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HomeMy WebLinkAboutUntitled (1280) ali" : MASON COUNTY 415 N 6TH STREET,SHELT967 ,E 98400 SHETREE ,S 42 TON, ,EXT 584 BELFAIR:360-275-4467,EXT 400 ✓-- Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 03/02/2023 Permit Number: WEL2022-00043 Water System Name: Watson Permit Type: Non-Residential Type of Work: New Public Water System Number of Approved Connections: 3 WATSON RUDY J &JESSICA G APPLICANT 1.360.551.0879 P 0 BOX 282 BELFAIR, WA 98528 WATSON RUDY J &JESSICA G OWNER 1.360.551.0879 P 0 BOX 282 BELFAIR, WA 98528 MIKE DAVIS WELL DRILLER 360-801-0662 340 DAVIS FARM RD BELFAIR, WA 98528 Dear Applicant, This letter is to inform you that the above reference design for a Group B public water system has been reviewed and is hereby APPROVED with the following conditions. Full approval of the water system for use will require the following items: 1. Construction Report for Public Water System Projects within sixty days of construction completion. 2. Installation Inspection approval(please call to make an appointment) After Installation approval an updated WFI form will be submitted to Washington State Department of Health, where the water system will receive its unique ID number. If you have any further questions let us know. Sincerely, eee6 (:Alt,t/t/X—k— ff Wilmoth 60.427-9670 Ext.543 jwilmoth@masoncountywa.gov Conditions: 1 NOTICE:All proposed connections to new wells are subject to water adequacy requirements at time of building permit per Mason County Title 6.68 Water usage restrictions and additional fees may apply to all new wells drilled after January 19th, 2018 per ESSB 6091. 2 Group B Variance Conditions `) 6 DO0.5 -, MASON COUNTY •ll� COMMUNITY SERVICES K,._..,.,,,,, Building,Planning,Environmental Health,Community Health 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 Amount Paid: C3 15 Receipt Number: as - I`ZL25 M MAR U / 2022 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 (3cc6 &Lk—IA(Qq 0 Name of Applicant .V.--\.k&\ no. O1\ Telephone C O, 55\ ^0g7 Cf T - Mailing Address of Applicant Ti QV&c �O kA.\\ ' _Qn City \ C State W C\ Zip `I-QOZ u 12-digit Tax Parcel No. t (.-- 7 0 — 3 ` - l O 6 q Site Address 1eLk t. Chu&\ 14 r,,\ (2---ek � (.--- t NI < 2...K Subdivision Name and Lot Tv-- Q oT SE S\t.1 Lc t A esC s'"? !51- PART 2: Nature of Waiver/Appeal ❑ Contractor Certification Requirements ❑ Class B Reduction in Vertical (Installer, Pumper, O&M Specialists) ❑ Separation 0 Food Sanitation Requirements ❑ Building Permit Review Policies )it, Group B Water System Regulations ❑ 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 ❑ Other Description of Waiver/Appeal (include justification, additional material may be attached.): 10647X-VeNV2 _CI Applicant Signature: v( (I _ v t Date: 2— l 1)-- j !HQ, J:\EH Forms\Waiver-Appeal Mason Co Local Revised 1/20/2017 Page 1 of 2 PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: (if applicable) El Appeal a Waiver a None required ❑ Class A Class B ❑ Class C 2. Identification of Specific Code/Standard/Determination (include date of determination or latest Code/ Standard revision) 3. Nature of Appeal: �-e �LG 4. Hearing Official: ❑ Board of Health 0 Health Officer ❑ Pollution Control hearing Board 0 Public Health Director ❑ Certified Contractor Review Board `i Environmental Health Manager 5. Mitigating Factors: N aGd Le 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: 9.t6Date:PART 4: Determination of the Hearing Official 0 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: 0 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 Signatur & Date: ��'! J:\EH Forms\Waiver-Appeal Mason County Local Revised 1/20/2017 Page 2 of 2 &uie Punmpe Inc 340 WE Dada farm lid �de�/air,`Wa 98528 (360)801-6107 To whom it may concern: On Feb.7,20221 inspected the existing Watson Group B(WFI#04652B) well and water system located at 121 E Quail Hill Rd Belfair in order to determine expansion for a third connection to feed a bathroom for a proposed Gym sharing the property with 121 E Quail Hill Rd. Well setbacks and construction for this existing well and water system do not meet current requirements and will need approval to proceed with design. Please consider the improved condition and monitoring the system would adopt if allowed to move forward with expansion when making your decision. Also it should be noted the water connection for Gym is expected to be servicing bathroom(s)only per Owner Rudy Watson. Variance requested: - setbacks of 54'feet from well head to existing new septic tanks - setback of 1.5' from existing garage to house newly proposed Gym - setback of 61'existing residential