Loading...
HomeMy WebLinkAboutWAI2025-00007 - WAI Health Waiver - 2/28/2025 l MASON COUNTY COMMUNITY SERVICES Building planning EmironmenMl Helath Community Health 415 N 6l'Street,Bldg 8, Shelton WA 98584, Shelton: (360)427-9670 ext 400 C. Belfair: (360)275-4467 ext 400 •e Elma: (360 4482-ILr�7�����r�IL'�a D FAX (360)427-7787 Application for W�� ''0 a//..ive,,..r/,,A�ppeal jo g 15 Amount Paid: Receipt Number: 1o2S 'GbrSO / By Instructions W191 2U25- pp(�o7 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 Identification �csept BUIL0Efts Name of Applicant 3 KV\ES kED1RR4 Tt�ATGi Telephone(3to0)(o4q -�3°Il Mailing Address of Applicant 9'O N E l GER COVE LN city StateWA zip ` K28 12-digit Tax Parcel No. Site Address3 1 E LAK-Ey\FW DRY W4ptVr Ewi WA 9R54b Subdivision Name and Lot PF�R1iD\$E Si-FoRE ESTATES TR-ll PART 2: Nature of Walver/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 11J Location,WAC 246-272A-0210 ❑ Water Adequacy Requirements ❑ Holding Tank WAC 246-272A-0240 ❑ Enforcement Timelines ❑ Mason County Onsite Standards ❑ Departmental Determinations ❑ Other Descdption of Waiver/Appeal (include justification,additional material may be attached.): -,E c. AIT kc HEn Applicant Signature: Q, Date: 1i2,- 'b; Sept Leh Feu f9w.wr Mason County Local Revised IRO/201] ]:�EH Fomas\Waiver-Appwi page I oft PART 3: Public Health Evaluation (Staff Use Only) Loc 1. Type of Determination Required: Type of Onsite Waiver(if applicable) ❑Appeal x Waiver ❑ None required ❑ Class A o Class B ❑Class C 2. Identification of Specific Code/Standard/Determination(include date of determination or latest Code/ Standard revision) WAC 246-272A-0210 3. Nature of Appeal: Reduce the minimum horizontal separation between the building foundation and the drainfield from 10 ft to not less than 2 ft. 4. Hearing Official: ❑ Board of Health ❑ Health Officer ❑ Pollution Control Hearing Board ❑ Public Health Director ❑ Certified Contractor Review Board 14 Environmental Health Manager 5. Mitigating Factors: The building foundation is not down-gradient from the drainfield 6. 1 have received this waiver/appeal request. It is complete and mitigation required by the state and local policy has bee nd. Staff Signature: Date: / ( 7�C f�zs— PART 4: Determination of the Hearing Official 16—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: Date: Z IIOZ06 U 1:\EH Fom s\Waiver-Appeal Mason County Local Revised 12012017 Page 2 of Application for Waiver/Appeal Mitigation 1-22-25 Owner: James&Edime Thatcher Phone: (360)649-7391 —Joseph Builders WA g8528 Mailing Address: 40 NE Tiger Cove Ln,Belfair, Site Address: 331 E Lakeview Dr,Grapeview,WA 98546 Parcel Number:22108-52-00071 Property Description: Paradise Shore Estates,Lot 71 1)Local Waiver Sought: Reduce horizontal separation between house foundation and primary drainfield from ]0' to a minimum of 2'. 1)Mitigation Measures: Land slopes away from foundation,toward back yard. Drainfield effluent will drain away from foundation,not toward it.