HomeMy WebLinkAboutWAI2026-00045 - WAI Health Waiver - 6/30/2026 415 N. 6"STREET, SHELT0N WA 99584
MASON COUNTY aELFAIR 3602754467 ext`400
Public Health & Human Services 1 T - --
J N ' 02 Ii
Application for Waiver or Appeal �� �I
Amount Paid: 310 Receipt Number. o��tP-c (Y'A - -
WAI 1Oa-- - 5
Please [ all approved Onsite Waivers have the same expiration date as their 0SS 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
Thomas Lowe Telephone 3607913854
Mailing Address 12312 Waddell Creek Rd
City Olympia State Wash Zip 98512
Parcel No. 3 1 9 1 2 -- 2 2 -- 9 0 0 5 9
Site Address Andrews Circle Dr
Subdivision Name and Lot Totten Estates
PART 2: Nature of Waiver/Appeal
❑ Onsite: Class A Waiver ❑ Food Sanitation Requirements
❑ Onsite. Class B Waiver El 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- ❑ Appeal: Enforcement Timelines
0240 ❑ Appeal. Departmental Determinations
❑ Onsite. Contractor Certification ❑ Other
Requirements
Description of Waiver/Appeal (include justification, additional material may be attached.).
Detached garage encroaching 15' into Mason County PUD 1 100ft well radius.
Attaching- letter from PUD 1 & Envirotech Engineering
Applicant Signature:
Thomas Lowe Datt'ea2026 06 03 16 14:330r00' Date: 06/03/2026
Rcvlscd 03/03/2026
This form may be scanned and available for public view on the Mason County Web site.
Pugs I 012
PART 3: Public Health Evaluation (Staff Use Only)
1. Type of Determination Required: Type of Onsite Waiver(if applicable)
❑Appeal 1pWaiver ❑ Class A ❑Class B ❑Class C ❑ Local
State Waiver Criteria
Number of Bedrooms:_ Nitrogen Treatment: ❑Yes O 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 O(N/A
Hearing Official:
Environmental Health Manager Public Health Director ❑ Other:
2. Identification of Specific Code/Standard/ Determination (include date of determination or latest
Code/Standard revision): 1'flGG fdW Y7 VvAkv ySt-"1 ' ' -S
3. Nature of Appeal:
c'v n.u.J g iM 2e4 yaraC t ms c loo' sanhri!2M tari4 i �rf ,�
kuv' 1vITzr1 iLrtS I 1tZ tw1S) . S h O'-tt i Scu15' c9�
I0U .j-z11 ctzct , .
5. Mitigating Factors:
- ye- c ,-FI'ary, Fhv rc trh he vnp 5(zhT S h wnwnlw ✓env a' r!
ft Laqwnir' ic \J4fl -,
IZi} Y f6 lhilitu ctt Poi Aft v lrlun4
mYO -Y0tW4'\ wtA I ty� v.�ta ( r>.mpin 4OJ
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:__________________________________________yAY_)L6 Date: (' J2`fi
PART 4: Determination of the Hearing Official
C.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:
!Y C•.I /✓e{,' • ty/4c. Al. Ire i 4.. N• •r.ww .T.'P.
or S. . r-c oF L ' L F/ r "c
❑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 oft
Ev iLyoteah LveerLw , PLLC.
c cra�'rc 3' ;:i.vhr r`.aL kwas
June 2. 2026
Thomas Lowe JUN�022026
III
124 SE Andrews Circle Drive
Shelton.Washington 98584 I L
8<p,2c (Q O<xZbg
Reference: Engineering Evaluation of Well Contamination
SE Andrews Circle Drive, Shelton,Washington
Parcel 31912-22-90059
To Whom It May Concern:
Envirotech Engineering, PLLC (Envirotech) has completed this engineering evaluation of potential well
contamination from roof runoff on the referenced parcel within the wells' 100-foot radius.
Information from the owner includes that the roof will encroach the well radius by 18 feet, and that the
roof material will he a non-zinc coated metal roof.
Envirotech concurs that stormwater runoff from the proposed roof will not contaminate the well. The
Washington State Department of Ecology has historically stated that only zinc coated roofs are considered
pollution generating. Recent studies by Ecology stated that zinc roofs do leach zinc,but is under the State
toxicology thresholds. Furthermore, the horizontal distance to the well and vertical distance to the
groundwater provide sufficient pollution removal qualities such as overland topsoil for surface runoff,and
expected soil cation exchange capacities exceeding 10 meq/100 g for subsurface infiltration.
