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Home My WebLink AboutWAI2026-00016 - WAI Health Waiver - 3/20/2026 415 N.6th STREET,SHELTON WA 98584 MASON SORT COUNTY SHELTON:360-427-9670,ext 400 r e 1V�1-� 1�l V 1�I BELFAIR:360-275-4467,ext.400 COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health Application for Waiver or Appeal Amount Paid: Receipt Number: 'Z-0Z6- 0 ( o 1 VVAI Z-O2i - Opoj Please note, all approved Onsite Waivers have the same expiration date as their OSS Permits. Instructions: 1. Complete Parts I 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 {..lrst`i�)r�G�`r�/�t�c c�GK Telephone -A 15-5 1(a'-(p �ll- Mailing Address 4OI I\L i' H 6T-pEr City �A.cOivlla State \&I/ Zip 9&4CD p Parcel No. 4 2 2 O t -_ 5 Z _- Q O nD 1 Site Address Z0 1\, L6 1-NJ''( I O 1.) HIXOOSF'ZYR;i J/\ ` S 4B Subdivision Name and Lot �� .1-- �:�- H T f�C� � (�lZ 1D'r4 5 PART 2: Nature of WaiverlAppeal ❑ Onsite: Class A Waiver O Food Sanitation Requirements ❑ Onsite: Class B Waiver ❑ Group B Water System Regulations ❑ Onsite: Class C Waiver ❑ Water Adequacy Requirements Onsite: Location, WAC246-272A-0210 l''d' Building Permit: EH Review Policies ❑ Onsite: Holding Tank, WAC246-272A- 0 Appeal: Enforcement Timelines 0240 0 Appeal: Departmental Determinations ❑ Onsite: Contractor Certification O Other Requirements Description of Waiver/Appeal (include justification, additional material may be attached.): e zl�Applicant Signature: r �C�� Date: �`��-cl'� 2 , 2P Revised 9/29/2025 This form may be scanned and available for public view on the Mason County Web site. Page 1 of2 PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: Type of Onsite Waiver(if applicable) ❑ Appeal Waiver ❑ None required o Class A ❑ Class B ❑ Class C ocal 2. Identification of Specific Code/Standard/D termination (include date of determination or latest Code/Standard revision)_ „��r� -Z72i�__ 3. Nature of Appeal: wL d n — +0 4. Hearing Official: ❑ Board of Health ❑ Health Officer ❑ Pollution Control hearing Board 0 Public Health Director ❑ Certified Contractor Review Board Environmental Health Manager 5. Mitigating Factors: V 1/ 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: Date: PART 4: Determination of the Hearing Official l- 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: O 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: C Re ised 9/29/2025 This form may be scanned and available for public view on the Mason County Web site. Page 2 of 2 "V1AT L N • 4o 14. o H16VI�/t f lot Q.! IUUWATEJ &1R tit �� t� alt�i ►C�t.� k . I' M I cAhw% t1", t `rigta 7"a� Iacw .:, � a; �. qr'► tit 1 25540 tJ. U,oe 1-4u.+l--wkq, lot - ---- ----- - --\ --- -- - -- ----.---- - --- . - - - 1 . t .._, __� _ �,._..�-i 'm�'vir7-'yI(r'.'6:`lr':"" 5 Rsru-,_•��•- •�•v.lav�ww'- �--__ _ __ ••�` ►f3 OL!'t~VI'L'> "VJATr-r,'LI tdl65�P�1 't'i: Y7I - - Q 1 k t�,t CC.:t° AC,C:I;a5 !'oA U rI LMEF Mason County Application for Variance, BLD2025-00209 Bob Woodcock and Jennifer Woodcock, Applicants — - Project-Description: -- -- - -- - - -- ----- New Construction of a 420 sq. ft. vacation home. A Nuwater BNR500 septic tank was installed in October 2025 meeting the required 10 foot setbacks from both property and the PUD #1 service area water line. After the Nuwater septic tank was installed the property owner asked the PUD to remove and relocate the existing water meter. In November 2025, the PUD indicated that the septic drain field was not 10 feet away from the service area water