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Home My WebLink AboutWAT2026-00059 - WAT Application - 6/26/2026 WAT 2026-00059 M AS 0N COUNTY 415, St584 Shelton,WA 98584 Public Health & Human Services Shelton:360-427-9670,Ext.400 Belfair:360-275-4467,Ext.400 Application for Determination of Water Adequacy Instructions 1. Complete Part 1. No determination can be made until Part 1 is fully completed. 2. Complete only the portion of Part 2 applying to the type of water connection utilized. 3. Submit completed application with any required attachments for review. 4. An approved building site plan must accompany this application. Part 1: Applicant/ Parcel Identification Name of Applicant: Lance Gibbon Date. 3/19/26 Mailing Address: Hood Canal 111 N State Route 103 Phone: 360-877-5463 Parcel Number: 421023460000 Type of Water System Reason for Application :L Public/Community Water System (2 or more L Building permit COM2026-00022 connections) ❑ Division of land: ❑ Individual water source (one connection), #of Parcels? SPL_ ❑ Well ❑ Boundary line adjustment ❑ Spring/surface water ❑ Other(explain) _ ❑ Other(explain) O Replacement or Remodel (please indicate name If you have more than one residence connected of water system below if applicable—no to this well, check the Public/Community Water signature required) System box. Part 2: Water Connection Information Complete the section appropriate for the type of water connection being evaluated: Public Water System Name of Water System: Skokomish Community Water System (Regulated by EPA) Water Facility Inventory (WFI) Number:— 105300020 (write"none" for two-party) *See attached email correspondence ❑ I am the manager of this water system. The water system has been approved for services.There are presently connection(s) in use. This will be the connection. ® I am the manager of this system. This connection will be to upgrade or change the use of an existing connection on this system (i.e.: recreational to full time). Please indicate on the following line the nature of this change:To supply required fire flow of 1,313 gpm over 2 hours at the intersection of SR 106 and US 101 (Node J- 6) This water system is able and willing to provide water to this (these) connection(s)without exceeding the limits of the water system or any limits set by state and local regulation. Print Name of Water System Manager Thomas Kachman/Public Works Director Phone (360)877-6748 Signature of Water System Manager_ -_ �-? Date 03-13-2026 This form may be scanned and available for public view at www.masoncoun wa. ov .I:AEH Forms':Drinking Water Revised 05/08/2024 Page I of 2 Group B Water Systems ❑ Satisfactory bacteriological test within last year(attach to application). Individual Water Well ❑ Water well report (attached to application). Depth ft. ❑ Well capacity Test (attached to application) gpm gpd. The well driller often performs well capacity tests at the time the well is constructed. Results from these tests are noted on the water well report. Results from these tests will be accepted. If the water well report cannot be located by the applicant or if the water well report does not have a capacity test, a well capacity test, which provides stabilization of draw-down and recovery data, must be performed by a licensed contractor. ❑ Satisfactory bacteriological test within last year(attach to application). Individual Spring/Surface Water ❑ WDOE permit(attach to application) ❑ Method of disinfection — — O I have reason to believe that this water source can provide at least 800 gallons per day; and/or provides water at a rate of 2 gallons per minute based on the following observations. Author of Statement Date Relationship to Applicant Part 3: Mason County Community Services Evaluation (staff use only) x Satisfactory Determination: This determination does not address adequacy of the distribution system,guarantee