Loading...
HomeMy WebLinkAboutWEL2026-00002 - WEL Application, Design, Letter - 2/27/2026 `-•� MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 ( SHELTON:360-427-9670,EXT 400 y BELFAIR:360-275-4467,EXT 400 �_ ' Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 02/27/2026 ROSSI DAVID M & DEBORAH L 193 E Point Wilson Rd SHELTON, WA 98584 RE: WATER SYSTEM PERMIT: TWO-PARTY WEL2026-00002 193 E Point Wilson Rd 120193290020 The 2-party water system, Two-Party Well (SFR+ SFR): Seibert System (120193290010/120193290020), 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@masoncountywa.gov Sincerely, avid Anderson Environmental Health Specialist Mason County Environmental Health ..a. r Date Received: MASON COUNTY a _ ot. _ 'a COMMUNITY SERVICES Amount Received: l Receiv 3 4 --10 Qil k Building,Planning,Environmental Health,Community Health -t 415 N.6'Street,(Bldg 8)—Shelton,WA 98584 WE L, S`c ,, ` �@ Shelton: 360-427-9670 x400 Belfair:360-275-4467 x400 Eltna:360-482-5269 x400 Q(�//O � • TWO-PARTY PRIVATE WATER SYSTEM APPLICATION , APPLICANT. PHONE bI -u 1= Z55 / 6c•:--- a. lir i2oss , 2o G. ) 1zj 09,,s,---7 MAILING ADDRESS-STREET,QTY,STATE,ZIP lq5 P of ,,,r- ,, ` l,L5 C4 e �1 -vim (n)4 g8s6(1 SITE ADDRESS-STREET, S to( 1- 6aJ L L 5 r3� Q S -≥ PRIMARY P(p/�JRCELNU 1BER(WELL SITE) ZV z7'0ol0 SEC NDARY PARCEL NUMBER(SAME AS PRIMARY IF LOCATED ON SAME PARCEL) 17_0 QW.32.9 60 WATER SOURCE SOURCE TYPE PARCEL I LOT SIZE(no minimum) PARCEL 2 LOT SIZE(no minimum) ❑New J(Existing I WeII ❑ Spring Jr 11-i_ C- PROPOSED WATER SYSTEM NAME(REQUIRED). 6-I 5 t":- _-r--- .�yS-rzx-t PROJECT DESCRIPTION(e.g.,detached ADU,new single-family re idence,existing connection,etc.) lye\ DIRECT NS TO SITE/CONDITIONS/GATE CODE/KEY LOCATION I &O® �-l�� S l 93 tom- t ,ter- t(40-1.l kb ®PP OP 6 L STi r.)c Th- (--() S Site Plan: (may also be attached) (property boundaries,structures,well site w/100'radius,driveways,roads,septic/sewer components and lines,water lines,property easements,etc.) , AL-e2-4,v 4 /4.,- 17.0 o c.../.3 /A.... 3j244 P T iiile©MnVMr"' F E B a 9 2025 L BY: — Required Submittals Checklist: (additional information located on the first page of this packet) ® Satisfactory bacteriological test from within the last year ® Well report with well tag number,well tag secured to well casing,and capacity test showing 800 gal per day lil Notice to Future Property Owners of Private Two-Party Water System recorded with Mason County Auditor's Office 41 Septic Records(additional locating requirements may apply if there are no septic records on file) This form may be scanned and made available for public viewing on the Mason County website. Revised:07/23/2025 Page 1 of 2 via --- Staff Use Only ----------------------------------------------------------------- Review Step 1: Well Site Inspection: YES NO N/O ❑ " ❑ Evidence of existing sources of contamination within a 100-foot radius of the water source?(drainfields, 1111 tanks,buildings;indicate distance on plot plan) ❑ 17 ❑ Are there roads within a 100-foot radius of the water source? Is the road Private,County,or State?(circle one) Distance to the road(s) Cl ❑ Does the ground slope away from the water source site? liyi ❑ ❑ Satisfactory well cap? i] ❑ ❑ Well cap screened and vented? -- , ❑ The well casing extends 6 above evel groun concrete slab?(circle one) e ❑ ❑ Well tag attached to well casing? Lat: '17:td6 Csf ❑ ❑ Evidence of an adequate surface seal? Lon: e 122. 06®®/ ❑ ❑ ❑ Variance necessary for well site approval? Tag: g6 R, It 1 Comments: LXI Pass ❑ Fail Inspector /217---..\ Date Zi/7( Review Step 2: Two-Party Review: SS NO NA n ❑ ❑ Water well report(well log):Date Completed5(3( l( Driller /Coo ,Da/I/i,9 g ❑ ❑ Satisfactory capacity test showing a minimum of 800 GPD with full recovery to static level wi in 24 hours? Capacity test information:Date !I ii P®16 Driller/Pump Installer If CQ'4( Dr1l'iWy X0C. GPM 70 Duration(minutes) 40 Total Gal g®® Recovery Time(minutes)to Static IS O ❑ Satisfactory bacteriological analysis? Date I/Z7i'? ?resting Lab 76 61011 Dolly 6#. ❑ ❑ Signed,notarized,and recorded notice to future property owners?AFN ?l .It 7 A p ,",r,.. ❑ ❑ The system appears adequate to serve two connections based on the information provided? t :, Comments: FE e et c t 7 7 wait MAs 4720 Approved ❑ Denied Reviewer Date ZN ii. atrH Findings in this review reflect observed conditions as they existed on the day of the site inspection. No claim is made, express or implied of the future success or failure of this system. Well site approval does not constitute water system approval All proposed connections to new wells are subject to water adequacy requirements at time of building permit per MCC 6.68. Water usage restrictions and additional fees may apply to all new wells drilled after January 19th, 2018 per ESSB 6091. Revised:07/23/2025 This form may be scanned and made available for public viewing on the Mason County website. Page 2 of 2 1 ' f 0 al WATER WELL REPORT CURRENT w • IZ Weald It t any—Ecology,re copy ow.er.3 a'-dam Notice of Intent No. 3o90+o alrMRa[WI OF a E,C9,�„ X Construction/Decommission("x"in circle) Unique Ecology Well ID Tag No.