 2 r1-tr a. L'O' : l e 5411_Q�7 ?yc� l 4 ;Z02 I_ q_ O2018 Section H. I (completed by applicant) WAC Number: (4) WAC Requirement: (5) Waiver Sought: (6) ` l uCe 246-272A— 0240 +o deco`\ -1-1pa.cY, -Fv o w� -SD '+0 IS - � Subsection: S 1-�Q- CU Y`�c�\v� Ara--s C'ab1e o SC-� Justification(mitigation measures to be provided): (7) See_ A ' (r,e 0 $111 reLOvd45 -2Aq aSL-17 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) kjiClass 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. (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 pd Approved/Granted—S 'ect to all comments,conditions and requirements not in Sections II and III. Local Health Officer (13) Date: Of Z 3 19 PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: Type of Onsite Waiver (if applicable) Appeal Waiver None required7CC.lass A , Class B Class C 2. Identification of Specific Code/Standard/ Determination (include date of determination or latest Code/ Standard revision) :12 n bDd 3. Nature of Appeal: Ztm-I-ct` SRtIC CX4TO VT\ ckkY'-trick F"�-�-c� dZOw►^gi'c�(? Grtifi 4. Hearing Official: O Board of Health 0 Health Officer O Pollution Control hearing Board 0 Public Health Director O Certified Contractor Review Board Environmental Health Manager 5. Mitigating Factors: v�G t 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: V---*"\e-AV\-'e(CY'r\ Date: \ I ( 1"-CS PART 4: Determination 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 1:1EH Forms`,Waiver-Appeal Mason County Local Revised 1/20/2017 Page 2 of 2 Application for Waiver/Appeal Mitigation December 27, 2022 Owner: William Boileau Phone: (509) 981-4495 Mailing Address: 9608 6th Way SE, Lacey, WA 98503 Site Address: 311 E Soundview Dr., Shelton, WA 98584 Parcel Number: 32021-59-02018 Property Description: Shorecrest Beach Estates#2/Blk 2/Lot 18 1) Waiver Sought: Reduce horizontal separation between drainfield and down-slope curtain drain from 30 feet down to 15 feet. This request is to offset the existing dig-out that has already been completed. 1) Mitigation Measures: The existing septic system designed in 2020, is a Nu-Water BNR-500 pretreatment to shallow pressure trench drainfield which meets Treatment Standard B without disinfection. The system is also on a timer, counter and elapse meter to prevent overuse and facilitate future operation and maintenance. We are proposing to add a JET Ilumi-Jet UV Light to the existing system to increase it to Treatment Level A. A Notice of Operation and Maintenance of On-Site Sewage Systems has also been filed on the deed. , 10 ° �j Pi la 7c IC 2 ' l C., :.J J •. 0 1.-169 .t...i--, 1 i 45-i) It f--+ • .. . .le ce 1 -1-4§-30/ " '''TI --. ; 1 61514 (1 / Cllrr4zyv{" t5'fa iAA -(.ro,'Y1 D.F. CUYk0.1h ko cuv�-,«.n dve iv` S v ' = dw ( t�oa� dr11 aw► n Qi�. i• - n p[ 0 s 0 ...o Do y N. N. N. .. \ . :". . . ,,J i U pa°e'ced 5-t-- PI avti V. '' . I . 1 bo c� re 0h101 Wall' \ o "., ti' [ 5 ' -i( "3 - \ ie 5 _ min F-tb ';..)L\ F., Souxfdvtew yr- r 1 sisn � 8 � t1 P \no.vp), kzT a 1 L tr,--,-100-,c2--- li) 5 id, ai'c>1 —____L) ,,--•. B©' o l f f._____+____p 7FCre1n1 C% ' d / Yive�aY Si --- ggn 0 Audio-Visual Alarm CCIee.nout ACuwater BN2 ATU Tazk1 .. 3 1,'000 —won Pump Chamber "c* �.-s)% oA74.0�'?y 1 ✓}h OValve Control Box !-l ?', %\ © V V 51. s i.). Z:LIF:CA),eJOHNSON - �(?s;SiG(v f� ) »,s � " >,-..s .4RE1 tZ-3°-Z-2- raormi JET Model 952 F�c�ur3rfc:cf on hv;,vau.�n�..a�z;:f 5r,'sa'by;,;�-rx-=>. ILLUMI-JET UV DISINFECTION UNIT® Installation Instructions COMPONENTS The following components are supplied in the disinfection system: 1. Control Panel Control 2. 