HomeMy WebLinkAboutWAI2024-00046 - WAI Health Waiver - 5/20/2024 � 415 N.6^STREET,SHFLTON WA 98584
'`. MASON COUNTY SHELTON:360-427-9670,ext400
COMMUNITY SERVICES BELFAIR:360-275-4467,ext.400
sune,ng.viar,�my.[nm��me�ai a=aI,n.camm=�an',i=aite ELMA:360-482-5269,ext.400
FA)(:360-427-7798
Aopaicilitxion for Waiver or Appeal
Amount Paid Receipt Number
wAl - OOC>-k Lr-2
Instructions:
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. Applicant & Parcel Information
Name of Applicant Robert Close Telephone (360) 490-0568
Mailing Address PO BOX 517
city Union State WA zip 98592
Parcel No. 3 2 2 3 4 4 3 0 0 1 0 2
Site Address 8XXX E State Route 106 Union, WA 98592
Subdivision Name and Lot b
PART 2: Nature of Waiver/Appeal❑ Onsite: Class A Waiver ❑ Food Sanitation Requiremen❑ Onsite: Class B Waiver ❑ Group B Water System Reg❑ Onsite: Class C Waiver ❑ Water Adequacy Requiremens
0 Onsite: Location, WAC246-272A-0210 ❑ Building Permit EH Review Policies
❑ Onsite: Holding Tank,WAC246-272A- ❑ Appeal:Enforcement Timelines
0240 ❑ Appeal:Departmental Deterrrrinations
❑ Onsite: Contractor Certification ❑ Other
Requirements
Description of Waiver/Appeal (include justification, additional material may be attached.).
See Attached.
Applicant Sig nature: Date:
0,-b\v— Z. Rcvimd WI32018
This form may be scanned and a ailable for public view on the Mason County Web site.
Inge I oft
PART 3: Public Health Evaluation (Staff Use Only)
1. Type of Determination Required: Type of Onsite Waiver if applicable) CAL
i Appeal Waiver None required i Class A i Class B Class C
2. Identification of Specific Code/Standard/Determination (include date of determination or latest Code/
Standard revision) Yv r„ ft VAL _ Zi' I-A-0Z 10
3. Nature of Appeal: Jt�
'ReEl.u(�e hn,n�l,�+,,tl �IrcGIL yVl
4. Hearing Official:
❑ Board of Health ❑ Health Officer
❑ Pollution Control hearing Board ❑ Public Health Director
❑ Certified Contractor Review Board Y Environmental Health Manager
5. Mitigating Factors.
T�.
6. 1 have received this waiver/appeal request. It is complete and mitigation required by the state and
local policy has been submitted.��M/�/� ������ /���V/��
Staff Signature: �tl�x/ YWA Date:
V
PART 4: Determination of the Hearing Official
AL,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: L�� Date: 6-/3 L
.Idlil Ponns`,N'eivcr-Appml Mavou County Lwl Rc,,d 12012011
Pngc 2 ut 2
Application for Waiver/Appeal Mitigation 5-10-24
Owner: Robert Close
Phone: (360) 490-0568
Mailing: PO Box 517, Union. WA 98592
Site Address: 8XXX E State Route 106., Union, WA 98592
Parcel Number: 32234-43-00102
1) Local Waiver Sought:
Reduce horizontal separation between drainfield and owner's well from 100' to a
minimum of 75' (actual measurement 93').
1) Mitigation Measures:
Septic system is a Nu Water BNR-500 to shallow pressure drainfield, which meets
Treatment Standard B without disinfection. The new system will also be on a timer,
counter and elapse meter to prevent overuse and facilitate future operation and
maintenance.
The 2-bedroom drainfield is being sized at 300 square feet with an application rate of 0.8
gallons per day per square foot according to code and with pressure distribution: the
entire drainfield will be utilized equally allowing for consistent distribution and
absorption of the septic effluent. thereby protecting the water quality of area wells.
The direction of slope in the drainfield area is away from the wells. Local area well logs
(attached) indicate clay layers, also reducing hydrogeological susceptibility.
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