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Home My WebLink AboutWEL2024-00009 - WEL Application, Design, Letter - 2/13/2024 MASON COUNTY 415NBTHELTON:STREET,SHE7-967 ,EXT 400 SHELTON:38 275-9870,EXT 400 BELFAIR:360-275-0487,EXT 400 Public Health & Human Services ELMA 360482-5269,E)(7400 FAX:W0427-7787 WATTERS JR RONALD D 261 SE HARRIER RD SHELTON, WA 98584 RE: WATER SYSTEM PERMIT: TWO-PARTY WEL2024-00009 261 SE Harrier Rd 320334150020 The 2-party water system, Watter-Wafters Water System (320334150020/320334150010), has been reviewed and is hereby APPROVED for 2 connections. Please continue to follow best management practices with maintaining yourwater 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 360427-9670 Ext.353 or email at danderson@masoncountywa.gov Sincerely, David Anderson Environmental Health Specialist Mason County Environmental Health 1009 10Z y MASON CO M COMMUNITY ER aaa:•srM.urerma«�m.mlNre. E/VBO 415 N.6i°SDa,(Bldg 8)-SheOm,WA 98584 WEL apal�,- pO00 Shelton: 360427-9670 x400 Mbic 360-275J 167 x4W Eba 36P4824269 x4 TWO-PARTY PRIVATE WATER SYSTEM APPLICATION APPLICANT vxoxE Kto HAC,LumD 1V) MAILING ADMEBB-aT11EkT•Cm',STATE W ICA se HAe21E2 Ro SHfU704 1 WA q ME ADDRESS-STREET,CITY,STATEl1 2(a1 "F— Wer q PRIMARY PARCEL NUMBER(WELL SIZE) 32o33-H/- "W SECONDARY PARCEL NUMBER D APPUCABLE) 62035-Nil -50010 WATERSGURCE SWRCETYPE PMC6ILOTS� PARCELE LOTB� ❑NOW EkEBisting Well Spring wit Acxc—s 15.00 &4FS PROPOSED WATER SYSTEM NAME IREDIIIREDI WATTEeS—Wk'W-S wA s s-reL^q PROJECTDEW.PTW. ptzovtl A-MP- -rro 32033-1-1I-560/6 D RECnONa TOSMUCONDRMNs L$FT Wl LOLE PD TArr_ it TlD COat PLAMT /mM 6OR K >. CE`31NA'[toLl IS 0'N Odl t1()v+J HA2We2 . Site Plan: (may also be attached) (property boundaries,strucWres,Well site W/100'radius,ddvewaM roads,sepddsewDr Conpollents and lines,easements,etc...) SSE A-rrAG-!e4--> , s1�4 APPP�N�D �I K�AvCLP D z � �kz Submittals Checklist: (these additional items will be required for approval) 'M Satisfactory Bacteriological sample(this may be deferred if well is not yet drilled) 'S Well Log with pump test or 4-hour capacity test performed by driller(this may be deferred 9 well is not yet drilled) -9 Notice to Future Property Owners recording(record with Mason Co.Auditor,supply copy of recorded document) R1 Septic Records (additional locating requirements may apply if there is a lack of septic records on file) This form may be scanned and available for public view on the Mason County Web site. Revised: 10/13/2021 Page 1 of 2 Staff Use Only -- Review Step 1: Well Site Inspection: — "Dew $0 YES NO NA n 1 r ❑ ❑ Evidence of existing sources of contamination within 100 foot radius of water source? (drainfelds,tanks, buildings; indicate distance on plot plan) ❑ '� ❑ Are there roads within the 100 foot radius of the water source? If so,is road private, County or State. What is distance to ROW? �1J ❑ ❑ Does the ground slope away from the water source site? (show slope on plot plan) ❑ ❑ Is the well cap satisfactory? ❑ ❑ Screened and vented? ❑ The well casing extends Z, above level ground!concrete slab? (circle one) 16 ❑ ❑ Is there evidence of al surface seal? Laf:L0,1 a6651`{ ❑ ❑ Does the seal appear adequate? (,an: -IZ7 .0$as 46L ❑ ❑ Is a variance necessary for well site approval? Comments Pass ❑ Fail Inspector Date 2/Z'�262q Review Step 2: Two-Party Review: YES NO NA �� ❑ ❑ Water Well Report with adequate pump test on file? (�,,,A, _,.rA I�T'vl If NO, date of Capacity Test (Z 7r Driller V t/ „I'` GPM 1_ ❑ ❑ Received Satisfactory