- SAR1 1 SI ® Construction Water Right Pumit No. CA Decommission ORIGINAL INSTALLATION ply Owner Name Mike Seibert ,z 3(O Nakce of Intent Number C PROPOSED USE: ® Clematis 0 Industrial ❑ M.°ieipsl Well Street Address Qlearestl E 7o Wilson Pt Rd O ❑ DoWder 0 brisMko 0 Test Well ❑Mc, City Mallon County Mason C TYPE OF WORK: oama'a number of well(if more than one) Location ,�1 f4ll4 gel/4 SEC nTwn'1�D R bynup Duo 0 Bored 0 Driven0 O Now we 0 Ra000diti000d b/e+hod=®Coble 0 Roomy 0 (S,t,r Still REQUIRED) wor 3 Deepened DIMENSION&Diameter of well A babas,dgl ledia R Dogs of completed well 220ft lLflt/Irong Lot Mtn/SeC tF CONSTRUCTION DETAILS Lat/Long C wag ®Waded 9" Dim.from±1.f.m ZLO fZ Long Deg Long Mn/Sec : ❑ Liner leetiEed ^ Diem.fig 8 !L Tax Parcel No.(Required) 12019.32-90010 e 0 Threaded ^ Diem.From ft.to ft y Pesfordieta ❑Tea ®No . - CONSTRUCTION OR DECOMMISSION PROCEDURE a.. Type or:seda ns=used Formation:Describe by color,awaelor,rizo cif Material end srmA°re,mod the kind and m 8 b @ mature°titre material is welt Stamm psasaated,with at last one entry for each change SIZE of perfsin by is wad eo.of pesS�o of information.(USE ADDITIONAL SHEETS IF NECESSARY.) C Sera= ®Yes ❑No ®K-Par Location 708 MATERIAL FROM , TO (U Mmuf ctwor'a Nemo Johnson -Sandy Gravel tONbrown 0 19 5 Type sl5kaess WIIWVOD Modal No. Fine sand&small graveis,ten gi Diem.ISIOt raze a ftsa nl4 It.m all 0. Brown, 19 _159 O Diem. Sid sizeQ floor a.m 11 Sety sand,day lenses with- di Gravel/FEW peeked:0 Ys ®No She ofgravd/ond organics,dad(brovai 159 169 Materi.la placed from ft.to ft Slily sand&clay,brown 169 176 yes Surface Seal: ®Yes 0 No To what depth?111.11. Med sand 3 water,brown _ 176 220 C Menial used in scat Bentonite chlss iDid any shatn contain unusable saw? 0 Yes 0 No Typo ofvateri Depth of Wain 03 Method of seating strata off I"' PUMP:Meuifstawa'a Name Gouldsa Type:submersible H.P. 2 Z WATER LEVELs: La urt ee devotion above man sea level f C COI static tend MIL below top of slain Dude 5-3-11 'sf*r ..r 8 Artesian prawns lie pa spore inch Data s n--+ 'd Aitosinn water is onboOed by _ (ap,verve.cie.) . In r G WELL TESTS Drawdown is amount water level is lowered l dew attic lewd I n rn -. O Wes a pump test made 0 Yes No Ifyes,bywhom? IC tj 1M CC r:. _ _ O Yield:_Wane.with____8•drawdowm agar_Jiro. Siii C fit �� � O _field:_gelJmm with H.dnwdowu a8a bra QQll r�s a G `o LU Yield:_fitn." ft.drewdown Wier_tire. E l - v ITV c } Recovery a tiwe as aesm Ave palm amoed am(wntr/a.al mrosnndla► 't < 6�J) O aunt top to water kuel) 4-1 Time Water Level Time Water Level Time Water Level 6) E t Dateoftost 5-3-11 ` is H.itcr Wilt_sdIenin.with agil drawdowo other Zhre. Aires____, ilJmia.with slam set at 8.for bra. I Artesian flow e..p.m. Date Start Date 4-12-11 Completed Date 5-3-11 Titemm000 of ester Wes a chemical analysis made? ❑ Yes 0 No . WELL CONSTRUCTION CERTIPICATION: I constructed s.d/or accept responsibility for construction of this well,and its compliance with all Washington well 0standards. Materials used and the information tupusb_tl above are true to my bast knowledge end belief: 13 EngineffEl Trainee Name(tract)Dwane H Knapp Drilling Company KNAPP DRILLING INC Dnllerilikwineerffrainee Signature Address SO E Leaacca Drive Driller or trainee Iicense No. 1706 City,State,Zip Shelton , We, 98584 IF TRAINEE:Drller'a I�y'palpe No: ms's Driller's Signature: . ' aw.,... ..s740 REOri ndanNo_$NAEQ1195M1 Date O5-'►-1} ECY 050-1-20(Rev02/l0) lfyou need this document in an aUernateformal.please call the Water Resources Program at 360-107-6872. Persons with hearing loss can cail711 for Washington Relay Service. Persons with a speech dtrabl ily can call 877-833-6341_ Printed - _ q rm Printed from Mason County DM3 I Arcadia Drilling Inc. P.O. Box 1790 Shelton,WA.98584 Customer: Dave Rossi Well Tag#: BAR121 Site Address: 193 E Point Wilson Rd, Shelton Depth: 220' Date of Test: 1/29/26 Static: 170' Pump Set: Unknown kk"- TIME GPM LEVEL RECOVERY 1 Min 20 175.3 TIME LEVEL ��L 25 20 2 Min 20 177.7 1 Min 171.7 �' 26 3 Min 20 178.7 2 Min 168.9L�1fr® 4 Min 20 179 3 Min 167.9 5 Min 20 179.2 4 Min 167.5 6 Min 20 179.3 5 Min 167.3 7 Min 20 179.4 6 Min 167.2 8 Min 20 179.4 7 Min 167.2 9 Min 20 179.4 8 Min 167.2 10 Min 20 179.4 9 Min 167.15 15 Min 20 179.5 _ 10 Min 167.1 20 Min 20 179.5 11 Min 167.1 25 Min 20 1.79.5 12 Min 167.05 _ 30 Min 20 ' 179.55 13 Min 167.05 35 Min 20 179.55 14 Min 167.05 40 Min 20 179.66 15 Min 167 Total Gallons Pumped: 800 Gallons Thurston County Environmental Health • 412 Lilly Rd NE b Olympia,WA 98506 360 867-2631 zx COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County Collected ' 7' �6 , 5 0 PM Month Day Year PgvatP H,awstFmlti� Type of Water System(check only one box) —m 0 Group A 0 Group B Other 2' " • Group A and Group B Systems—Provide from .. Water Facilities Inventory(WFI): 1 t System Name: w .