The URL can be used to link to this page

Home My WebLink AboutWEC Letters / Memos - 7/23/2003 Page 1 of 1 NOTICE OF INTENT TO CONSTRUCT A WATER WELL Notification Number WE01262 ' CFI it vi YF CF E 10I. 0GY This form and required fees MUST BE RECEIVED by the Department of Ecology 72 HOURS BEFORE you construct a well. Submit one form and required fee (check or money order ONLY)for each job site. Mail this form to the Department of Ecology, P.O. Box 5128, Lacey,WA 98509-5128. Property Owner ROYCE HEARD Phone No. (N/A) Address(include city,state,zip)330 TIMBER TIDES.UNION,WA 985,22 Consulting Firm (if different from#1) (N/A) Phone No. (N/A) Address(include city, state,zip) (N/A) CODE NUMBER AND COUNTY NAME 23-SWR Mason County Well Location:SW 1/4 of the SW 1/4 Section 35 Township 22 Range 3W Approximate well construction start date: 8/25/2003 Will the intended withdrawal from this well exceed 5000 gallons per day or be used to irrigate more than 1/2 acre of non- commercial lawn or garden? No Type of well construction: New Purpose of Use Domestic Number of homes to be served 1 Latitude and Longitude (if available) Lat Degrees(N/A)Lat Time (N/A) Long Degrees(N/A) Long Time(N/A) Horizontal Collection Method (N/A) Well Site Street Address(N/A) Tax Parcel Number(N/A) Contractor's L& I Registration No. TOPDODCO54RA Well Drilling Company Name TOP DOG DRILLING_a) Phone No. 360-275-75W_ Well Driller Name NICHOLAS ERNST License No. 2147 This notification number must be provided to your well driller: WE01 262 Well Size: Less than 12 inches in diameter- Fee amount$ 100.00 Amount enclosed:$ 100.00 RETURN NAME AND MAILING ADDRESS Client Name 1 ` Ockr- Agency Validation TOP DOG DRILLING CO PO BOX 2227 CJ No. BELFAIR, WA 98528 Date � a 35 .9 0 30 a oo(aC) http://apps.ecy.wa.gov/startcards/Step3.asp 7/23/03 mow This notification number muss Litt Ns V V Itsoul • Well Size: Less than 12 inches in diameter-Fee amount$ 100.00 Amount enclosed:$ 100.00 I ' `' RETURN NAME AND MAILING ADDRESS t't Client Name .Q r vy�tion 00. ! TOP DOG DRILLING CO Ail 2 � �O�`� PO BOX 2227 BELFAIR,WA 98528 Date 8/5/03 TOP DOG DRILLING CO. PO BOX 2227 BELFAIR,WA.98528 PHONE/FAX 360 275-7501 To whom it may concern. I made a site visit to the Royce Heard site on July 15, 2003 and in my professional opinion there should be no problem finding water at the estimated depth at 331 Timber Tides Union WA. 98592 Thank you Nick Ernst Top Dog Drilling Co. e .