HomeMy WebLinkAboutWAT2023-00067 - WAT Application - 4/4/2023 WAT Zo 2 /% -
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_ems:—.��. 415 N.6`�Street
MASON COUNTY Shelton,WA 98584
3 d 6 � ;o COMMUNITY SERVICES Shelton:360-427-9670,Ext 400
•-r2i . r=z BeLfair:360-275 1167,Ext 400
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? .., ,..17 Buldmg,Planning,EnwonmentalHealth,Community Health Elma:360-482-5269 Ext 400
RECEIVE
Application for Determination of Water Adequacy •
APR 042C2
Instructions
1. Complete Part 1. No determination can be made until Part 1 is fully completed. 515 W. Ald Sr Street
2. Complete only the portion of Part 2 applying to the type of water connection utilized.
3. Submit completed application,with any required attachments for review.
4. An approved building site plan must accompany this application.
Part 1: Applicant! Parcel Identification
•Name on Applicant jk i; i:r;i c 1,1'*I, Date: �/ 20 23
Mailing Address: 10 k; JiuL/Atry_;/, Lis Phone: 3 0- �7��SC40
Parcel Number: /e.' 0f L>' [,h lc;ke� V rpe-i' i nc,
Type of Water System Reason for Application
•
❑ Public/Community Water System (2 or more Building permit Cam 21:)L -0ao5LP
connections) 0 Division of land:
Individual water source(one connection), #of Parcels? SPL
Dl Well ❑ Boundary line adjustment
0 Spring/surface water ❑ Other(explain)
0 Other(explain)
0 Replacement or Remodel (please indicate name
If you have more than one residence connected of water system below if applicable-no
to this well, check the Public/Community Water signature required)
System box.
Part 2: Water Connection Information
Complete the section appropriate for the type of water connection being evaluated:
• Public Water System
Name of Water System:
Water Facility Inventory(WFI) Number. (write"none"for two-party)
❑ I am the manager of this water system.The water system has been approved for services.There
are presently connection(s)in use.This will be the connection.
0 I am the manager of this system.This connection will be to upgrade or change the use of an existing
connection on this system (i.e.: recreational to full time). Please indicate on the following line the nature of
this change:
This water system is able and willing to provide water to this (these)connection(s)without exceeding the
limits of the water system or any limits set by state and local regulation.
Print Name of Water System Manager Phone
Signature of Water System Manager Date
This form may be scanned and available for public view at www.co.mason.wa.us.
J:1EH Fonns1 Drinking Water Revised 4/27/2C21
Individual Water Well
❑ Water well report(attached to application). Depth ft.
❑ Well capacity Test(attached to application) gpm gpd.
The well driller often performs well capacity tests at the time the well is constructed. Results from
these tests are noted on the water well report. Results from these tests will be accepted. If the water
well report cannot be located by the applicant or if the water well report does not have a capacity test,
a well capacity test,which provides stabilization of draw-down and recovery data, must be performed
by a licensed contractor.
❑ Satisfactory bacteriological test(attach to application).
Water Resource Inventory Area (WRIA)
Development within which WRIA http://gis.co.mason.wa.us/planninq 14 15 16 22
Water use or limitation recorded N/A Yes
Well Drilled Date
Individual Spring/Surface Water
❑ WDOE permit(attach to application)
❑ Method of disinfection
O I have reason to believe that this water source can provide at least 800 gallons per day;and/or
provides water at a rate of 2 gallons per minute based on the following observations.
Author of Statement Date
Relationship to Applicant
•
•
Part 3: Mason County Community Services Evaluation (staff use only)
❑ Satisfactory Determination:
This determination does not address adequacy of the distribution system,guarantee an adequate supply of
water indefinitely in the future,or guarantee compliance with all applicable WDOE water resource regulations.
Recommended approval indicates requirements of Sanitary Code,Title 6,Chapter 6.68.040-Determination of
Adequacy for Building Permits are satisfied. Additional Growth Management requirements may apply. Chapter
36.70A RCW.
❑ Unsatisfactory Determination:
Applicant's water supply does not appear adequate to meet the needs of its intended use for the following
reason(s).
Reviewer's Signatures:
Environ. Health: ' -Q 1 \ Date
This form may be scanned and available for public view at www.co.mason.wa.us.