Thank you for the opportunity to work on this project. If you have any questions or need any further
assistance, please contact Michael Staten at 360-275-9374.
Sincerely,
Envirotech Engineering
E� CCVUf S
�0' pt u�sp�t 9�Z
�s
4 43045 �
`Ecur=xt
�3rrG\al E`� ` 62/26
Michael Staten, P.E.
Project Director
2.r, �
e n4S1s
3'
C _ G.�., . i9-f.0
• 1 -
��� \���E .,.DN. O1 ���.
_
Q� 3JN341S32J 9101 u. �
�_ na is -uo
,r ti
oozy i ,'rFy �;
MASON COUNTY PUBLIC UTILITY DISTRICT NO. I BOARD OF COMMISSIONERS
R OF MASON COUNTY MIKE suGETZ,cnmmi..loucr
Alrr N.21971 Hwy. 101 JACK.IANDA.Commissioner
Shelton,Washington 98584 RON GOLD.Commissioner
June 29, 2026
Totten Estates LLC
Tommy Lowe
12312 Waddell Creek Rd SW
Olympia, WA 98512
Re: Variance for the Totten Estates I & II Water System 100' Wellhead Protection Area
Dear Mr. Lowe,
Mason County PUD No. 1 has agreed to extend to you a 25' variance within the 100' Wellhead
Protection Area for our Totten Estates I & II Water System.
This will allow for a garage to be built on parcel 31912-22-90059 and for a portion of the garage to
extend 25' into both wells' protection zone. Note, please be careful about any groundwater
contamination and not let anything seep into the ground around the garage.
Please feel free to contact me with any further questions or concerns.
Sincerely,
Brandy Milroy
Water Resource Manager
Cc: Totten Estates I & II Correspondence File
(360)877-5249 • (800) 544-4223 •FAX(360) 877-9274
www.Ill ason-pudI org
Rhonda Thompson
From: Brandy Milroy cbrandym@mason-pudl.arg>
Sent: Monday, June 29, 2026 11:14 AM
To: Rhonda Thompson
Cc: Gary Kreider;Tommy Lowe
Subject: Re: updated site plan
Yes,the two closest wells are for Totten Estates 1 &2,the third well is Bay East.
Thanks,
Brandy
$AS16 UN1
Brandy Milroy
Water Resource Manager
21971 N. Hwy. 101, Shelton, WA 98584
(360) 877-5249, x. 218- Office * (360) 877-5339- Fax
, he IYa,hr ,'on F,;`✓l:Re o a,Ac( PCll 56 1/, CO n .'1 any ari.c rienG, en a v Lo c/b docec,.-a T.c „n,
e[av�n/0/ nil.pr; / -,.
_i cmp/cy fr.
11xU
From: Rhonda Thompson<RThompson@masoncountywa.gov>
Sent: Monday,June 29, 2026 11:08 AM
To: Brandy Milroy<brandym@mason-pudl.org>
Cc:Gary Kreider<kreiderhomesllc@gmail.com>;Tommy Lowe <tommylowe@olympicsir.com>
Subject: RE: updated site plan
Thank you. And can you confirm we have the correct understanding about the three different wells shown
there? I described it below.
Rhonda Thompson, RS
1
Senior Environmental Health Specialist
Mason County Public Health
415 N 6'°St.Shelton,WA 98584
360-427-9670 ext. 581
Rthompson@masoncountywa.gov
To register for an upcoming homeowner septic workshop, please visit:https://extension.wsu.edu/maservent/septic
summer/2026-06-18/
From: Brandy Milroy<brandym@mason-pudl.org>
Sent: Monday,June 29, 2026 11:04 AM
To: Rhonda Thompson <RThompson@masoncountywa.gov>
Cc:Gary Kreider<kreiderhomesllc@gmail.com>; Tommy Lowe <tommylowe@olympicsir.com>
Subject: Re: updated site plan
Good morning Rhonda,
Attached is an updated variance letter to accommodate the garage.
Thank you,
Brandy
y
z'v
Brandy Milroy
Water Resource Manager
21971 N. Hwy. 101, Shelton, WA 98584
(360) 877-5249, x. 218- Office * (360) 877-5339- Fax
Ferror / 1Y/ ,n mn Fob;ic Re ' Ar'. RCLt 66 ('i .nn r, st/achme,R. r ,t le_d,, ;./ ll r...ci o: TOL,
mx
From: Rhonda Thompson <RThompson@masoncountvwa gov>
Sent: Monday,June 29, 2026 8:34 AM
To: Brandy Milroy<brandym@mason-oudl org>
Cc: Gary Kreider<kreiderhomesljc@gmail com>
Subject: RE: updated site plan
2
Hi Brandy,
We received a waiver request to place a plumbed garage into the 100ft well protection zones for Totten
Estates 1 & 2.
