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HomeMy WebLinkAboutWAI2026-00005 - WAI Health Waiver - 1/28/2026 415 N.6th STREET,SHELTON WA 98584 MASON COUNTY SHELTON:360-427-9670,ext 400 BELFAIR:360-275-4467,ext.400 i COMMUNITY SERVICES `u< i Building,Planning,Environmental Health,Community Health Irsr Application for Waiver or Appeal WE Amount Paid: 0.-taea Receipt Number: oZ I(p 0010 JAN 1 2 2026 tie WAI (p - 00005 ByQ Please note,all approved Onsite Waivers have the same expiration date as their OSS Permits. 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 ( (c©' B/9 K iS 2. Telephone 5D." 7 O 8--$o IS Mailing Address (3 5"4 y NP E, &FITS 1› City L//1 N CO`>1l --... //�� State Zip 9 A6 8(gy0 Parcel No. ] d2 / O -- �r 3 -- 9 o / a Site Address '8 I 5oJi p_4), 6gA-P E I��E L', t.c.►4 S546, Subdivision Name and Lot "VS 'riz-A-c T 2/ 0 F6-v1/4.71-1-677.3.— PART 2: Nature of Waiver/Appeal ❑ Onsite: Class A Waiver ❑ Food Sanitation Requirements ❑ Onsite: Class B Waiver O Group B Water System Regulations ❑ Onsite: Class C Waiver O Water Adequacy Requirements Onsite: Location, WAC246-272A-0210 O Building Permit: EH Review Policies ❑ Onsite: Holding Tank,WAC246-272A- O Appeal:Enforcement Timelines 0240 O Appeal:Departmental Determinations ❑ Onsite: Contractor Certification O Other Requirements Description of Waiver/Appeal (include justification, additional material may be attached.): Rt€C2vES-7 of L}*;vc rL To kE. rtH- S£rAfrCK. 2ts / 6--4- roo` ,rv(gS r/2 ✓t /O FF.ET T() 'TO -A cc rvt044 O 1?-4'Tr t-f C ,e• PT1 F A)4k.)w �Vic=. K. rq Es c A v £ Dt2 Q-A- Applicant Signature: Date: ) y f/.j Revised 9/29/2025 This form may be scanned and available for public view on the Mason County Web site. Page 1 of 2 PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: Type of Onsite Waiver (if applicable) Appeal - aiver - None required Class A 7 Class B ❑ Class C'Local 2. Identification of Specific Code/ Standard/ Determination include date of determination or latest Code/Standard revision): \N-1311,1,-4,6 -7 (c2 3. Nature of Appeal: LOU) CL pi- I C r{.,_ - ,� P: i Sh Ate m -i of z t �v a `j-v ('-�- 4. Hearing Official: ❑ Board of Health O Health Officer ❑ Pollution Control hearing Board ❑ Public Health Director ❑ Certified Contractor Review Board Environmental Health Manager 5. Mitigating Factors: fi r ,, I i- r}y11,1�,-f�� �L� a O ��lQl`-N"I I o�U►em\tri- v rtiS a116vv4 ref v 6. I have received this waiver/appeal request. It is complete and mitigation required by the state and local policy has been submitted. Staff Signature: Rihe-\9.