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WEL2026-00026 - WEL Application - 8/3/2026
MASON COUNTY 415N6SHSTREET, 0427-970, EXT 400 SH STREE 360-42TON, EXT400 BELFAIR.360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 10/12/2026 ENGER MELVIN D & CATHY A 8391 E STATE ROUTE 3 SHELTON, WA 98584 RE: WA TER SYSTEM PERMIT: TWO-PARTY WEL2026-00026 8391 E State Route 3 221292450020 The 2-party water system, Two-Party Well (SFR + SFR): Enger Shared Water System (221292450020/221292450030), 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, D Id Anderson Environmental Health Specialist Mason County Environmental Health MASON COUNTY DaeReceed COMMUNITY SERVICES Ct-t-I - a t°growl Reeipp, weRRy &Ad,. PVn.,ngEni,mmenNIRnItkCemmu.ityHnIM 415N.6"Street.(Bldg S)-Shdlnn,WA 98581 WEL aoal� - o�o a� Shelton 3 4-4 7.96)o x4011 n360-275-44(]clfmr ]x4nn I:Ima:36D-482-5269 \4( ) TWO-PARTY PRIVATE WATER SYSTEM APPLICATION P'ICARr xuAL Melvin Enger NAILI]4\DORLSI-\ .:q(rn,5T.\IT:IIP c/o 1161 E Berfesen Road 511 E A DDRILVS-S FRIl'1:('II STATE,ZIP 8391 E State Route 3, Shelton, WA 98584 RER('S EI.r srr, 22129-24-50020 SFCO )AR%PARCELIt MDERISANE&S PRp1ARI IF LIR AI'EDON SAME PARC I:11 22129-24-50030 .1 :Rsot r Sf1 NC x CAPE Pmcn I I 01-SI'.' •,o,rnnlnrnnl PARCaz m1 Slal .ml...I.n ❑ New O Existing Q Well ❑ Spring 10 Acres 10 Acres PROPOSF U SATER. . AML,R CI I.E.I. Enger Shared Water System PRNEIT DAC RIPTION Iep,dent.AD'',vx vn -f mly residence.euninp evweu.n vy Existing home and a future hookup for a new home on neighboring property DIRECTIONS If Srm(ONDInazi I wrt CODE KE1 LO(AnRS nnr. Out SR#3 past Pickering Park and Ride, driveway on the left, stay left then right to home and pumphouse is to the right Required Submittals/Requirements Checklist: Ej Original water well report(well log)or DoE water well report for an existing well. Fv Well tag secured to the well casing. t] Capacity test showing 900 GPD with drawdown and recover to static level information,as described on page one of this packet Bacteriological test(Bac-q results: current(with in 12 months)and sat i staetorv. 0 Septic Records(additional locating requirements may apply if no septic records arc on file) Di Applicable utility easement documents. 4 Filing requirements,as described on page I of this packet*Note. May be recorded after the permit has been preapproved. I own the proposed two-party water well and have the right to grant access for a second connection. I attest that the well currently has no more than one connection. Print: Melvin Enger Sign: P1j e - Date,9/17/2026 This form may be scanned and made available for public viewing on the Mason County website Pg 2 Last Updated:6/30/2026 Please include the following site features for each parcel served by the proposed two-party well: El Parcel numbers(s) (] Property lines/boundaries RI Applicable easements with the Auditor's File Number(AFN) ❑+ Roads and driveways (] Well location with a 100 ft radius around it 0 Structures *Water wells shall not be located in garages,barns.storage buildings,or dwellings(WAC 173-160-171) ❑+ Water lines for existing and proposed connections (] Septic and sewer components(tanks.primary and reserve drainfields.transport lines) ❑ Barns,chicken coops, barns. manure piles.dog kennels,commercial gardens,compost piles ❑ Chemical Storage within 100 ft ❑ Landfills(existing or former)within 1000 ft Site Drawing Ih form may be scanned and made available for public viewing on the Mason County we site Pg 3 Last Updated:6/30/2026 PIONEER DIGGING. INC. PARCEL#: 22129-24.00000 SOIL LOGS: %60-4261803 CUSTOMER: MEL ENGER Su-022^GL SI-2.024"GIs SL3024"Gw Bob Pe(Dcarc) DRAWING: PLOT PLAN GooTS To 22" aaoTGTo24^ xomcTo24" AIz Popae(Drdt T) SCALE: 1"-100' I I I I I I 14UG °,� zoos � I OA2cF�-� I rFlnc-� 21Zq -24- t.-co20 I I wan �LP, 3-5o a' (a50ff) W/50' AfiN,ZOW \ ' 0� Exisf. , I � . � 1 � • X14 684" 1 / _ ro POSSIp.E FR05�b /Z fAW LOCAf10N ( UILVINGN y -, I L_ _W J __ _ _ __ SWAY c � 'A ■ C 11 ■ ■ ti •6'•. "�y fie.�"i • �" _�� L.p3 T = El A wy r y a -- ---- Staff IlseOnly Review Step 1: Well Site Inspection: YES NO N?O ❑ V] ❑ Sources ofcontamination within 100 ft of the well?(septic components,chemicals,livestock,etc) ❑ M ❑ Rods located within 100 ft of the water source?Private'County!State Distance to roads) ❑ ❑ Ground slopes away from the well? V3 ❑ ❑ Well located outside of garages,barns,storage buildings,and dwellings,with at least 5 ft of separation? ❑ ❑ Satisfactory metal or plastic well cap that is mechanically secured or welded to the casing? ® ❑ ❑ Access ports and openings sealepvcrcencd to prevent contamination;pressure gunge installed far artesian wells? ❑ ❑ Adequate surface seal, filled to land surface level?*Leaving von future installation ofequipmcnt is prohibited. ❑ ❑ The well casing extends 1Z above level ground/ oncrete slab_ Lat: 47 21146 ❑ ❑ DoE well tag attached to the well casing? Lon:-(L' 000 ❑ ❑ Variance necessary for wet site air roval? Tag: ALA$Oj - Ru what IT k( {i1n (Gt7affoc ' e ( nt 1O(1/2x26 = W Tzo •a00V1 4 'tOe let 6at-k (e y ' Fail Inspector Date ?/ 7/(ZQZlJ Review Step 2: Two-Party Review: Y 'S NO NA p ❑ ❑ Water well report(well log):Date Completed � (Driller A.g 2ar 2(6(� ❑ ❑ Satisfactory capacity test showing a minimum of 800 GPD with full recovery to static levelwithin 24 hours? Capacity test information:Date ) (2(o7 Driller/Pump Installer WW f/Qf.� S GPM 2c Duration (minutes) 93 l Total Gal i6O0 Recovery Time(minutes)to Static_I_L/ ❑ ❑ Water v stem capable ofsupplyirig at least 30 P ST to each connection?PSI 38 IdJ ❑ ❑ Satisfactory bacteriological analysis? Date Y/IW Z6 Testing Lab lhuy3kq ❑ ❑ Signed,notarized,and recorded notice to future property owners? AF/V�j22 16S ® ❑ ❑ Signed,notarized,and recorded water use agreement? AFN 2 Z L O O ® ❑ ❑ Signed,notarized,and recorded access easement(s)?AFN 2 2 iy 101 PP ❑ ❑ The system appears adequate to serve two connections based on the information provided? (O(? i6 : ltcnvl L4lef v&— (.omnients: Approved ❑ Denied Reviewer Date Pin dinl'in his jetref (r o/versed co..hrmm us the, ns/ed or the dm f the_vile incped U i. n olulrnix n udc',eq ress or ' rplied t/Ih,J