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HomeMy WebLinkAboutWEL2023-00043 - WEL Application, Design, Letter - 9/13/2023 ON, 584 raj MASON COUNTY 415 N 6TH STREET,SHELT967 ,E 98400SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 09/13/2023 PRIME LOCATION AND SITUATIONS LLC 113 E TERRACE DR BELFAIR, WA 98528 RE: WATER SYSTEM PERMIT: TWO-PARTY WEL2023-00043 1151 E Mason Lake Rd 321343100040 The 2-party water system, Mason Lake Rd Well System #1 (321343100040/321343100010), has been reviewed and is hereby APPROVED for 2 connections. Please continue to follow best management practices with maintaining your water system including regular water analysis, landscaping, keeping wellhead area free of contaminants, and stormwater management around the water source. If you have any questions, please contact me at 360-427-9670 Ext.353 or email at danderson@masoncountywa.gov Sincerely, Da d Anderson Environmental Health Specialist Mason County Environmental Health /; 'ram+ ��� c 7 ,(1041-7`'\ MASON COUNTY Dale Received .�.� RFoF�V /23 15 I x,: COMMUNITY SERVICES Amo Re«� � : .S �(`� ����CC..� ,A Budding,Planning,Environmental Health.Community Health , 415 N.6'Street,(Bldg 8)-Shelton,WA 98584 WEL 2..A nito Aptkojkl? Shelton: 360-427-9670 x400 Belfair:360-275-4467 x400 Elma:360-482-5269 x400 TWO-PARTY PRIVATE WATER SYSTEM APPLICATION APPLICANT PHONE ?r r F 1.-0 est t,o yN 4' S I k u 4t-E,:J-+ 5 L .C. 3 c.' " a,-1 7- -1 2 0 (o MAILING ADDRESS-STREET,CITY,STATE,ZIP i 1 3 £ 're- CAc iw )R 3 -E,i CA LA)), S S L3 SITE ADDRESS-STREET,CITY,STATE,ZIP i ! S I E ,►->o" L."id-i� R D s k e 1 4 a NI , w.A "112 5 4 43 PRIMARY PARCEL NUMBER(WELL SITE) K 9() ��Zi - 0004O 1O SEC DART PARCEL NUMBER(IF APPLICABLE) WATERSOUR'E _ 1 ���.Jr O SOURCE TYPE PARCEL 1 LOT SIZE PARCEL 2 LOT SIZE t(gc( , New 0 Existing j5kWell 0 Spring i . 3g Acts 1 • Op PROPOSED WATER SYSTEM NAME(REQUIRED) I JY\A v1 LP.IC C: i?, l.v(.\t Sv 5-t r v►n 4.1.— ire Q✓A ty) 0, a PROJECT DESCRIPTION 2yer-T-tA,� M A"tt,�MG-Lc a-Z. �:� £ LD� �,�,iy7; r n DIRECTIONS TO SITE)CONDITIONS E V\k\ 1,A r€- R Co..-AAA gal 3 Site Plan: (may also be attached) (property boundaries,structures,well site w/100'radius,driveways,roads,septic/sewer components and lines,easements,etc...) p4-4-ACk,1 r M T 5 W T �, I JUL 2 7 2023 ' 41y 1 • rc�l #� — Lai- I t nz 06 jvS-tvr s-in-1— rio w Wt,II i� S puts well o►-i f arCQA it1/d Submittals Checklist: (these additional items will be required for approval) Ni Satisfactory Bacteriological sample (this may be deferred if well is not yet drilled) El Well Log with pump test or 4-hour capacity test performed by driller(this may be deferred if well is not yet drilled) ® Notice to Future Property Owners recording (record with Mason Co. Auditor, supply copy of recorded document) C2J Septic Records (additional locating requirements may apply if there is a lack of septic records on file) This form may be scanned and available for public view on the Mason County Web site. Rcviscd: 10/13/2021 Page 1 of 2 Staff Use Only Review Step 1: Well Site Inspection: /SW) tree /q 169 17( Y S NO NA Slid, 23 t Nouse: - Foitf ❑ ❑ Evidence of existing sources of contamination within 100 foot radius of water source? (drainfields, tanks, buildings: indicate distance on plot plan) ❑ X ❑ Are there roads within the 100 foot radius of the water„spurce? If so, is road private, County or State. What is distance to ROW? /1(%' U) 10 0 �l4 ❑ ❑ Does the ground slope away from the water source site? (show slope on plot plan) ❑ ❑ Is the well cap satisfactory? y ❑ ❑ Screened and vented? ❑ The well casing extends 7 above level ground /concrete slab? (circle one) it ❑ ❑ Is there evidence of a surface seal? Lai: 147,Z6 Z 6Y23 [f ❑ ❑ Does the seal appear adequate? (.rjl `--I Z3V 5'0506U ❑ ❑ Is a variance necessary for well site approval? Tug ?PFOU 9 Comments,, `1 Pass ❑ Fail Inspector Date 7/ ?