— NA Contact Person: b ue RC? ,1 Day Phone:( ) S 4*.4e/G%-LL. Cell Phone:(2D "228.O°a E-mail: 0LtiC b ti 7itig.7 6&it 4L 4ve.Phone:( ) Se results to:(Print ame,address and zip code or email address) DA ( i. ._ S salLibsi.A. SAMPLE INFORMATION Sample collected by(name): . e1 Specific location or address� where s le collected: Special instructions or comments: y tiose 3 i r3.' i(,3 tL SD '� Type of Sample(must check only one box of#1 through#4 listed below) 1.❑Routine Distribution Sample 2.Repeat Sample(after unsat routine) Chlorinated:Yes No 0 Distribution System Chlorine Residual:Total :—Free _ Chlorinated:Yes No 3.Raw Water Source Sample Chlorine Residual:Total Free E coil—GWR(AIP) Fecal-steam,ow'springs(nnmeratisu) Unsatisfactory routine lab number: Filtered:Yes_ No=,- - _ a o Assessment Monitoring(AIP) Unsatisfactory routine collect date: ❑Other / / S 4,❑Sample Collected for Information Only t_ Investigative Construction/Repairs Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY Satisfacto 0 Unsatisfactory Total Conform Present and ry No Coliform detected 0 Ecoli present. 0 E;coli absent Replacement Sample Required: Sample too,old(>30 hours) 0 TNTC 0 , Bacterial Density Results:Total Coliform /100m1. E.coli /100m1. (' Fecal Coliform /100m1 Enterococci 1100 ml. Method Code SM 9223B ❑SM 9222D Date and Time Received SM 9215B ElEnterolert® ['V " Date and Time Analyzed: k ` ,f °` { Date Reported: (— ';(-2,0' Sample Number(DOH number plus five digits) ' Lab Use Only: 0 8 0 "6t•� DOH Form#Z31-319 Ce— 3) I c ' 2124713 Mason County WA 01/2312020 11:46:16 AM AGREE eRecorded #134841 RecFee: $116.50 Pages: 14 HEGGIE AFF Return to: TA Mr. Brandon Heggie WA ISE TAX 195 E Point Wilson Road a 2020 Shelton, WA 98584 EMT RA ZIER AZIER eksur, ason County Grantor: (1) Brandon D. L. Heggie (2 aniel K. Heggie (3) Katmik, LLC Grantee: Same Abbreviated Legals: Lots 1, 2 and 3 SS#3026, ptn. of NW%of SW 1A 19-20-1 Mason County Tax Parcel Nos: 12019 32 90010, 90020 and 90030. EEMENT This agreement is date • day of January 2020, between by Brandon D. L. Heggie and D lle Heggie, husband and wife, hereinafter referred to as Heggie, and i , ., a Washington limited liability company, hereinafter referred to as tmik, rat a purpose of establishing rights and obligations regarding a ri to tw arty community water system, and for the purpose of establishi o Reties and drainage easement for a common access road, with ma' .tenan provisions, over, under and across portions of lands described herein WATER AGREEMENT L ` FFECTED: • •ie re owners of the following described land: Lot • e 1) of Short Subdivision No. 3026, recorded May 30, 2008, in Volume 3 of S rt Plats, Page 198, Auditor's File No. 1921385, and being a portion of the alf(E '/2) of the Northwest quarter(NW'/) of the Southwest quarter(SW '4) of Section nineteen (19), Township twenty (20) North, Range one (1) West, .M., records of Mason County,Washington. Katmik is the owner of the following described land: Lot two (2) of Short Subdivision No. 3026, recorded May 30, 2008, in Volume 3 of Short Plats, Page 198, Auditor's File No. 1921385, and being a portion of the East half(E'/2) of the Northwest quarter(NW 1h) of the Southwest quarter(SW %) of Section nineteen (19), Township twenty(20) North, Range one (1)West, W.M., records of Mason County, Washington. t . PURPOSE There is a private water system owned by Heggle and K ik that has been approved by the Mason County Health Department a ' ate two-party water system, known of record as the "Seibert System",)oca ed o t 1 described above. This water system provides potable watt o esidence on Lot 1 and to a future residence on Lot 2 (land is currently va t). eggie and Katmik desire to establish rights and obligations for the tw nership,which includes the use, operation,testing, repair, maintenan repla Ent and/or upgrading of the herein described"Seibert System", and ea nt i hts for said use, operation, testing, repair,maintenance, replace n grading of said water system. WELL SITE The Well Site is approximately 30 feet 'f the South line of said Lot 1, and approximately 90 feet West of the East line of Lot 1. WATER SYSTEM DEFIN As previously stated, the Well 'e. on lot 1. The well is 220 feet deep and produces approximate of water per minute. The well has been approved by the