rtme SIEC Ce VS ar/ni/nrc of drir si cte'n. Ff'e/I s-i rn•u rppr /d not orulieu1,water system approval Allprzl .,l i flucct,ons mrJ er hells Ire s.bled to vote,- ly luCY... iteni en crttiInc of h,,Id,ngpermlt per MCI-6.68. IF iem sage test,i Lions and additional fees may apply to all new we//c drilled njter.Imrunry= /9^, 21)/%per ESSB 6091. This form may he scanned and made available for public viewing on the Mason County website Pg 4 Last Updated: 6/30,2026 ��uuuuum AF# 188386, Vol 32 a3a ® . 00' o � s go 11 2 ' o nzeos`ge a � r� I � to I k� 8 ell p _ Ei 1�{ fSS �ti{ '{!t6 �I i r 3i in Ei�#i f{A1� 3a 'gpq, hi h ,- P, ti {�' ik •ir„ k , . .,vr �� r xe . u lep fi J s5 4z - a „s,axu.° 4 as;6eia� c .£ ff r � yg a89 ag g ' rq� f4 gS°ssF; C pppp �"s1 ` 5�. ti gama H9 , a^= e$ iv co c z . 44 o $R $�� 8 vi�4gg it qs d� to $ gs o ga se $. Am 5 _ aaiFi Sa ff& 1 Aaf �� i9 I� i- E i! EQge ^ „3v , ,,� a{ v - all P - mac m $ , FtoOepmalWon WATER WELL REPORT Ndkealdx D,amnent d Ecology UNIQUE WELL 1.0.1 S� Swcad Coq Oxeafs Cory, STATE OF WASHINGTON mm Cory-Drlters Coq 155013 Water Right Fbmm No. i (1) OWNER: Name / Ad]resn S 11a /CLI//Sec Z7 T�-_N.R. WM CL (2) LOCATNRl OF WELL:OWMy R74 caM' D) IN STREET ADORESSOFWILL:(a nearest address) TA%PARCELNO.: 2/a92Q /)t7 y (3) PROPOSED USE: OIm 0 Trott Well ❑ Otc I (10) WELLULO Mr q COMMIMederl ape NG R Erlelend OCEOtIflE 5tLUrESCRIe.arid yl O DaWB4r the kind and return of the meblalNead,sttaalm pxiBaled.with at st R ate(e) TYPE WORE: Own&e nta i d wdl(S more Men one) one entry lot each change d Inbrmetlon.Indicate N water enmuitefe New Wall Method: MATERIAL FROM TO C 0 Deepened ❑ Dug 0 Bored 0 ❑ Fecorditloned ❑ Cede ❑0riven C C Decommisabn C Rotary C Jetted Y (6) DIYENSpN�S:Ty Diameter of welt ia inches /r Ortlbd�MM. Depm dcanpleted WMl /90 K ` (6) CONSIRUCTNIN DETAIIS Cwlny I llsd: >�+ C �Wdtled G Diem.from D___tic_1,tLk Llnx installed _Diem. b. . ❑ ThreeMd via..from X.to__X. _. . _.. as E 101 i Perlarepa4: ❑Yes mNo ' Typed Padaa aw., d cslzEdpertoreeone In.by In. R aerbrelbns from n.to X. C Q Satin; 44ies 0 a p'N-Pac Location / 9 u La1L 'I `j/ LLd fl MenateclurMe N. C Type SAt f___ Model No N` — Diem. SIR Sue /Y M �.ara 30n.t0 _11$$ If. eTr Diam. C $ot Slze?O from /?SJ n.ro J44) M1. � Ilsill❑nI . .. GresaOFIlerpedud: ❑Yes )I No ❑Size0gmeVund P it"f l•.t L Me4delpbeed MMn X.b X. :L ( oT. Su date eve: xi14a ❑So To caret MpMDs /q . Delany used In east Avi /'/G O / No la any un usable 0`aa erne z ead when O.PM datm4 Mot of sealing alnte oil (n PUMP: ManrlpwMlrers Noma S O Type: ia AI H.P. T (e) WATER LEVELS: tend-aurtew elevation apon mean see level n 0 S.was /nO k.Glow top of well Date Won Started ,* , . D / . Cwnlde4d�3.=09. Artesian pressure ICs,per agaare inch Date Artesian water Is continued by WELL CONSTRUCTION DERTIFICATN: W (Cep.veM.etc.) IP) WELL TESTS: Onwd? a esounl wa4r revel b levered bow xelb level omplam<1ed ce rm at Washing m wall coiy fa conatrvNon d Me well,s u ed Was a pump te made? UYes fiNo II yea.gwhom) - and the i*rmad1 Washington wellmnsle to soil Mo. Matxabused and the lMomxtlon reported above en tnnbm/bM knowledge and UeOet. C Yled: Jnan.wit a'J n.drawdoem after 0_, / `,/,Ayr Yiad: gelImin,with 11.dmwdown after Firs. Type or Punt Name DA/ NY/P9eer) 110. E 'fiat; _ge!