4"ABS riser pipe Panel 3. UV Housing with 4" ABS cap, 4" ABS pipe, 4" double sanitary tee, spacer insert and keyway Locking Union 4. UV Insert with top and bottom Bolt plates, H-Chanel risers, quartz i 1"PVCPipe tube and lifting handle Riser 5. UV lamp- 37 Watts Coupler The following components should be supplied by the installer: Top Plate 1. All-purpose cement Keyway 2. Clear cleaner for plastics (Internal) H-Channel 3. Drill with universal bit 4. Clean soft cloth 5. Isopropyl alcohol Kapton 6. Small slotted screwdriver Double Tee 7. Wire strippers Spacer 8. Phillips screwdriver (Internal) 4 Quartz Tube 9. Water tight conduit connectors 10. Conduit and wiring 4"ABS UV Lamp WARNING: Exposure to UV light is harmful. Pipe (internal) AImmediate or prolonged exposure to UV light can result in painful eye injury, skin burn, premature skin aging, or skin cancer. Do not remove an active UV lamp from the UV housing or attempt to activate lamps which are not installed within the UV housing. Avertissement: L'exposition a la lumicre UV Base Plate sont nocifs. Exposition immediate ou prolongee aux rayons UV peut entrainer des blessures douloureuses de I'ceil, de brulure de la peau, le Pipe Cap vieillissement premature de la peau, ou cancer de la peau. Ne retirez pas une lampe UV active a partir du bolter UV ou de tenter d'activer les lampes qui ne sont pas installes dans le logement UV. This product conforms to the applicable provisions of the Code of Federal Regulations(CFR)requirements including, Title 21, Chapter 1, Subchapter J, Radiological Health. lry joist. SokaSons JET Model 952 Wastewater `" ` ILLUMI-JET DISINFECTION UNIT® Installation Instructions INSTALLATION INSTRUCTIONS EXCAVATION 1. Excavation should be made as close as possible to the effluent end of the treatment plant. 2. Excavation(s) should be as minimal as possible to reduce settling of backfill. 3. Verify the horizontal hubs of the double T_ Inlet sanitary tee are able to line up with the treatment plant outlet and effluent line. 4. The UV disinfection device must be level upon FIGURE 1 installation. up to the bottom of the inlet and outlet hubs. 2. Fit the 4"ABS riser pipe into the top hub of the CONNECTING THE INLET & OUTLET LINES UV housing. The recommended height for the top of the riser is no more than 6" above the 1. Carefully unpack the UV disinfection device. final grade. The riser may need to be cut to Verify all pieces are present and in good fit properly. condition. 3. Once the riser pipe has been cut, and both the pipe and hub have been cleaned, glue them NOTE: The UV housing has to be installed so that together using all-purpose cement. the flat edge of the keyway is on the inlet side. If this 4. Note: The end of the riser pipe with the is not installed correctly, the treatment plant effluent locking bolt must be located at the top of will not flow through the device correctly and the the unit after installation. UV disinfection will not be effective. See Figure 1. 2. Clean the ends of the upstream and downstream piping and the hubs of the UV tee with clear plastic cleaner. 3. Connect the inlet end of the UV housing to the upstream piping using all-purpose cement. TANK OUTLET JET UV SYSTEM 4. Connect the outlet end of the UV housing to / the downstream piping using all-purpose cement. /()RADE • l rl/' BACKFILLING AND RISERS 1. Once the UV housing is installed and level, backfill . • OUTLET PIPE iII � ram' / FIGURE 2 - III rairrairtv 1AfBBt6Y1f81Bf IFBBArt1Bnt 30h1tl0118 JET Model 952 1=ounded on InrxsvftUtxs Rrrchar^r3 by Seroce ILLUMI-JET UV DISINFECTION UNIT® Installation Instructions UV INSERT INSTALLATION 1. Place the 1" Schedule 40 PVC pipe in the 1111 Glue this end of coupler of the UV insert to help determine the union to the where the 1" pipe should be trimmed so that it is easily reached when in the riser. bushing on the 2. Remove the 1" Schedule 40 PVC pipe from control panel UV the coupler and trim it. 3. Glue the bottom side of the union to one end lamp wire of the 1" PVC pipe. See Figure 3. Glue the opposite end of the union to the bushing on the control panel UV lamp wire. 4. Glue the other end of the 1"PVC pipe into the Glue this end of coupler that is on the UV insert. the union to the 5. Using a soft clean cloth moistened with iso- propyl alcohol wipe off the quartz tube. 1" PVC Pipe 6. Gently set the UV insert in the UV housing using the lifting handle. Be sure that the Kap- ton edges curl into the openings in the key- way shown