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Home My WebLink AboutWAI2023-00080 - WAI Health Waiver - 8/8/2023 A as MASON COUNTY 415 N 6TH STREET, 0427'9 7 , 98584 SHELTON:360�127-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 NORTHWEST LOGGING 2522 N PROCTOR ST#15 TACOMA, WA 98406 Applicant: NORTHWEST LOGGING Parcel Owner: MARKLE SUSAN L Site Address: 26132 NE North Shore Rd Primary Parcel Number: 323332300020 Waiver Request Number: WAI2023-00080 Waiver Description: Other Waiver Submitted Date: 08/08/2023 Waiver Review Date: 7 /Z0Z3/ Waiver Status: /O f f01/Qc( If you have questions or concerns let us know. Sincere , David Anderson 360-427-9670 Ext.353 danderson@masoncountywa.gov t +pzoZ� oo3' . cam 2199912 MASON CO WA NORIHI2023 02OG:IN PM DELL �A? NORTM�EST LOGGING CO •189088 Ric F��: 06.50 Paps: 4 111111111 1111111IIIIIi II11111�11111111 1111111U JUL 2 62023 RECEIVED JUL 2 4 2023 El By Return to: Northwest Logging Company, LLC 2522 N Proctor St. #15 Tacoma, WA 98406 DECLARATION OF WATER USE AGREEMENT LDB #1 Water System This declaration made and entered into by property owners: GRANTOR: Northwest Logging Company,LLC With users: GRANTEE: Northwest Logging Company, LLC PCL 1 OF BLA#18-04 AF#2090193 \PTN OF GOVT LOT 1 S 44/28, S 45/4, Parcel#32333- 22-00030 PCL 2 OF BLA#18-04 AF#2090193 PTN OF GOVT LOT 1 S 44/28, S 45/4, Parcel #32333- 23-00020 LOT 4 OF SP#3120 AF #2092412 PTN OF G.L. 1 IN SEC 32 & 33, Parcel # 32333-22-90140 Township 23 N, Section 33, R3W,NW 'A of the NW V. The property owners hold title to certain properties situated in Mason County, Washington described as follows: PCL 1 OF BLA #18-04 AF#2090193 \ PTN OF GOVT LOT 1 S 44/28, S 45/4, Parcel #32333- 22-00030 PCL 2 OF BLA #18-04 AF #2090193 PTN OF GOVT LOT 1 S 44/28, S 45/4, Parcel #32333- 23-00020 LOT 4 OF SP #3120 AF #2092412 PTN OF G.L. 1 IN SEC 32 & 33, Parcel # 32333-22-90140 Township 23 N, Section 33, R3W,NW '/4 of the NW % The owner desires to provide a water system to supply water for Parcel# 32333-22-00030 & Parcel # 32333-23-00020 The owner hereby dedicates an easement for a well, pump house and facilities which are necessary to produce and distribute water to said properties described as follows: LEGAL DESCRIPTION OF WATER SYSTEM Existing well is located at coordinates 47.44451,-123.07924 on Parcel #32333-22-90140 in Mason County, Washington. OWNERSHIP OF THE WELL AND WATERWORKS The water system is owned by Northwest Logging Company, LLC, hereinafter known as "Owner". COST OF WATER SYSTEM MAINTENANCE The incurred cost of maintaining the water system shall be the responsibility of the Owner. The Owner shall establish a water rate solely at the owner's discretion sufficient to cover system operating expenses, regulatory costs, maintenance costs, establish a reserve fund for equipment repairs, replacement and a return on investment. MAINTENANCE AND REPAIR OF PIPELINES All pipelines in the water system shall be maintained so that there will be no leakage of seepage, or other defects which may cause contamination of the water, or injury, or damage to persons or property. Pipe material used in repairs shall meet approval of the Health Officer. Cost of repairing or maintaining common distribution pipelines shall be born by Owner. Each party in this agreement shall be responsible for the maintenance, repair and replacement of pipe supplying water from the common water distribution piping, commencing at the individual service meter, to their own particular dwelling and property. Water pipelines shall not be installed within 10 feet of a septic tank or within 10 feet of a sewage disposal drain field lines. NOTICE TO FUTURE PROPERTY OWNERS 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. RESTRICTIONS ON FURNISHING WATER TO ADDITIONAL PARTIES It is further agreed by the parties hereto that they shall not furnish water from the well and water system herein above described to any other persons, properties or dwelling without prior written approval from the Mason County Department of Health. HEIRS, SUCCESSORS AND ASSIGNS These covenants and agreements shall run with the land and shall be binding on all parties having or acquiring any right, title, or interest in this land described herein or any part hereof, and it shall pass to and be for the benefit of each owner thereof. ENFORCEMENT OF AGREEMENT ON NON-CONFORMING PARTIES AND PROPERTIES The owner reserves the right to make reasonable regulations for the operation of the system, such as the termination of service if bills are not paid within forty-five days of the due date, additional charges for disconnection, reconnection, etc. Parties not conforming with the provisions of this agreement shall be subject to interest charges of 18% per annum together with all collection fees. (Property Owner) State of W 'ngton, County of I,the undersigned, a Notary Public in and for the named above County and State, do hereby certify that o this kay► of` , 202_1, personally appeared before me Nun a L tom own to be the individual described on and who executed the withinent, and acknowledge that he (she) (they) signed and sealed the same as free and voluntary act and deed, for the users and purposes herein mentioned. GIVEN under my hand and official seal the day and year last above written. j fir/ 1 Notary •ublic in • d for the State of Washington, residing at My commission expires: AUTUMN JOHNSON Notary Public State of Washington Commission#23001078 My Comm. Expires Jan 21, 2027