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HomeMy WebLinkAboutWAI2025-00045 - WAI Health Waiver - 6/16/2025 4:-.._. :' = .;_',;a,,\ 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 - Building,Planning.Environmental Health,Community Health FAX:360-427-7798 4 , "onfor Waiver or Appeal Amount Paid: =-Ft�.�,:' .. Receipt Number: a5 WAI dJ - 0034 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 1. Applicant & Parcel Information Name of Applicant Catherine Youngquist Telephone 253-273-6586 Mailing Address 601 E Olympic Vista Dr City Union State WA Zip 98592 Parcel No. 3 2 2 3 4 -- 5 1 -- 0 0 0 0 6 Site Address 50 E Mount Ellinor Ct, Union, WA 98592 Subdivision Name and Lot Olympic Vista TR 6 & Vac Mt Ellinor Ct S 43/66 PART 2: Nature of Waiver/Appeal o Onsite: Class A Waiver 0 Food Sanitation Requirements O Onsite: Class B Waiver 0 Group B Water System Regulations O Onsite: Class C Waiver 0 Water Adequacy Requirements Er Onsite: Location, WAC246-272A-0210 0 Building Permit: EH Review Policies ❑ Onsite: Holding Tank, WAC246-272A- ❑ Appeal:Enforcement Timelines 0240 0 Appear Departmental Determinations ❑ Onsite: Contractor Certification 0 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 drainfield is down-slope of foundation and septic effluent will drain away, not toward the foundation. Applicant Signature: Date: 6-16-25 ,n pr - —G r- O S-- Revised 8i 13i2018 This form may be scanned and available for public view on the Mason County Web site. Page I of 2 PART 3: Public Health Evaluation (Staff Use Only) Local 1. Type of Determination Required: Type of Onsite Waiver(if applicable) Appeal X Waiver None required Class A - 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 primary and reserve drainfields from 10 ft to not less than 2 ft. 4. Hearing Official: ❑ Board of Health 0 Health Officer ❑ Pollution Control Hearing Board 0 Public Health Director ❑ Certified Contractor Review Board Environmental Health Manager 5. Mitigating Factors: The building foundation is up-gradient from the drainfields. 6. I have received this waiver/appeal request. It is complete and mitigation required by the state and local policy has been su tted. Date: 7/F77r7,5-% 9 Staff Si nature: PART 4: Determination of the Hearing Official V. The hearing official has determined that approval of this request will not adversely affect public health and is hereby granted. This decision is bared on the followi u findings and conditions: /�/ cit1• c(r/1'b., liar j C, 1'" P1"e41 tom//%h. /v�I P- a / • ❑ 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 Signatur e: Date: V/4)//2---f J:\EH Forms\Waiver-Appeal Mason County Local Revised 1/20/2017 Page 2 of 2 I^11KO1, BI-,✓3EE1•1 ` Lft��E AND SEP••r C Tktlt 5/DeAlT3F1L,D • g3AB 33 • - • DoZ - O � vv rnZZ O Mom-),NM •. rn �D y ` p -Z 4' CONG2E'vF Z 0 r-- n• I` �� Z 0 D ��� x �5 'p m-nZ - y Lo�sS, I ? �FBSF D 29 gyp 2_ 3K ,," `li C 3' x33.s ' Q © /� - ,�} N-1�-2 y �.G. mibi e4 e0 PK1 tt-� ts7 ` 3 -i• Z'rnin wait/ .ram -RS1-1C 6' 0.G. 1.Ay1'1�4 O r �4E-1.4- 1 ag511, III / / I •Ro? 5 l 2� ,'LP M I os�o �Ro5to MU SY ��, �� 5� l I o NH5 ' y 7 BE b' M 11, FROM SEPTtc-it1t4K5 RND DRA'1NrrF-t-9 2s' vA�t��fl 1= MCUNT F_LuNoR C-T RoP--D 10 ` 4-='C-SST- lkoc-� S E t 20 *t: 0-3 4 G Rfkv E cs- -. LC — - rt p `° ?� ;e 40 3 4- b 4 s2`-t 1C 1=t-t E LG KA-v LL L( M D1,o m VJ1Tt-k SOME ?CC - 0F. Goe.kpA P1r19T pL -N3 *2- • 44 SC'1 G LS { -cols)50 „} KT y C.PC tN . puN ("Qvls"T G in l"1G'PA yt•-k SAr» GE L., 322 34-5-'1—Do cep Rev: A..--tb , , S D 5- NET EL-Li r� t 1RV.rO CIPa-tOni A�.�aT � :,fs� ti v N 6 t� �6� g59 2 O 1000 C-aIlon septic:ate l at .I, ,.L\ ) 2-Cospar=eet with AR'*�te3t F��ter `�.V�•: PAkJLAJOY JOHNSON O1000 Gallon Pump ChP-lber f� -\ � W - . •ol Bo -5.plron Ex1:1RES !1 3 0Valve Ccnirol Boa (O-((o