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HomeMy WebLinkAboutWAI2026-00057-WAIVER/APPEAL - WAI Health Waiver - 7/9/2026 415 NMASON COUNTY . Pubs Health & Human Services JUL 0 9 2026 I LL44 .fj Application for Waiver or Appeal Amount Paid: Receipt Number: a �P OJD5Y 4 ll9 -711(310 (P WA! aOs) - c c c'1 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 Zenith Homes Telephone (253) 225-2808 Mailing Address 66 SE Lynch Rd City Shelton State WA Zip 98584 Parcel No. 2 2 0 0 7 -- 5 1 -- 0 0 0 5 4 Site Address 30 E Tahuya Dr, Shelton WA 98584 Subdivision Name and Lot Timberlake #8, TR 54 PART 2: Nature of Waiver/Appeal ❑ Onsite: Class A Waiver ❑ Food Sanitation Requirements ❑ Onsite: Class B Waiver ❑ Group B Water System Regulations ❑ Onsite: Class C Waiver ❑ Water Adequacy Requirements ❑✓ Onsite: Location,WAC246-272A-0210 ❑ Building Permit: EH Review Policies ❑ Onsite: Holding Tank,WAC246-272A- El Appeal:Enforcement Timelines 0240 ❑ Appeal:Departmental Determinations ❑ Onsite: Contractor Certification ❑ Other Requirements Description of Waiver/Appeal (include justification, additional material may be attached.): 1) Reduce setback from new proposed home to existing drainfield from 10' to a min. of 2'. Mitigation is that drainfield is down-slope and effluent will drain away. 2) Reduce setback from new proposed retaining wall to reserve drainfield from 10' to a min. of 2'. Mitigation is that drainfield is down-slope and effluent will drain away. Applicant Signature: Date: Revised 03/03/2026 This form may be scanned and available for pubhciiew on the Mason County Web site. Page 1 oft PART 3: Public Health Evaluation (Staff Use Only) 1. Type of Determination Required: Type of Onsite Waiver(if applicable) ❑Appeal Waiver ❑Class A ❑Class B ❑Class C *ocal I State Waiver Criteria Number of Bedrooms: Nitrogen Treatment: ❑Yes 0 No Soil Type: Minimum Lot Size: sq.ft. Water Source:❑Public ❑Private This Lot Size: sq.ft. Is This Lot Eligible for State Waivers: ❑Yes ❑ No /A Hearii Official: Environmental Health Manager ❑ Public Health Director ❑ Other: 2. Identification of Specific Code/ Standard/ Determination (include date of determination or latest Code/Standard revision): 3. Nature of Appeal: I .. n GLl/ n Ylui th' k ` 'Y1,W +: 1 ( - -FF re .fit w [[ to 5. Mitigating actors: ,v (� �e�'1rQg4.p f- <2--F+-. j ��� 11 o1 kii> V� '10gf ,6ai vJ kS PP .n �ln l , WC4i 6. I have received this waiver/appeal request. It is complete and mitigation required by the state and local policy has been s bmitted. Staff Signature: Date: i 3 J14 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: ❑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: /� 4 Revised 03/03/2026 This form may be scanned and a ailable for public view on the Mason County Web site. Page 2 of2 Arrow Septic Designs,Inc 171 E.Vuecrest Dr. Union, WA 98592 July 8,2026 Mason County Department of Health Services 415 N 6th St Shelton,WA 98584 RE: Zenith Homes Property(Parcel#22007-51-00054) Septic Reserve Dear Inspector: Attached is a plot plan and local waiver for a property located at 30 E Tahuya Dr, Shelton,WA 98584. This property has existing utilities but a home was never built/installed. Zenith Homes is planning to install a new 66' x 13.5' single wide 3-bedroom manufactured home for the new owner. See attached plot plan for details. The site has an existing permitted 3-bedroom septic system installed in 1991. According to records,the existing system consists of a 1,200-gallon 2-compartment concrete septic tank followed by a 10' x 36' gravity drainfield bed(360 s.f.). Historical sizing of the drainfield for a 3-bedroom would be 360 s.f., so this system matches those sizing standards. The septic was recently pumped by Mike's Septic Service in Oct-2025 (see attached report) and the drainfield was located by Bamford Septic Repair in June-2026. The new