Mason ealth Department to provide potable water service to two (2) s e�f ily residences.There is no well house.There is a power meter at a 'S' . There is a water pump, pump controller, pressure controlling ma 'old and,a ree (3)gallon pressure tank at the Well Site. One waterline runs rth a ss said lot 1 to the existing residence on lot 1, and one water line cross the South line of lot 1 to lot 2, for future use by the owner of t 2 or single-family residence. All of the above-described fixtures and o pro rty are used for the efficient production and transportation of wat , a II of which shall hereinafter be collectively referred to as the WATER S well was completed May 3, 2011, and carries a Unique Ecology N ntification Number of#BAR121. RI TS'OBUGATIONS AND RESPONSIBILITIES NO THEREFORE, Heggie and Katmik hereby establish and declare the 'ng terms, conditions, promises, obligations and rights in the WATER YSTEM, which shall hereinafter become appurtenant to and run with the titles o the lands described herein as lots 1 and 2, and shall be binding upon Heggie and Katmik, their successors and/or assigns, as follows: NJ 1. OWNERSHIP a) Heggie and Katmik, as the owners of said WATER SYSTEM, hereby convey and quit claim to each other an undivided one-half ownership interest in and to the WATER SYSTEM. Each one-half ownership interest shall give to the owner/user the right to take enough water for one single-family dwelling for normal domestic use, which use shall 2 2124713 Page 2 of 14 01/23/2020 11:46:16 AM Mason County, WA . include water for landscaping, a garden and of r customary domestic uses such vehicle washing, use of a pressure-W sher, and water for any adjacent outbuildings. b) No additional hookups to the WATER S M shall be permitted without the unanimous consent of the of said Lots 1 and 2, which consent shall be evidenced dment to this Agreement, executed by both o ers, i written approval of the Mason County Health Departme and r- orded with the Mason County Auditor's Office. 2. EASEMENTS a) Heggie hereby declares and fishes, and hereby conveys and quit claims Katmik, a perpetual, non-exclusive easement over, under, and across those areas of lot 1 where the Well Site is now located and in use,together wi' = easement fifteen (15)feet in width measured outward in all dire s,ffdm the center of the well (which 15 feet outward sha - - 'existing components of the WATER SYSTEM located a the s' - , for the operation, maintenance, repair,testing, replacem n r upgrading of any component part of the WATER SYS . T i •sement shall be for the benefit of lot 2; and Ate b) her declares and establishes, and hereby conveys and quit ' t ik, a ten(10)foot wide perpetual, non-exclusive e t over lot 1 for ingress and egress over and across an existing for access to the Well Site and all of the component parts of the TER SYSTEM located at the well site,for the maintenance, repair, ng, replacement and/or upgrading of any component of said WATER SYSTEM. The easement shall be over and across that 0 portion of lot 1 which has historically been utilized for access to the WATER SYSTEM. This easement shall be for the benefit of lot 2; c) Heggie hereby convey and quit claim Katmik a perpetual, non- exclusive easement for the maintenance, repair and possible future upgrade of the water line that runs South from the Well Site across lot 1 to the South line of said lot 1, 5 feet in width, being 2.5 feet in width NN,N ,,,.,) on each side of the centerline of water line,as the water line is now established and in use, over and across lot 1 for the benefit of lot 2; d) Heggie hereby conveys and quit claims to Katmik a perpetual, non- exclusive easement for the maintenance, repair and possible future upgrade of the electrical transmission line servicing the WATER SYSTEM and appurtenances connected thereto, 5 feet in width, being 3 2124713 Page 3 of 14 01/23/2020 11:46:16 AM Mason County, WA , 2.5 feet in width on each side of the centerline f the existing electrical transmission line, as now established and in u over and across lot 1. This easement shall be for the benefit of I t--2t-- 3. MANAGEMENT a) Heggie and Katmik shall co-manage ATER SYSTEM. Management shall include but no - '•i t to, contracting out and hiring independent contractors t est, -'n in, repair, and/or replace any part or all of the WATER S •' M - d performing any other business decisions and jud t�i c. .