HomeMy WebLinkAboutWAI2026-00057-WAIVER/APPEAL - WAI Health Waiver - 7/9/2026 415 NMASON COUNTY
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Pubs Health & Human Services JUL 0 9 2026 I
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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
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1 ( - -FF re .fit w [[ to
5. Mitigating actors: ,v (� �e�'1rQg4.p f- <2--F+-. j ���
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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
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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