HomeMy WebLinkAboutWEL2025-00035 - WEL Letters / Memos - 8/18/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
it SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
08/18/2025
Permit Number: WEL2025-00035
Water System Name: Olympic View#1
Permit Type: Residential Single Family
Type of Work: New Public Water System
Number of Approved Connections: 6
DAVIS-BALTER LACEY APPLICANT 360-801-6107
340 NE DAVIS FARM RD BELFAIR, WA 98528
DAVIS-BALTER LACEY OWNER 360-801-6107
340 NE DAVIS FARM RD BELFAIR, WA 98528
DAVIS DRILLING WELL DRILLER (360)801-4375
340 NE DAVIS FARM RD BELFAIR, WA 98528
Dear Applicant,
This letter is to inform you that the above reference design for a Group B public water system has been reviewed and is
hereby APPROVED with the following conditions. Full approval of the water system for use will require the following
items:
1. Construction Report for Public Water System Projects within sixty days of construction
completion.
2. Installation Inspection approval(please call to make an appointment)
After Installation approval an updated WFI form will be submitted to Washington State Department of Health, where the
water system will receive its unique ID number. If you have any further questions let us know.
Sincerely,
Jeff Wilmoth
360.427-9670 Ext.543
jwilmoth@masoncountywa.gov
ti
Conditions:
1 NOTICE:All proposed connections to new wells are subject to water adequacy
requirements at time of building permit per Mason County Title 6.68 Water usage
restrictions and additional fees may apply to new connections and/or wells drilled after
January 19th, 2018 per ESSB 6091.
2 No claim is made, express or implied of the future success or failure of this system. Well
Site passage does not constitute water system approval. Water system approval is a two
part process. 1) Passage of the well site. 2) Approval of the water system design. Once
the well site is passed the water system design may be submitted for review.
M
MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
_✓� Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
3 NOTICE:All proposed connections to new wells are subject to water adequacy
requirements at time of building permit per Mason County Title 6.68 Water usage
restrictions and additional fees may apply to all new wells drilled after January 19th, 2018
per ESSB 6091.
5 (2) A purveyor shall record the following information on each customer's property title
before providing water from the Group B system to any service connection:
(a) System name and a department issued public water system identification number;
(b) System owner name and contact information;
(c) The following statement: "This property is served by a Group B public water system
that has a design approval under chapter 246-291 Washington Administrative Code";
(d) Parcel numbers to be served by the system;
(e) Indicate if the system is designed and constructed to provide fire suppression;
(f) A copy of any waiver granted under WAC 246-291-060 to the purveyor and any
required monitoring and reporting;
(g) Indicate:
(i) If service connections are metered or not;
(ii) If the purveyor intends to monitor the system for contaminants;
(iii) How often monitoring will occur;and
(iv) How the consumers of the system will be notified of monitoring results;
(h) Contact information for the approving authority(department or local health jurisdiction);
(i) The type of source treatment provided for any contaminants that exceed secondary
MCLs;
Q) Instructions about how to obtain a copy of the agreements for consumers, if one exists;
and
(k) Other information, as directed by the department or health officer.