house with attached garage Work suggested if setbacks allowed: - extend casing to above grade and improve/restore top section of surface seal as needed - add bollards to protect casing from vehicles - discontinue garage door vehicle access at well location - move pumphouse location to SE side of proposed Gym in separate building as it's currently in residential garage and design to current Group B standards Thank you, Lacey Davis (360)801-6107 Mike Davis,Davis Drilling r ` . MASON COUNT\ Public Health & Human Services February 27th, 2023 Rudy Watson 121 E Quail Hill Rd. Belfair, WA 98528 Re: WAI2022-00025 -Variance Request- Group B Design Standards Parcel#: 12209-34-90091 Rudy Watson, The Department received your variance request to allow reduced setbacks for the following potential sources of contamination within the 100' SCA for the proposed Group B well. • Reduced setback of 54' for septic tanks and transport line. • Reduced setback of 1.5' from Gym(formerly garage). • Reduced setback of 61' Additionally, the engineering report dated February 1 5tn, 2023 from Lydia Bower, PE, of Northwest Water Systems, Inc. (see attached)further describes potential sources of contamination for this project with recommended mitigation to minimize risk to the public. After review of supplied information, regulations and engineering report, this request is APPROVED under the following conditions: 1 . Extend to above grade and repair top section of surface seal. 2. Add at minimum 2 bollards to prevent a vehicle approaching the garage door from striking the well head. 3. Discontinue vehicle parking in garage. 4. Move pump house out of residential garage and design to current Group B standards. 5. Sign and file with the Auditor restrictive covenants on both parcels which encompass the 100' SCA. MASON COUNTY PUBLIC HEALTH,COMMUNITY& ENVIRONMENTAL HEALTH 415 6TH ST., SHELTON,WA 98584 SHELTON:(360)427-9670 X400* BELFAIR:(360)275-4467 X400*ELMA: (360)482-5269 X400 6. All chemicals within the gym will be stored within secondary containment capable of holding 150% of stored chemical volume. 7. Test septic tank and pump tank for water tightness. 8. Perform quarterly sampling for coliform. Please contact Ian Tracy, Environmental Health Manager (360-427-9670 x544 or itracy@masoncountywa.gov) if you have any questions. Sincere ly, David Windom, MSHS Director, Public Health and Human Services Attachements: Engineer's report dated Feb. 15, 2023 7 Alex Paysse From: Alex Paysse Sent: Wednesday, March 16, 2022 11:46 AM To: 'Lacey Davis' Cc: Jeff Wilmoth Subject: Watson RE: WA12022-00025, 122093490091, STATUS: ADDITIONAL INFORMATION REQUIRED https://fortress.wa.gov/doh/eh/portal/odw/si/SingleSystemViews/GenlnfoSingleSys.aspx As we discussed today. Please provide evidence of notice to the other connected party on this system. A letter explaining the nature of the waiver and permit sent certified is typically used. Provide us a copy of the letter and receipt of mailing. You could also provide a letter of support from them, if they were wiling to provide it. It could be used as additional mitigation for the request. This request will go before our director and health officer for final say. Any approval would likely require all the suggestions you brought forward, in case this changes the applicants mind on drilling a new source. On a side note. I have taken another job and will no longer be with Mason County after the 25th. Jeff Wilmoth is still our primary contact for Group B designs/system questions and can help move this forward once you provide the above information. • Cheers, Alex Paysse I Environmental Health Manager 360-427-9670, Extension 279 I alexpCmasoncountywa.gov Mason County Community Services (Public Health) 415 N. 6th Street I Shelton, WA 98584 www.masoncountywa.gov 1 11 NWS i44 ,‘ Planning • Management• Engineering Northwest Water Systems P.O. Box 123• Port Orchard,WA 98366.888-881-0958.360-876-0958 www.nwwatersystems.com February 15,2023 Mason County Health Department Jeff Wilmoth jwilmoth@masoncountywa.gov Subject: Quail Hill Group B (ID Pending),Mason County;Variance Request Dear Jeff Wilmoth, The Quail Hill Group B is a proposed water system near Allyn that will serve 1 existing single family residential house and 1 gym (converted from existing garage)on tax parcel number(TPN) 122093490090.The gym parking area and access driveway are located on the adjacent parcel, TPN 122093490092.Davis Drilling has submitted the Group B design,this submittal is for the variance request only. The well was originally used as a private source for the house.Due to this,there are several existing features within the 100' sanitary