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HomeMy WebLinkAboutWEC2025-00028 - WEC Inspections - 2/28/2025 As A-05-7 584 MASON COUNTY 415NB SHELTON: , 0427-970,EXT 400 SHELTON:360d27-4467,EXT 400 BE ELMA:360-275-4467,EXT400 Public Health & Human Services ELMA:360-082-52e9,EXT 400 FAX 360-427-7787 THIS FORM IS TO BE USED ONLY AS TRANSFER OF DATA INTO SG. WEC RESULTS REPORT SHOULD BE USED AS PERMIT REPORT WELL PERMIT: CONSTRUCTION OF NEW WELL WEC2025-00028 APPLICANT Leeper,Aaron Phone: 2535377332 Address: PO Box 44427 tacoma,WA 98448 OWNER WILFONG ET UX ET AL JOSEPH ERIC Phone: &ELISHIA HALEY SHIREY Address: JUSTIN JAMES SMITH&CASSANDRA LEE JOHNSTON CENTRALIA,WA 98531 DOE Start Card: we5S646 V 1 A A &A-r- tpo(' R-D Well Tag (if avail.): 7 p of c E t.S Well Site within 1008 of saltwater? No DOE Variance? Site Address: 700 E DANIELS RD Primary Parcel Number: 320112400000 Contractor/Driller: RICHARDSON WELL DRIL ING Date Received: 02/28/2025 3 I1-2 s� Date Requested: 03/06/2025 I Z S Date Inspected: D A"Yv\- Inspected By: Inspection Status: IN PROGRESS Inspection Results: Is there a T'annular space on all sides of the casing? ;, [ ] YES [ j NO [ ] Not Observ. Is there evidence of cascading water? [ ] YES [ I NO [ ] Not Observ. Was the driller on site? ". ] I YES [ I NO [ ] Not Observ. Is the well flowing or is there evidence of other leakage? [ I YES [ I NO [ ] Not Observ. Is there evidence that the seal is at least 18 feet long? ,� [ ] YES [ I NO [ ] Not Observ. Has the seal slumped? [ I YES [ ] NO [ ] Na[Observ. Is there evidence of a surface seal? _;: [ ] YES NO[ ] [ ] Not Observ. Is the well capped and vented? [ ] YES [ I NO [ ] Not Observ. Is there evidence of improper well sting or sources of contamination? [ ] YES [ ] NO [ ] Not Observ. Comments/Summary: (- 1r5GJF [ ] PASS [ I FAIL [ I Not Insp. GIS Let: GIS Lon: THIS FORM IS TO BE USED ONLY AS TRANSFER OF DATA INTO SG. WEC RESULTS REPORT SHOULD BE USED AS PERMIT REPORT �g)3 X 25 fr;ww.� DF'rre.,d.�y .QS O.C. w 14" resr_r.r<,0,1CIo•x AIES -- SVwre-d acl�5s Foal- -A-c E oe....:ds Rd ?.. © 100 .n 1lrtant'a1 Scocl.p.nyCJ / Sieatc wad.. tt ;4 a; a.'� lor .f a •y • So reo iso c•o O Audio-Visual Alarm PLOT Puani A O2 Cleanout Y/JI CS E.Pti + ELJ- F_ \P,h LFCNC 500 Gallon Pre-Trash tank QQ�CF(, 32C1� -24-crno n O4uWater BNR-500 .ATl; Tank 1 �� C Dlaty lEL$ R0 O 1.000 Gallon Pump Chamber 4k E L-M r2 WA ReSOi / O Valte Convol Box k4 \ 24a -S-;n¢ Se..JS loam � rso'�'S DRAFT'1Z: 2l " 4-,-C s...Jy le..,. « e's tS w ti- 16�1+ lei MW 13 MA Arrow SePUC Wsig" 171 E.Vu@MV9Dr Union.WA 90M t3601898-2255