I want to make sure we all have the same and correct information before proceeding.There are 3 wells
shown on this attached site plan.Two of the welts don't meet the 100ft well setbacks which I presume to
be Totten Estates 1 &2 (Group B wells). There is a third well there. Is that Bay East (Group A well)that
meets the 100ft setback?
Secondly, your letter you wrote states the garage will only encroach 10ft into both wells' protection
zones, however,this attached site plan shows a nearly 20ft encroachment. Is that ok?Would you be able
to update your letter?Would you then need a 25ft variance to allow a 5ft setback?
Thank you,
Rhonda Thompson, RS
Senior Environmental Health Specialist
Mason County Public Health
415 N 6'"St.Shelton,WA 98584
360-427-9670 ext. 581
Rthompson@masonco ntywa.gov
To register for an upcoming homeowner septic workshop, please visit: https.//extension,wsu.eAu/mason/event/septic-
summp1/2026-06-18/
From: Gary Kreider<kre'derhomesllc@gmall.mm>
Sent: Monday,June 29, 2026 7:05 AM
To: Rhonda Thompson<RTho ps @rnaso icountvwa gov>
Subject: Re: updated site plan
Good Morning,
Sorry about the site plan, I think I sent the wrong one. Here is the current version showing the tank
setbacks and the waste line from the detached garage to the septic tanks.
Thanks,
Gary Kreider
On Wed, Jun 24, 2026 at 10:47 AM Rhonda Thompson <RThompson@masoncountywa.gov>wrote:
Hey Gary,
I had an opportunity to look through all these submittals thus far. The site plan you attached to this
email has not been updated. I asked for the sewage transport line leaving the garage and going to the
tanks to be shown on site plan.The tank you did show also doesn't appear to meet 5ft setback to house.
There are also two separate tanks.This was in my deficiency letter dated 4/1/26. Please update site plan
and send back.
3
Thanks,
Rhonda Thompson, RS
Senior Environmental Health Specialist
Mason County Public Health
415 N 6'h St. Shelton,WA 98584
360-427-9670 ext.581
Rthompson@masoncountywa.gov
To register for an upcoming homeowner septic workshop, please visit: https://extion.wsu.edu/mason/event/septic-
summer/2026-06-18/
From: Gary Kreider<kreiderhomesllc(aemail com>
Sent: Monday,June 22, 2026 10:57 AM
To: Rhonda Thompson cRThompson@masoncountywa gov>
Subject: updated site plan
Hi Rhonda,
Please find the updated site plan attached. Let me know if you have any questions regarding the
updates.
Additionally, should we proceed with recording the easement for the septic drainfields? I believe Justin
has already submitted all of the septic extensions.
Thank you,
Gary Kreider
4
�-
- --- ----- �\ N -�
O m
� Oo r
/ V
II
K O A \ 58.1 '
rn
192J9- \� 2 >
mn
T m >
m N A c
m O
m W mr C ' M
< m
D o m r
m Z
T ZJ
I m m D
IS 0 p Z
Ol
2242197 MASON CO WA
05/23/2026 C2.03 PM EASMT
rnsON couNrr Puna #223280 Rec Pas $305 5n Pages
111111111111III IIII IIIIIII IILII III IIII IIII Bill fr fl III IIIII Jilt IIV
AFFIDAVIT
NO..:..- ..-..•
WARE. EXCISE TAX
Return to: JUN 23 2026
Mason County PUD 1 EXEMPT
21971 N HWY 101 MASON COUNTY TREASURER
Shelton, WA 98584
EASEMENT AGREEMENT
The undersigned hereby grants and conveys to Totten Estates I I c a perpetual non-exclusive 5'in width easernent under,upon
and over the following described property;for the purpose of installing,laying,construction,renewing,replacing,a pgrading,
operating,and maintaining drainfelds,
The drainfields shall be installed in a good and workmanlike manner and the premises restored as nearly as practicable to the
same condition it was prior to the utility facilities being place. The Grantor shall retain the use of the land for purposes not
inconsistent with instal ation,operation,or ma'mtena nce of the facilities,except that no structures will be constructed aver,
upon or under said facilities.
