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Home My WebLink AboutWEC2023-00032 - WEC Application - 4/7/2023 0 tc MASON COUNTY " '8 COMMUNITY SERVICES 4,. . .,,,,71 Building,Planning,Environmental Health,Community Health 415 N 6t"Street, Bldg 8, Shelton WA 98584, Shelton: (360)427-9670 ext 400 + Belfair: (360)275-4467 ext 400 + Elma: (360)482-5269 ext 400 FAX(360)427-7787 NOTICE OF INTENT TO DECOMMISSION A WELL Permit Number Payment Information Instructions 1. Complete Part 1. Incomplete applications will be rejected WEC Receipt Number/332427/3 2. Attach a plot plan and vicinity map. 2093..Qom_ 0 Cash 3. Submit this completed application with appropriate fee a 0 Check minimum of 24 hours in advance of initiating well l A�<<� decommission. Refer to Mason County Environmental Date of Payment it-7-2023 Health fee schedule for cost. 4. Mason County Public Health must receive notification at least 24 hours prior to the decommissioning of the well. PART 1:Applicant/Parcel Identification Site Address /Soo Cap 0-0, I II, 1/ Rccc Start Card # AE77 a Drilling Firm C.-1CerY,.-. DAi1.-Lc Phone 253 9173 / 709 Applicant W06,fr. 1 /t) ble , h.., c Phone 9,53 475 ?7 l/ Mailing Address a/CU5 ScSc.,,-A C S 0- . City i dc.c,era at State 6,4.7 AP Zip q d 1"1a oP Parcel Number "3�c : 9 xx /OC)C:› Directions to Site MICR- 743>hns Pfb•r'estc Ge-c,,rc t rrt.nc a., Cqn,ila. / !!,!( Jeoc,J Cited ,•A w ru. 20b 6.t fke orA'c-c Is the well being decommissioned to allow siting of potential sou - of contamination (ie. septic drainfield)? ❑Yes ,ONo If yes, a variance from is_re uired. Have you applied,,•'► circle one) a variance? -Yes ❑ No Applicanent Signature PART 2: Health Department Review(Staff Use Only -p.m_% (Ath\c-(04:41tr YES NO TAG# -.1 .:'''''.)-2eE clercc tt0n; Called In 11/7 (2-3 cc-R li iio i Z.3 O'er- Ill Driller on Site? /?J 4c ❑ Has the well been decommissioned in accordance with WAC 173-160? ❑ Is this a cased well? ❑ Is a well report available that shows a surface seal? Method of Decommission -NC -2. ��IPI ts" A4't 1'ES - 1 15 VT � � `5 ts , mot.t and Comments $0-117r.11 e,e Sr i ri4a4Ef -}lzLb s lL nac, t4b 2.' c-fl4.t+3C,-- f♦ ) C O ,Mile-ft. 5r., 1-. t_. Akmt. S C ki 42f •- EKee Seto 5 T"E7 L CA 5 t Ai C-r it L 3' t._. .f-t• , v,i L•-2t:;;t4D t. iPt>t,t-E r) ck.5t Qt&- c_t T 2 e-A t tvt- t f F- Tc t:RED C-A t P psTc tv t-r - t iz t�R1 ,Pass ❑ Fail Inspector fVIA, ! `i Date / 1 0 /2_ may This form be scanned and available for ublic view on the Mason County Web site. EXC4JrTEA R200t 1)A •FglC: 2-G', Cu-T oi=c-=, Lt-t�e c.ict_77fl I F tlfl51 + itX;ELS- cot3Tt t:., -'it--S �x.caJ6,-r1r16- -Th AFFIgCtc 3Of FT 2 CA‘ tc.-\& COI- EAT. fir-DT T lZ1b6e. 4•DD-E-T. ctf1PS J:\EFI Forms\DRINKING WATER FORMS\Drinking Water Notice of Intent to Decommission a Well.docx Revised: 1/20/2017 3Lt-, 0..S Li Tt3 DEP - 'tc.Tf1 t_ 136G`D el-IT .J t're k, - 1 3AtGS. r✓ ac, F-r (3R . f ____I DEPARTMENT O ECOLOGY ;:ate of Ovan.ngtor. Resource Protection Well Report Notice of Intent No.AE77238 Submit one well report per well installed.See page two for instructions. Type of Well: Type of Work: ❑Resource Protection Well ❑Injection Point 0 Construction CIRemediation Well ❑Grounding Well ®Decor mission b 013428 Original NOT No. ❑Geotechnical Soil Boring ❑Ground Source Heat Pump Ecology Well ID Tag No. na El Environmental Boring ®Other 1985 Test Well Site Well Name Armstrong Test Well#1 b❑ Soil-❑ Vapor-0 Water-sampling Consulting Firm Robinson-Noble Inc. Property Owner Manke Family Resources Was a variance approved for this well/boring? •Yes 0 No Well Street Address 3500 East Johns Prairie Rd If yes,what was the variance for? City Shelton county Mason Decom variance granted by DOE-John Pearch- to not Tax Parcel No. 