control area(SCA) including the house,driveway, parking for the house, and an existing conex.Additionally,the gym building,gym parking, and gym septic components are within the SCA. The purpose of this variance request is to evaluate the existing and new components as potential sources of contamination, characteristics of the well,hydrogeology of the area, and mitigation strategies. Given the well construction, geology,topography, and proposed use, it is not considered to present any potential hazard to public health,therefore a variance is requested in order to allow for approval of the well location. Introduction and Background The existing Quail Hill well and existing site features are shown on the attached site plan.The gym owners live in the house on the well property and also own the adjacent property which the 100' SCA extends onto. The following features and approximate distances exist within the 100' SCA: Table 1 —Potential Sources of Contamination within 100' SCA Site Feature Approximate Distance to Well (feet) Paved House Driveway 0 Gym Building 2 Paved House Parking 35 Conex 40 Gym Septic Tank and Pump Tank 50 Gym Septic Transport Line 54 House 60 Gravel Gym Parking 68 • vehicle fluid,this area is the same grade as the wellhead. The fluid would likely remain in place, or if it was spilled on the driveway approach the flow path would be down the driveway towards E Quail Hill Rd or into to the unpaved shoulders of the driveway.Any quantity of vehicle fluid would be in a small quantity. If the fluid flowed to the shoulder of the driveway, it would be absorbed into soil. Soil readily absorbs and sequesters or neutralizes most chemicals within about 2 feet of penetration. Conex The conex is being used temporarily to store gym equipment during renovations of the gym interior.After the gym is completed,the owner's plan to move the conex to the far side of the gym parking, outside the 100' SCA, or remove the conex completely. Since the conex is only a temporary storage for gym equipment, it is not a source of contamination. Gym Septic Tank, Pump Tank, and Transport Line There is a septic tight-line approximately 54 feet from the wellhead. If the septic tight-line was to break or the septic tank and pump tank were to overflow,the contamination would surface because of the restrictive hardpan layers.The line would be repaired rather than continue leaking undetected for months or years. Since the gym and parking is within the proximity of the septic tank and pump tank, if there was a leak or overflow, gym members would certainly notice right away. As a business, allowing sewage to remain flowing across the ground would never be acceptable.Therefore, while there may be some private homeowners who would allow such a problem to go unchecked for an extended period, a gym would certainly not. Gym Parking The gym parking area is approximately 68 feet from the wellhead. The parking area is flat though the driveway is sloped downgradient towards E Quail Hill Rd. Vehicles will be temporarily parked in the designated parking area only for the duration of their gym visit which is expected to be 1-2 hours.Long term vehicle parking is unlikely here. Similar to the house parking, if vehicle fluid was to spill it would flow through the gravel in the parking area and be absorbed into the soil. Neighboring Property The 100' SCA crosses into TPN 122083490092. This parcel and the well parcel are owned by the same owners,who also own the gym and live onsite at the house on the well property. The property owners will need to sign a covenant for the 100' SCA for both the well property and the adjacent property. Well Construction and Hydrogeology The well is located outside of the gym with a paved driveway around it.The well log is enclosed and shows thew well as being 127 feet deep with an 18 foot bentonite surface seal. The well is screened from 122 to 127 feet. Geology consists primarily of"hardpan"and"sand". The first "hardpan"layer is from 31 to 39 feet below upper layers described as "topsoil", "brown conglomerate"and"sand". Following this,there is another"sand"layer from 39 to 43 feet and restrictive layers of"hardpan"and "blue clay"from 43 to 76 feet,totaling 33 feet of restrictive layers. Below this is"sand"from 76 to 88 feet followed by"sand and water"from 88 to 127 feet. Enclosures: Well Log Amended Well Log Garage Building Application,2016 Approved Septic Design Site Map WATER WELL REPORT w DEPARTMENT OF Notice of Intent No.WE48710 ECOLOGY Unique Ecology Well ID Tag No.BNA111 Type of Work: State of Washington O Construction Site Well Name(if more than one well): 0 Decommission b Original installation