house location proposed is less than 10 feet from the existing drainfield so a local setback waiver is attached. The house is to be a minimum of 2 feet from the existing drainfield. Also, a new retaining wall will need to be built behind the home to make a flat building site. We are also asking for a reduction from the retaining wall to the reserve drainfield setback from 10 feet down to 2 feet minimum if it is ever needed. We have set aside 450 s.f. of drainfield trench reserve area,enough for a 3-bedroom septic in Type 3 soil should it be needed in the future. There are no wells within 100 feet of the drainfield. There is a wetland at the back of this property which will be addressed by a biologist. The reserve meets or exceeds Table X guidelines. No soil is to be disturbed in this area and the reserve, as well as the primary drainfield areas, should not be used for vehicle traffic or parking. The project contact information is as follows: Zenith Homes-Derek Johnson 66 SE Lynch Rd Shelton,WA 98584 A. (253)225-2808 If you need further' rmatilease feel free to contact my office at(360) 898-2255. Sincerely, c. PAULA JOY JOIINSON t�:��S�b irj��f�VL•'�.. '� Paula J. Licensed Onsite Wastewater Treatment System Designer 4Ij 4j) -� ; o'�.i l ii tl ';iH:r�'� a. m�n :P>nvi,::/S., a a.a,„� , I bL SQ 1 L TIM, EERLAKE N0. -8 SECTIONS 7888• T W PP 20.N. R.2 W.9 !:M. MASON COUNTY, WASHINGTON virus! 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A 1s'�M1. !.%R.SY/SK/N!/J//t:4�ffuhuriv+o/fe,lfvnv ar '�t ,y � }s44 ['a/,/rah•N0.�1J - -i rN y J/(54'87-1 r ° SHEET 3 OF-5 SHEET$ mike-5 septic 8"Wces LLC 320 SE Campfire CT 3605560171 Shelton, WA 98584 PROPERTY INFORMATION Location:30 E TAHUYA DR SHELTON Tax ID:220075100054 Mad To: Use:Residential,Single Family ON 1D:220075100054 County Area:Oakland Bay MRA Fdd V N • Fdd Here - Here Inspected:10/18/2025 - Inspection Type:PROPERTY SALE - Correction Status:No corrections needed Company: Work Performed By: Submitted 10/29/2025 by: Mike's Septic Services LLC Mike Fesenbek Mike Fesenbek COMMENTS&GENERAL INSPECTION NOTES No Deficiencies Noted Drainfield takes water. GENERAL SITE&SYSTEM CONDITIONS The General Site and System Conditions were: Fully Inspected Components accessible for service: YES All required service performed(if no-specify omitted inspection items in notes): YES Surfacing effluent from any component(including mound seepage): NO Components appear to be watertight-no visual leaks: YES Improper encroachment(structures/impervious surfaces) NO All riser lids securely fastened upon departure: N/A Electrical repairs needed. If YES describe in comments: N/A Inspected components appear to be in good physical condition: YES Root intrusion on any components. If YES describe in comments: NO Settling problems observed. If YES describe in comments: NO The house/structure was vacant or used infre uenfl ,assessment of the drainfield was not possible. NO ONSITE SEWAGE SYSTEM INSPECTION DETAIL This component was: Fully Inspected Effluent level within operational limits if NO explain in comments): YES All required baffles in place N/A=No baffles required): YES Compartment 1 Scum accumulation(Inches,if other specify): 0 Compartment 1 Sludge accumulation Inches,if other specify): 0 Compartment 2 Scum accumulation(Inches,if other specify): 0 Compartment 2 Sludge accumulation Inches,if other specify): 0 Pumping recommended: NO This component was: Fully Inspected Component appears to be functioning as intended: YES Pondlnp present?If YES explain In comments: NO Drainfield was vacuumed,flushed or hydro-jetted? If YES,explain in comments) NO This report indicates certain charaaatistics of the ons4e sewage system at the time of visit,in no way is this mport a guarantee of operation or future panionnance. ReportlD:1459862 View Inspection reports online at www.onlinerme.com Page 1 of I