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Home My WebLink AboutWAI2026-00064 - WAI Health Waiver - 7/30/2026 WA 98584 MASON CO U N TY jL' `�H'EE'fE3N�62 70,ext 400 • ° • J U EFgI Ft; p 27 7,ext.400 Public Health & Human Services By Application for Waiver or Appeal Amount Paid: Receipt Number: E -P 33c -! WAI (•P- C A-P -I 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 maybe 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 Alan & Diana Stoick Telephone 253-293-8542 Mailing Address 2090 E St Andrews Dr N City Shelton, State WA Zip 98594 Parcel No. 3 2 1 2 2 -- 5 0 -- 0 0 0 9 4 Site Address same Subdivision Name and Lot Lake Limerick 3 Lot: 94 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 L Onsite: Location,WAC246-272A-0210 ❑ Building Permit: EH Review Policies ❑ Onsite: Holding Tank,WAC246-272A- ❑ Appeal:Enforcement Timelines 0240 ❑ Appeal:Departmental Determinations ❑ Onsite: Contractor Certification ❑ Other Requirements Description of Waiver/Appeal (include jus₹ification, additional material may be attached.): Reduce setback from foundation and proposed deck footings to existing pump basin from 10 ft down to 2 ft. Pump basin is down-slope of existing foundation and will have high-level alarm added. Also reduce setback from proposed garage foundation to existing drainfield from 10 ft down to 2 ft. Drainfield is down-slope from garage foundation. Ends of drainfield lines will be marked with observation ports. Applicant Signature: Date: 1t1-t `— Revised 03/03/2026 This form may be scanned an available for public " w 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 Wiver ❑ Class A ❑Class B ❑Class C Local State Waiver Criteria Number of Bedrooms: Nitrogen Treatment: ❑Yes ❑ 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 Hering Official: Environmental Health Manager ❑ Public Health Director ❑ Other: 2. Identification of Specific Code/Standard/ Determination (include date of determination or latest Code/ Standard revision): W- t? 'Z,77_fk'o Z I O 3. Nature of Appeal: "V- =fir Wg"5 7-o rrri vvw ( c�-&1 E,4" Q '\ 4 TO F ` or fo 2-43 . 5. Mitigating Factors: - Z)1 OtOI#W1�x renri F- o+ L1'9 td - 8 6. I have received this waiver/appeal request. It is complete and mitigation required by the state and local polio has been submitted. h Staff Signature: Y ` Date: PART 4: Determination of the Hearing Official dThe hearing official has determined that approval of this request will not adversely affect public health a��/�d i 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: Revised 03/03/2026 This form may be scanned and available for public view on the Mason County Web site. Page 2 of 2 Arrow Septic Designs, Inc 171 E.Vuecrest Dr. Union,WA 98592 July 24,2026 Mason County Department of Health Services 415 N 6th St Shelton,WA 98584 RE: Alan&Diana Stoick Property(Parcel#32127-53-00026) Septic Reserve Dear Inspector: Attached is a septic plot plan and local waiver for a property located at 2090 E St Andrews Dr N, Shelton, WA 98584. The customer has an upcoming project adding onto the existing garage and doing a deck remodel on the water side of the home. See attached plot plan for details. The site has an existing home and permitted 3-bedroom septic system installed in 1992. According to records,the existing system consists of a 1,200-gallon 2-compartment concrete septic tank followed by 150 lineal feet of gravity drainfield trenches (450 s.f.). The septic was recently inspected by Bamford Septic Repair in April-2026 and showed no deficiencies.There is also a lift pump in a basin on the lower/lake side of the house for the basement plumbing. It is 50 ft from the lake. The basin is 2 ft from the existing foundation and new support posts are proposed at 2 ft from the basin. Currently there is not one, so a high-level alarm is to be added to the existing basin. See attached waiver. A garage addition is proposed less than 10 feet from the existing drainfield so a local setback waiver is attached. The garage foundation is to be a minimum of 2 feet from the existing drainfield. Bamford Septic Repair will also be adding observation ports at the ends of the 3 existing laterals.The garage builder is to take extra care not to disturb the drainfield when excavating for the new garage foundation. 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. This reserve area has no setback issues as it is 100+from any wells or surface water. No soil is to be disturbed in this area, it is in an existing garden area and is safe from vehicle traffic or parking. The property owner's contact information is as follows: Alan&Diane Stoick 2090 E Saint Andres Dr N Shelton,WA 98584 (253)293-8542 If you need further information,please feel free to contact my office at(360) 898-2255. Sincerely, Paula Licen nsit@, �tewai eatment System Designer PAULA JOY JOHNSON �r:FSEb� SI45`Pll� 7�-v7-Z(0 • - i 4 des � � I I first, L-�a 3; 0 2� U.- tee. OClean_out I 2 1,200 Gallon Septic Tank O 2-Compartment with Effluent Filter O3 D-Box with speed-levelers ® v $ and cover to surface as' • - ' N � . • 2yl ' ss -E.° �-a` PAULA JOY JOHNSON vii✓ 1/ y 12'4 SHEET 7 OF,II LAKE LIMERICK- DIVISION NO. THREE A PORTION OF SEC:21,22,23 & 27, TZI N, R3W;W:M. MASON COUNTY!, WASH, . 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