-managers agree to be in the best interests of the land c erect y this agreement The co- managers shall be require use de diligence to assure an adequate supply of potable 's available at all times from the WATER SYSTEM; b) LIABILITY: The ners o lots 1 and 2 shall NOT BE liable to each other nor to the o of their respective (and future)residences, for any dam prejudice suffered or claimed on account of any action of )1 o act by the co-managers, provided only that the co-ma;44e (have. in accordance with the actual knowledge possessed tiv. in, acted in good faith: v c) EMI GEN : In the event of an emergency situation,where one of t kers is absent, the other co-manager shall have the right o ta'k ose actions necessary to correct the situation. An ergency situation shall be defined as failure of any shared rtion of the WATER SYSTEM to deliver potable water upon and; and SUBJECT TO the terms and conditions stated in that certain "Notice to CD Future Property Owners",which"Notice" is hereby attached as Exhibit «A». 4. WATER ASSESSMENTSIEXPENSES a) The cost to power the well(power meter is at the Well Site) shall be paid by the owner of lot 1 until a home is built on lot 2. When g home is built on lot 2, the owners of lots 1 and 2 shall pay the electrical bill on a 50%/50%basis: b) At such time a residence is built on lot 2,the co-managers may agree to establish periodic assessments to provide for future maintenance and repairs to the WATER SYSTEM. If periodic assessments are established, assessments shall be due and payable within thirty(30) 4 2124713 Page 4 of 14 01/2312020 11:46:16 AM Mason County, WA days of receipt of the billing statement. Paym is shall be made on the established periodic schedule and in advan These periodic assessments shall be reviewed every year � ,e sure there is an adequate source of funds to pay for mai t ancei repair(including possible replacement of components) ATE SYSTEM. Assessments may be increased when cos increase to repair, maintain, replace and/or upgrade R SYSTEM; said increased assessments shall be reect, o by the co-managers. c) The WATER SYSTEM with u r' t required to be tested for bacteria on an annual basi How er, it is recommended the WATER SYSTEM should be tested nuall r at least every 2 years for bacteria and its water quali . ee is currently$29.00 for each testing charged by a laboratory approved by the Mason County Health Department d) If and when two ( oreare connected to the WATER SYSTEM. If there is a n -for_ i nal assessments, over and above any established p 'o essments,to pay for maintenance, testing, replace or grades of equipment needed to maintain the cape ' fah TER SYSTEM, each owner agrees to pay their shay of the o , 50%for lot 1 and 50%for lot 2, for the mai t nan , testing, repair and replacement costs, or upgrades to the EM; n ressure Tank. It is understood by the parties hereto when a me is constructed on lot 2, that owner will need to install a 2"d sure tank, most likely in a garage setting,which will be separately owned and maintained by the owner of lot 2; 0 f)-/ The well,well pump, pump controller, pressure controlling manifold and the 3 gallon pressure tank, and all valves, pipes and electrical components located at the Well Site shall be considered °shared component parts"of the WATER SYSTEM, and the costs to maintain, repair, test, replace and/or upgrade these''shared components"shall be shared equally between the owners of lots 1 and 2 on a 50%/50% basis; and N j g) The individual water lines running from the Well Site to the existing residence on Lot 1 and the future residence on lot 2 shall be owned and managed by the land owner whose residence is being serviced by their individual and separate water line, and the cost to maintain, 5 2124713 Page 5 of 14 01/23/2020 11:46:16 AM Mason County, WA repair, replace or upgrade each such separate ater line shall be the responsibility of that individual landowner. 5. QUALITY AND QUANTITY Haggle and Katmik, as the owners of th 74R SYSTEM, do not personally guarantee the quality or the qua 'of the water generated from the WATER SYSTEM. 6. PROCEDURES FOR MAINTENAN RE IR ANDIOR REPLACEMENT OF WATER S PONENTS a) When it is agreed between t own of lots 1 and 2 that the WATER SYSTEM is in need of maint nce d repair where the WATER SYSTEM must be shut down, e c -managers shall give adequate advance notice to each other so that the other owner is not Inconvenienced and not in need of water; and b) In the event of an e e , if one of the co-managers is not available and cannot be discussion, the other co-manauer may direct those renal n to resolve the emeraencv.without the consent of the othe �;nager. All such repairs to the shared portions of the WATE S Made that were necessary to resolve the emeraencv shall shar o a 50%I50% basis between the property owners of lot 1 d 2. II recei is shall be rovided u on re uest b the other ow`he aaer. ROAD MAINTENANCE AGREEMENT D TED: Hare owners of the following described land: • ) of Short Subdivision No. 3026, recorded May 30, 2008, in Volume 3 of 'rt lets, Page 198, Auditor's File No. 1921385, and being a portion of the Eas aif(E %)of the Northwest quarter(NW'/) of the Southwest quarter(SW Section nineteen (19), Township twenty(20) North, Range one(1)West, .M., records of Mason County,Washington. Katmik is the owner of the following described lands: Lots two (2)and three (3)of Short Subdivision No. 3026, recorded May 30, 2008, in Volume 3 of Short Plats, Page 198,Auditor's File No. 1921385, and being a portion of the East half(E%)of the Northwest quarter(NW%) of the Southwest quarter(SW%) of Section nineteen (19),Township twenty(20)North, Range one (1)West,W.M., records of Mason County,Washington. 