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HomeMy WebLinkAboutWEL2023-00043 - WEL Application, Design, Letter - 9/13/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 TBELFAIR: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 rimil"......m."........ ---------11P111. ) Aii) Jo. ?? MASONCOUNTY Date ReceivM E. , ?3 COMMUNITY SERVICES AmoSa S R:•- X21 Bulking Planning Environmental Health.Community Health _,, ,:,. WEL d4� 415 N.6"Street,(Bldg 8)-Shelton,WA 98584 Shelton: 360-427-9670 x400 8e1fa1r.360-275-4467 x400 Elma:360-482-5269 x400 TWO-PARTY PRIVATE WATER SYSTEM APPLICATION APPLICANT PHONE t'r t INN it 1-0<4t4:,0 beN $' .S: --L.,.tA :2-% 5 4` 3NC- r 1 1- -1 Za (0 MAILING ADDRESS-STREET,CITY,STATE,ZIP i 1 3 `rep CA c tL bR ,� (-e.1 CAT-a—'. )A S�?J S 2... , SITE ADDRESS-STREET,CITY,STATE,ZIP 1 i St E i' .'s L.P.a-E.- l?D Ske 1 ar3 , wA, "t�i4S PRIMARY PARCEL NUMBER(WELL SITE) � 0 ��_////- '32 l 34 — 31 - at�O4c7 , �) ( f SECpqy DARY PARCEL NUMBER(IF APPLICABLE) Ir� WATERS R'E (�v1 O SOURCE TYPE PARCEL 1 LOT SIZE PARCEL 2 LOT SIZE t1 gC( xi Ncw 0 Existing j2kWc11 0 Spring % ..31 Ac t-£S r , D t? PROPOSED WATER SYSTEM NAME(REQUIRED) (� rt I 1MA`avfl (-A lee Q, ,s�v( \t 5v w 5-ICt 4.1- `t r gittgID►) O. zC PROJECT DESCRIPTION ! c. 11)J0 MA^t ilh,e,i�tiLZ at Oft £ L�-t- Rk-Ir197 e(fr.ve 1i7S DIRECTIONS TO SITE/CONDITIONS E &\ i.-A r€ R) -C7N0:) 4 1-EO ii 3 Site Plan: (may also be attached) (property boundaries,structures,well site w/100'radius,driveways,roads,septic/sewer components and lines,easements,etc...) Lfl JUL 2 7 2023 I 11 EZv _.... l c l\ (Sic.){ (0clrc:�1 #� — L A- l'tree- ot6 jvS�vru---n-I— v n° " w PUSS Well 00 farC-Q-k 4-110 Submittals Checklist: (these additional items will be required for approval) Et 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) Da Notice to Future Property Owners recording (record with Mason Co. Auditor, supply copy of recorded document) C3 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: f ' e /`R, !( 1( Y S NO NA 5het, 23f Hov5e- M FO 1i ' ❑ ❑ 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 waterpurce? If so, is road private, County or State. What is distance to ROW? IV Wier) too /L 6 ❑ ❑ Does the ground slope away from the water source site? (show slope on plot plan) ❑ ❑ Is the well cap satisfactory? ❑ ❑ Screened and vented? ❑ The well casing extends 7 above level ground /concrete slab? (circle one) ] ❑ ❑ Is there evidence of a surface seal? Lc.I; 0,26Z 6123 [,:gf ❑ ❑ Does the seal appear adequate? Ll/✓I - —I Z3Vs25a6‘ ❑ y ❑ Is a variance necessary for well site approval? TG5PFO0 7 Comments ,, Pass ❑ Fail Inspector Date 7/ Z/22 Z3 Review Step 2: Two-Party Review: ES NO NA ❑ ❑ Water Well Report with adequate e pump test on file? If NO, date of Capacity Test Driller iffradIA Paiiii144 GPM SO ❑ ❑ Received Satisfactory Bacteriological Analysis? Date of test 6f' f?Ot3 ❑ ❑ Received Signed, Notarized, and Recorded Notice? AFN ZZoo(0 9 N tY/ ❑ ❑ System appears adequate to serve 2 single-family residences based on information provided? Comments paw 3Z l3N 3(000go errgtedafter (y S` and ► (. oue5 iv-�� Z1QSoi8 Price( 32-13y3(000(o ofrAtfrd ie'tore 1915 and es 0,51 oora. /P Approved ❑ Denied Reviewer Date 7113/7o7,5 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 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 time of building permit per MCC 6.68. Water usage restrictions and additional fees may apply to all new wells drilled after January 19'h, 2018 per ESSB 6091. Revised: 