/2O Z- Review Step 2: Two-Party Review: ES NO NA ❑ ❑ Water Well Report with adequate' pump/ test on file? /,, / /} If NO, date of Capacity Test 5I /GOZ3 Driller ff r(-isp�l7ij hilliA GPM SO ❑ ❑ Received Satisfactory Bacteriological Analysis? Date of test 6/G(Z043 t ❑ ❑ Received Signed, Notarized, and Recorded Notice? AFN ZZOR10? ❑ ❑ System appears adequate to serve 2 single-family residences based on information provided? Comments Parre 3213(.1310004o 6vr,e kdaf f c l? 5" Grid :z I. aur$ fifiv-ZIQSoI8 Price( 3113g3I00010 crf,J le bre lQMS and es O5F tiara. /P Approved ❑ Denied Reviewer Date 17/3/7073__ Findings in this review reflect observed conditions as they existed on the day of the site inspection. No claim is made, express or implied of the future success or failure of this system. Well ll site approval does not constitute water system approval. Water System approval is a two-part process. All proposed connections to new wells are subject to water adequacy requirements at lime of building permit per MCC 6.68. t1-ater usage restrictions and additional fees may apply to all new wells drilled after January l 9'r'. 2018 per ESSB 6091. Revised: 10/13/2021 This form may be scanned and available for public view on the Mason County Web site. Page 2 of 2 Vanguard Laboratory 2635 Parkmont Lane SW, Suite A Olympia WA 98502 vws .F D 360-967-7010 COLIFORM BACTERIA ANALYSIS FORM Date Sample Collected l Time Sample Courty Cotlected 06/06/2023 s S , ©,uw Mason Wren Day Yea --_ — Rd Type of Water System(died only one box) ❑Group A ❑Group B ®Other PVT Group A and Group B Systems-Provide from Water Fatale kwenbry System Name: Robert Flath Contact Person:Arleta Eisele/Arcadia Drilling Day Phone:(360 )426-3395 Cell Phone:( Emat arieta@arcadiadrilling.com Eve.Phone:( ) Send result to:(Print lull nacre.adders and zip code ore-mail) Arleta EiseiatAroedre DrWinq artetargarcadiadrilling.cam SAMPLE INFORMATION Sample collected by(camel Max Specific location where sample collected: Special instructions or comments. #8PF009 1 161 E Mason Lk Rd,Shelton Type of Sample(Select only one type of sample from types 1 through 5 below) 1.❑Routine Distribution Sample(AlP) 2.❑ Repeat Sample(AIP) Chlorinated:Yes No (tram datrt uton system after unsat rouble} Unsatisfactory roubne lab number Chlorine Residual:Total Free_ 3.Ground Water Rule Source Sample —_ Unseintectory routine collect date: f 1 S I I 1 Chlorinated:Yes No_ ❑Triggered(NP) Chlorine Residual:Total Free 0 Assessment(AtP) 4. Surface or GYP Raw Source Water Sample(Enumeration) I S I ❑E.Col 0 Fecal FAoea VW_No 5.®Sample C o.Iected for Information Only: LIB USE ONLY DRINKING WATER RESULTS LAB USE ONLY D Unsatisfactory Total Coiiform Present andEl Satisfactory D E.coli present 0 E.col absent Bacterial Density Results:Total Cdifomi______-___.-_/100n9- Eco 100mi. Fecal Coliiorm !104rrt'.. HPC _ 11 ml. Replacement Sample Required: 0 TNTC 0 Sample too aid ❑ Sample Volume 0 Damaged Container 0 �. !ale Nu mbar >t�77/i 5 /�°3Q Z3c lao-r Recalls Terns r i z Z$5 use Reported to DOH A lab 1,14104r DO+1 L*Santi It 285- • earl role 4,3I319fstaa.ra't7l If la,earlvn pckaea i+►.aheep`a Nom ar a1P.M59lzt Crux V d Till 'ha sod Ste n bxa re swre64 at Mn oat vat Ca+ +Vier. WATER WELL REPORT ...simDEPARTMENT OF Notice of Intent No. WE51729 ECOLOGY Unique Ecology Well ID Tag No BPF009 Type of Work: IN State of Washington — O Construction Site Well Name(if more than one well): L7 Decommission r Original installation NOI No. Water Right Permit/Certificate No. Proposed Use: ❑O Domestic 0 Industrial ❑Municipal Property Owner Name Prime Location&Situations LLC ❑Dewatering 0 Irrigation ❑Test Well ❑Other Well Street Address 1161 E Mason Lake Rd _ Construction Type: Method: li New well ❑Alteration ❑Driven 0 Jetted 0 Cable Tool City Shelton County Mason ❑Deepening 0 Other 0 Dug Ill Air- ❑Mud-Rotary Tax Parcel No. 321343100050 ''I t7Vhdry I A� adauSfMeiu we II fS Dimensions: Diameter of boring 6 in.,to 99 ft, 40V n 7z IP31000`it0 Was a variance approved for this well? 0 Yes ❑' No Depth of completed well 99 H. If yes,what was the variance for? Construction Details: Wall — — -- Casing Litter Diameter From To Thickness Steel PVC Welded Thread O I 0 6 in. 0 99 .025 in. a I 0 1 ! 