an adequate supply of water indefinitely in the future,or guarantee compliance with all applicable WDOE water resource regulations. Recommended approval indicates requirements of Sanitary Code,Title 6, Chapter 6.68.040-Determination of Adequacy for Building Permits are satisfied. Additional Growth Management requirements may apply. Chapter 36.70A RCW. Unsatisfactory Determination: Applicant's water supply does not appear adequate to meet the needs of its intended use for the following reason(s). Reviewer's Signatures: 6/26/26 Environ. Health: Date This form may be scanned and available for public view at www.masoncountywa.gov Pope 2 of 2 Rhonda Thompson From: Ian Tracy Sent: Thursday,June 25, 2026 2:44 PM To: Perry, Sam (IHS/POR/ODO) Cc: Rhonda Thompson Subject: RE:Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P Hi Sam, This information satisfies our need for the purposes of water adequacy for the School's building permit. It would be great if you can send out a closure e-mail to the group. Thank you so much for your help. Ian Tracy, RS Environmental Health Manager Mason County Environmental Health 415 N. 6th St., Shelton, WA 98584 360-427-9670 Ext. 544 e-mail: itracy@masoncountvwa. ov From: Perry,Sam (IHS/POR/ODO)<Samuel.Perry@ihs.gov> Sent:Thursday,June 25, 2026 14:21 To: Ian Tracy<ITracy@masoncountywa.gov> Subject: RE: Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P Hi Ian, Here is confirmation from the operator for the Skokomish water system. I think this info ices the cake. On background, I used to work in the drinking water programs for the Washington State DOH and subsequently with the EPA Region 10 Once I hear back from you that you are satisfied, I plan to send out an email to everyone on the email chain and hopefully closeout this conversation. If you'd like to send out the closure email, I am good with that too. Thanks, Sam .......................................................................................... From:Cody Andrews candrews@skokomish.org Sent:Thursday,June 25, 2026 2:08 PM To: Perry,Sam (IHS/POR/ODO)Samuel.Perry ihs. ov;Tom Strong tstrong@skokomish.org Subject: Re: Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P This Message Is From an External Sender This message came from outside your organization. 1 True Sam,The Hood Canal school is hooked up to the Skokomish community system. In our(WQMP) Hood Canal school is one of our sampling site. Sent from my Verizon, Samsung Galaxy smartphone Get Outlook.for Android. ................................................................... .......... . .. ..... From: Perry,Sam (IHS/POR/ODO) Sent:Thursday,June 25, 2026 1:52 PM To: (Tracy@masoncountywa.gov Subject: FW: Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P Hi Ian, Good to chat. As we briefly discussed,the Hood Canal School District 404 (PWS ID#34035P) is inactive, meaning that it no longer provides potable water from its own source(s). It receives all its potable water from the Skokomish community water system (PWS ID#105300020). As such, the original premise from Murray Longbotham that an updated WFI is needed is off and any subsequent confusion is very understandable. From snip below from the EPA Safe Drinking Water Information System (SDWIS) https://sdwisdww.epa.gov/DWWR10/index.isp, you can see that the Skokomish water system serves a school. 