320080902000 pull or perforate casing Location(see instructions): WWM J or F.WM 0 WELL CONSTRUCTION CERTIFICATION: I constructed and/or SE 1/4-1/4 NE ''/4,Section 9 Town 20N Range 3 accept responsibility for construction of this well,and its compliance with all Latitude(Example:47.12345) 47.24595 Washington well construction standards. Materials used and the information reported are true to my best knowledge and belief Longitude(Example:-120.12345) -123.05488 ®Driller 0 Trainee 0 Engineer (WGS 84 Coordinate System) Name(Print Last,First Name) Dave Charon 8 2 inches Borehole diameter inches Casing diameter ripe/Engincer/Trainee Signature 4/10/23 License No. 1190 Static water level drY ft below top of casing Date Company Name Charon Drilling, Inc. 0 Above-ground completion with bollards 0 Flush monument If trainee box is checked,sponsor's license number: Q>Stick-up of top of well casing ft above ground surface Sponsor's signature Start Date 4/10/23 Completed Date 4/10/23 Construction Design Well Data Driller's Log 8"well was originally drilled to 19T Sounded to 185' Mobilized to site and sounded well(185') 11 A 20'bentonite surface seal was placed. and checked static(dry) Static water level-well is dry Original Well Report ID 0037973 Driller proceeded to pour bentonite chips inside the 2"pvc and filled to 40'bgs. Because it was a dry hole,the final Cut off 2"pvc at 40'to avoid bridging. consrtuction involved installing 2'PVC to a depth of 185' This well is an active mine site and will with a pea-gravel pack.The 8"was ulttimately be removed during mining. withdrawn. 6'` 9'O9P 4 • <9 A • • �O •• • NY , < • ECY050-12 (07/2018)To request ADA accommodation including materials in a format for the visually impaired,call Ecology Water Resources Program 360-407-6872.Persons with unpaired hearing may call Washington Relay Service at 711. Persons with speech disability may call TTYat 877-833-6341. STATR ( R�? /c '14 l5J9'"°' STATE OF WASHINGTON DEPARTMENT OF ECOLOGY Southwest Region Office PO Box 47775, Olympia, WA 98504-7775 • 360-407-6300 March 29, 2023 Manke Family Resources, LP c/o Robinson Noble Michael Piechowski 2105 South C Street Tacoma, WA 98402 Re: Variance request to Chapter 173-160 Washington Administrative Code (WAC) for decommissioning resource protection wells at the MFR Johns Prairie gravel mine, East of Capital Hill Road, South of East Johns Prairie Road, Shelton, Washington), SE%, NE N, Section 9,Township 20 North, Range 3 West.W.M., Mason County,Tax Parcel No. 320090001000 Dear Michael Piechowski: This letter is in response to your request for a variance (dated March 20, 2023,from Charon Drilling and Robinson Noble)from the Minimum Standards for the Construction and Maintenance of Wells, Chapter 173-160 WAC. Specifically,your request is to decommission resource protection wells without pulling or perforating casing that was not constructed according to the current resource protection well sealing requirements. The complete proposal is described as follows: What well construction standard cannot be met? WAC 173-160-460 (1)(a) or (b) This resource protection well was not constructed in accordance with current standards,the existing seal does not extend to within 5 feet of the screen. Reason why standard cannot be met. Though it has always been dry, the well was not constructed in accordance with current standards. The well is in an active aggregate mine and will ultimately be removed during mining. Filling with bentonite will seal the casing. Alternative construction methods that will provide equal or greater protection than those provided by the minimum standard: As the well is dry, and has been since it was drilled, we are proposing to fill it with bentonite. The well is