0 Location(see instructions on page 2): Ca WWM or 0 EWM ❑ I 0 in. in. 0 I 0 0 { ❑ NW 'A-%of the NW %;Section 34 'Township2114 Range 3W O I 0 in. _ _ in. ❑ I ❑ DID -- € ❑ I ❑ in. in DID ❑ 1 J Latitude(Example:47 12345) 47.262621 — Longitude(Example -120 12345) -123.052352 Perforations: 0 Yes ©Nu Type of perforator used Driller's Log/Construction or Decommission Procedure No.of perforations Size of perforations in.by in. g Perforated from ft.to R below ground surface Formation:Describe by color,character,size of material and structure,and.Ice kind and nature of the material in each layer penetrated,with at least one entry for each c?'angc of Screens: 0 Yes EJ No ❑K•Packer "=> Depth ft inforrnation. Use additional sheets if necessary Manufacturer's Name Type Model No. Material From To Diameter Slot size in from ft.to ft Brown sandy loam _ 0 1 Diameter Slot size in from ft.to ft. Brown silty sand and gravel 1 13 Sand/Filter pack:❑Yes RINo Size of pack material in. Multicolored gravel,silt 13 18 Materials placed front ft.to ft. Brown silty sand and gravel 18 31 Multicolored gravel,brown medium sand,loose 31 56 Surface Seal: El Ycs 0 No To what depth? 19 ft. Material used in seal Bentonite Chips Multicolored gravel,brown medium to coarse 56 Did any strata contain unusable water'? ❑Yes El No sand,loose,water _ gg Type of water? Depth of strata Method of sealing strata off Pump: Manufacturer's Name I U l'ype: — — P. Pump intake depth: ft. Designed flow rate. gpm I Water Levels: Land-surface elevation above mean sea level 242 ft i Stick-up of top of well casing 1.5 ft.above ground surface t— Static water level 37 ft.below top of well casing Date 5/25/23 • — Artesian pressure lbs.per square inch Date _ Artesian water is controlled by (cap,valve,etc.) 1Ve1l Tests: —Was a pumping test performed? O No ❑Yes :4, by whom? - _._J Yield gpm with_ft drawdown after his. _ I Yield gpm with`ft.drawdown after lies. Yield gpm with R.drawdown atter hum I ' Recovery data(time=zero when pump is turned off-water level measured from well II top to water level) � Time Water Level Time Water Level Time Water Level — -- t Date of pumping test Bailer test gpm with ft.drawdown after hrs. 1I Air test 50 gpm with stein set at 80 II }.for 1 his - Date 5/25/23 Artesian flow gpnt Temperature of water 49 °F Was a chemical analysis made'? 0 Yes O No Start Date 5/25/23 Completed Date 5/25/23 WELL CONSTRUCTION CERTIFICATION: I constructed and/or accept responsibility for construction of this well,and its compliance with al;Washington well construction standards.Materials used and the information reported above are true to my best knowledge and belief. I Driller 0 Trainee 0 PE—Print Name Josh Koepp Drilling Company Arcadia Drilling Inc. _ Signature Address PO Box 1790 _ License No. 2874 _ /1/P City,State,Zip Shelton,WA 98584 IF'TRAINEE:Sponsor's L cense No. _ Contractor's Sponsor's Signature Registration No.ARCADDI098K1 Dar 5P.5/.3 ECY 050-1-20(Rev 09/18) if yozi need this document in an alternate format,please cull the Water Resou,ces Program at 360-407-68;2 Persons with hearing loss can call 71lfor Washington Relay Service. Persons with a speech disability can call877-833-634/. Davis Drilling 340 NE Davis Farm Rd Belfair, WA 98528 Test Pump for: Rob Flath Address: Parcel# 321343100040 Well depth: 80 Well tag: BPF 009 Pump size: 1.5 hp Static water level: 47' TIME WATER LEVEL GPM Om 47 5m 47.5 40 fAIM 15m 47.5 40 mot/ 30m 47.5 40 JUL 171023 1h 30m 47.5 40 RECEIVED 2h 47.5 40 2h 15 m 47.5 40 2h 30m 47.5 40 3h 47.5 40 4h 47.5 40 RECOVERY 1m 47 3m 15m 40m 1h 0 4 4 4 4 4 2200109 MASON CO WA 07/27/2023 02.16 PM NOTCE 111111111IIIIIII111IIII1MI1IIIR1I1I IIIII IIII PiIlllllgl 7 Returnj �/To 'CJ ` 1 k•rl'r -r t— 1+ �N4 66(03 ( ./315e1 c 11; l.w P N „i.7 THIS IS NOT AN f ORIGINAL DOCUMENT `) tuk f-1) + n Grantor(s): (1) f pie_ Loc.a44 14 l-4/ , (2) Ff'..' L ' #4. :,^ 4 S I Grantee(s): (1) PUBLIC Legal Description (1) 1 11-1 4k-Skin/ (D 21 of-VA c to 2 (Abbreviated form:i.e. lot, block,plat or section, township,range) Assessor's Tax Parcel: (1) 3 r l 3 - '3 I - C7 n 4-1-- NOTICE TO FUTURE PROPERTY OWNERS OF PRIVATE TWO-PARTY WATER SYSTEM I (We)the undersigned