6 2124713 Page 6 of 14 01/23/2020 11:46:16 AM Mason County, WA 1. PURPOSE There is an existing dirt and gravel road located w' in the East 40 feet of Lots 2 and 3 of Short Subdivision No. 3026, endin �' a cul-de-sac having a radius of 45 feet in width located partly in orth t corner of lot 2 and partly in the Southeast corner of said 1, II as shown and described on the short plat map of Short ision No. 3026, recorded under Auditor's File No. 1921385,wh c vides ingress, egress, utilities and drainage to lots 1, 2 an / of s ' S?ort Subdivision from Point Wilson Road, a county road. 2. CONVEYANCE OF EASEMEI Now,therefrom Heggie and ak&1 Ka i , as the owners of lots 1, 2 and 3 of Short Subdivision No. 3026, roc d under Auditor's File No. 1921385, hereby establish, quit claim and convey to each other a perpetual, non- exclusive easement for ingress, egress, drainage and utility purposes over, under and ac the st 40 feet of Lots 2 and 3, and over, under and across those port o soiot 2 and Lot 1 for a cul-de-sac with a radius of 45 feet in wid 1-as,hown and described on the short plat map of Short Subdivision 6, recorded May 30, 2008, in Volume 3 of Short Plats, page '�9Nu tr Auditor's File No. 1921385. As-built 1 ratio i ensions of the easement right-of-wav If the ab e-de�ibed easement right-of-way does not match the location an 1 on of the existing road and cul-de-sac, the as-built locations a dim 'ons of same shall control and supersede the location and ions of the easement described herein. is meat shall be for the benefit of Lots 1,2 and 3 of Short ubdivision No. 3026, as further described herein. MAINTENANCE PROVISIONS FOR ROAD le and Katmik hereby declare and establish the following terms, onditions, rights, obligations, and responsibilities for the maintenance, repair, placement and/or improvement of the above-described road (hereinafter referred to as the ROAD). The words"tract" or"lot"shall be used interchangeably throughout this section of the Agreement and shall carry the same meaning. 7 2124713 Page 7 of 14 01/23/2020 11:46:16 AM Mason County, WA 1. MANAGEMENT The owners of Lots 1,2 and 3 shall be co-manage of the ROAD until December 31, 2020; thereafter the owners of 2 shall be the co- managers. 2. ASSESSMENTS a) The owners of the three (3) lots shall sh <-- Ily in the maintenance and repair of the ROAD through De•fi be + , 20. However, starting January 1,2021 and continuing the fter,t ;= owner of lot 3 will not be using the ROAD for access to I ar: = - result, shall not be required to pay the costs to maintain a repai a ROAD. The owner of lot 3 is developing a separate drivew on lot for their exclusive access to and from Point Wilson Road. After 1, 2021, the owners of lots 1 and 2 shall share equally,on a 50%/50%basis, on the costs for maintenance and repair of the ROAD. All decisions for the maintenance, repair, or replacement of any 'on of the ROAD shall be by a unanimous vote; b) No mandatory nce assessments will be required; maintenance an be performed on an "as-needed" basis. 3. LEVEL OF E FOR ROAD a) The RO sha I- a- aintained as an "all-season, dirt and gravel road". Mainten ce sh I include repair of"chuck holes", removal of fallen trees and fie,i ,,c tting back of brush growing within the ROAD right-of- it, and'adding crushed rock on the roadbed of the ROAD to maintain its s It'egrity when needed; and Tpe AD shall be considered a private driveway.As a result, Heggie / nd Katmik, their successors and/or assigns, as the owners of lots 1, 2 d 3, shall not be liable for any damages for personal property damage o injuries (life or limb)which result from the use of the ROAD and its possible road conditions. However, Heggie and Katmik,their successors and/or assigns, shall be required to use their"best efforts" to maintain the ROAD as a passable"all-season, dirt and gravel" road,at all times subject to the limited resources of Heggie and Katmik, their successors and/or assigns. N. 4. GATE The owners of lots 1, 2 and 3 may agree to install a gate at the entrance of Point Wilson Road. If a gate is installed,each of the owners shall have a gate key and will use their"best efforts"to keep the gate in a"closed