located within an active aggregate mine, and as the area is mined, the well will eventually be completely removed. After an investigation, interview, and review of information available, a variance is hereby granted to Chapter 173-160 WAC for decommissioning the resource protection well. Ecology verbally approved the well to be decommissioned with the method your driller proposed on March 20, 2022.This is the formal variance approval with the following additional requirements: 1. Well decommissioning must be completed within one year of receipt of this variance. A 4 new variance request must be submitted if the decommissioning work is not completed within this time frame. 2. All well decommissioning work shall be performed by a licensed driller as set forth by WAC 173-162 and RCW 18.104. 3. Notice of intent AE77238 to decommission a resource protection well was received on March 19, 2023. 4. The resource protection well mentioned above may be decommissioned according to your variance request. A separate variance request must be submitted to Ecology for any additional resource protection wells that cannot meet the decommissioning requirements. 5. The driller must submit Water Well Reports describing the decommissioning to Ecology (Southwest Regional office)within 30 days after completion of the work.Attach a copy of this variance to the well report.The well location latitude/longitude coordinates must be included in decimal degrees(to the 5'decimal place)along with the Public Land Survey System location on the well report.Attach a copy of this variance to that well report. 6. With the exception of the provisions set forth (above) in this variance,all federal,state, and local requirements shall apply. You have a right to appeal this variance to the Pollution Control Hearing Board (PCHB)within 30 days of the date of receipt of this variance.The appeal process is governed by Chapter 43.21E RCW and Chapter 371-08 WAC. "Date of receipt" is defined in RCW 43.21B.001(2). To appeal you must do the following within 30 days of the date of receipt of this variance: • File your appeal and a copy of variance with the PCHB(see addresses below). Filing means actual receipt by the PCHB during regular business hours. • Serve a copy of your appeal and this variance on Ecology in paper form - by mail or in person. (See addresses below.) E-mail is not accepted. You must also comply with other applicable requirements in Chapter 43.21E RCW and Chapter 371-08 WAC. ADDRESS AND LOCATION INFORMATION Street Addresses Mailing Addresses Department of Ecology Department of Ecology Attn: Appeals Processing Desk Attn: Appeals Processing Desk 300 Desmond Drive SE PO Box 47608 Lacey, WA 98503 Olympia, WA 98504-7608 Pollution Control Hearings Board Pollution Control Hearings Board 1111 Israel RD SW PO Box 40903 STE 301 Olympia, WA 98504-0903 Tumwater, WA 98501 For additional information visit the Environmental Hearings Office Website: http://www.eho.wa.qoy. To find laws and agency rules visit the Washington State Legislature Website:http://wwwl.leq.wa.gov/CodeReviser. SIGNATURE 94:delf1-41/ 4/ March 29, 2023 Michael J. Gallagher Date Section Manager Water Resources Program March 29, 2023 John Pearch, LHG Date Well Construction Coordinator jope461@ecy.wa.gov By Certified Mail: 9489 0090 0027 6347 0647 94 cc: Dave Charon, Charon Drilling, charondrilling@hotmail.com Joe Manke, Manke Family Resources 4 Water Resources Program DEPARTMENT OF ECOLOGY Variance Request- Minimum Standards for Well Construction State of Washington WAC173-160-106(1) allows you to request a variance from the Department of Ecology when strict compliance with state well construction standards is impractical. The variance request must propose comparable