Bacteriological Analysis? Date of test 114711497M Pq ❑ ❑ Received Signed, Notarized,and Recorded Notice? AFN ZSCI M6 F71 ❑ ❑ System appears adequate to serve 2 single-family residences based on Information➢IDvjQad? Comments ARC a ' Approved ❑ Denied Reviewer Date Findings in this review relied observed conditions as they eristed on the day of the site inspection. No claim is made, express or implied of the future success orfailure of this 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 ofbuilding permit perMCC 6.68. Water usage resMc[iona and additional fees may apply to all new wells drilled after January 19a,2018 per ESSB 6091. Revised: 10/13/2021 This form may be scanned and available for public view on the Mason County web site. page 2 of 2 Davis fam/b, Inc. 340 M Davu M1'arm Id %Ubir,Va 9W28 (360)801-6107 Project 261 SE Harrier RD TAG: NA Capacity Test Date 12/20/23 Pump 1.5HP Well Depth 140ft Static Water Level 77.5ft Draw Down Recovery Time Water Level GPM 0 83.9ft 0 min 77.5ft 0 tmin 79.4ft 5 min 84.5ft 13.0 2 78.4ft 10 min 83.7ft 13.0 3 78.2ft 15 min 83.8ft 13.0 4 78.1ft 30 min 84.0ft 13.0 5 78.Oft 1 hr 83.8ft 13.0 10 77.811 2 hr 84.1ft 13.0 20 77.7ft 3 hr 83.9ft 13.0 30 77.6ft 4 hr 83.9 13.0 40 77.5ft 45 Capacity Notes: Over the course of the 4hr capacity test, the well at 261 SE Harrier Rd. Shelton,WA 98594 produced at a consistent 13GPM, for a total of approximately 3,120 gal. $oofW� SPECTRA LAbomlories � KiTrp COLIFORM BACTERIA ANALYSIS FORM aCary � fVwegll%v*M 0 N k Q*a+Evl ❑@apA ❑emwB Cew CA Awd QMWB -PmtlefweNYw Ineenlop'(WF9: IN 2&1 crYdFew: °N fbaw OdFh m yr} Eva Amens AmO iar a Fnf rw.ww w qr.re.mwrr+Yen+�+e SAMPLE INFORMATION SpedFcbmtian.fimeamd it so. Id 'tiaisamr^nna I�oU�v C-� `TyWeFBemW ldmi�mlyor bo.I ; i f.❑BorrBbMrtlr bmge(ARI x❑ReprteemWNR cnnrodr�rr ❑ WO Aooaenr.yrur.wsAwu LpAeArCbfymuAm W comber (Tbine 0.ee+ud To W_Fae_ 7.0ruml WBarpmM SOuu Semple --- ----- ' C I II urgdorymuAfeMweAK IyL-1 _JJ CMAAYA Yr_NL_ ❑7*7 IAfl CAY.MReeNAL TabL—FnA__ ' lBOAwew GM Rs llaer W+m Srgb�nmweOm) 1 . I { I ❑ EaA re❑Fa 5. Com.marmmrmOW. ORS LAB USE ONLY WWATERREBUITS LAB 9Nl.Y ❑ am unsd a TeWCdam Pm md" ry ❑Ecdarml ❑EC ObmA B AAOmmlb Rreec TOWCdWu__ry.MOOmL E.-L—W✓OOW Fertl COdOem_�M1e/00mL RpC_.dWyntl. Replrmwr6em*RKe ❑TNIC ❑BrW.Wn ❑ Swpe Yaww ❑BnmRWc*d*w I]--- O -OI C. 10ta. glmy9Al LgMlp1�L p1Yg1[ � �e�Magqmm YrrY4Y �tlnlY�ura0�1AYY�YYq+. W YMIV�M. FSW1�iNIKM`I ealim-eg4e Yy,yY.e��Yrm� ..mwei+lelmw�. 2207536 MASON CO WA 0211312024 10 07 all DEDL I1IIfililiiimlilmIIIIIIi millaae Retum To: Davis Pumps Inc. 340 NE Davis Farm Rd Belfair, Wa 98528 Declaration of Water Use Agreement Walters-Wafters Water System Private 2 Party ARRRVVIATF,D I,FGAL DESCRIPTIONS AND FARCFI.NUMBERS OF TRACTS REINC SERVED: The well and water system being situated on: Parcel#32033-41-50020 LOT 2 OF LLS#16-01 AF#2062917 PTN OF NE SE 261 SE HARRIER RD SHELTON WA 985M R3W T20N Sec33 SF.Y NE Y. Grantors:WATTERS 1R.RONALD D Owner oC Parcel#3203341-50020 LOT 2 OF LLS#16-01 AF#2062917 PTN OF NE SE IOW T20N Sec13 SE A,NE'. Grantee: WAFfERM.RONALDD Owner of: Panel#32033-41-50010 LOT 1 OF LLS#16AI AF#2062917 PI OF NE SE R3W T20N See33 SF.'A-NE'. Has been designated to serve a source of water to the following parcels situated in Mason County,State of Washington;herein described: Parcel#3203341-50020 LOT 2 OF LLS#16-01 AF#2062917 PI OF NE SE 261 SE HARRIER RD SHELTON%A 98584 R-1W T20N Sec13 SE h-NE'A Parcel#320-13-41-50010 LOT I OF LLS#I6-01 AF#2062917 PTN OF NE SE R3W T20N Sec33 SE%NE Y. OWNERSHIP