in Figure 4. I Glue the end of the 1" PVC Pipe to the coupler. Kapton should follow this curve. r (both sides) 1 i FIGURE 3 FIGURE 4 .ilijkartv wastewater Theearr�r,t soluuorr JET Model 952 +on Innovation.Anchored by Service.' ILLUMI-JET UV DISINFECTION UNIT® Installation Instructions WIRE THE CONTROL PANEL 8. Use the wiring diagram schematic on the inside of the control panel cover to help wire the panel. The 1. The UV unit operates on 120 VAC single-phase incoming power wires are outlined in green on the power (optional 110-240VAC single phase wiring diagram. Attach the incoming hot (black) lead power available). A 15 amp circuit breaker on to the terminal block corresponding to "L" in the UV the main electrical panel should be used for the control panel. Attach the neutral (white) lead to the UV disinfection device. Make sure the breaker terminal block corresponding to "NI in the control is ''OFF" before continuing. panel. The ground (green) lead is to be attached to 2. Install at least a #14 AWG copper wire cable the grounding jumper in the corner of the control panel. from the specified breaker in the main electrical a. The terminals are spring loaded. Insert panel to the UV control panel. a small flat head screw driver into the square 3. Remove locking bolt from control panel. **Do opening of the terminal and use to lever not discard locking bolt ** terminal open (pry away from round opening) 4. The UV control panel is not equipped with while inserting wire into round opening. knockouts for electrical conduit connections. b. Once wire is seated in round opening Drill a properly sized hole in the UV control panel release terminal by removing screwdriver enclosure for the conduit. ONLY UL LISTED from square opening. CONDUIT MAY BE USED. Ideally, the conduit 9. Seal all incoming wires with a UL listed RTV sealant should enter from the bottom of the enclosure to to the inside of the conduit for both the inbound power increase protection against water infiltration into conduit hub and the UV lamp cord grip. the panel. The maximum allowable size of the 10. OPTIONAL: The Alarm Relay terminals can be used if conduit is 3/4 inch. desired. Connect one alarm lead to either the normally 5. Attach all conduit and cable connectors to the open (NO) or normally closed (NC) terminal based on control panel. Follow the conduit manufacturer's the type of signal required by the alarm panel. Connect instructions for proper connection installation. the remaining lead to the common (C) terminal. NOTE: ONLY UL APPROVED WATERTIGHT HUB AND FITTINGS CAN BE USED WHEN ATTACHING CONDUIT AND WIRING TO THE CONTROL PANEL. Jet recommends using Carlon or T&B liquid tight Wire Connections non-metallic conduit and fittings forfield installations. 1. Use Copper Conductors Only. 2. Wire all circuits with with insulation 6. Verify all connections are properly installed and rated 600 VAC minimum watertight. 3. indicates field wiring. 7. Pull all cables and wiring through the conduit and connectors into the control panel.Allow sufficient no wiring to make all connections in the control panel. n_o. f1LA R � FiE ,Y' U o I I (e;R) fl © (Lamp ON) W LAMP 10 isl,$)t.P.,0 JET Model 952 ILLUMI-JET UV DISINFECTION UNIT® Installation Instructions WARNING Exposure to UV light is harmful. Immediate or prolonged exposure to UV light can result in painful eye injury, skin burn, premature skin control panel. aging, or skin cancer. Do not remove an active UV 12. Turn the UV disinfection device on at the main ' lamp from the UV housing or attempt to activate lamps which are not installed within the UV housing. electrical panel. Avertissement:L'exposition a la lumiere UV sont 13. The "Lamp Active" light should be illuminated to nocifs.Exposition immediate ou prolongee aux rayons UV peut entrainer des blessures douloureuses de l'ceil. Indicate the system IS operating. de brulure de la peau,le vieillissement premature de la peau,ou cancer de la peau.Ne retirez pas une lamp SERVICE PROCEDURES UV active e partir du boitier UV