position". Furthermore, if installed, a gate assessment will have to be agreed to (unanimously) by the owners of the three (3) lots, along with an 8 2124713 Page 8 of 14 01/2312020 11:46:16 AM Mason County, WA estimated assessment for the maintenance, repair d possible replacement of any component part of said gate; mo gates will require a power line installed at the gate location, and th t of a monthly electrical bill. 6. SPEED LIMIT O Heggie and Katmik hereby establish arum speed limit for vehicular traffic on the ROAD shall not cee miles per hour. GENERA 0 S 1. LIENS AND FORECLOSURE a) In addition to constituting a person liability of the owners of lots 1, 2 and 3, all water and road assessments unpaid after the thirty(30) days provided below, shall give rise to a lien against a delinquent owner(s) lot. Any property owner a tim the lien arises shall have the right to record a lien against the deli ner(s) lot with the Mason County Auditor which may be la tt,dd, in the same manner and procedure as a foreclosure o NM , CS LIEN set forth in Chapter 60.04 R.C.W., which is inco o t herein by reference. b)As p iousl to ed,all assessments shall be paid within thirty(30) days ft ecei of notice of assessment(considered received 2 days foil wilt t-mark date on the envelope/notice),after which time a l' y ecorded against the lot whose owner(s) have not paid. All assessments shall bear an interest charge of two percent(2%) per m beginning thirty(30)days after receipt of the notice of assessment d tinuing until said assessment plus accrued interest and recording harge has been paid in full. 0 c)At any time after one hundred twenty(120) days after receipt of notice of assessment, the other co-manager may submit to an attorney for foreclosure proceedings the name of the owner(s)who have not paid. A reasonable attorney's fee shall be payable by the delinquent owner(s)for services of an attorney in connection with enforcing the provisions of this paragraph. 2. SUBORDINATION OF WATER AND ROAD ASSESSMENT LIENS Each water and road assessment lien shall be subordinate to the lien of any Mortgage or Deed of Trust covering any of the land described herein, provided said security lien is recorded prior to the recording of the assessment lien. 9 2124713 Page 9 of 14 01/23/2020 11:46:16 AM Mason County, WA 3. ENFORCEMENT Heggie and Katmik, their heirs, successors and/o ssigns shall have the right and authority to enforce the provisions h ree_ d in addition to any other remedy for damages or otherwise, sh vi ight to injunctive relief. DISPUTE RESOLUTION. In the even f d puce between the parties, each agrees to cooperate in good(ti--w' I� rompt mediation. In the event disputes remain after mediati p rh s agree to prompt binding arbitration. If the parties are unabl on the schedule, procedureor identity of mediatory or artmanager of the Washington Arbitration and Mediation S ice, usmwa.com, shall make such determinations as are necess ry for an expedited resolution. 4. AMENDMENT No amendment of this agreement shall be permitted except by a written agreement execute the owners of said lots 1, 2 and 3 described herein and recorded ' h ason County Auditor's Office. As to the Water Agreeme o o amendments will be permitted during the term of a federalk or guaranteed mortgage on any property served,ex o as ure an equitable readjustment of shared costs in the event of i "fi \h' nges in well pump energy rates. 5. PROVI NS RUN WITH THE LAND Alli � 'ef forth herein shall remain in full force and effect as ena ,,(estrictions, easements, liens and encumbrances running with t d d shill be binding upon Heggie and Katmik,their heirs, assigns, nal representatives and successors in interest. Accepting an interest in a any of the three (3) lots described herein shall constitute an \�greement to be bound by and subject to the provisions of the agreement. 0 . _. 10 2124713 Page 10 of 14 01/23/2020 11:46:16 AM Mason County,WA r----\ . BY: by: a D. L. eggie Aa "elle K. -leggi ' /C3NN STATE QF WASHINGTON) ) ss. COUNTY OF MASON ) \ On this day personally appeared befo e'Wrandon D. L. Heggie and Danielle K. Heggie, to me known to be the individuals described herein and who executed the within and foregoing instrument, and acknowledged that they signed the same as their fr and voluntary act and deed, for the uses and purposes therein mentione� GIVEN under my hand rtcffiel I seal this (-2 /day of January 2020 CN - (9-P O RY PU C in R r t tate of Washington esidin at Shelton 01111I milk, My commi re l Q_3 ``4 NA • .0�''�. ecs% � vo �1-Qe <c - /Z/2 r w:Z= YN‘s, S•C°-edif 01:...A. *$' c_:__ ,,j ,,,,,, '<N'''•‘‘'s.'NNNy 11 2124713 Page 11 of 14 01/23/2020 11:46:16 AM Mason County, WA BY: by: "`��"`^�""►�� R. Michael Seibert at - 'ne J.Seibert STATE OF WASHINGTON) 0 ) ss. COUNTY OF MASON ) On this day personally appeared before . Michael Seibert and Katherine J. Seibert to me known to be the individuals described herein and who executed the within and foregoing in trument as the Managing Members of Katmik,LLC, a limited liability compa -.nd anowledged that they signed the same as their free and volunta - . an a i -d for the company, for the uses and purposes mentioned herein, and � _ . � � _ they are authorized to execute this instrument on beh of - company GIVEN under y-hand 1191 official seal this 2-I day of January 2020. NOT y d , and for a State 0of Wa g n, 'ding ton L 'v1 My o ' ion expires: .