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Home My WebLink AboutSWG2020-00041 - SWG Application - 9/16/2020 _ - Arrow Septic Designs 171 E.Vuecrest Dr. Fp Union,WA 98592 October 5,2020 Mason County Department of Health Services RECEIVED RECEIVED 415 N 6th St Shelton,WA 98584 SEP 16 2020 RE: Michael&Carla Property(Parcel#22233-52-00072)Septic Reserve&HomeWlABfmWer Street Dear Inspector: Attached is a plot plan for the Michael&Carla Copeland property located at 2831 E Mason lake Dr. E., Grapeview,WA 98546. The site had an existing 2-bedroom mobile home and an existing 2-bedroom gravity trench septic system,both installed in 1983. The owner has not experienced any problems with the existing septic. The owner has recently removed the old mobile home and plans to install a larger and more modem 2-bedroom manufactured home in its place. The proposed new addition foundation encroaches into the existing septic drainfield area setback. The existing septic,which is over I00 feet from Mason Lake and wells has been recently inspected and reported to be in working condition and its location is shown on the attached Plot Plan. We have attached a waiver to decrease the setback from 10'to a minimum of 2'. The existing drainfield will remain in use and Thad Bamford will replace the existing tank(due to a conflict in location with the new house)under tank replacement permit SWG2020-00041. The plot plan attached also shows adequate reserve drainfield area for the future. We have set aside 300 s.f+,of future reserve drainfield area,enough for a 2-bedroom septic in Type 3 soil,should it be needed in the fame. The property owner's contact information is as follows: Michael&Carla Copeland 221 Monte Elma Rd. Montesano,WA 98563 (360)581-8299 if you need further information,please feel free to contact my office at(360)898-2255. Sincerely, i DRAFT Paula J.Johnson Licensed Onsite Wastewater Treatment System Designer i Arrow Septic Designs 171 E.Vuecrest Or { Union,WA 98592 I (360)898-2255 I OCT 0 5 2020 0OON COUV Public Health Always xrorlung for a safer healthier Mason Courrty PO Box 1666,415 N e Street,Bldg 8,Shelton WA 98584, Shelton:(360)427-9670 ext 400 fi Belfair:(360)275-4467 ern 400 '• Elma:(360)482-5269 ext 400 FAX (360)427-7787 Application for Waiver/Appeal Amount Paid: Receipt Number WAI Instructions F Complete Parts 1 and 2.No determination can be made until these parts are fWly completed. Fees may be billed for waivers and appeals,based on the Environmental Health Fee Schedule. Submit completed application with attachments to Mason County Public Health for review. PART 1.Applicsnt/Parcel Identification ((��,,�� Name of Applicant kKXC .AgLk �k0.- �-r"'e`^'^'-'v^. Telephone 581- gZ10i Mailing Address of Applicant 22� V'-ft�- "-' 9' City Sato State >'A Zip g85(0 i 12-digit Tax Parcel No. Z 2 Z 3 3 -- S 2- — O O O -7 Z_ Site Address ?"W F . Subdivision Name and Lot ILNo•&.``c`RS Syv.rr`'a , Q- d � Z PART 2: Nature of Waiver/Appeal ❑ Class B Reduction in Vertical Separation ❑ Food Sanitation Requirements ❑ Building Permit Review Policies ❑ Group B Water System Regulations Er Location,WAC 246-272A-0210 ❑ Water Adequacy Requirements Cl Holding Tank WAC 246-272A-0240 ❑ Enforcement Timelines ❑ Mason County Onsite Standards ❑ Departmental Determinations ❑ Connector Certification Requirements ❑ Other (Installer,Pumper,O&M Specialists) Description of Waiver/Appeal (inaludejustification,additional material may be attached.): Se a M� Applicant Signature: Date: \n �rj•��L,�.p � W teviud 1272075 This form may be scanned and a at le•for purbliwc vi an the Mason County Web site. Page I oft PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: Type of Onsite Waiver(if applicable) ❑ Appeal D Waiver ❑None required o Class A ❑ Class B ❑ Class C 2_ Identification of Specific Code/Standard/Determination(include date of determination or latest Code!Standard revision): 3. Nature of Appeal: 4. Hearing Official: ❑ Board of Health ❑ Health Officer ❑ Pollution Control hearing Board ❑ Public Health Director ❑ Certified Conaactor Review Board _ ❑ Environmental Health Manager 5. Mitigating Factors: 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: Date: 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: Date: Revised 1=015 This form maybe scanned and available for public view on the Mason County Web sibs. Page 2 of2 Application for Local Waiver/Appeal Mitigation 10-5-20 Owner: Michael&Carla Copeland Phone: (360) 581-8299 Mailing Address: 221 Monte Elms Rd., Montesano,WA 98563 Site Address: 2831 E Mason Lake Dr. E., Grapeview, WA 98546 Parcel Number: 22233-52-00072 Property Description: Madings Sunny Shore Add#6,TR 72 1)Local Waiver Sought: Reduce horizontal separation between new manufactured home concrete runners and drainfield from 10' to a minimum of 2'. 1)Mitigation Measures: The new manufactured home will be placed on concrete runners and have skirting, not a traditional foundation. Effluent will not infiltrate the crawl space because there will not be a crawl space. The finish grade in the drainfield area will not slope toward the home. { I 1 1 1 i 1 1 a j1 9 3 j 1 3 jf13 3 r _ Plo Pico Mason Lqk�, MCCha{I+ Carla Go(tIana N fa(CU1 4412233-52 -00071 �36 2Y31 E M0.5on 6akaDr �rnry,o,, Wn Scale : l - yo, u �f�nl Linty ° 70 if bo y° i� 4xy `z 141'R ' / w..,4. cJ.B.A�Q o?' � Poc�.*-{sec•ti.w-Fa.*, .i coo SItY'20 - � Clsp (ZnS•Ftt�1'`TC-� 3hG yG 3y7.23' CDCleanout O2 1,200 Galion Septic Tank 2-Compartment with Effluent Filter Nw' _ SwG- 2.o21)-ocotf4 ia1c1 ZO2b - oiat.o3 er' _ I,,/tA