2 Drinking Water Branch Water System Details Water System No. 105300020 Federal Type: C Water System Name: SKOKOMISH State Type: C Principal County Served: MASON Primary Source: GA' Status: A Activity Date: 01-< Points of Contact DREII'S.NORE AN CODY TER OPERATOR ANTDREtt'S,NOR.ALAN CODY WkTER OPERATOR Alv'DREIYS.NORMAN CODY V.4TER OPERATOR ANDREWS,NORMAN CODY WATER OPERATOR READ.BETH TRM OffiL CONSULTANT _ ANDREWS,DAKOTA WATER OPERATOR LOLLER.GUY PUBLIC WORKS SLTV. STRONG,TOM TR1BA1-CHAIRMAN Annual eg rating Periods&Population Served Service Coi '. s: 1 I 12 31 N'T 35O CArI 10 1 1 12 31 R X00 1 RS 1O5 Sources of Water Service Areas in — WELL3 WL A NT DAY CARE CENT SWELL WL A NT MEDICAL FACILI WELL=1 WL I T OTHER TRANSIENT WELL x2 WE I T RECREATION AR T3BADAS WELL WL P R RESIDENTIAL AR T3BADAS WELL#2 WL P NIT SCHOOL .. T SERVICE STATIC Please let me know if this information meets your needs to confirm that the school building is connected to an approved, compliant public drinking water system. If not, please let me know what additional information you need. Kind regards, Sam Samuel Perry, P.E.,WTPO2,WDM2 Senior Civil Engineer, Olympic District Office Portland Area Indian Health Service Department of Health and Human Services Phone: 360-536-7551 From: Ian Tracy<lTracy@masoncountywa.gov> Sent:Wednesday,June 24, 2026 1:27 PM To: Denese LaClair<dlaclair@skokwellness.gov> Cc: Book, Seth <sbook@skokomish.org>;Joshua Luck<JLuck@masoncountywa.gov> Subject: FW: Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P 3 Hello Denise, I work for Mason County Public Health and Human Services and received your contact from Dave Windom. We have encountered a unique issue regarding a building permit application from the Hood Canal School District. The public health issue at hand is that the Skokomish Community Water System is not regulated or monitored, according to the Washington State Department of Health(DoH)and the US Environmental Protection Agency(EPA). The last time this system was monitored was in 2007 when oversight of the system was handed off by DoH to EPA. EPA says they never picked this up and the system was marked as inactive in 2007 in their database. I have forwarded our communications with DoH and EPA below. I am hoping you can help connect me with someone who has public health oversight of drinking water for the Skokomish Tribe. Mason County is unable to approve the School's building permit application without proof of an adequate connection to an approved, compliant public drinking water system. I appreciate any help you can provide. Thank you, Ian Tracy, RS Environmental Health Manager Mason County Environmental Health 415 N. 6th St., Shelton, WA 98584 360-427-9670 Ext. 544 e-mail: itracy@masoncountywa.gov From: Rhonda Thompson<RThompson@masoncountywa.gov> Sent:Wednesday,June 24, 2026 09:25 To: Ian Tracy<ITracy@masoncountywa.eov> Subject: FW: Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P Here is that email if you need to reference it. Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 6`h St.Shelton,WA 98584 360-427-9670 ext.581 Rthompson@masoncountywegov To register for an upcoming homeowner septic workshop,please visit:https://extension.wsu.edu/mason/event/septic- summer/2026-06-1 8/ From: Nickel, Brian<nickel.brian@epa.gov> Sent:Tuesday,June 23,2026 2:37 PM To: Rhonda Thompson<RThompson@masoncountywa.gov>; DOH EPH DW WFI<wfi@doh.wa.gov>; Murray Longbotham<mlongbotham@AHBL.com> Cc:Todd Sawin<TSawin@AHBL.com>;James R. Moehring<imoehring@bassettiarch.com>;Amy Broska 4 <abroska@bassettiarch.com>; Kristian Kicinski<kkicinski@bassettiarch.com>;Joe Stanley <istanley@hoodcanalschool.org>; Kosarot, Pi(DOH) <Pi.Kosarot@doh.wa.gov>;Ghetu, Christine <Ghetu.Christine{a epa.gov> Subject: RE: Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P Rhonda: My staff have contacted Murray Longbotham and asked him to send us information that would allow us to determine if the system meets the federat..d.pfinttton of a.._public_water..systern.and if it should therefore be regulated by our direct implementation public water system supervision program. We had no records of this system except for an entry in the Safe Drinking Water Information System,which showed that it is inactive as of July 2007.As such,we're essentially starting from scratch with this facility. Please feel free to contact me if you have questions. Thanks, Brian Nickel Manager,Groundwater