Page 2 of 2
Thurston County Environmental Health
2000 Lakeridge Dr.SW 4 Olympia,WA 98502
360 867-2631
TNURS ON COUNTY
COLIFORM BACTERIA ANALYSIS
Date Sample Collected Time Sample County
r�� / .� �j Collected mks
c j 4
1 —Li
f r vi l ` f
.-1 E RPM / �,/ I .
Mon Day Year �L. RPM
Type of Water System(check only one box) ❑ Private Household
❑Group A ❑Group B Other 1`4f t�4j E it
Group A and Group B Systems—Provide from Water Facilities Inventory(WFI):
ID#
System Name:
Contact Person: A ( t 4`�ise;:t -- I
Da Phone: Cell Phone:
E-mail:At:fie //) ' rY t pve.Phone:( ) .
Send results to:(P't full name, and zi code or email address)
114I iv.
of f i.)/
�'
SAMPLE INFORMATION
Sample collected by(name): (i (
/ �4/t;
r f/
Specific location or address where sample collected: Special instructions or comments:
1 •
Type of Sample(must check only one box of#1 through#4 listed below)
1.Q,Routine Distribution Sample 2.Repeat Sample(after unsat.routine)
Chlorinated:Yes No A ❑Distribution System
`Chlorine Residual:Total Free Chlorinated:Yes No
3.Raw Water Source Sample Chlorine Residual:Total Free
❑E.coli—GWR(A/P)
❑Fecal—Surface,Owl,springs(numeration) Unsatisfactory routine lab number:
Filtered:Yes No__
❑Assessment Monitoring(A/P) Unsatisfactory routine collect date:
❑Other 1 1
S
4.0 Sample Collected for Information Only
Investigative Construction I Repairs Other
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
❑Unsatisfactory Total Coliform Present and Satisfactory
❑E.coli present ❑E.coli absent No 6oliform detected
Replacement Sample Required:
❑Sample too old(>30 hours) ❑TNTC ❑
Bacterial Density Results:Total Colitorm /100m1. E.coli 1100m1.
Fecal Coliform /100m1 Enterococci /100 ml.
Method Code:'SM 9223B ❑SM 9222D Date and Time Received:
❑SM 9215E ❑Enlerolert® 14• ('" -2 • 1'8 to
Date and Time L-t (Date and Time Analyzed: L-t ( 1Date Reported:}•- J jReporte& •• J jJ
Sample Number(DOH number plus five digits) - Lab Use Only:
0 8
DOH Form#331.319(revised 01116)
Rhonda Thompson
From: Straayer, Deanna (AGR) <DStraayer@agr.wa.gov>
Sent: Monday, February 13, 2023 2:36 PM
To: Rhonda Thompson
Cc: Ibkregenow@gmail.com
Subject: RE:WSDA contact
Categories: This message has been archived by Retain on March 18 2023 04:07
Caution: External Email Warning! This email has originated from outside of the Mason County Network. Do not
click links or open attachments unless you recognize the sender, are expecting the email, and know the content is
safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO
SO! Instead, report the incident.
Hello Rhonda,
Thank you for your email. A private well with a current bacteriological test would be fine.
Thanks,
Deanna Straayer
Food Safety Compliance Specialist/Inspection Standards Specialist
Food Safety Program I Washington State Department of Agriculture
(206)890-1916 I agr.wa.gov
SDA
From: Rhonda Thompson <RThompson@masoncountywa.gov>
Sent: Friday, February 10, 2023 12:25 PM
To:Straayer, Deanna (AGR) <DStraayer@agr.wa.gov>
Cc: LB Kregenow<Ibkregenow@gmail.com>
Subject: RE: WSDA contact
External Email
Good afternoon Deanna,
I represent Mason County Environmental Health and attended a pre-application meeting where we discussed county
requirements for the proposed chicken and goat processing facility for LB Kregenow with Skokomish Valley Farms. I
review the proposed project to make sure they have adequate water supply and approved sewer/septic disposal.They
have a proposed septic system for the employee bathroom and handwashing so I am good there.The reason for my
email today is to inquire if WSDA would have any water supply requirements for this type of operation. Since their
license will be through you, I imagine you may have some requirements over what their water source would be, whether
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a private individual well would suffice or whether you would need a Group B or Group A public well with regular testing
requirements. Can you please let me know what those would be?