NOI No. NA Water Right Permit/Certificate No.NA Proposed Use: i Domestic 0 Industrial 0 Municipal 0 Dewatering ❑Irrigation 0 Test Well 0 Other P�Y Owner Name Rudy Watson Construction Type: Method: Well Street Address 121 E Quail Hill ❑New well CI Alteration 0 Driven ❑Jetted O Cable Tool City Belfair County Mason ❑Deepening ❑Other ❑Dug ❑Air ❑Mud-Rotary Tax Parcel No. 12209-34-90091 Dimensions: Diameter of boring 8 in.,to 129 R Depth of completed well 129 li Was a variance approved for this well? 0 Yes l I No • Construction Details: Wall If yes,what was the variance for? Casing Liner Diameter From To Thickness Steel PVC Welded Thread p I 0 6 in. +1_5 124 1/2 in. 0 I ❑ ❑p I ❑ Location(see instructions on page 2): 0 WWM or❑EWM ❑ I ❑ in. in. DIO ❑ ❑ SE �r'A-y,of the SW t/.;Section 9 Township 22N Range 1W ❑ I ❑ in. in. ❑ I ❑ ❑ I ❑ O I ❑ in. _ in. ❑ I ❑ CIO Latitude(Example:47.12345) Longitude(Example:-120.12345) Perforations: 0 Yes MI No Type of perforator used No.of perforations Size of perforations in.by in. Driller's Log/Construction or Decommission Procedure Perforated from ft.to_ft below ground surface Formation:Describe by color,character,size of material and structure,and the kind and nature of the material in each layer penetrated,with at least one entry for each change of Screens: ©Yes 0 No III K-Packer b Depth 124 ft, information. Use additional sheets if necessary. Manufacturer's Name Johrtsorts Type Stainless Model No. Material From To Diameter 5 in. Slot size30 in.from 124 ft,to 129 ft. Weld on casing to bring well above grade +1.5 .5 Diameter in. Slot size in.from ft.to ft. Backfllled to existing surface seal w/ Sand/FSTter pack:❑Yes ❑No Size of pack material in Bentonite chips to repair 0 4 Materials placed from ft.to ft. Surface Seal: MI Yes ❑No To what depth?19 ft. Material used in seal Bentonite Did any strata contain unusable water? 0 Yea RI No Type of water? Depth of strata Method of sealing strata off Pomp:Manufacturer's Name Grundfos Type:sub H.P.3 Pump intake depth:124 ft. Designed flow rate:25 gpm Water Levels: Land-surface elevation above mean sea level R Stick-up of top of well casing 1.5 ft.above ground surface Static water level 72 R below top of well casing Date 4/25/2022 Artesian pressure lbs.per square inch Date Artesian water is controlled by (cap,valve,etc.) Well Tests: Was a pumping test performed? 0 No MI Yes b by whom?Mike Davis Yield 37 gpm with45 8.drawdown after 4 hrs. Yield gpm with_ft.drawdown after_hrs. Yield gpm with it drawdown after hrs. Recovery data(time a zero when pump is turned off—water level measured from well top to water level) Time Water Level Time Water Level Time Water Level 0 117 3 85.8 10 80.7 1 92.8 4 84.0 15 78.5 2 88.9 5 82.3 2 hr 72.0 Dote of pumping test 4/25/2022 Bailer test gpm with f.drawdown after hrs. Air test gpm with stem act at ft.for hrs. — Date Artesian flow_gpm Temperature of water °F Was a chemical analysis made? ❑Yes to No Start Date 04/25/2022 Completed Date 04/25/2022 WELL CONSTRUCTION CERTIFICATION: I constructed and/or accept responsibility for construction of this well,and its compliance with all Washington well construction standards.Materials used and the information reported above are true to my best knowledge and belief Cal Driller❑Trainee PE—Prin ame Mike Davis Drilling Company Davis Drilling Signature Address 340 NE Davis Farm Rd License No.07 City,State,Zip Belfair,Wa 98528 IF TRAINEE:Sponsor's License No. Contractor's Sponsor's Signature Registration No.DAVISDI110OA Date 4/25/2022 ECY 050-1-20(Rev 08/19)Ifyou need this document in an alternate format,please call the Water Resources Program at 360-407-6872. Persons with hearing loss can call 711 for Washington Relay Service. Persons with a speech disability can call 877-833-6341. C1r1E SEPTIC.E17Gn b libtifElf.ONCE August 9, 2021 This letter discusses the property located at 121 E. Quail Hill Road in Belfair, WA. Acme Septic Designs has submitted a design for this property on behalf of Rainier Custom Homes. The objective of this design is to have a gym in the existing garage that would allow approximately 10 people a day to train at this facility. The building would house one sink, one toilet, one shower, d 120 y and a w showered and useding machine. en people the bathroom regularly. The ddraigallons a}o a n field was sized toaccommod accommodate they all ho this. The effluent created by this gym and system should not exceed treatment level E, the same as a residential system's waste strength. The system is a Standard Pressure System, so the load from the system will be spread out over the entire drain field. 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