and Drinking Water Section US EPA Region 10 1 Water Division I Permitting, Drinking Water and Infrastructure Branch Voice: 206-553-6251 1 Toll Free: 800-424-4372 1 Fax: 206-553-1280 Nickel Brian(7epa.gov From: Rhonda Thompson<RThompson masoncountywa.gov> Sent:Tuesday,June 23,2026 2:22 PM To: DOH EPH DW WFI <wfi@doh.wa.gov>; Murray Longbotham<mlongbotham@AHBL.com> Cc:Todd Sawin<TSawin@AHBL.com>;James R. Moehring<ioehring@bassettiarch.com>;Amy Broska <abroska@bassettiarch.com>; Kristian Kicinski<kkicinski@bassettiarch.com>;Joe Stanley <istanley@hoodcanalschool.org>; Nickel, Brian<nickel.brian@epa.gov>; Kosarot, Pi (DOH)<Pi.Kosarot@doh.wa.gov> Subject: RE:Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P You don't often get email from rthompson@masoncountywaxtov.Learn why this is „important Caution:This email originated from outside EPA, please exercise additional caution when deciding whether to open attachments or click on provided links. Hi everyone, Has there been any update on this front? I haven't received any further correspondence regarding the water adequacy. Thank you, Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 6th St.Shelton,WA 98584 5 360-427-9670 ext.581 Rthompson(a>masoncountywa•gov To register for an upcoming homeowner septic workshop,please visit:https://extension.wsu.edu/masOn/eVent/SePtiC- summer/2026-06-1 8/ From: DOH EPH DW WFI <wfi@doh.wa.gov> Sent: Monday,June 1, 2026 9:30 AM To: Murray Longbotham<mlongbotham@AHBL.com>; DOH EPH DW WFI <wfi@doh.wa.gov> Cc:Todd Sawin<TSawin@AHBL.com>;James R. Moehring<joehring@bassettiarch.com>; Amy Broska <abroska@bassettiarch.com>; Kristian Kicinski<kkicinski@bassettiarch.com>; Rhonda Thompson <RThompson@masoncountywa.gov>;Joe Stanley<jstanley@hoodcanalschool.org>; nickel.brian@epa.gov; Kosarot, Pi (DOH)<Pi.Kosarot@doh.wa.gov> Subject: RE: Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P Hi everyone, The Hood Canal School District 404, PWS ID#34035, is no longer in the jurisdiction of the Department of Health. In 2007 this system transferred to EPA since it is on tribal land,and was administratively inactivated on our end. I've cc'd Brian Nickel at the EPA to delegate to his staff to address this update in contact for you. Let me know if you have any other questions, Pi Kosarot Pronouns: they/them Water System Data Manager, PHA2 Southwest Region, Office of Drinking Water Washington State Department of Health pi.kosarot@doh.wa.aov 564-669-3862 1 www.doh.wa.gov D00000 2026 From: Murray Longbotham <mlongbotham@AHBL.com> Sent: Friday, May 29,2026 4:07 PM To: DOH EPH DW WFI<wfi@doh.wa.gov> Cc:Todd Sawin<TSawin@AHBL.com>;James R. Moehring<joehring@bassettiarch.com>;Amy Broska <abroska@bassettiarch.com>; Kristian Kicinski<kkicinski@bassettiarch.com>; Rhonda Thompson <Rthompson@masoncountywa.govv>;Joe Stanley<istanley@hoodcanalschool.org> Subject:Official Update to the Public Water System Record: Hood Canal School District 404 ID#34035P External Email Hello, 6 We are submitting a revised Water Facilities Inventory(WFI)form for the Hood Canal School District 404 public water system, located at 111 N State Route 106, Skokomish Nation,WA 98584. This submittal is intended to update the existing DOH water system record, including revised water system manager information (Joseph Stanley). Please find the signed WFI form attached for your review and processing. The system is identified as: Hood Canal School District 404-PWS ID 34035P Please confirm receipt and acceptance. Thank you, Murray Murray Longbotham,PE I Senior Project Engineer AHBL,Inc. I TACOMA•SEATTLE•SPOKANE•TRI-CITIES 206.267.2425 TEL 1 206.731.7803 DIRECT I mlongbotham@ahbl.com EMAIL Civil Engineers•Structural Engineers•Landscape Architects•Community Planners•Land Surveyors Visit us at www.ahbl.com.I Follow us on Linkedln and Facebook. I Send us a file. CarearQ partuntses_AvaiIable ..Lear:n.... ra-e 7