alternative specifications that will provide equal or greater human health and resource protection than the minimum standards. You must apply for a variance in writing and receive approval before constructing or decommissioning the well. (All fields must be completed.) Requested by: Manke Family Resources through Robinson Noble, Inc Mailing Address: 2105 South C St City: Tacoma State: WA Zip: 98402 Daytime Phone: 253-475-7711 Date: 3/20/2023 Property Owner(if different): Manke Family Resources Site Location: SE f/ NE f/ Section: 9 Township: 20 Range:3 ❑E or ✓❑WWM Tax Parcel Number: 320090001000 Well Address: East of Capital Hill Road, South of East Johns Prairie Road,within the MFR Johns P Well Driller/Company(if known): Armstron Drilling (Original driller) Charon Drilling (Decommissionii Check one: ❑Water Well ✓❑Resource Protection Well ❑Dewatering Well What construction standard cannot be met? This resource protection well was not constructed in accordance with current standards, the exist extend to within 5 feet of the screen. Describe the reason why standard cannot be met. Include site map and distances from all known potential sources of contamination if setback variance is being requested. Though it has always been dry, the well was not constructed in accordance with current standard active aggregate mine and will ultimately be removed during mining. Filling with bentonite will see Describe the alternative construction method that will provide equal or greater protections than those provided by the minimum standard. As the well is dry, and has been since it was drilled,we are proposing to fill it with bentonite. The an active aggregate mine, and as the area is mined, the well will eventually be completely removt (Attach additional pages if necessary.) Complete and return with your site map to the appropriate regional office: Northwest Regional Office Southwest Regional Office Eastern Regional Office Central Regional Office PO Box 330316 PO Box 47775 4601 N.Monroe St. 1250 W.Alder St. Shoreline,WA 98133-9716 Olympia,WA 98504-7775 Spokane,WA 99205-1265 Union Gap,WA 98903-0009 (206)594-0000 (360)407-6300 (509)329-3400 (509)575-2490 wrNWRO(a,ecy.wa.Rov wrSWR0@ecy.wa.gov wrERO(a,ecy.wa.gov wrCRO a,ecy.wa.aov ECY 070-299(Rev 02/2023) To request ADA accommodation including materials in a format for the visually impaired call Ecology Water Resources Program at 360-407-6872. Persons with impaired hearing may call Washington Relay Service at 711. Persons with speech disability may call TTY at 877-833-6341. 1 411111111111011r OINK IL Manke property access ., 7. I rilli-1`.-.• ,....-7- ... .'• ""' ' • "4' -, ___ , =r' I.° , , Etcorgrre, - • ... .., • .. . ..... .• mile-,••. s -Ni ". •FP"'""- • . Sr: A,. 1 .11111V , `,,- - • '-' • .7..-. , . . .5,... ,,, _o..,,,,-.3,..,• '''- A i i 1p :' . ' s'• • * / ',‘"• t, •...f- . , ,...,., r 6 ii) I -M.,•,;6;;,:::, . '.,:t• ••• ',..4.... 2, ,..v ••11904mar•4144emoymm44.4444".314R., , .....4".... ..- i'::-• "-.' ' ' -''' . '''•... . , ..._,, ...4' '4..S"-"-- 4-4..,,,,IPOR••:.-1 • ...r.. ,,,.., ../ 74 •gr. - ,-, ,r, •< g..-;.1-;• :-. '...•:1... ' ', .44 F.' 111:...•-• , ''^ -••••g- . . 5 ..P ,.....i, 1' 's•warAztve -;', 4 IF' f•:, it'. r.1 • ,c, / , .- . ) H L..,7....r... kw ... - - ^' ' ,..' ' it's• \\‘. ..' • 4.7 „' ..`" i ',/1010-4"4 ' , .. -''''' A M.'•n map •mist 0,19) ....,1 i - 1' / •-...."it• ,I: : ' 7 - • i . >'-..• :-J . . ..., 44.....,,,- -it' ,.., • .-4..„ ,,-- : .: ,- ,„... ,. • - ,!--• -------- .;.,,..).- .r ...' i ....-'• ' ' ... ,t, .. ... - . . ia • . c , / • , 4- 4 '4 ,, * ,' r•. ‘' -•... , "-., .'.!:•,•' - 4f. •• - r- .. _ .", ------1 ,.....aarr i . .