HomeMy WebLinkAboutWEL2025-00032 - WEL Application, Design, Letter - 7/17/2025 (2) 1'[
MASON COUNTY
� 415�1 6TH vTREWE'r≥SHELTON,WA 98�a84
eilttires/ SHELTON:360-x 75-9677,EXT 400
00
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BELFAIR:360-275-4467,EXT 409
Public Health & Human Services ELMA:360-482-626 EXT 400
FAX:360-427-7787
BLANTON JOHN H
161 1111 BLANTON ACRES
SHELTON, WA 98584
RE: WATER SYSTEM PERMIT: TWO-PARTY
WEL2025-00032
161 W;Blanton Acres
319071400010
The 2-party water system, Blanton 2 (319071400010/319071400050), has been reviewed and is
hereby APPROVED for 2 connections. Please continue to follow best management practices with
maintaining your water system including regular water analysis, landscaping, keeping wellhead area
free of contaminants, and stormwater management around the water source.
If you have any questions, please contact me at 360-427-9670 Ext.353 or email at
danderson@masoncoulntywa.gov
; Sincerely,
is
`
David Anderson
Environmental Health Specialist
Mason County Environmental Health
7(7 7(2021
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P+, il'i.ti ri 'sat J� ,% 000 501r r ('S
'al- ATER W ELL REPORT . (,few 1 a'
ix,t r r°fit Origami IA ci p ~Ecology, copy 3rd copy-driller U Ecology Well ID Tag I lei. , ' 944 .:
Ilr�t .tl;t( "zee circle) Its /0 Won.Right Penrrin No.ii., construction.a. O Decoromisinon Hof Intent Nutter tl' I(11STRUCTI0ff - Y N
"`IL. "PROPOSED USE: gDoinestie ClIndastruil Q Memespal Well Street,r I It) 1
Q DeWa >I QTe t Well ®t ar S Ire.14'0,,., Co n ty:Yr Ott t
�! Qty EWM Circle
O WORK: Owner's uutnnber ofwell(if more than 000liiths,,,j J 4 1/4 MEN fit; Sec ?wmf.-�- -
Rit w W Q Reconditioned Mew Q Dug Q ®Driven "� w
..Mor ont
Q Jetssd Lad Deg _ tat
tvrasfSee
drifted 1 ft 0,4r Will Lan[' fSt
tilr+F : Diameter ofisclt a{ _�ir t s. REQUIRED) Long Deg
Depth of completed well ft Tax Parcel No,5 i I 1 ()Orl i O
CO 1. N DETAILSSUCTION OR DECOMMISSION l FunnluM00.Describe by color, afi>tratandsmr and the
E 0 led " tern f a_ land mad tame of the s�in each stratum wa o
t)iam from 1t to ne
.may far each cue of information Indicate all water ema eyed
0Perforthime, O Yes gl
No (USE ADDITIONAL SHEETS If'NECESSARY)
C Type of muforater moil
MATERIAL FROM t TO
0 SIZE of peda m by in and no of pub from ft to If _145„.000,7 j4.40„.14/22.,)
Sitraman es Q Igo i oe*non t t aang r. 1-644,42,1`;/ " , f '514110 c .0,.._.S.`.,_SlaSrze[ at 9 No ft w i 4,3 It 1-44�-fa�r- ar");rt
to tan'--__— Stet Size ftom,_.___ ---ft to ft
Gra • Oyes OS No O Sac of graveifsa n _......... ft
Surface Sash it Yes Mammas used m seal_ #2 ,e
i ' the any stra*contain unusable w `t QYes 5;010
cT sc of woe _ Depth of strata
n3Method of seabag stria off
so. POIPt Manufactuces N
tType VII.IMINsieloar.lialiallIk II P
VIA TWA LE , Land-suffice elevati on above tonal sea lev � ft
i loo
Static vet ft below top of well Date GCJJ�
z Maim press= lbs per square inch Dam
Arta water'is controlled by
' tea waive
WELL Tim: is all IDt water level is towered below static level
i s 12 Was apump lest made?QYes mi No Ilya,by whom')
I, 7 Wald_____jai Mon with ft drawdown after
hrs
Yank& gal Ann with ft drawdown after_._.—__bra_bra
C> Yield_ gal!min wit ft drawdown after hisRE Recovery a&uc ft we taken as zero when pump turned aff water level measured from
* 3
unit") ,,,11,4, e'er level)
Time Water Level Time Water Level Time Water Level
-
1 c -�, rl tOittt ate
BadDale of
1 � gal elms st._.,�:—'t',�.-ft ttrawnm after hrs Depart eat t�� ,�ilitf�*.�'
Airtest l humwrth stem act at ft for t 47--2.-
1 as
Attimalaflow g p of Date sums '- conveled
CO
1 ?m �al of water Was a chemucal analysis meld QYes fe'No
'i WELL CONSTRUCTION CEETEVICAT101.6 I constructed and/or accept tesponatbtlity for cnstructkcxi of this well.and as compliance with ad
W Washington well construction standards.Mated used and the atfarrnauon reported above are true to best bow dge andthelatt
es
.C Drilling s/bet,
"" !nester CIEnatneer afrat
-- Addres
' ZJ16 City,stye,
Lacctis�c No
delief'C I t `14 r, 1 Regutnat
h (44+O Date
, r ,.S r,. , Ecology is an Equal Opportunity dyer ECY l3Sfi-t-2U(Rev 41/01)
Arcadia Drilling Inc.