line. Therefore, in January 2026 the service area water line was relocated to the west side of the Canal Beach Tracts access road. The waterline relocation is now 12 to 15 feet distant from the septic drain field. Because the Nuwater tank had been set, it was deemed too difficult to move 2.5 feet to the west which would have complied with the 5 foot foundation setback rule. The location of the septic tank does not meet the required 5 foot setback from the 18" concrete footing of the home. Preliminary foundation layout found that a 2.5 X 15 foot variance is needed on the northwest corner of the footing and stem wall. The buildings foot print cannot be moved to the east due to a 35 foot setback for an approved Common Line Mitigation Plan. Building Plans and Common Line Mitigation Plan Review were approved by Mason County Community Services on October 10, 2025 RBM IS GROUND EL.@ PROPERTY CORNER(RBM=100.0) ABANDONED SEPTIC TANK(PER CODE) NOTES: EXISTING NUWATER BNR500 ATU TANK(IN.EL.-98.5/OUT.EL.-98.2)-TANK,RINGS,RISERS AND LIDS MUST BE H20 TRAFFIC RATED /+^ j 70' 1 -NO WELLS WITHIN 100'OF DRAINFIELD p C3POSED R PA �s_ _ eI _ �FWATERLINE(MAINTAIN 10FTTO SEPTIC COMPONENTS) -RISERS TO SURFACE REQUIRED OVER ALL TANK LIDS Q0Q( I I ❑I -TANKTOBEONSTATEAPPROVED LIST N W o TANK HAS WATERPROOF SURFACE BARRIER INSTALLED BY MANUFACTURER v N 20 TANK TO BE LEAK TESTED INTO THE RISER FOR 24 HOURS AFTER INSTALLATION. P P SED STUB' UT/C EANOUT(IE.-99.0) J 02/.25/26 w of ' PROPOSE TRAFFIC A RER ¢ -1 ' HOOD CANAL F- PROPOSE 1 BDRM C BIN W I I L \\ J� AD.:f,l JAlil!:ITEIh I ". �yt�'y~i,•l•�+y:ti t4'�' I I 6Ta�S.ii\aCs�:i�jSL'.,�jt5.\�0: J L J_-' 5FTBSBL_ TANK DETAIL-NO SCALE 6.7 35'SETBACK LINE TQ S AWALL 5.0 70' STEPS I SD SCALE-1"=20'-0" m E1,, A 'RTA6"'OR� SITE IS FLAT ]S TINY vvC ln'vl-, AwLwE rCWVLWG 6REOUCER 8' r iEE I '-v SLUDGE it RETVRN LO.'E r Rvc TRASH CHAMBER DIGESTER CHAMBER CLARIRER OVEMTwG CMACRY;•11 G.LlON9 PEMTLYO CAVALRY:.tI WLO"6 CHAMB� ' noon onRAcm:.m GMtOus ntt000 uvAcrtY:.w cnuous ®� aaoo:sl GAL 55' 6B' Imo. SP I 5S e iEE .O vMu.ELroTAR%W4L / —� ]' SLUDGE RETURN L6-TMER-.�• SIDE NEW OR iREEN C0 D5.500 M1 OVER STOOD 500. REVISION-2/25/26-HOUSE LOCATION HAS SHIFTED,NOW 2.5FT FROM TANK REVISION-10/1/25-UPDATED WITH TRAFFIC RATED NUWATER TANK REVISION-9/17/25-UPDATED WITH HOUSE SETBACKS AND EAVES INCREASED WATERLINE TO TANK SEPARATION REVISION-6/16/25-UPDATED TANK NOTES TO SHOW MITIGATION REQUIREMENTS THIS IS NOT A SURVEY: SITE FEATURES,TOPOGRAPHY,ELEVATIONS AND BENCHMARKS ARE BASED ON ASSUMED DATUM PROVIDED BY THE OWENER AND COUNTY PLANNING RECORDS AND ARE INTENDED ONLY FOR THE REVIEW AND CONSTRUCTION OF THE PROPOSED SEPTIC SYSTEM DESIGN. JIM HUNTER&ASSOCIATES RECOMMENDS THAT A LICENSED PROFESSIONAL LAND SURVEYOR ALWAYS BE USED TO SET CORNER, ESTABLISH LOT LINES,DETERMINE ELEVATIONS AND TOPOGRAPHY AND/OR PROVIDE A LEGAL SITE PLAN. A FEE MAY BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION&RECORD DRAWING HWY 101 TO A RIGHT AT SHARED DRIVE JIM HUNTER AND ASSOCIATES NOTE:WATERLINE IS TO BE 1 OFT FROM THE NUWATER TANK TO SITE ON THE RIGHT. P.O.BOX 162,OLY,WA 98507 753-1226 JHANOASSOCLATES@H0TMAIL.COM DESIGNER-ADAM HUNTER SEPTIC SYSTEM DESIGN FOR- BOB WOODCOCK SITE ADDR- 25540 N HWY 101 NOTE:REDUCED SETBACK TO FROM TANK TO THE FOUNDATION(2'-6")JUSTIFIED AS NO FOOTING DRAINS WILL BE INSTALLED WITHIN 1 OFT OF THE SETPCI TANK LEGAL- 1 OF 1 NOTE:ADDITIONAL RESERVE AREA HAS BEEN ADDED DUE TO THE HOUSE SHIFT TP# 422015200004 SITES SWG2025-00180