grantor(s), certify that the water source located on the above-described real estate under Legal Description (1) and Assessors Tax Parcel (1) situated in Mason County, State of Washington, has been designated to serve a source of water to the following parcels situated in Mason County, State of Washington; herein described: Tax Parcel: (Connection 1) 3 Q- i 3 - 3 i --a 0 O A-- Tax Parcel: (Connection 2) 3 i 3 '+ - 3 i' - The system owner is responsible for keeping this system in compliance. The name of the water system is: This system is designed to provide for two service connections. Planning and design approvals must be obtained from the department prior to expanding beyond this number of services. Additionally, a water right,obtained from the Department of Ecology, is required if the water system exceeds exemption standards. This system (has/has not)been granted one or more waivers from specific provisions of the r©guintionc. Dated on this 154' day of v _. , 202P, . Signature of Grantor(s): (1) \-- 1- , (2) Page 1 of 2 State of Washington County of Mason I, the undersigned, a Notary Public in and for the above named County and State,do hereby certify that on this 1 C" t1ay of sfw..' , 202,E , Tr.'11,64r 1 e,-L personally appeared before me, who is known to be signer of the above instrument, and acknowledged that he(sty (tom)signed it. GIVEN under my hand and official seal the day • ;r- :•ve written. Argra., ar , , — ota 1201: is in and for the State of Washington, GREGORY A RUSSELL $ residing at L t' Teri.N Stateof sI ing My commission expires: }Q� of Washington _ J � Commission# 134076 My Comm. Expires Aug 14. 2025 I ES Page 2 of 2 Shared Well Water Agreement This Agreement, made and entered into this a day of S&.a►= by and between Le,a,.,„, t y}1/CI4;orr5 who resides at R►w.E ►..k A d sii-ucrko, t is E re.(1 of y PharAftkiaq*K4Street address, city, county, state, zip code), hereinafter referred to as the "supplying party," and St►r1.t. Aeojit. , who resides at i ; g Az- D� v I PA1A—A `s 'e -- tin olx (street address, city, county, state,zip code), hereafter referred to as the "supplied party:" WHEREAS, the supplying party is the owner of property located at (street address, city, county, state,zip code), which property is hereafter referred to as "Parcel 1" and is more fully described as follows: l r 361 Ate¢ pei AaCo c k+A7 tir'r pAkt e-\ it 3 t1 04 4 ^ 3_ i - U Qo 1 O r ` e G.C-1- n ►..eA J-e _0 a,re‘ Piv c-e I t 3 w.13'+- 3 l - 1 (Put Legal Description of Property Here) WHEREAS, the supplied party is the owner of property located at G t ti I A 4t —A i — cxx' 1%> (street address, city, county, state, zip code), which property is hereafter referred to as "Parcel 2"and is more fully described as follows: ro r✓N (Put Legal Description of Property Here) WHEREAS, the undersigned parties deem it necessary to provide a well system to service the parcels described herein, and an Agreement has been reached relative to supplying water from the well and sharing the cost of supplying said water; and WHEREAS, there is located a well upon the above described property of supplying party; together with watcr distribution facilities, hereinafter referred to as "water distribution system", for the prpose of supplying water to all properties connected to the said water distribution system; and WHEREAS, it is the intention and purpose of the undersigned parties that the well and water distribution system shall be used and operated to provide an adequate supply of water for each of the properties connected thereto, for the domestic consumption of the occupants of said properties,and to assure the continuous and satisfactory operation and maintenance of the well and water distribution system for the benefit of the present and future owners, their heirs, successors and assigns of the properties connected thereto; and WHEREAS, the said well is deemed by the parties hereto to be of adequate capacity to supply a single family dwelling on each of the parcels described herein with water from the well for all domestic uses of a single family residing therein; and WHEREAS, the water from the well has undergone a water quality analysis from the State of v4451-.'