---- File Department ofandE First og Copy wtth WATER WELL REPORT Start Card No. 013 y 28 Oepa"mertt of Ecology Second Copy-Owner■Copy STATE OF WASHINGTON Third Copy-DrilNr'e Copy Water Right Permit No. � ► L'� _QiuzL--. 8 (1) OWNER: Name A 1t►,�!-slid Address_�_,+. � Z. O. 1 (2) LOCATION OF WELL: County PUS b kJ, _. SE I< N'x q 9 T-2,0_-N..41.__LL __W.M. (2a) STREET AODDRESS OF WELL(or nearest■ddreaa) -- _ -- CU (3) PROPOSED USE: Domestic Industrial F. Municipal❑ (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION �. Irrigation .J OeWater Teat Well � Other � Formation: Describe by Color, character, size of material and etryCture, and •how (/) thickness of aquifers and the kind and nature of the material In each stratum penetrated, (4) TYPE OF WORK: Ovmers number of waif le with at least one entry for each change of Information. },r (it more than one) T wUATER/AI. PROW i TO C Abandoned Il New well ❑ Method: Dug ❑ Bored ❑ O Deepened Ci Cable 4 Driven ❑ ft,.a,,� . ..!it,7. -S J -- 0 • It c Reconditioned El Rotary Jetted D n / O (5) DIMENSIONS: Diameter of well 8 w inches- 0r T�`l� , S�.�T '�-v'1 11 .1z4 � Drilled ill feet. Depth of completed well /p 5 ft. _ E (6) CONSTRUCTION DETAI1.S: i' Re-.. (g . oas 8 f Y It-, Casing Installed: _ ' Cliam.from 4 h.to 14S ft. -. Welded ' Dlam.from N.to N. 4) Liner installed! Threaded D Dlam.from ft. N. B�.L__— �. I Perforations: Yes No G'3.4„..4) %_ O Type of perforator used__- _` SIZE of perforations In.by in..a n C __ _ perforations from ft.ro ft. �ya 17(�t�4- �-y s au ) 7? r pertorstlonelrorn h.to N. ni 9-' pertoratlons from ft.to N-a e .%e..iiaatamp: Ys.Ni No❑ Q'2 L/�3tlt,n.arsi a'►♦....4 +Add,,.4 /'?? !if Q) Manulactur • erne Flit 4:1044. ri .--- j% %j id Typal 1Z ModNNo �fl� /`n� O Nm.-��Slot sus I N.to y1��T tt. `�t!`�• j� +'' Dram._-9=—$6644.16-_ frolw L'2� N.to_ 1---N. ;f"tC.�c }_. Taste r � II t y, �.�J � Gravel peeked: Yotdi fioU t3lzeofyravet_.J"� -7_a ` s`��'N'"� t t .... Gravel pieced from j Se - ft.to ft. -it o R c _ 11 ��11pp�� 7o what depth? �0 N Surface seal: YeeC?i +� _ Material used In seal ,'w O Did any strata contain unvsebleureter? Yes❑ No� __ `J z Type of water? Mpth of elnt■ N. l,,,i V) Method of seakn0 strata off _ CO a O (7) PUMP: Manutactvrer'e Name • TS Type' H.P I3) (8) WATER LEVELS: •and•eurtaceelele af. f 0 ■bow mean see level_ . Static IrwinH.below top of wet Date O Artesian prasaure-_ - - lbs.per*grant lath Date - `_. LU artesian ureter la controlled by Map,vans um)) y-- Work started �-.I M ,1> reputed ,1 O (9) WELL. TESTS: Drawdrt is antp�nt water level lad below alatJc Neel lowered ,s.r Was a pump test mate?Ye•-JJ NooIll.4 If yes,Mwhan? WELL CONSTRUCTOR CERTIFICATION: C Yield: pal•lmin w h•drawdown after Ke i constructed and/or accept responsibility for construction of this well, E - — and its compliance with ell Washington well construction standards. Materials used and the information reported above are true to my best .a~+ knowledge end belief. 1,- Recovery data(time token as zero when pump turned off)(water level meeaured Q from well top to water level) Water Level TLee Water Levi C� Time Wear Level Tim Water CI)Q (PERSON,FF .OR ITYP PM?) O Address f V r A s II- wteofau No H (Signed) EA1 Ba4Werteat gal.rmin.with ft.dn hrs.wdownafter •. Cordr ct Attest gal./min.whh stem set at ft.for hrs. No. 9_9_ ,Q...,� t,SQ Artesian flow g.p.m. Date O �A-[� Temperature of water_Was a chemical analyst made?Yes❑ No❑ (USE ADDITIONAL SHEETS IF NECESSARY) ICY 060.1.20 (1O/8T) •132e- 41111,'3 LISS 'OM YOr '1UL 34nr \'-..... Q za $ 2 0 ci �- 0 D o U ¢I z—o COm o 'ire 11 f— 41 Al 0 In to O— I v WY m 2 ` v Z o m O_ yQF3 3 n a o a 0 o O1 I E 1 U O 6.O r 4W 04 o �3 *i,1 1 1 y+ 0 3rtr s h • I O Oy N I • y 04 1, N p• h V 1o1 b 2 1 c 1• 4 c O N • 1- ,.o p• Y w maw —}i i H 01411 y A^rN Sn cools-)israt\sorinirso