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HomeMy WebLinkAboutWEL2024-00031 - WEL Application, Design, Letter - 6/6/2024 ® MASON COUNTY 415 N6 SHELTON: ,SHELT9670 EXT SH STREET, SHEL ON, EXT400 BELFAIR'.36M754467,EXT 400 Public Health & Human Services ELM 36 82-5289,EXT 400 FM:W 427-7787 08/09/2024 SPEAR ET AL LOGAN & BRENNA ANDREW & MARCY SPEAR SHELTON, WA 98584 RE: WATER SYSTEM PERMIT. TWO-PARTY WEL2024-00031 b00(SE Lynch Rd 319024190002 The 2-party water system, Lynch Rd Lot B(319024190002/319024190001), 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, ebi� David Anderson Environmental Health Specialist Mason County Environmental Health MASON COUNTY COMMUNITY SERVICES Alm . K WY2,q Kmmq.Emvm�n,+I X•MXrnmmmlry NrN • ' 415N.&SDSI,(aWgn-SWtW,WA985M WEL 'a.[9 �"�'1 .- '► Shelton 360427-96/0 x400 BeISOT 360-2754467 x4W Elma:360482-5269 x400 TWO-PARTY PRIVATE WATER SYSTEM APPLICATION APPLICANT PIgXE Logan Spear 360-239-1541 MNLIND ADDRESS-STREET,CnY,11.1 1661 W Shelton Valley Rd Shelton, We 98584 SITE ADDRESS-STREET,Cm.STATE,a xxx SE Lynch Rd Shelton, Wa 98584 PRIMARY PARCEL NUMBER(WELL 4TQ 319024190002 BECOXOARY PARCEL NUMBER(IF AMUCABLn 319024190001 WATEREouRCE to VeW ❑Existing 100RCE IRE Well ❑Spring vlsl`Flllmw, PARe¢:LOT s¢E PROPOfED WATER SYSTEM RARE RIEOMIREDI Lynch Rd Lot B PROIKT DESCRIPTION Install two party well to service a single family residence on lots A and B DIRECTgRS TO SITFI CONDITIONS US HWY101 South from Shelton to SE Lynch Rd. app. 4.2 miles out Lynch to site on left side of Lynch Rd Site Plan:(may also be attached) (prop"Eoundaries,structures,well Me W il00'radius,d6w ways,roads,sepbUsErAer wrnpo,,ETE and lines,easameMs,etc...) See Attached JU,Nf��06 2024 By Submittals Checklist:(these additional items will be required for approval) Satisfactory Bacteriological sample(this may be deferred If well is not yet drilled) Well Log with pump test or 4-hour capacity test performed by driller(this may be deferred if well is not yet drilled) Notice to Future Property Owners recording (record with Mason Co.Auditor, supply copy of recorded document) Septic Records(additional locating requirements may apply if there is a lack of septic records on file) Thb imm may bs scanned and available for public view on the Mason County Web Nib. Revised: 10/13/2021 Page 1 of 2 i I Staff use Only Review Step 1: Well Site Inspection: YES NO NA ❑ ❑ Evidence of existing sources of contamination within 100 foot radius of water source? (drainfields,tanks,buildings; indicate distance on plot plan) ❑ ❑ Are there roads within the 100 foo adius of the water sp�Jce?If so, is road private, un r State. What is distance to ROW? ' k M. ❑ ❑ Does the ground slope away from the water source site?(show slope on plot plan) ❑ ❑ Is the well cap satisfactory? ly ❑ ❑ Screened and vented? ❑ The well casing extends 77 ` above level ground/concrete slab?(circle one) gl ❑ ❑ Is there evidence of a surface seal? Lq�-t 4�16oiy ❑ ❑ Does the seal appear adequate? ❑ ❑ Is a variance necessary for well site approval? �: Comments Pass ❑ Fail Inspector Date Review Step 2: Two-Party Review: YES NO NA ❑ ❑ Water-Well Report with adequate pump test on file?*&ddtg INIltltg WI (/tr/fity will 20Apir1'�e/ 4(0^lt�jjea'ci If NO,date of Capacity Test Y/V 3'i24 Driller ( 1lb Opr p GPM -) ❑ ❑ ❑ Received Satisfactory Bacteriological Analysis? Date of test (gf ❑ ❑ Received Signed, Notarized, and Recorded Notice? AFN Z 21 RZ ❑ ❑ System appears adequate to serve 2 single-family residences based on information provided? Comments Approved ❑ Denied Reviewer Date Findings in this review rejlect observedconlihms as they existed on the day ofthe site inspection. No claim is made.express or implied ofthe future success or failure ofthis 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 drilledafrerJanwry 19M,2018 per FSSB 6091. Revised: 