ou de tenter d'activer les lampes qui ne sort pas installes dans le logement UV. Jet recommends servicing the UV system a minimum of every six months. UV LAMP INSTALLATION 1. Inspect condition of UV and note that "Lamp 1. Apply provided dielectric grease onto the face Active" indicator light is lit. of the four pin connector of the power cable to a. If"Lamp Active" light is not lit and protect against moisture and corrosion. alarms are not working, refer to 2. Do Not touch the UV lamp surface with your Troubleshooting Guide. hands. Use a clean, soft cloth to hold the UV 2. Turn off main power from alarm panel (indicator lamp and insert it into the four pin connector. Be light should now be off.) Those units equipped sure to align the two red prongs on the UV lamp with the 952 power switch will automatically with the two red holes on the four pin connector. eliminate power to the UV lamp when the control 3. Use supplied heat shrink tubing to completely panel lid is opened. seal lamp and connector. 3. Remove control panel assembly and UV Insert. 4. Carefully insert the UV lamp into the quartz tube 4. Clean quartz tube with soft cloth and alcohol of the UV subassembly. wipe. 5. Inspect UV insert assembly for any damage, NOTE: Both the quartz tube and UV lamp are water infiltration, or worn components. very fragile. HANDLE WITH CARE. 6. Re-install UV insert and control panel assembly. 7. Turn on main power and observe that "Lamp 5. After verifying the UV lamp is seated properly Active" indicator light is lit and system is in the UV insert and the cord is the correct functioning. length, tighten the cord grip that is attached to a. If"Lamp Active" light is not lit or if the bushing. This must be done to ensure a alarms activate after service, refer to watertight enclosure. Troubleshooting Guide. 6. Verify the union on the lifting handle has been 8. Replace the UV lamp every other year. Refer to fastened. UV lamp installation section for instructions on 7. Fill the UV housing with water up to the outlet replacing lamp. piping. Be careful not to get water in the UV insert. 8. Place excess UV lamp cable in the riser. 9. The control panel fitting should not be glued inside the riser. 10. Insert the locking bolt through the riser and ABS fitting and secure with wing nut. 11. Continue to backfill around the disinfection chamber and riser until even, with the final grade being no more than 6" below the bottom of the r \.. *481111t11' BWHIB►ll'B�MBfIt.90h1C0118 '�K:'rreGra v.AwThm:t by:;,Vf 4M? Troubleshooting Guide for Jet Model 952 UV Disinfection Unit Problem Probable Cause Solution Excess Wire Tension On Union • Excess wire between cord grip • Loosen cord grip and adjust length of and UV lamp connector wire to match Lamp Insert handle Control Panel Not Seating • Excess wire not stored in UV • Reposition wire in UV housing housing • Lamp Insert handle too long • Trim and reconnect Lamp Insert handle Lamp Insert Not Seating • Check alignment of keyway and • Re-position top plate top plate • Check for debris in UV housing • Flush debris from UV housing with hose Water in Enclosure • Enclosure cover not secure • Align and tighten enclosure cover • Conduit hub not secure • Tighten conduit hub "Lamp Active" Light Not Lit • No power from main breaker • Check wiring and main breaker panel panel • No power to UV Lamp • Check internal wiring to UV Lamp • The"Lamp Active" bulb has • Check orientation of control panel cover burned out UV Lamp Not Lit • Inbound power inactive • Check wiring to UV Lamp • UV Lamp burned out • Check UV Lamp Auxiliary Alarm After Start Up • Alarm settings incorrect • Check alarm setting jumpers for proper NO/NC • Alarm condition is active • Check external devices 11113111alit v wastewater Treatment Solutions 24- MONTH LIMITED WARRANTY Jet, Inc. ("Jet") warrants that newly manufactured the Jet Model 952 ILLUMI-JET UV DISINFECTION UNIT® shall be free from defects in materials and workmanship. This warranty will remain in effect for a period (the "warranty period") of 