Abbreviated Legal: T19N-R3W-S01
Legal Description: PTN OF PCL 3 OF BLA#98-21 AF#662617 PTN OF GOVT LOT 4 PENDING DPC#
26-07 AF#2239598 S 57/101 S 23/86, 52/240, 54/138
Tax Parcel Nos: 31901-33-60260
THE APPROXIMATE LOCATION OF THE EASEMENT IS AS SHOWN ON EXHIBIT B'.
IN ITN[.S, WHEREOF,we have he unto set our hands and seals.
Mason County PUD No.1 (Grantee) I N?. .
jy �•Nm2203523 • D`
STATEor ,, 1 %F •'�BLIGp�:�
County of ��� _)
On this day personally appeared before me M72/ o me known to be the individual described
in and who executed the within and foregoing instrument and acknowledge to me that they signed as their free
and voluntary act and deed for the purposes therein mentioned.
Given under my hand and official seal this � �lay of 2026-
Notary Publi -in and for the State of
�J�. f7lesiding at
My commission expires:� �
I
EXHIBIT A
SEWER EASEMENT
THAT PORTION OF GOVERNMENT LOT4, SECTION 1,TOWNSHIP 19 NORTH, RANGE 3 WEST,
WILLAMETTE MERIDIAN, DEEDED TO MASON COUNTY PUD NO.1 IN DEED RECORDED UNDER AUDITOR'S
FILE NO. 2193781 AND SHOWN IN SEGREGATION SURVEY RECORDED UNDER AUDITOR'S FILE NO.
2195325, MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF RESULTING PARCEL 3 OF MASON COUNTY
BOUNDARY LINE ADJUSTMENT 98-21 AS RECORDED UNDER AUDITOR'S FILE NUMBER 662616 AND
662617;
THENCE ALONG THE NORTH LINE OF SAID RESULTING PARCEL 3, NORTH 90°00'00" EAST,95.00 FEET
TO THE NORTHEAST CORNER OF SAID PROPERTY DEEDED TO MASON COUNTY PUD NO.1;
THENCE ALONG THE EAST LINE OF SAID PROPERTY DEEDED TO MASON COUNTY PUD NO.) SOUTH
0930'20"WEST,21.98 FEET,TO THE POINT OF BEGINNING;
THENCE SOUTH 21°44'18"WEST, 74.32 FEET;
THENCE SOUTH 17°05'53'WEST, 18.70 FEET;
THENCE SOUTH 7254'07" EAST, 12.28 FEET,TO INTERSECT THE EAST LINE OF SAID PROPERTY
DEEDED TO MASON COUNTY PUD NO.1;
THENCE ALONG SAID EAST LINE NORTH 3640'09" FAST, 13.24 FEET
THENCE CONTINUING NORTH 9°30'20" EAST,81.02 FEETTO THE POINTOF BEGINNING;
SITUATE IN MASON COUNTY,WASHINGTON.
CONTAINING 871 SQUARE FEET, MORE OR LESS.
Prepared by: Seth E. Prigge, PIS
MTN2COAST, LLS
360.688.1949 O E_PRIQ
04/07/2026 yQ ie wnsH^cG'�s.
a
EXHIBIT B O' 30 60'
SCALE 1 " = 60' M
- _ C
fDISTRICT
ER PARCEL BAY EAST DRIVE
, POINT
ENCMENT
00'O0"E 95.00 ro
m
POB N /
LITY �.
1 TPNSO'250 / 3
i N
521'44'18'W /
74.32/ m /
N O
O
50, /
517'0553W / , '
-� /
18.70'] /
S72'54'07 'E //////12.28
' TPN 319122290059 /
Shp*5g3O"E 170.00 ro PARCEL 3 /
"� ALA 98-21
y 8/26 /
TOTTEN ESTATES
E . EASEMENT
4W of w^sr, / CLIENT: TOTTEN ESTATES
777 4 : DATE: 04/07/2026
MTN� m SCALE 1"=30'
CAST,.. PROJECT NO.: 26-087
21013244 ( SHEET NO. 1 OF 1
PROFESSIONAL LAND SURVEYORS q o AUDITOR INDEX:
2320 MOTTMAN RD SW, STE 106 rso e�is rcxe soP 5W1/4, SW1/4, SEC
TUMWATER, WA 98512 N'4t LAND 1, T19N, R3W, 9JM
360.688.1949