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Home My WebLink AboutWAI2024-00039 - WAI Health Waiver - 4/29/2024 REET,SHELTON 584 MASON A SOFT COUNTY 415 NSHE TTON 360427 9670,eM8400 COMMUNITY SERVICES BELFAIR:360-275-4467,ext.400 ao�unq w��mq[Vrwlmenmveaxn.commwiniwim ELMA:360-482-5269,ez .400 FAX:360-427-7798 Aoolication for Waiver or Appeal D Amount Paid: Receiptr: ff Number qPR 2 9 2024 D WAI a0 0Ub3`T Instructions: By 1. Complete Parts 1 and 2. No determination can be made until these parts are fully completed. 2. Fees maybe 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 Information Name of Applicant 2018 Bowman Properties, LLC Telephone (360) 791-8855 Mailing Address PO BOX 910 city Shelton, State WA Zip 98584 Parcel No. 3 2 0 2 9 5 0 0 3 0 0 1 Site Address 1711 SE Ridge Rd, Shelton, WA 98584 Subdivision Name and Lot Forest Park, Blk: 3 Lots: 1-2 PART 2: Nature of Waiver/Appeal 1W Onsite: Class A Waiver ❑ Food Sanitation Requirements ❑ Onsite:Class B Waiver ❑ Group B Water System Regulations ❑ Onsite:Class C Waiver ❑ Water Adequacy Requirements ❑ Onsite: Location,WAC246-272A-0210 ❑ Building Permit: EH Review Policies ❑ Onsite: Holding Tank,WAC246-272A- ❑ Appeal:Enforcement Timelines 0240 ❑ Appeal.Departmental Determinations ❑ Onsite: Contractor Certification ❑ Other Requirements Description of Waiver/Appeal(include justification, additional material may be attached.) Waiver to install drainfield in unoriginal disturbed soils. See Attached Mitigation Detail. Applicant Signature: P1.n k"C` '�rtl-� q�^^ Date: 4t ZZ-Z4 Ra is 8/13/2018 This form may be,scanned and available for public view on the Mason County Web site. rUc� I vrz PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Deterrmii'nation Required: T pe of Onsite Waiver(if applicable) ❑ Appeal ywvaiver 'L None required Class A Class B Class C 1 Identification of Specific Code/ Standard/De ermi9�tin7(inr;ude date of determination or latest Code/Standard revision): t i/iyln- �Zf�'(77"'i`1 -4 b +�1b 3. Nature of Appeal: 4. Hearing Official: ❑ Board of Health ❑ Health Officer ❑ Pollution Control hearing Board ❑ Public Health Director ❑ Certified Contractor Review Board Environmental Health Manage 5. Mitigating Factors: 1Lz J`ll ,L� 5w , A- Z� r V S 17 Vy1 co V -t ♦$ ZZ )uzl 11 Odor St -flhw croon 6. 1 have received this waiver/appeal request. It is complete and mitigation required by the state and local policy has been submitted. �,/ Staff Signature: Q 1`xN l Date: 7i� 1 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: Health Official Signature. YF— Date: 4 7- Z R,,a,-t V132ulp This form may be scanned and available for public view on the Mason County Web site. Pape?ofz Granting Waivers from State On-Sire Sewage Syslem Regulations Chapter 246-272A WAC Effective Date: July I.'_007 Revised April 2017 On-Site Sewage Systems (Chapter 246-272A WAC) eR for Waiver from State Regulations dSection I. (Conn, Name: (1) Local Health Depar went/District (2) fk_u,y+�r . . l "- ...... _._-_ msrrzrc[iont I2 ...._- .S " C_ ..... .......__— _-...._.. Address: b�M1 co 4ow w� �SSB� --- ...--.............. ....... _ ........... .._.... Telephone: (31, Zg i_ b$55 Signature: Property nti ice on: (3 sk iQoc ._Silty 3._ _ ( ofS�'? Section II, (completed by appliranu WAC Number: (4) WAC Requirement (5) :P,54'.Q� N aNer Sought (6) z46 7 4 O 23�F ,.... Subsection (-35((�}�[w b� wJ.sirb.P. 6of� 1wt.+2. Sei�S, Justification(nduga[ion nreasvm.v to he provided): (7) _.-_ ._................ ........" --------- ._...--------- ............. ._....._ - - .__._.._. ....... se— Section Ill. (completed by health officer-) Review Criteria (8) 4hngahon.Mcasures(m addition to those proposed) (9) ..-. _ .... .--- ....-- -__ __. ...... Comments/Conditions: (10) Type of Waiver. (11) [ ]Class A [ ]Class 8 ]Class C—Request DOH review before granting? Yes_ No Neighbor notification: /12/ Required? Yes_ No_ (fneeded are agreements. easements.eta. properl)•Jiled? Yes No Section IV. (completed by health o(Teer) — This Request For Waiver From State Regulations has been rev ievved according to the provisions of Chapter 246-272A WAC On-Site Sewage Systems. The review criteria applied:and the mitigation measures proposed an Vor required,have been evaluated for their ability to provide public health protection at least equal to that provided by this chapter WAC. [ ] Denied KApproved /Granted Subject to all comments,conditions and requirements no din Sections ll and Ill. Local Health Officer (13) Date: Z DOH 337-021 Page 26 of 32 Application for Waiver/Appeal Mitigation 4-17-24 Owner: 2018 Bowman Properties,LLC Phone: Mike Bowman (360) 791-8855 Mailing Address: PO Box 910, Shelton,WA 98584 Site Address: 1711 SE Ridge Rd, Shelton, WA 98584 Parcel Number: 32029-50-03001 Property Description: Forest Park, Blk: 3 Lots: 1-2 1) State Waiver Sought: Class A Waiver 246-272A-0234 (3)(b)& (4)(b)Install drainfield in unoriginal disturbed soils. 1)Mitigation Measures: la) Septic system proposed is a sand-lined pressure bed with 24"of C-33 sand lining which meets Treatment Level B without disinfection. Bottom of infiltrative surface will be at 24"+from restrictive layer(compact pockets). 2a)The owner has notarized a Notice of Operation and Maintenance of On-Site Sewage System and it has been recorded on the property deed with the county Auditor's office. 3a) Soil type is very gravelly loamy sand and the soil was moved onto the site many years ago. We are using a 0.8 application rate to oversize the drainfield and provide excess absorption area. There was no accumulation of water or damp soil when the holes were dug in early spring. The soil has moderately good structure, has good hydraulic conductivity, is not saturated and is well drained. There is very little slope(<5%)in the proposed drainfield area I i