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Home My WebLink AboutWAI2024-00040 - WAI Health Waiver - 5/2/2024 katie . holland e comcgst, net r MASON COUNTY COMMUNITY SERVICES \ � Building.Planning Environmental Health.Community Health 415 N Bin Street, Bldg 8, Shelton WA 98584, Shelton: (360)427-9670 ext 400 6 Belfair: (360)275A467 ext 400 9 Elma: (360)4EAY 1 FAX (360)427-7787 "Application for 1(Vaiver/Appeal24Amount Paid: �#t1� e a ^ Receipt Number: Instructions �} (-t t —4-D Lq — OVU V 1. Complete Parts land 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?arcel Identification Name of ApplicantukTtfAILLME g 010LA PAP Telephone 53B¢ Mailing Address of Applicant to 2O0 53P°MfE NE City S5ATFI e state ujA zip 98tt5 12-digit Tax Parcel No. 3 z, 3 0 - 5 �3 - 0 0 0 0 5 Site Address t5o >A WEA ,a bP— lloop5Ro21- wA 195+15 Subdivision Name and Lot STARS %A)4%*S I MZkAt4 RFAW 11JT 4 5 PART 2: Nature of Waiver/Appeal ❑ Contractor Certification Requirements ❑ Class B Reduction in Vertical (Installer, Pumper, O&M Specialists) ❑ Separation ❑ Food Sanitation Requirements ❑ Building Permit Review Policies ❑ Group B Water System Regulations ® Location,WAC 246-272A-0210 ❑ Water Adequacy Requirements ❑ Holding Tank WAC 246-272A-0240 ❑ Enforcement Timelines ❑ Mason County Onsite Standards ❑ Departmental Determinations ❑ Other Description of Waiver/Appeal(include justification, additional material may be attached.): �.'--F hTTACA.It'D Applicant Signaturc^C� ter , �� ►+cYn-+�^ Date: 413el24- 1:\EH Forms\Waiver-Appeal Mason County Local Revised 1120R017 Page 1 of 2 PART 3: Public Health Evaluation (Staff Use Only) f. Type of Determination Required: Type of Onsite Waiver(if applicable) ❑Appeal 1l aiver ❑ None required ❑ Class A ❑ Class B n Class C 2. Identification of Specific Code/Standard/Determination (include data of determination or latest Code/ Standard revision) �7m W Au&qG ��.�(0 3. Nature of Appeal: - (� I 4. Hearing Official: ❑ Board of Health ❑ Health Officer ❑ Pollution Control hearing Board ❑ Public Health Director ❑ Certified Contractor Review Board Environmental Health Manager 5. Mitigating Factors: _ 3 y�Gn OV•NT— C4'�Y' i! �C4 r1 (-- Oil, to xyi 1.l 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: U/�' `L' Date: 2.-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: Hearing Official Signature: 7 Date: .r .� Z 1:\EH Forms\Waiver-Appeal Mason County Local Revised 1/20/2017 Page 2 of 2 Katharine B. Holland 150 N Beach Dr Hoodsport, WA 98548 Parcel Number:32330-53-00005 Description of Waiver We are repairing/modifying our existing uncovered deck which currently has a portion that extends over the septic drainage field. Due to setback restraints,we cannot expand the footprint of the current deck. Thus,we are forced to downsize the portion that currently has pier blocks that sit on-grade on top of the drainage field. We hope to install new footings to properly support the revised deck two feet up-gradient from the drainage field, in the space between the house and drainage field. See attached site plan. ISO N Beach Dr Parcel Number Hoodsport, WA 9`6549 3Z330 - 53- 00005 �oadwa y 15' House F5'2"i O Deck Se kic FS'N'-3 p o o c a O r_ ________ _____ __ y r Dr3inaye Feld �oOl efS "TvY ��e ss�� supPorf posts -- - -- - - --- -- - ------- --------- will be two -frow4 ik, @ale S -I`we c4ramage field 25' �'6„ 35' S�IkV.ead 1 53 6'' 1 Scale T� L°kiStq�9 S+toc�ufal TY'an�� 'Tof t4%s portiov, 6f 4ke deck W'll1? no} be ck njed. We will orkIl be (efkc� the �eckrnw� mater�gl .