10/13/202_1 This form may be scanned and available for public view on the Mason County Web site. Page 2 of 2 t Vanguard Laboratory 2635 Parkmont Lane SW,Suite A Olympia WA 98502 . �,rANt}CiR 360-967-7010 .. . COLIFORM BACTERIA ANALYSIS FORM Date Sample Codected • Time Sample County ca 06/06/2023 3 a a o,va Mason Der Yes lamaau Type of Water System(check only one box) ❑Group A ❑Group li ®Other PVT _.. Group A and Group B Systems-Provide from Water Facddies inventory(WFI): ID# System Name: Robert Flath Contact Person:Arleta EiselefArcadla DriNkng Day Phone:(360 )426-3395 Ceil Phone-( Ema4:arieta@arcadladriNing.com Eve.Phone:( ) Send results tx(PrpAtuf name.address and zb code ore-mail) Mete ElserdMcmdie Dating arleta©arcactiradfdling.com SAMPLE INFORMATION Sample collected by(name):Max Specific location where sample collected. Special instructions or comments: #BPF0091161 E Mason Lk Rd,Shelton Type of Sample(select only one type of sample from types 1 through 5 Delow) 1.❑Routine Distribution Sample(AlP) 2.❑ Repeat Sample(AlP) Cttfennaied:Yes__-_--No ('ram deO.}1>b n system is sat sat routine} Unsatisfactory routine lab number: Chlorine Residual.Total Free 3.Ground Water Rule Source Sample __ Unsatisfactory routine catiact date: ISM Chlorinated:Yes, �__..No.- ❑Triggered(A') Chlorine Residue Total_Free_ ❑Assessment (ALP) 4. Surface or GW1 Raw Source Water Sample(Enumeration) S I ( { ❑E.cob 0 Fecal Faunal Ya NO J 5.®Sample Co tecled for Informstlan Only: LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY ❑Unsatisfactory Total Conform Present and I$Satisfactory ❑E.coh present ❑E.cok absent Bacterial Density Results.Total Cotifam _._./10Qm1. E.coki 1100m1. 1100m:.. HPC ft mi. Replacement Sample Required: ❑TNTC 0 Sample too old ❑ Sample Volume 0 Damaged Container ❑_�—_--.__.-- Date ri Received: lab Number Cn/7/? 1(Q'30 Z3ola0i-9 Receipt Temp C': ►etiod Code 1 j Sri 922$ --t Date Reported tc D011 1 Lab the Ore DOH Lab-Serngleir 1285- a rt fang 43431 f•Awns r41•1?Nrou rod derpoereetenin an reuat%brat arweo.maiv(T cTTTw Tin) 'M end char neefwra oso mob*al urn daAwGatook*VM. WATER WELL REPORT i fG DEPARTMENT OF Notice of Intent No. WE51729 ECOLOGY Unique Ecology Well ID Tag No. BPF009 Type of Work: - State of Washington W. Construction Site Well Name(if more than one well): O Decommission Original installation NOI No. Water Right Permit/Certificate No. Proposed Use: ❑' Domestic 0 Industrial 0 Municipal Property Owner Name Prime Location&Situations LLC — ❑Dewatering 0 Iaigation 0 Test Well 0 Other — Well Street Address 1161 E Mason Lake Rd Construction Type: Method: —— El New well ❑Alteration ❑Driven ❑Jetted 0 Cable Tool City Shelton County Mason ❑Deepening 0 Other 0 Dug RI Air- 0 Mud-Rotary Tax Parcel No. 321343100050 -7 &V'tpry Ifs ad!`u5tMeilf he 11 is Dimensions: Diameter of boring 6 in.,to 99 ft. IOV bn 12134 3 1000�10 Was a variance approved for this well? 0 Yes LJ' No w t Depth of completed well 99 ft. Construction Details: WallIf yes,what was the variance for? Casing Liner Diameter From To Thickness Steel PVC Welded Thread IA I ❑ 6 in. 0 99 .025 in f3 1 0 ! 1 0 Location(see instructions on page 2): 1-A WWM or 0 EWM ❑ I 0 in. in. ❑ ( 0 0 i 0 NW 'V..