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101 NOTICE OF INTENT TO CONSTRUCT A Notification Number
WATER WELL WE01262
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ECOLOGY
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)330TIMBER TIDES,UNION.WA 98592
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 Cots*
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. TOPDODC054RA
Well Drilling Company Name TOP DOG DRILLING CO Phone No. 360-275-7501
Well Driller Name NICHOLAS ERNST License No. 2147
This notification number must be provided to your well driller: WEO 1 262
Well Size: Less than 12 inches in diameter- Fee amount$ 100.00
Amount enclosed:$ 100.00
RETURN NAME AND MAILING ADDRESS Client Name QAf'1/4\ _.
TOP DOG DRILLING CO Agency Validation
PO BOX 2227 CJ No.
BELFAIR, WA 98528
Date
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http://apps.ecy.wa.gov/startcards/Step3.asp 7/23/03
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This notification number mustuu I/I Ulf puce .., 1"'•• ••-••
0 Well Size. Less than 12 inches in diameter- Fee amount$ 100.00
Amount enclosed:$ 100.00 r1
RETURN NAME AND MAILING ADDRESS
Client Name �r 4 4 r
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TOP DOG DRILLING CO1 V tion 0 0 9
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PO BOX 2227 � «� ��U
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.
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TOP DOG DRILLING CO.
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ARI
P.O. BOX 2227 Estimate
BELFAIR, WA 98528
4.
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'W/K-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 CAII. TOTAL
THANK YOU PAM & NICK ERNST $5,216.81
.. I TOP DOG DRILLING CO.
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P.O. BOX 2227 Estimate
, 'Et BELFAIR, WA 98528
360 275-7501 877 975-7501 ESTIMATE N...
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 W/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
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
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TOP DOG DRILLING CO.
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�'onc uah
P.O. BOX 2227 Estimate
BELFAIR, WA 98528
360 275-7501/ 877 975-7501 ESTIMATE N...
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
3/4HP 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 CAII. TOTAL $1,207.55
THANK YOU PAM & NICK ERNST