P.O.Box 1790
Shelton,WA.98584
Customer:Jeanne Blanton Well Tag#:AHR494
Site Address: 161 W Blanton Acres,Shelton Depth: i63'
Date of Test:7/9125 Static:79.2'
Pump Set:Unknown
TIME GPM LEVEL RECOVERY
1 Min 11.5 $2.9 TIME LEVEL
2 Min 11.6 83.4 1 Min 83
3 Min 11.5 83.5 2 Min 82.1
4 Mira 11.5 83.6 3 Min 81.4
5 Min 11.5 83.7 4 Min 81.1
Miry 11.5 93.8 5 Min 81
7 Mitt 11.5 83.9 6 Min 80.8
8 Min 11.5 84 7 Min 80.7
9 Min 11.5 84.1 8 Min 80.6
10 Min 11,5 84.2 9 Min 80.45
15 Min 11.5 84.3 10 Min 80.35
20 Min 11.5 84.3
25 Min 11.5 84.3
30 Min 11.5 84,3
35 Miry 11.6 84,3
40 Min 11.5 84.3
45 Min 11.5 84.35 IS
Min 11.5 84.35
55 Min 11.5 84.4 �k` . �� 72`
1 Hr 11.5 84.4
1 Hr 10 Min 11.5 84.4
[Total Gallons Pumped:805
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Thurston County Environmental Health
412 Lilly Rd NE Olympia,WA 98506
360 867-2631
Tawasioi eau NIT '
COLIFORM BACTERIA ANALYSIS
Gete Sample Collected Time County
Collected
tRatt Oily Year 01,4 nil QS-
Type of War System(check only one box) CI Private,q Household
> .� Jy
CI A O B �� wet/
Group A end Group B Systems-Provide from WaterFacilities inventory(WFi):
System :
103 arte't
Persnn: 1 Bi M raw
Day :( )-) .'9.--) ' 1 Gel Panne:L o
1+ 194 1 rz E .Ph '( )
Serxt ranks to iFilefte parrs,address and zip code or email address)
to it,It fq 4 .
SAMPLE INFORMATION
Sample waded by Mn ):
D ihri 8 iftgs,litst
Swift location or address veem Special lostruationsar comment:
1( { fad A/4et> t 4 cwer
A t , ` ` '
Type ofSample(mud check only one box of el through#4 Wed below)
'f.Cl Routine Distribution Sample I.Repeat Sample(after unsat.routine)
Chberatel:Yes__ 4o O Manton System
Chlorine Residual:Total._Frees Chlorinated:Yes No
3,Rim Was*Source Sample Gilberto Robust.Total Free_
Q E c®#-MYR(A/P)
❑Fecal—rsstass Sipittp tro4r 1 Unsatistacexxy mutine lab number,
I Aaaeawnent(*tabling(A/P) Unsatisfactory routine weed date:
Doter 1 1.
S a
4,0 Sample Collected for Information Only
Investigative ___._ Construction/Repairs Other
LAS USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Cl Unsatisfactory Totat CW:on Present and Satisfactory
O Erroll present O Ecor absent o
rm detected
ent SampleRequired:
❑,Berri bars old(>3)hours) Q TNTG O
Baal CY sty Results Total Conform 110Qne. E,cofi� /l00ne.
Feci Colton /i00ml Enierococci /100 mt
Method Grx"4.,. 9223B D 9222O to and Time Recsivect7eilr.."
O S.4 92i56 L7 Entemiert& 'e'
bate and Time Analyzed Qate Repoted ,` S
sox a tusetr.
a & •
tats r «f tf
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