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Home My WebLink AboutWAI2023-00079 - WAI Health Waiver - 8/7/2023 *A$ON C0tht, Public Nee Health Always working for a safer healthier Mason County PO Box 1666,415 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: Receipt Number:0003..0 Instructions \ ► I kr.3(')( f 00 Q 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 DIANA EVANDER Telephone Mailing Address of Applicant 570 E CLAY ROAD City SHELTON State WA Zip 98584 1? digit Tax Parcel No. 2 2 1 3 2 __ 3 3 __ 0 0 0 1 0 Site Address SAME AS MAILING Subdivision Name and Lot PART 2: Nature of Waiver/Appeal ❑ Class B Reduction in Vertical Separation 0 Food Sanitation Requirements ❑ Building Permit Review Policies 0 Group B Water System Regulations ❑ Location,WAC 246-272A-0210 0 Water Adequacy Requirements 121 Holding Tank WAC 246-272A-0240 0 Enforcement Timelines CI Mason County Onsite Standards 0 Departmental Determinations ❑ Contractor Certification Requirements 0 Other (Installer,Pumper,O&M Specialists) Description of Waiver/Appeal(include justification,additional material may be attached.): Install Holding Tank for Recreational/Part-time Use(RV) Meets RSnGs for Holding Tank Design and is on state approved list. Tracking of maintenance through Mason County maintenance database, Carmody Inc. Applicant Signature: 11,i earocir) Date: Z(7(7,3 Revised 12/12/2014 This form may be scanned and available for public view on the Mason County Web site. Page 1 of 2 PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: Type of Onsite Waiver(if applicable) ❑ Appeal 'Waiver ❑None required fi'Class A ❑ Class B ❑ Class C 2. Identification of Specific Code/Standard/Determination (include date of determination or latest Code/Standard revision) WAC246-272A-0240(2) 3. Nature of Appeal: ALLOW HOLDING TANK FOR RECREATIONAL(RV)- PART-TIME USE 4. Hearing Official: ❑ Board of Health 0 Health Officer ❑ Pollution Control hearing Board 0 Public Health Director LA Certified Contractor Review Board ' Environmental Health Manager 5. Mitigating Factors: 1. 1200 GALLON TANK, ON WASHINGTON STATE APPROVED LIST OF SEWAGE TANKS 2. INSTALLATION BY A MASON COUNTY CERTIFIED INSTALLER 3. LETTER FROM OWNER AGREEING TO REGULAR PUMP OUTS 4. NOTIFICATION TO FUTURE OWNERS RECORDED ON PROPERTY/PARCEL 5. HIGH WATER AUDIOVISUAL ALARM, RISERS TO SURFACE,WATER-TIGHT FITTINGS 6. I have received this waiver/appeal request. It is complete and mitigation required by the state and local policy h been submitted. Staff Signature: ; ,'� Li (tvy)h--- Date: Z5 23 PART 4: Determinatigb of the Hearing Official at. 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: I, 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: r/VZ f Revised 12/12/2014 This form may be scanned and available for public view on the Mason County Web site. Page 2 of 2 Granting Waivers from State On-Site Sewage System Regulations Chapter 24(i-')72.A WAC_ I Effective Date: July 1,2007 Revised April 2017 I On-Site Sewage Systems (Chapter 246-272A WAC) Request for Waiver from State Regulations ** Section I. I (completed by applicant) Numc: (1) D I ANA EVAN D ER Local Health Department/District (2) (see instructions) Address: 570 E CLAY ROAD SHELTON, WA 98584 Telephone: ( ) ()1,..voi,t v zkrithe4;4... ., Signatu�q: orProperty Identification: (3) 22132-33-00010, 570 E CLAY ROAD Section II. I (completed by applicant) WAC Number: (4) WAC Requirement: (5) Waiver Sought: (6) 246-272A— 0240(2) holding tank used for pernament holding tank-it sed._for..pait time.recreational use Subsection: commercial uses for RV Justification(mitigation measures to be provided): (7) see local waiver form for full outline of mitigation measures: 1. Design criteria consistent with RSnGs for Holding Tank Sewage Systems i 2. Tracking through Online RME (Mason County OSS maintenance database) Section II. I (completed by health officer) Review Criteria: (8) Mitigation Measures(in addition to those proposed): (9) •-:It, ,..cirl for 'ec'o:d',...,vial ,-;:., Comments/Conditions: (10) Type of Waiver: (11) ].Class A [ ]Class B [ ]Class C—Request DOH review before granting? Yes No Neigh bpt.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 is chapter WAC. [ ] Denied [¢]-Approved/Granted—Subject t comments,conditions and requirements noted in Sections II and III. I Local Health Officer (13) Date: -/ .. DOH 337-021 Page 26 of 32 1 4,� .. j _...... ...A-ra;r'1•� yid .'r r-.a.•.... Holding Tank Sewage Systems-Recommended Standards and Guidance Effective Date:July I,2021 ' "" '''' 'tintroduction A Holding Tank Sewage System (HTSS) is an alternative to a conventional on-site sewage system with very special and limited applications. Simply,the HTSS provides a means to collect and temporarily store sewage from a facility or dwelling, for subsequent removal and transport to an approved treatment and disposal site. Depending upon the facility served or the particular set of circumstances surrounding the use of a HTSS, the expense of sewage pumping, hauling, and ' disposal at an approved facility can be very costly, especially on a long-term basis. In addition, the potential for operational/management problems with resulting public exposure to raw sewage is significant. For this reason, use of a HTSS must be closely regulated by the local health agency. '" ' A HTSS is an on-site sewage system that incorporates a holding tank,the services of a sewage pumper/hauler, and the off-site treatment and disposal of the sewage generated at the site served 1 by the HTSS. Figure 1. Longitudinal-Section of Typical Holding Tank-Sewage SystemY.: .,.•• .L liauslin.. and Warning Light and Audible Alarm Access Riser with secured Pumping Access Port with _. gas tight lid I sloped concrete pad V 41 V V Inlet r from' ' IN— I Tstructure , ,c,,,,,,.....,,,„.,„,,,,,,_„:. `''''` 'ItInlet pipe Reserve Storage Volume Normal Operating Volume „Jr !'irl1 u.4;t1..10 42,14,.: ,j i *Septic tanks with plugged outlets are not allowed.Tank must not have an outlet. DOH 337-006 Page 6 of 17