10/13/2021 This form maybe scanned and available for public view on the Mason County Web site. Page 2 of 2 9 � ` o � . �: . . . . . . . � . { ( ! . • , H 6 ) w, • ! n � " mill } £ n amp % � • ° m• � � � \ §} | ) K + : l § go � H| �y! © � ] ! � )141 \ , ! Arcadia Drilling Inc. P.O. Box 1790 Shelton, WA.98584 Customer: Logan Spear Well Tag#: BPF197 Site Address: SE Lynch Road Depth: 202' Date of Test: 7/31/2024 Static: 95, PumP Set: 140' TIME GPM LEVEL RECOVERY 1 Min 3.5 96 TIME LEVEL 2 Min 3.5 96 1 Min 98 3 Min 3.5 96.1 2 Min 97.3 4 Min 3.5 96A 3 Min 96.9 5 Min 12 96.1 4 Min 96.9 6 Min 12 987 SMin 96.9 7 Min 12 98 8 Min 12 99 9 Min 12 99 10 Min 23 1 99.1 15 Min 23 103 20 Min 23 1034 25 Min 23 103.6 30 Min 23 103.9 35 Min 23 103,952 pUG 40 Min 23 104 REGE\VED 45 Min 23 104 50 Min 23 104.1 55 Min 23 104.1 1 Hr 23 104.2 i Hr 10 Min 23 104.3 vanguard tap yrtam) .S VT 2635 Parkmpat lane SW-Suite A • Olympia WA 99502 vM�`.,pATn - 4 360-967-7010 �gti�1 COLIFORM BACTERIA ANALY818 FORM RFG(UVEO DNw,S."M CDe TnbC caAro 08/07/2024 , ow MASON Ttped Wdw SyFemrldmxadF.w Em) ❑Gm A ❑Gmwa 00at Gmp A 3m 8SPWM-Pwaaan WNW FaNUt Mrwlar(WFI).. IN — sraemN.ee. LOGAN SPEAR CwYdPwrm.Argti.OdNla.p,c 0*1`1 060 1�28-73ss CeBPbM( 1 Emeh. E.e Prwe.l 1 Watt� l lun ran.rmrwt rc[:Dmtr v Md� .rw�.r�d�tmb arm uorr®>�ro� SAMPLE INFORMATION Sanpbmwa,CWVmeel.SHAD SprA[ld4Ev wee WeecpM.ltl I SW.1 sma,m,wmrmnm SEWa7 SE Lynch Rd.Snenon TtpNSa�l.(waCwW.lt ap.dwmpbaatapw f aemgi S Geu.l ,.❑awat.ouoRwlen s.lwwpl z.❑ wwNrawn Cnbnmbd Yns `, paOlDtwFgFtn N.w.marl _._._. __.. laaN.4cprym wkww e0lc Cfronn;P.O. T�pl_F.e_ 3.Gr WN.Rde 6. Swpt nw.EThndr RYabaualttdas ch ,waaw YIs_ND_ ❑TWed fkP) CN RaewTaa_FM— Q AsSebmem IA.PI e SuNxawGWl R.r Soum WM 6.npt l,E.nar.ronl 6 ❑E W ❑Fxa' waa_ae_ 5 � vyu idrawb W Wm par LAB USE ONLY ORRROM01SATIM1RESUITS IAS USE OPLY ❑uwatNwtryrowca P w ®Rartcrn ❑E,wfp� ❑EuAatx a Swtaa Swdy Rwbae.Tda(•Naell ODIN Erof n0kn+ FOICaawm, nOpN 1wc._ ,M RptEn.d a.Ata.piN: ❑TNFC ❑swplebodd ❑ S.eDAlva On.mvw c«,rr.r ❑ +.m ueaer..e NRb •. G YZo - v Petlp` c Mptlq°�1i SM922313 pl.atmM baM lee lAa pPy 285 CCMlIL6.pM - 2213755arMASON CO WA iiiuiiuiuiui 6iiiiiiiiiiiiiiiu uii' Return To,, C 1 1 & / 9YSSl s 2pp4 RF�F/VFo Granter(s): (2) �_ lyo S e� maY r! lb (1) r � Grantee(s): (1) P BLIC Legal Description (1) S � )r�'llFarFh Rmnrt 3 1,✓ (Abbre 'sated form:i.e. lot, block,plat or sec ion, township, range) Assessor's Tax Parcel: (1)3 ��� q-j-"���--Q--2— 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 (t) 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 Tax Parcel: (Connection 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 regulations. Dated on this h day of r,�, 2014-• Signature of Grantor(s): / Page 1 of 2 State of Washington ) County of Mason ) I,the undersigned, a No ry Public in and for the above named County and State, do hereby certify that on this ay of . 2g�, �Ogrs.Y6 J�A�f�+ x ead pars nally appeared befo me,Who is known to be si ner of the above instrument,land acknowledged that he(she) ey) igned It. GIVEN under my hand and official seal the day and ye r last above n. ..........., Notary Public in aryl for tLe !ate of as<lir3gton, .eT 'RE;R• , residing at e W `�}(-� : on r?�$ My commission expires: EWi _ i��. pr/BL14 y�2z 14V�Nj�N S,'1H1 arvJ Page 2 of 2 I �g I gig I I IMF' �x I I 38 I I aA D I I I I I I I I I I I I I I & II I M.Halverson Design LLC Logon spear s - Parc 1#3190231b0002 r PO Box 1519 Shelton Wa 985M raa�x�a:spoo W,., veney Ra M-R OF SP fl19afi '' HaN..s esl nll omlook... snelWn,Wa s0564 1 1 9 �E p8 avv '(ViP' n m p y `3� FFo 3s�`n� Y 1 =mR 3 3pi I I mD I I ac I e.. � � u g �/ e I I I I 4 I , o I x I I I M.Halverson Design LLC °pp°COI' Logan Spear Pa"It3190241-90001 PC Box 1519 Shelton Wa 98584 rx•u,^s.a000 W SMmn Vel,Rd LOT A OF SP 9194fi 1 Halverson8esi nlic outlook.cam Snehon,W Ne