HomeMy WebLinkAboutWEL2020-00055 - WEL Letters / Memos - 1/10/2022 11v\kaiDa-ki DoVO
415 N 6TH STREET,SHELTON,WA 985
MASON COUNTY SHELTON:360-427-9670,EXT 400
r7 COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
ELMA:360482-5269,EXT 400
Building Planning,Environmental Health,Canmunity Health FAX:360-427-7787
11/20/2020 �,�p
DAVID WALTERICK JAN i
650 Jensen RD 1f��Stre1
et
SHELTON, WA 98584 615 W.
Alder
RE: WATER SYSTEM PERMIT: TWO-PARTY
WEL2020-00055
650 E JENSEN RD
321322390034
The 2-party water system, WALTERICK, 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
Icencula@co.mason.wa.us
Sincerely,
Luke Cencula
Environmental Health Specialist
Mason County Environmental Health
415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 400
COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
;+ J ELMA:360-482-5269,EXT 400
Budding.Phonons',Environmental Health.Cognew.mitty HwJd, FAX:360-427-77$7
10/07/2020
DAVID WALTERICK
650 Jensen RD
SHELTON, WA 98584
RE: WATER SYSTEM PERMIT: TWO-PARTY
WE12020-00055
650 E JENSEN RD
321322390034
The above mentioned permit has been reviewed by Environmental Health and found additional
information is required.
Your well inspection passed 10/05/2020. To approve the two-party water system you will need to
supply a copy of satisfactory bacteriological water analysis. Bottles are available at the public health
office in Shelton, we receive water samples Mondays & Tuesdays. Thank you.
If you have any questions, please contact me at 360.427-9670 Ext.353 or email at
Icencula@co.mason.wa.us
Sincerely,
"uke Cencula
Environmental Health Specialist
Mason County Environmental Health
.
Mason County Community Services
MASON COUNTY 615 W. Alder St. Bldg 8 Receipt Number. 2020-04253
COMMUNITY SERVICES Shelton, WA 98584
360-427-9670 ext 400
Payer/Payee: David Walterick Cashier: KIM KNAPP Date: 09/29/2020
Payment Type: CASH
WEL2020-00055
Water System Permit: Private Two-Party 650 E JENSEN RD
Fee Description Account Fee Amount Amount Paid
Private Two-Party 150.000000.300.000 . 346.20.352000.0000.00 $255.00 $255.00
Well Site Inspection 150.000000.300.000 . 346.20.352000.0000.00 $215.00 $215.00
WEL2020-00055 TOTALS: $470.00 $470.00
TOTAL PAID: $470.00
Previous Related Payments
Receipt# Receipt Date Fee Description Amount Paid Permit#
Total:
1
Printed 09/29/2020 11:07:00 by Kim Knapp Page 1 of 1