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MASON COUNTY
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Rainbow Way, right on Chinook Dr., left on Kings Way S., property directly to the left from
existing residence at end of cul-de-sac.
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LICENSED DESIGNER
Holding Tank Sewage Systems-Recommended Standards and Guidance
Effective Date:July 1 2021
Introduction
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/managemem 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
by the HTSS.
Figure 1. Longitudinal-Section of Typical Holding Tank Sewage System.
os Warning Light and
Audible Alarm
Access Riser with secured pumping Access Port with
gas tight lid y Vsloped concrete pad
Inlet
from tu
tru stru scture T
Mnlat
pipe Reserve Storage Volume
Normal Operating Volume
'Septic tanks with plugged outlets are not allowed_Tank most not have an outlet
4 H q y 2rrrl a/1 140 y(4 ' 4,
DOH 337-006 Page 6 of 17
�?,SON COVV
Public Health
Nways working fora later healthier Mason County
PO Bon 1666,415 N e Street,Bldg 8,Shelton WA 98594,
Shelton:(360)427-9670 est 400 h Belfalr:t360)275-4467 etn 400 11 Elms:(360)482-5269 ezt 400
FAX (360)427-7787
Application for Waiver/Appeal
Amount Paid: Z9 S
Receipt Number:
Instructions VvRI9Z132A^ O a-2-
1. Complete Parts 1 and 2.No determination can be made until these parts are fully comoleted.
2. Fees may be billed for waivers and appeals,based on don 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 Scott M. Steckler Telephwle (253) 377-2000
Mailing Address of Applicant 180 N. Samanthas Way
City Hoodsport State WA ziip98548
12-digit Tax Parcel No. 1��11 Z Z I -- S Z -- 0 0
Site Address 81 N.Icings Way S., Hoodsport, WA 98548
Subdivision Name and Lot Lake Cushman Div. 12 Lot 91
PART 2:Nature of Waiver/Appeal
❑ Class B Reduction in Vertical Separation ❑ Food Sanitation Requirements
❑ Building Permit Review Policies ❑ Group B Water System Regulations
❑ Location,WAC 246-272A-0210 ❑ Water Adequacy Requirements
@r Holding Tank WAC 246-272A-0240 ❑ Enforcement Timelines
❑ Mason County Onsite Standards Cl Departmental Determinations
❑ Contractor Certification Requirements ❑ Other
(he taller,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: \�'. Q'I Date: '")
Revised 12/12/2014
This form may be scanned and available for public view on the Mason county Web site.
Page 1 of
PART 3: Public Health Evaluation (Staff Use Only)
1. Type of Determination Required: Type of Onsite Waiver(if applicable)
❑ Appeal 17Waiver ❑None required VClass 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 ofHealth ❑ Health Officer
❑ Pollution Control hearing Board ❑ Public Health Director
❑ Certified Contractor Review Board lr Environmental Health Manager
5. Mitigating Factors:
1. 1200 GALLON TANK, ON WASHINGTON STATE APPROVED LIST OF SEWAGE TANKS
2.tNSTALLATtON BY A MASON COUNTY CER11FtE0 tNSTALLER
3.LETTER FROM OWNER AGREEING TO REGULAR PUMP OUTS
4.NOTIFICATION TO FUTURE OWNERS RECORDED ON PROPERTYIPARCEL fa-' ZZ& IbI
5. HIGH WATER AUDIONISUAL ALARM, RISERS TO SURFACE,WATER-TIGHT FITTINGS
6. 1 have received this waiver/appeal request. It is complete and mitigation required by the state
and local policy has been
fi submitted.
Staff Signature: / 21 Date:3 Z A(
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 growled. 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
coo [ions:
Des rod- /Aea+ 03 Lp(S) (e) a i i
Hearing Official Signature: Date: 17-h
Revised 1212a014
This form may be scanned and available for pal Ilo view on the Mason County Web ske.
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. (completed by applicant)
Name: (1) Local
M. Steckler Local Health Department/District (2)
see i_n_structions
Address` 180 N. Samanthas Way
Hoodsport, WA 98548
Telephone: ( (253) 377-2000
Signature: -
f
Property Identification: (3) tax parcel#4221652-00091
Lake Cushman Div. 12 Lot 91
Rng 4 Twn 22 Sec 16
Section IL (completed by applicant)
WAC Number. (4) WAC Regwren—L' (S) Waiver Sought: (6)
246-272A— 0240(2) hddin tank used for pemameM holding tank used for part-time recreational use
Subsection: Icommercial uses I 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
2.Tracking through Online RME(Mason County OSS maintenance database)
Section III, (eompleted by health officer)
Review Criteria: (0) Mitigation Measures(n addition to those proposed): (9)
Comments/Conditions: (10)
Type of Waiver: (11) Class A [ ]Class B [ ]Claw C—Request DOH review before grinning? Yes No-Y
Neighbor Notification: (12) Required? Yes_ No_ Ifneeded,are agreement,,easement,,etc.properlyfiled? Yea _ No_
Section IV. I (completed by health offcer)
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.
[N Denied [ ] Approved/Granted—Su ' t to all comments,conditions and requircracrits noted in Sections If and III.
Loc/// al Health Officer (13) Date: 1 Z0Q L of
DOH 337-021 Page 26 of 32
Mason County Community Services
415 N. 61' St. Shelton, WA 98584
February 8, 2024
Subject: Operational Agreement
Parcel #: 42216-52-00091
Address: 81 N. Kings Way S., Hoodsport, WA 99548
The intended use of the Septic Holding Tank located at the above referenced property is for
recreational use.The use is low flow, and the pumping service frequency will be "On Call".
The system will be routinely monitored and pumped by a Certified Mason County Septic
Pumper when needed.At a minimum,the holding tank will be pumped once annually and
inspected to ensure proper functioning.
Respectfully,
Scott M. Steckler
(property owner)
2207398 MASON CO WA
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Return To
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Grardor,$):(1) '::�e—A \-\.S�PrkWC' , (2)
Grantee(s): (1)PUBLIC \
Legal Description(1) \ tl G4 N OYlr\)ty �. p\1
(Abbraviamd 1onn Is.lot,block,plat or secti(on,n,township,range)
Assessor's Tax Parcel: (1) "1
NOTICE TO FUTURE PROPERTY OWNERS OF RECREATIONAL USE OF HOLDING TANK
I(We),the undersigned grantor,hereby place this notice on record that the described real
estate situated in Mason County, State of Washington;to will the described real estate has a
holding tank installed on this lot for sewage disposal for recreational use only.
The approval and permits of the holding tank was conditional to the mitigation required by the
state and county waiver process. Failure to maintain the holding tank in the manner required by
Mason County Public Health is a violation of these conditions under which the holding tank
permit was issued-This could result in abandonment of the holding tank and vacating the
property until such time another suitable method of sewage disposal is approved.
Dated on this F day of Z , 20 L�
Signature of Grenic
(1) (2)
State of Washington )
County of Mason )
Page 1 of 2
I,the undersigned,a Notary Publip in and for the above named County and State,do hereby
certify that on this day of 1nr," 114 .201
)(Ott personally appeared before me,who is known to be
signer of the above instrument,and acknowledged that he(she)(they)signed it.
GIVEN under my hand and official seal the day and year las bove written.
��ANDE rtf4
eT���a��w�wer�rRyOf�v/ Wary ub lc in an fa the State of Washington,
cam._ aet,4 �=� residing at ]if 1N9
°77007at6 My commission expires: _%i I lr)lli
i N''ry en�a 'p_
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Page 2 of 2