.ftpA health authority and has been determined by the authority to supply safe for human consumption; and WHEREAS, the parties hereto desire to enter this Agreement for the purpose of reducing to writing their respective rights and obligations pertaining to said well and water distribution system. NOW THEREFORE, in consideration of the promises and covenants herein contained, it is agreed that the well and water distribution system situated on Parcel 1 shall be used by the parties to this Agreement, as well as by all future owners and occupants of said Parcels 1 and 2,upon the following terms and conditions: 1. That until this Agreement is terminated, as hereinafter provided, the parties hereto (and their heirs, successors and assigns, for the exclusive benefit of the respective parcels of said real estate,and for the exclusive use of the households residing thereon),are hereby granted the right in common with the other parties to this Agreement, to draw water from the well located on Parcel 1 for domestic use excluding the right to draw water to fill swimming pools of any type. 2. That the owners or residents of the dwellings located on Parcels 2, as of the date of this Agreement shall: a. Pay or cause to be paid to the supplying party, an annual fee for this use of the well and water distribution system in the amount of$ on or before the 15`s of January each year, with the exception of this year whereby the amount shall be $ so°= and paid on the execution of this Agreement. b. Pay or cause to be paid promptly, a proportionate share of all expenses for the operation and maintenance of the well and water distribution system that may become necessary. F.arh respective share shall be determined by dividing the amount of each expense by two, it being understood that the supplying party and the supplied party shall pay an amount equal to one half of the total of such necessary repair or replacement. Shared expenses include the cost of electricity for pumping, repairs and maintenance on said well and water distribution system. 3. That the cost of any removal or replacement of pre-existing site improvements on an individual parcel necessary for system operation, maintenance,replacement, improvements, inspection or testing, damaged as a result of repair of the well or water distribution system maintenance will be borne by the owner of the affected parcel, except that costs to remove and replace common boundary fencing or walls damaged as a result of repair shall be shared equally between or among parties so damaged. 4. That each of the parties hereby agrees that they will promptly repair,maintain and replace all water pipes or mains serving their respective dwellings. 5. That the consent of all parties to pay a proportionate share of costs shall be obtained prior to embarking upon expenditures for system maintenance, replacement or improvement, except in emergency situations. b. That the supplied party shall pay to the supplying party his proportionate share for the cost of energy for the operation of the pumping equipment. This cost shall be determined by a separate meter upon each dwelling and for each parcel. 7. That it is the agreement of the parties hereto that the payment for energy cost shall be made not later than the day of each succeeding month during the term of this Agreement. In the event that any such payment remains unpaid for a period of days, the supplying party may terminate the supply of water to the supplied party until all arrearages in payment are received by the supplying party. 8. That each of the parties to this Agreement does hereby grant to the other, his heirs, successors and assigns, such easements over, across and through the respective parcels as shall be reasonably necessary for the construction of the well, maintenance of water pipes, pumping equipment,mains, electrical wiring and conduit consistent with the purposes of this Agreement These easements are described below, to wit: VinirrOD rue t I F.Airrevq # /� c,nn Ltic=1 tt (Describe easements, if any) 10. That no party may install landscaping or improvements that will impair the use of said easements. 