24 months from the date of original installation in cases where the purchaser has installer documentation showing the installation date. In all other instances, the warranty period shall be a period of 24 months from the date of shipment of the applicable Jet Product from the Jet factory. The purchaser's sole and exclusive remedy for breach of the foregoing warranty shall be limited. at Jet's option, to the repair or replacement of the defective goods or refund of the purchase price, and in no event shall Jet's liability exceed the purchase price paid by purchaser for the goods. Purchaser claims shall otherwise be subject to and conditioned upon purchaser promptly notifying either (1) the distributor from which the purchaser purchased the applicable Jet products ("Jet Distributor") or(2) Jet's Customer Service Department, 750 Alpha Drive. Cleveland, Ohio 44143,on or before the termination of the applicable warranty period via certified mail,return receipt requested. Jet Model 952 units must be removed and returned to the Jet factory via the Jet Distributor. If any repairs or replacements covered by the warranty are needed for Model 952 units, the applicable Model 952 assemblies will be repaired or replaced with no charge to purchaser for labor and materials provided, that, under no circumstances shall Jet be responsible for, any labor costs incurred for removal and/or installation of a Model 952 unit in the case of replacement. Further, in all instances, purchaser shall assume all responsibility for shipping and handling charges to and from the Jet factory in connection with any repairs or replacements covered by this Limited Warranty. If any Jet Product returned to Jet or the Jet Distributor have any missing parts, an additional charge will be made to the purchaser to replace such missing parts. This Limited Warranty does not cover any Jet Model 952 units that have been damaged by water or damaged due to (1)disassembly oralteration by unauthorized persons,(2)improper installation or maintenance,(3)misuse(including use outside ofthe normal intended purpose),(4)lightning or other acts of god, (5) acts of any third party. (6) improper or altered wiring, (7) improper overload protection, (8)failure to follow the instructions in the Owner's Manual. (9) failure to maintain a service or maintenance policy after any applicable free initial service or maintenance policy of Jet or a Jet Distributor expires,and/or(10)any negligence or intentional misconduct of purchaser or any third party. This Limited Warranty applies only to Jet Model 952 units and does not apply to any house wiring. plumbing, drainage, or any other part of the disposal system. For any goods sold or manufactured by Jet which are not covered by this Limited Warranty, please refer to the warranties, if any, expressly covering such goods. EXCEPT FOR THE REPAIR OR REPLACEMENT OF JET PRODUCTS AS PROVIDED FOR IN THIS LIMITED WARRANTY, JET SHALL NOT BE HELD RESPONSIBLE FOR ANY DAMAGES CAUSED BY ANY DEFECT IN MATERIALS OR WORKMANSHIP, OR FOR LOSS INCURRED BECAUSE OF THE INTERRUPTION OF SERVICE, OR ANY OTHER SPECIAL, CONSEQUENTIAL, INCIDENTAL OR PUNITIVE DAMAGES, LOST PROFITS OR EXPENSES ARISING FROM THE MANUFACTURE, SALE, USE, MISUSE, REPAIR OR REPLACEMENT OF ANY JET PRODUCT (INCLUDING PENALTIES, TAXES OR FILING FEES) REGARDLESS OF WHETHER SUCH LIABILITY IS BASED ON BREACH OF CONTRACT, TORT, STRICT LIABILITY OR OTHERWISE, AND EVEN IF ADVISED OF THE LIKELIHOOD OF SUCH DAMAGES. THE WARRANTY PROVIDED FOR IN THIS LIMITED WARRANTY ARE IN LIEU OF ALL OTHER EXPRESS AND IMPLIED WARRANTIES INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE (IF APPLICABLE). Jet reserves the rightto revise,change,or modify the construction and design of any Jet Product and any component part or parts thereof, without incurring any obligation to make such changes or modifications in prior Jet Product. Jet,Inc•750 Alpha Drive•Cleveland,OH 44143 USA•440.461.2000 Fax 440.442.9008•email4jetiacorp.corn•wew.jetincorp.com ,I,SAL-1C9 REV 2077l06!05