-Y,of the NW ''/4;Section 34 Township 211'I Range 3W 0 1 ❑ in. _ in. ❑ I 0 0 j 0 ❑ 1 ci in. _ in ❑ I ❑ ❑ 1 ❑ Latitude(Example:47 12345) 47.262621 Longitude(Example:-120 12345) -123.052352 Perforations: 0 Yes [No Type of perforator used — -- No.of perforations Size of perforations in.by in. Driller's Log/Construction or Decommission Procedure Formation:Describe by color,character,size of material and structure,and.he kind andPerforated from R.to R.below ground surface nature of the material in each layer penetrated,with at least one entry for esrh cl-ange of Screens: 0 Yes El No ❑K-Packer r'v Depth R. information. Use additional sheets if necessary Manufacturer's Name Material From To Type Model No. Diameter Slot size in from R.to ft Brown sandy loam 0 1 Diameter Slot size in from R.to Pr. Brown silty sand and gravel 1 13 Sand/Filter prick:❑Yes El No Size of pack material in Multicolored gravel,silt 13 18 Materials placed from ft.to ft. Brown silty sand and gravel 18 31 Multicolored gravel,brown medium sand,loose 31 56 Surface Scat: ®Yes 0 No To what depth? 19 IT Multicolored gravel,brown medium to coarse 56 material used in seal Bentonite Chips Did any strata contain unusable water? O Yes ©No sand,loose,water 99 T— Type of water? Depth of strata _ Method of sealing strata off Pump: Manufacturer's Name Type: — r = N.P. Pump intake depth: ft. Designed flow rate. Water Levels: Land-surface elevation above mean sea level 242_ft gpm i Stick-up of top of well casing 1.5 II.above ground surface Static water level 37 5.below top of well casing Date 5/25/23 • Artesian pressure lbs.per square inch Date Artesian water is controlled by (cap,valve,etc.) Well Tests: Was a pumping test perforated? O No 0 Yes r"- by whom? ___I Yield gpm with ft drawdown after Ins. Yield gpm with ft.drawdown after lire. Yield gpm with ft.drawdown after firs. Recovery data(time-zero when pump is turned oft-water level measured from well top to water level) — Time Water Leval Tune Water Level Time Water Level I Date of pumping test 1— Bailer test gpm with—ft.drawdown Act hrs. , Air rest 50 gpm with stem set at 80 ft.for 1_hrs. tin Date 5/25/23 Artesian flow gpm _ Temperature of water 49 °F Was a chemical analysis made? 0 Yes Cl 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 L7 Driller❑Trainee 0 PE-Print Name Josh Koepp Drilling Company Arcadia Drilling Inc. Signature /c/":341 Address PO Box 1790 License No. 2874 City,State,Zip Shelton,WA 98584 IF TRAINEE:Sponsor's License No. Contractor's Sponsor's Signature Registration No.ARCADDI098K1 Date 50.5/23 ECY 050-1-20(Rev 09/18) If you need this document in an alternate format,please call the Water Resole,ces Program at 360-407-68%2. Persons with hearing loss can call 711 for Washington Relay S'ert'ice. Persons with a speech disability can call 877-833-6341. 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 jM 15m 47.5 40 �tl 30m 47.5 40 JUL 2 7 2023 1h 30m 47.5 40 RECE/VE p 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 4 4 I 2200109 MASON CO WA 07/27/2023 02.16 PM NOTCE 11114I11111111I0UIIII NIIIII111111 IIIIII Nlllll 7 Return To 1 otea'- Fi q j L fo8(o3 (k, ./ry5e� 4,U; L4) Lwe vo 4.41A- 1$3 313 b THIS IS NOT AN ORIGINAL DOCUMENT 9' +u k f-t J r1 Grantor(s): (1) fc:fne_ 1-oc44 14 1- ., , (2) Fe,0.1 g. L.oc.k 4 5.. 1-yu401 ,. Grantee(s): (1) PUBLIC Se:C: 104 , TZ.I N , 12-3W t-c._ Legal Description (1) 1�1 Ck Skin/ (i ► ?Cl-Of-4�L11 °15-"b L (Abbreviated form:i.e. lot, block,plat or section, township,range) Assessor's Tax Parcel: (1) 3 t 3 4 - .3 1 - n .j n (1- c2 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 t 3 tt- -3 I - coo Tax Parcel: (Connection 2) 3 1 3 -_3__(____- .0 .ica. CII 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 rogulationc. Dated on this 1611. day of •- ►\ ..