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HomeMy WebLinkAboutWAI2024-00094 - WAI Health Waiver - 9/30/2024 MASON COUNTY 415 NBTHELTON:STREET,SHELTO70,EXT584 SHELTON:360-427-96 7,EXT 400 BELFAIR:360-275.4467,EXT 100 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360427-7787 PAULAJOHNSON' 171 E VUECREST DRIVE UNION, WA 98592 Applicant: HABITAT FOR HUMANITY-A MASON CO AFF Parcel Owner: HABITAT FOR HUMANITY-A MASON CO AFF Site Address: 190 E Panorama Dr Primary Parcel Number: 320215601014 Waiver Request Number: WA12024-00094 Waiver Description: Onsite: Location,WAC246.272A-0210 Waiver Submitted Date: 09/3012024 Waiver Review Date: I D/S'ljorY Waiver Status: APPROVED If you have questions or concerns let us know. Sincerely DavicrAnderson 360-427-9670 Ext.353 dandemon@masonmuntywa.gov 415 N.6-STREET,SHELTON WA 98584 MASON COUNTY SHELTON:360-427-9670,ext 400 COMMUNITY SERVICES BELFAIR:360-275-4467,ext.400 ELMA:360-482-5269,ext 400 BuilEin9.rhnnln&EmimunmW MWIx.C Muniry Hwhh FAX:360427-7798 Armlication for Waiver or Appeal'/ y�=19II171n Amount Paid: I J -`- Receipt Number. "' - 0`7l fl f��!l�l I�III WAl 20Z,1 - 60694 Instructions: 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 FA 3. Submit completed application with attachments to Mason County Public Health for review. PART 1. Applicant& Parcel Information Name of Applicant Habitat for Humanity Telephone 360426-8134 Mailing Address PO BOX 1549 City Shelton, State WA Zip 98584 Parcel No. 3 2 0 2 1 - 5 Site Address 190 E Panorama Dr, Shelton, WA 98584 Subdivision Name and Lot Shorecrest Terrace 3rd Add/ Blk 1/ Lot 14 PART 2: Nature of Waiver/Appeal ❑ Onsde: Class A Waiver ❑ Food Sanitation Requirements ❑ Onsite: Class B Waiver ❑ Group B Water System Regulations ❑ Onsite: Class C Waiver ❑ Water Adequacy Requirements X Onsite: Location,WAC246-272A-0210 ❑ Building Permit: EH Review Policies Cl Onsite: Holding Tank,WAC246-272A- ❑ Appeal. Enforcement Timelines 0240 ❑ Appeal:Departmental Determinations Cl Onsite: Contractor Certification ❑ Other Requirements Description of Waiver/Appeal (include justification, additional material may be attached.): Reduce setback from foundation to drainfield from 10 feet to a minimum of 2 feet. Mitigation is that drainfeld is down-slope of foundation and septic effluent will drain away,not toward the foundation. Applicant Signature: Date: 9-26-24 .C.. � �- Revimd 8/1 312 01 8 This form may belVJscra���nned an at able for pu is vi n the Mason County Web site. rnsv 1 orz PART 3: Public Health Evaluation (Staff Use Only) t. Type of Determination Required: Type of Onsite Waiver(if applicable) ❑Appeal (Waiver ❑ None required 7 Class A ❑ Class B - Class C 2. Identification of Specific Code/Standard/Determination (include date of determination or latest Code/Standard revision): lA�l�( LY6 •77 A -fLz70 3. Nature of Appeal: Rftlre m1VII i[✓ ZO/Nd/ SPoaraf/s/1 64� Bi r�Y/ nfP/�C�S N2 A r/ .fx Anflen `Fn lsnn�flkfcQ 7FE 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: $yyrfi.11r16 �D✓YN.101esizorod wA Anyn dfi moel 6. I have received this waiver/appeal request. It is complete and mitigation required by the state and local policy has been submitted. �7��7y Staff Signature: � Date: yz?z z PART 4: Determination of the Hearing Official Wl--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: 0 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: Date: /o L aevired 8113/2U18 This form may be scanned and available for public view on the Mason County Web site. PaBc 2 oC2 Lo-r : i4 e !•� 2e 30 (� 40 b'1 . 9'�J• PLOT LRN - c '?A'00 AMA DR. TIY% SWPE .4 i 4 X ,r;...ary d.T• o ( 1 3 38 p 5, Of *� ® {rthches ° I reSCYVC be\°�j. L�=T�oL ydp P„w A�--2:o- 0" G°M?ack 50,v%( . 38tL LP 2h " (R) Side 0V, S ry to � 40rVH must bG on aPrN,-vas-� 'f;tr blocks- Lo — v\o �ol�rcd �ourdaf�e✓l. 9Q �4F l Wq 25' O Audi¢Vmual Alerm y O2 Cleanouc - - © o Tod O4 Galon»e-Trashaek-not nte i 50 a (S 4td -10 NuWate BNR-500 ATU Tank Wattr NO SZAI'^p` V R © 1,000 croon rump Chamber pox — E Po OValve Control Box APPROVED AUG 09 2024 3 rwN+ar SONCOCNryp���'MENIAL NFq(rH