HomeMy WebLinkAboutWEC2024-00112 - WEC Inspections - 9/27/2024 554
MASON COUNTY 416 NBSHELTON: 60427-ON0,EXT 400
SHELTON:360.127-8870,EXT 100
aELFAIR:360.275-0467,EM 400
Public Health & Human Services ELMA:3604825269,EXT 400
FAX:360-427-7787
THIS FORM IS TO BE USED ONLY AS TRANSFER OF DATA INTO SO. WEC RESULTS REPORT SHOULD BE USED AS
PERMIT REPORT
WELL PERMIT: CONSTRUCTION OF NEW WELL WEC2024-00112
APPLICANT ARCADIA DRILLING INC Phone: 360-4263395
Address: PO BOX 1790 SHELTON, WA 98584
OWNER STEPHENS JEFF&MELISSA Phone:
Address: 3715 103RD AVE CT NW GIG HARBOR,WA 98335
DOE Start Card: WE57947
Well Tag (if avail.):
Well Site within 100ft of saftwater9 No ,
DOE Variance?
Site Address: 701 NE HAVEN LAKE OR
Primary Parcel Number: 223305000345
Contractor/Diller: Arcadia Drilling Inc
Date Received: 09/27/2024
Date Requested: 01/1012025 fU{i t' 13I 2
Date Inspected: l
Inspected By:
Inspection Status: IN PROGRESS
Inspection Results:
Is there a 2'annular space on all sides of the casing? " [ ] YES [ ] NO �f Not Observ.
Is there evidence of cascading water? [ ] YES t� NO [ ] Not Observ.
Was the driller on site? ,. [ ] YES 04 NO [ ] Not Observ.
Is the well flowing or is there evidence of other leaks [ ] YES [y NO [ III Not Observ.
Is there evidence that the..at is at least 18 feet long? ?i [ ] YES [ ] NO 1` Not Observ.
Has the seal slumped? . I ] YES )il NO [ ] Not Observ.
Is there evidence of a surface seal? 1�YES [ ] NO [ ] Not Observ.
Is the well capped and vented? N YES [ I NO [ ] Not Observ.
Is there evidence of improper well siting or sources of [ ] YES tt f NO [ ] Not Observ.
contamination?
"^� : BQcofrO
Comments/Summary:� �—I
PASS [ ] FAIL
1 [ ] Not lisp.
GIS Let: 47.4SSTT
GIS Lon: —ttt. 4�848
THIS FORM IS TO BE USED ONLY AS TRANSFER OF DATA INTO SG. WEC RESULTS REPORT SHOULD BE USED AS
PERMIT REPORT