-7- t ;3 KAREN HURLEY 0 Notary Public i State of Washington My Commission Expires July 15, 2021 NNN_ ) 12 2124713 Page 12 of 14 01/23/2020 11:46:16 AM Mason County, WA CONSENT TO WATER AND ROAD AGREEMEN We, the undersigned, have read this Water and , greement and agree to be bound by same, and have the property w- .i - asing (lot 1 of Short Subdivision No. 3026) encumbered by the :rms, ail ions, provisions, easements, and obligations set forth in sai ater : d Road Agreement. i t By: 44do Jecak-g: fifer irndorf STATE OF WASHINGTON) COUNTY OF MASON On this day personally p, red before me Randy Meirndorf and Jennifer Meirndorf, to a knobe the individuals described herein and who executed the ' in an foregoing instrument, and acknowledged that they signed th k e it free and voluntary act and deed, for the uses and purpose ere`i entioned. GI? , d-r hand and official seal this 1 7 day of January 2020 ►t•'� PUBLIC in and for the State of R . h ngton, residing at Shelton ,l My •° mission expires: o oq,01.Cal- TRISHA WILSBACH Notary Public State of Washington My Commission Expires May 05,2022 13 2124713 Page 13 of 14 01/23/2020 11:46:16 AM Mason County, WA NOTICE TO FUTURE PROPERTY OWNERS This property is served by a public water system,which i ject a provisions of Chapter 246-291 WAC. This system may also be subj o her st a and local regulations. The system owner(s)are responsible fo i ' ing this system in compliance. The system is located on lot 1 of Short Subdivis No.3�� <6, recorded May 30, 2008,in Volume 3 of Short Plats,page 198,Auditor's Fit '. 1• ' 85,and a portion of the Northwest quarter(NW'/)of Southwest er ,� 14 , Section 19,Township 20North, Range 1 West,W.M.,records of Mason unty, . The name of this system is: SEIBERT SY The State Department of Health and local health departments share administration of the drinking water regulations. ore,when the term"department"is used,it refers to whichever agency regulates th i system. You can contact the local health department to find out wh' en`cyapplicable. This water system is ign provide for two(2)services. Additional planning and design approvals mu b ed from the department prior to expanding beyond this number of servi -P a that the design flow standards account for domestic use and watering of ical and garden space only. The design assumes that all residences 11 quip with ultra-low flow plumbing fixtures and that all users will keep conservati n ever they use this system. Additionally, if system wide water use ex 5 lions per day or if the total property being irrigated by the system ex 12 ,a ter right permit must be obtained from the Department of Ecology. Pu t terns are subject to on-going requirements. These include periodic water q nitonng,system maintenance and various record keeping. Prior to purchasing arty, it is recommended that you contact the department to determine whether this O1 compliance with applicable regulations. Fees may be charged by the depa ent for providing various services. epafinent maintains current information on this system to expedite retrieval of . formation for your use or for lending institutions that require information on the system as art of their loan approval process. Each time information changes such as a change in the number of homes connected to the system,a change in owner/operator name,address or phone number,etc.,the owner of your system must submit an updated Water Facilities N —)) Report Form to the department. This system has not been granted one or more waivers from specific provisions of the regulations. At the time this system is fully developed,the ESTIMATED average annual cost per home to properly operate and maintain the system in compliance with state and local drinking water regulations is$180 to$300. 14 2124713 Page 14 of 14 01/23/2020 11:46:16 AM Mason County, WA '01 /20/93g 4100Z-0 /o 12 OF. �r� 3o z� U E,.,,E1 • FEB 13 2026 1 1 By i (4ov6e i ra �, 4.% a •o • 1,..,„ .. ... .„, ..,, 1 I ., • 6 � r �Z�f�i2v i rr �-- % / / ct►ct*.t, % I 004. 12os (pm.k. iI 4-)er a kttvii:: , ,_ : 1 17,,,RA 45 --%--4 - .. ( .-� . ---,,N,1 IfI a 1 Feii6va % , 6 ( I - -