OF WELL AND WATERWORKS It is agreed by the parties that each of said parties shall be and is hereby granted an undivided one-half interest in and to the use of the well and water system. Each Party shall be entitled to receive a supply of water for one residential dwelling and shall furnish a reasonable supply of potable and healthful water for domestic purposes. COST OF MAINTENANCE OF WATER SYSTEM Each party hereto covenants and agrees that they shall equally share the maintenance and operational costs of the well and water system. NOTICE TO FUTURE PROPERTY OWNERS The water system is designed to provide for two services. Additional planning and design approval must be obtained from the Ion]health jurisdiction prior to expanding beyond this number of services. Design flow standards account for domestic use and watering of a typical lawn and/or garden space only. The design assumes that all residences will be equipped with ultra low flow plumbing fixtures and that all users will keep conservation in mind whenever the system is used. Additionally,a water right,obtained from the Department of Ecology,is required if the water system exceeds exemption standards.This system has not applied for or been granted any waivers from specific provisions of the regulations. EASEMENT OF WELL SITE AND PUMPHOUSE There shall be an easement for the purpose of maintaining and repairing the well and components w complete and maintain a properly functioning water system and appurtenance thereto,within 100 feet of the well site in my direction of both properties listed. Said easement shall allow the installation,maintenance or repair of the well, water system,pump house,pumps,water storage reservoirs,pressure tanks,waterline,utility lines and/or anything necessary to the operation of the water system. MAINTENANCE AND REPAIR OF DISTRIBUTION LINES 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. Cost of repairing or maintaining common distribution pipelines shall be home equally by both parties. Each party in this agreement shall be responsible for the installation,maintenance,repair,and replacement of pipe supplying water from the common water distribution piping to their own particular dwelling and property. Easement shall be granted on both lots to repair,replace or maintain the waterline as needed for distribution purposes. PROBIRITEn PRACTICES The parties herein,their heirs,successors and/or assigns,wilt not construct,maintain or suffer to be constructed or maintained upon the said land and within 100 feet of the well herein described,so long as the same is operated to furnish water for public consumption,any of the following:septic tanks and drainfields,sewer fines,underground storage tanks,county or state roads,railroad tracks,vehicles,structures,hams,feeding stations,greaing animals, enclosures for maintaining fowl or animal manure,liquid or dry chemical storage,herbicides,insecticides, hazardous waste or garbage of any kind. The parties herein,their heirs,successors and/or assigns are required to keep the water supplied from said well free from impurities which might be injurious to the public health. It is the purpose of these giants and covenants to prevent certain practices hereinafter enumerated in the use of said grantor(s)land which might contaminate said water supply. Exhibit A NOW,THEREFORE,the grantor(s)agree(s)and covero nt(s)that said Immortal,his(her)(their)heirs, successors and assigns will not construct,maintain,or suffer to be constructed or maintained upon the