11. That each party shall have the right to act to correct an emergency situation and shall have access to the pertinent parcel in the absence of the other. An emergency situation shall be defined as the failure of any shared portion of the system to deliver water upon demand. 12. That only those parcels of real estate hereinabove described and the dwellings located thereon shall be permitted to receive water from said well and pumping equipment; and each of the parties hereto does hereby covenant and agree that he/she will not allow or permit other persons, other than household guests, to take, draw,use or receive water from the well, nor permit other persons to connect to the pipes or mains serving his/her respective parcel. 13. That in the event the referenced well shall become contaminated and shall no longer supply water suitable for domestic consumption, or shall no longer supply water adequate for the needs of all relevant parties, or in the event that another source of water shall become available to the respective parcels, then the rights and obligations of the parties created by this Agreement shall cease and terminate in accordance with the terms and conditions hereinafter described. 14. That upon the availability of such other source of water, it is contemplated that a reasonable time shall be allowed to effectuate the necessary connections to the new source. 15. That the respective rights and obligations of the parties shall continue until the parties who wish to terminate their participation in the Well A eement have executed and filed a written statement of termination at the MkSl,4 COr.t4,-1 a t' c (office where deeds in your state are recorded) of the County of (v1..r A and the state of W s��•A1..� d . Upon termination of participation in this Agreement, the owner and occup t of each residence which is terminated from the Agreement shall have no further right to the use of the well. The terminated parties shall disconnect their respective lateral connection from said well system and shall have no further obligation to pay or collect for maintenance and related expenses incurred thereafter. The costs of disconnection from the well and water system shall be borne by the owner of the pertinent parcel. 19. That the term of this Agreement shall be perpetual, except as herein limited. 20. That the benefits and burdens of this Agreement shall constitute a covenant running with the parcels of land herein described and shall be binding upon the heirs, successors in title and assigns of the parties hereto. 21. Any dispute under this Agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect. Witness our signatures this the day of , 20 (Acknowledgment before a notary public, the form of which will vary by state) State of Washington ) County of.Mason {[ ip66 ) I,the undersigned, a Notary Public in and for the above named County and State, do hereby certify that on this a8 day of , 20 c1.5 , personalty appeared before me, who is known to be signer of the above instrument, and acknowledged that he(she) (they) signed it. GIVEN under my hand and official seal the day and year last above written. STACY L. BRONSON .V X -/J NOTARY PUBLIC#96774 otary P lic in and for the State of Washington, STATE OF WASHINGTON residing at A atodoei COMMISSION EXPIRES My commission expires: /1/5Java-5 NOVEMBER 5, 2025 21980i8 MASON CO WA AF#ziggpis VoL. 53PCB qC° loa+iiiiiiuiaiirmiiiin 44 Z [p1 Aa -i co yvy ti Dpn O m Z-+ ropoilyy_ 29, OtDi1y y� ~ m re < •• • •• D C O z O 0 71 x p 2 N N 0 s 2-2 D A ? z >> '/ i c y OO c v z .� p1m x2 D OAm ypo09 ANm 8P, o wmmOmO N� o � � N 2 S q i y . 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A o APPROVED 0 U 13 _ E DEC 21 2022 ' N o a s � O d _ cO a� MASON COUNTY ENVIRONMENTAL HEALTI H o I= 3 `� ~ RET N M IV N N 46.E �a0^ MIMI 6 3 bedroom I— M . ^i home N r r r c � r i i i i F-M i i 0 Printed From Mason County DMS Printed from Mason County DMS