- , 20213 . Signature of Grantor(s): (1) ` l- , (2) Red -1-1--ta\kj— Page 1 of 2 imisionomomminomr 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}'Tlay of ]w64._ , 20 , ett•N personally appeared before me, who is known to be signer of the above instrument, and acknowledged that he( (t )signed it. GIVEN under my hand and official seal the day ' f; =,:•ve written. Al r''It� ota 111; is in and for the State of Washington, I GREGORY A RUSSELL ( residing at ,2.tr Re * Tfrf•s c� Notary Public My commission expires: }4� g'I'f Z z State of Washington J Commission tl 134076 My Comm. Expires Aug 14. 2025 si Page 2 of 2 Shared Well Water Agreement This Agreement, made and entered into this .8 day of Si-.v►_ by and between Pr."nt- L.; Aa.).1 +Sifva40n5 , who resides at R',,,v,E Lae AA, si•1-uc4ionS t la E fiaCtuf.y (3+.11`Ar+kia`+' (steet address, city, county, state, zip code), hereinafter referred to as the "supplying party," and Sa►rri2. Ae>n,_ , who resides at i i 3 a t o c prk t t I I'Mt-"k jS' — MAk A (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 341 Pam¢ 'So Q?t La_ -53aee'r k- 1-tir( pikaee,1 tt 3 oa 4 — 3 i - 00010 ( 0A-4' ( .f)3.." POce 1 tt 3 13`+- 3i - , (Put Legal Description of Property Here) WHEREAS, the supplied party is the owner of property located at G 1 tt 3 1,541 —A f — CX c) 1 y (street address, city, county, state, zip code), which property is hereafter referred to as "Parcel 2"and is more fully described as follows: t'r'o M ?.A4ze, I Oat) ica we t t* - (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 watfr distribution facilities, hereinafter referred to as "water distribution system", for the purpose 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 Wl tob*.ftp4/1 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 l shall be used by the parties to this Agreement, as well as by all future owners and occupants of said Parcels I 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 I 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$ So on or before the I 5th of January each year, with the exception of this year whereby the amount shall be $ 5o 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. Farh 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. 6. 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: VI O D to g t I t rrev 4 if .4_ t,c t t 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 reement have executed and filed a written statement of termination at the f kia.)0 CDC,I,N / & C•c',,, (office where deeds in your state are recorded) of the County of (V' .r 11 and the state of VAN sV A Olt A . Upon termination of participation in this Agreement, the owner and occup ht 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 A--70 ).4L_- Ae.--i--_. -- -Rif t., -4?-- -i------ (Acknowledgment before a notary public, the form of which will vary by state) State of Washington ) County of.Mascm' V.e'1sg1p ) I, the undersigned, a Notary Public in and for the above named County and State, do hereby certify that on this A3 day of 'tl,/u , 20 , vJ 9/0 personally 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 X 60-1/777 NOTARY PUBLIC 996774 1Votary Plic in and for the State of Washington, STATE OF WASHINGTON residing at ,e4odod • COMMISSION EXPIRES , My commission expires: /l/Sf 2v5 , NOVEMBER 5, 2025 cho 2198018 MASON CO WA RF#'z jggoi s VoL' 6 PS. iaan▪ waiimiiiaaiii Z • y� cotgv = . �vt v D �0�A °�"x $o�D m a,00m ).� i IL' moo Q ® < • • X G Z 5O ! . y E x. 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