said land of the grmtor(s)and within fifty(50)feet of the well herein described,so long as the same is operated to famish water for public consumption,ANY POTENTIAL SOURCE OF CONTAMINATION INCLUDING BUT NOT LIMITED TO: cesspools,sewers,privies,septic tanks,drainfields,mature piles,fenced pasture,garbage of my kind or description,any enclosure or stmaures for the keeping or storage of non biodegradable fertilizers,liquid or dry chemicals,herbicides or insecticides as well m any enclosures or structures for the keeping or maintenance of fowl or animals such as barns,chicken houses,rabbit hutches,pigpens,livestock sheds,and further agree(s)not to use, apply,dispose or suffer to be used,applied or disposed,non biodegradable fertilizers,any liquid or dry chemicals, herbicides or insecticides within the above described protective radius.These covenants shall run with the land and shall he binding on all parties having or acquiring any right,title,or interest in the land described herein or any part thereof,and shall insure to the benefit of each owner thereof. WATER SYSTEM MANAGER The owner of Parod#3203341-50020 LOT 2 OF LLS#16-01 AT#2062917 PTN OF NE SE R3W T20N See33 SE V.-NE is the designated"Manager"of the system.. The manager shall be responsible for arranging submission of all necessary water samples as required in the Washington Administrative Code,and Mason County Rules and Regulations and handling emergencies such as system shutdown and repair. The Manager shall provide his/her name,address and telephone number to the Health Officer and shall serve as a contact person to the Health Officer. The manager shall organize and maintain the water system meet&and notify the Health beer and all parties, service connections and lots that are included in this agreement,of the water quality tests that are required by WAC 240.291 and Mason County Rules and Regulation.Water system records shall be available for review and inspection by all parties in this agreement and the Health Officer. HRI C SUCCFSSORS AND ASSIGNS These covenants and agreements shall ran 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 pan hereof,and it shall pass to and be for the benefit of each owner thereof. E._.F-...........N.. OF AGREEMENT N NON-CONFORMING PARTIES AND PROPERTIES The parties hereto agree to establish the right to make reasonable regulations for the operation of the system,such as termination of services if bills are not paid within 45 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 1 g%per annum mgether with all collection fees. WATTERS-WATTERS Water System Owner `Date zez WATTERS-W RS Water System Owner Date State of Washington, County of Alas On 1,the undersigned,a Notary Public in and for the named above County and State,do hereby certify that on this S+ti day of ry Er-u(sFF4,2023,personally appeared before me ?,D, to me known to be the individual described on and who executed the within instmmcnt, and acknowledgc that he(she)(they)signed and sealed the same as flee 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. pvp��VlY�AVF��i�� Notary Public in mill for the State of Washington, residing at A.• j0DSl1G My commission expires: UZ �'lF;,,Mwnba[ 5�• ',�/grO�ttWASN�I�� Mason County WA GIS Web Map 2/12/2024,8:06:44 PM 1:1,537 O ww- dOCRTipN 0 0.01 0.03 0.05mi County Boundary s6(�« LoCATION 0 0.02 o04 0.0exm 0 No Filled DRAw PEEL9 Lock-riot ' Site Address (Zoom in to 1:3,000) � MMm r«Hr Gage maEN GSU ,Cw M Tax Parcels (Zoom in td 1:30,000) Wm LamM WRG$WeE My,PpYlol� Mvx.Mluwdl