-nip -vv----- Date: -ll-s-1 2A PART 4: Determination of the Hearing Official 44 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: Health Official Signature: Date: 2--VZ( Revised 9/29/2025 This form may be scanned and available for public view on the Mason County Web site. Page 2 of 2 81 E Sund Rd,Grapeview,WA 98546,USA,Union-Grapeview Township, Parcel Id:121084390210 DEsv9Avafe R' ' c≥; QQc B L.L7 2 etas-o f rr^^ ( ./45F— 443 era.20fit'f R "'? Se_ ',G Stir,fin* rTh Fit E pl, i wet Ueci 3/7y OR e Eelv. 4.4...A. 1 3f,' I 4ze t_ 47 0/ i (7 ii0 ciA e FLA- we- (...c.0 i4" a"tilk, ''it L.)CA.41 ',ill 449'9') eke IO jam' 13.1. _ . ._ ____ m ,, ___ 3•2-C, 1 J . __ _ ._._ 9eo C\N\--,..... O) \cos1 O • \`. ' \ 1 ,,.- - '----- . ts`� ,...... ,,. \ all •.. :-,-;,,,,,,,"" . . • • -- ..9' .e 1 ..-1\''' ' 10P . ft !. 102; • --- .-...""7""''''' ,- 5100418 � -✓".• CINDY E.WAIT'E. j., LICENSEP DESIGNER GU Legend .a�.��� Soil Tut ` v EXF'IkLS 05.10, . WA Mason 101c contours o h°• _ - Scale m>1 in:30 ft ...PN � / T A 10' BLDG. / LINE OPERTY E O WA—DP2 70' LONG, 36" DRAINFIELD 3" DRAIN LINE a 89 0' - 26'-1"AGL. \ EXIST. WATER o 7. A8•. SUPPLY LINE I ^) o� "o �o F 3 (4) HVAC CONDENSORS 750 gal. oval i (--\ ,.:,O tank, 7'x6' O j •89 ROOF OVERHANG io I 7Z'--O" 24'Sxl20 �� 26' 1"AGL. 4 • !� STRUCTURE , � G f EXIST. DRIVE CO I 4" INLET /2— Sd 7. G a 15'-4 5/8" EL OWS 4" CLEAN0UT \ /- < ° NEw�Al�Ac PROPANE TANK v 4" PVC OUT AREA / 'O I I UN T COND. \NEW C1\RAVE DRIVE TO CODE NORTHt p i .PROPERTY LINE W o NE�\\ BLDG. AREA // EXISTING 36 NEVA GA"AG � 10' BLDG. SETBACK Ac' 5 -p I APPROX. 486 SF. STRUCTU- / �� \ APP[A0 80 SF. LINE E ,b d c3 '. c4 g 26.-1"AGL. r /'/ J�\ �.'-1"A+L. / \ S m -p Z �' N ELEQ. ` RESERVE 0 10' 20' 30' u DRAINFIELD ..0 /i t8'.-4"r ' / ME ER�0 ATIO 1 I t-a -� 4 ui NE POR \ r 25' BLDG. ›, Z 39'-0 3/4" �. P APP OX. 7' "SF. ?60' Shorezone �� SETBACK LINE F �_ ROOF OVE HANG \ c o \ I�26.5' a —T' 26'-1"AGL. �_ o� EXIST in EXIST,, GRAVEL DRIVEWAY N i SUPPLY LINE a (APPRC37C. 1,870SF.) /7PROPERTY L4. NN S 58d 09' 12" W 265.09' \�/ EXIST. WATER METER \ EXIST. ELEC. (COMMUNITY WATER SYSTEM) PEDESTAL - SITE PLAN Scale i"=10' STE PLAN SUND RD. Milli Monad ie. dWdb.Perk ig MIAMI, an E/5/25 A0.1 i . • Rhonda Thompson From: Drew Carlson Sent: Tuesday, January 13, 2026 1:56 PM To: Rhonda Thompson Subject: RE: BLD2025-01252 Hello Rhonda, Since there is not a basement on the drawings I see no problem removing the foundation drains. Let me know if you have anymore questions. Thanks, From: Rhonda Thompson<RThompson@masoncountywa.gov> Sent:Thursday,January 8, 2026 10:10 AM To: Drew Carlson<DrewC@masoncountywa.gov> Subject: BLD2025-01252 Hi Drew, Can the perimeter/foundation drains be removed from the proposed replacement home at 81 E Sund Rd?Their new home looks to be about 4ft from their existing drainfield and before I propose an EH waiver to reduce the setback, I want to make sure it is possible for them to omit the drains around the house.They ended up moving the reserve on the other side of the property so it's not encumbered by the deck. Thanks, Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 6th St.Shelton,WA 98584 360-427-9670 ext. 581 Rthompso_n@masoncountywa.gov 1