Thank you very much for your time,
Rhonda Thompson, RS
Environmental Health Specialist
Mason County Public Health
415 N 6th St Shelton WA 98584
360-427-9670 ext. 581
Rthompson@masoncountywa.gov
From: LB Kregenow<IbkregenowPgmail.com>
Sent:Thursday, February 9, 2023 12:57 PM
To: Rhonda Thompson <RThompson@masoncountywa.gov>
Subject: Re: WSDA contact
Caution: External Email Warning! This email has originated from outside of the Mason County Network. Do not
click links or open attachments unless you recognize the sender, are expecting the email, and know the content is
safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO
SO! Instead, report the incident.
Nice to talk with you (all) this morning.
Deanna Straayer is at DStraayer@agr.wa.gov. Since none of us has access to public water out here, I sure hope that's not
an issue.
On Thu, Feb 9, 2023 at 10:15 AM Rhonda Thompson <RThompson@masoncountywa.gov>wrote:
Hi LB,
Please send me over your contact with WSDA when you get a chance and we will see if we can figure out what is
required for water source.
Thank you!
Rhonda Thompson, RS
Environmental Health Specialist
Mason County Public Health
415 N 6th St Shelton WA 98584
2
Rhonda Thompson
From: Coe, Hannah (ECY) <hcoe461@ECY.WA.GOV>
Sent: Tuesday, April 18, 2023 10:59 AM
To: LB Kregenow; Rhonda Thompson
Cc: Nick Schneider
Subject: RE: WSDA contact
Caution: External Email Warning!This email has originated from outside of the Mason County Network. Do not
click links or open attachments unless you recognize the sender, are expecting the email, and know the content is
safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO
SO! Instead, report the incident.
Hi Rhonda and LB,
LB showed me around the project site on the farm yesterday. The current plans, to use sawdust to capture the
processing wastewater and utilize that material as compost for the farm, will prevent a discharge of
processing wastewater to surface waters of the state; there is no need for a wastewater discharge permit.
We also discussed adaptive management, in the event that the volume of water produced cannot be
accommodated by the sawdust. This included reduced mowing of the grass downslope from the outlet drains,
and/or planting the area downslope, to improve the filtering capacity of the land downslope.
For the volume of processing occurring on-site, the method of disposal for processing wastewater is
acceptable.
LB- should the number of animals processed drastically increase, it would be great to re-open the conversation
about best practices for wastewater handling.
Many thanks, I appreciate meeting with you LB, and Rhonda I appreciate the early coordination to ensure that
there won't be water quality impacts or Ecology permitting required.
Happy to chat if there are any questions or points of clarification!
Hannah
Hannah Coe
Water Quality Specialist I Watershed Resources Unit
Southwest Regional Office I Water Quality Program
Washington State Department of Ecology
Cell: (360) 918-4958
From: LB Kregenow<Ibkregenow@gmail.com>
Sent: Monday, April 17, 2023 12:02 PM
To: Rhonda Thompson <RThompson@masoncountywa.gov>; Coe, Hannah (ECY) <hcoe461@ECY.WA.GOV>
Subject: Re: WSDA contact
Good Morning Rhonda:
1
We met with Hannah Coe from DOE this morning, and I wanted to put you in touch with each other.
Hannah, it was great to meet you . . . hope you got a chance to wander out to the west fields before you left.
LB
On Fri, Apr 7, 2023 at 11:47 AM Rhonda Thompson <RThompson@masoncountywa.gov>wrote:
Hi LB,
I have your commercial building permit here on my desk for review and have a couple follow up items:
1. Water- Deanna Strayer below said a private well with a current satisfactory bacteriology sample is sufficient.
Have you gotten that test done yet?Also do you have a well log from when the well was drilled?
2. Did you check in with Ecology to see if a discharge permit would be required? Here are my notes from the pre-
app:
May need wastewater discharge permit through Department of Ecology if the facility has any drainage systems that
drain to the ground/land application.
It would be ideal to get an email or something in writing from Ecology saying that your method of disposal for
processing waste was fine to dump on compost pile.
Thank you,
Rhonda Thompson, RS
Environmental Health Specialist
Mason County Public Health
415 N 6th St Shelton WA 98584
360-427-9670 ext. 581
Rthompson@masoncountywa.gov
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