� I TOP DOG DRILLING CO. 0.9 ,,'pag r�. �uplll P.O. BOX 2227 Estimate y BELFAIR, WA 98528 -f 360 275-7501/ 877 975-7501 ESTIMATE N... TOPDODCO54RA 1248 A P.O. NO. NAME/ADDRESS WELL ROYACE HEARD 330 TIMBER TIDES DATE TERMS 5/30/2003 PER CONTRACT DESCRIPTION Q... COST TOTAL 6" DIAMETER DRILLING PER FOOT 150 23.50 3,525.00T SURFACE SEAL 18' I DRIVE SHOE 1 375.00 375.00T STAINLESS STEEL SCREEN 5'WIK-PACKER AND BOTTOM 1 675.00 675.00T INSTALLED IN WELL. MOBILIZE/DEMOBILIZE 1 200.00 200.00T WATER PITLESS WELL CAP 6" 1 42.00 42.00T THE ABOVE ITEMS ARE TO DRILL A 6" WELL 150' DEEP. A: $100.00 FEE CHECK MADE PAYABLE TO: "DEPARTMENT OF ECOLOGY" B: $50.00 MASON COUNTY WELL FEE MADE PAYABLE TO: "MASON COUNTY TREASURER". C: SIGNED CONTRACT D: DOWN PAYMENT 2300 MASON COUNTY TAX 8.30% 399.81 ANY QUESTIONS, PLEASE CAll. TOTAL $5,216.81 THANK YOU PAM & NICK ERNST I TOP DOG DRILLING CO. D9 T'ti'puc y.. ti 1 t P.O. BOX 2227 Estimate - BELFAIR, WA 98528 �,,� ESTIMATE N... 360 275-7501/ 877 975-7501 TOPDODCO54RA 1248 B P.O. NO. NAME/ADDRESS PUMP ROYACE HEARD 330 TIMBER TIDES DATE TERMS 5/30/2003 PER CONTRACT DESCRIPTION Q... COST TOTAL 3/4 HP 10 GPM SUBMERSIBLE PUMP 230 VOLT 1 550.00 550.00T 1" SCH 80 DROP PIPE PVC T+C 150 1.25 187.50T 12-3 IN/GROUND SUB CABLE 150 0.55 82.50T TORQUE ARRESTOR 6 X 1 1 15.00 15.00T 1" BRASS CHECK VALVE 1 16.00 16.00T 1" PITLESS ADAPTER 1 50.00 50.00T 4-WIRE SPLICE KIT 1 5.00 5.00T MISC FITTINGS 1 15.00 15.00T BACTERIAL SAMPLE 1 50.00 50.00T 4 LABOR MAN HOURS TO INSTALL THE ABOVE EQUIPMENT. 1 250.00 250.00T THIS ESTIMATE IS TO INSTALL THE PUMP IN THE WELL AND PERFORM THE TESTS AS REQUIRED FOR APPROVAL BY THE HEALTH DEPT. THIS ASSUMES THE WATER MEETS COUNTY QUALITY AND QUANTITY REQUIREMENTS. 2300 MASON COUNTY TAX 8.30% 101.34 IF YOU HAVE ANY QUESTIONS, PLEASE CALL. TOTAL $1,322.34 , s. TOP DOG DRILLING CO. T`t'p n9 1 uall, J P.O. BOX 2227 Estimate BELFAIR, WA 98528 ESTIMATE N... 360 275-7501/ 877 975-7501 TOPDODCO54RA 1248 C P.O. NO. NAME/ADDRESS TANK ROYACE HEARD 330 TIMBER TIDES DATE TERMS 5/30/2003 PER CONTRACT DESCRIPTION Q... COST TOTAL 80 GAL DIAPHRAGM TANK 1 400.00 400.00T PRESSURE TANK FITTINGS INCLUDING PRESSURE SWITCH, 1 90.00 90.00T PRESSURE GAUGE, PRESSURE RELIEF,TANK DRAIN AND TANK TEE. MISC.GALV. FITTINGS TO PLUMB 1 70.00 70.00T ABOVE PROJECT. MISC. ELECTRICAL FITTINGS INCLUDING L+I PERMIT 1 110.00 110.00T 314HP 230V FRANKLIN STANDARD CONTOL BOX 1 70.00 70.00T FUSED DISCONNECT 1 50.00 50.00T LABOR MAN HOURS TO INSTALL THE ABOVE EQUIPMENT. 5 65.00 325.00T THIS ESTIMATE DOSE NOT INCLUDE PIPE,WIRE AND DITCH. WE WILL QUOTE THESE ITEMS WITH MORE INFORMATION. IF YOU ACCEPT THESE ESTIMATES 1248 A, B OR C,WE WILL NEED A CONTRACT SIGNED. THIS ESTIMATE IS SUBJECT TO CHANGE IF NOT ACCEPTED WITHIN 30 DAYS 2300 MASON COUNTY TAX 8.30% 92.55 ANY QUESTIONS, PLEASE CAll. TOTAL $1,207.55 THANK YOU PAM k NICK ERNST