/min.wM X.dawtlwm after Firs. (Licensed OnlbrrEnginex) Recovery data(time taken as zero when many timed oft)(water wet measured Iron, Trainee Name Liroree No T.a lop 4 wewrwel) a Time Water Level Time Water Level Time Water Lent Drilling Compen e r• lamesf— Q _— (Signed) �� IJce Na Address/.((�[X JO2.f r� W r CANTO Date of teal �j (2,nhemoe" ,r// (/ Better lest mlJmin.wM n.drawdown e11x1M1re. Rash t0 lb.RA�WS m�2�/�De4 •�/_L.. �( Airt 5t ml/m .wish_ n.dmwdwm after Firs. ANeien lbw a.pm. Date (USE ADDITIONAL SHEETS IF NECESSARY) Tempo come of water_Was a chemical analysis made? ❑Yes jf No Ecology Is an Equat Opportuniy and Affam..Action employer.For spec acmmodatdn needs contact Me Water Resources Program at(360)d0)- [CY 050-1-20(11198) m 6600.me TOD wan ter is(350)4O7-BWS. { NI . p fy, 1 i 1 ➢ ' Pump Test Data Collection Form System ID: Pending Well Tag N DOH source ID: Date: 12/11/2023, Northwest Water Systems Type of test: County: Mason Owner: Well Elevation (ft) System Name: Sunset Ridge Events Static Water Level (ft) 103 Well Depth (ft) 140 Time since Depth to pumping water level drawdown Pumping Time began(min) (ft) (ft) rate (gpm) comments -2.0 103.0 0.0 -1.5 103.0 0.0 13 gpm -1.0 103.0 0.0 -0.5 103.0 0.0 0.0 103.0 0.0 0.5 106.7 3.7 1.0 108.1 5.1 1.5 108.8 5.8 2.0 108.9 5.9 2.5 109.0 6.0 3.0 109.0 6.0 3.5 109.0 6.0 4.0 109.0 6.0 4.5 109.0 6.0 5.0 109.1 6.1 5.5 109.1 6.1 6.0 109.1 6.1 6.5 109.1 6.1 7.0 109.0 6.0 7.5 109.1 6.1 8.0 109.1 6.1 8.5 109.1 6.1 9.0 109.1 6.1 9.5 109.1 6.1 10.0 109.1 6.1 11.0 109.1 6.1 12.0 109.1 6.1 13.0 109.1 6.1 14.0 109.1 6.1 15.0 109.1 6.1 16.0 109.1 6.1 18.0 109.1 6.1 20.0 109.1 6.1 22.0 109.1 6.1 24.0 109.1 6.1 26.0 109.1 6.1 28.0 109.1 6.1 30.0 109.1 6.1 35.0 109.1 6.1 40.0 109.1 6.1 45.0 109.1 6.1 50.0 109.1 6.1 55.0 109.1 6.1 60.0 109.1 6.1 65.0 109.1 6.1 65.5 109.1 6.1 17 gpm 66.0 110.0 7.0 66.5 110.5 7.5 67.0 110.6 7.6 67.5 110.6 7.6 68.0 110.6 7.6 68.5 110.6 7.6 69.0 110.6 7.6 69.5 110.6 7.6 70.0 110.6 7.6 70.5 110.6 7.6 71.0 110.6 7.6 71.5 110.6 7.6 72.0 110.6 7.6 72.5 110.6 7.6 73.0 110.6 7.6 73.5 110.6 7.6 74.0 110.6 7.6 74.5 110.6 7.6 75.0 110.6 7.6 76.0 110.6 7.6 77.0 110.6 7.6 78.0 110.6 7.6 79.0 110.6 7.6 80.0 110.6 7.6 82.0 110.6 7.6 84.0 110.6 7.6 86.0 110.6 7.6 88.0 110.6 7.6 90.0 110.6 7.6 92.0 110.6 7.6 94.0 110.6 7.6 96.0 110.6 7.6 101.0 110.6 7.6 106.0 110.6 7.6 111.0 110.6 7.6 116.0 110.6 7.6 121.0 110.6 7.6 126.0 110.6 7.6 126.5 112.4 9.4 24 gpm 127.0 112.6 9.6 127.5 113.0 10.0 128.0 113.1 10.1 128.5 113.2 10.2 129.0 113.3 10.3 129.5 113.3 10.3 130.0 113.3 10.3 130.5 113.3 10.3 131.0 113.3 10.3 131.5 113.3 10.3 132.0 113.3 10.3 132.5 113.3 10.3 133.0 113.3 10.3 133.5 113.3 10.3 134.0 113.3 10.3 134.5 113.3 10.3 135.0 113.3 10.3 135.5 113.3 10.3 136.0 113.3 10.3 136.5 113.3 10.3 137.0 113.3 10.3 138.0 113.3 10.3 139.0 113.3 10.3 140.0 113.3 10.3 141.0 113.3 10.3 142.0 113.3 10.3 144.0 113.3 10.3 146.0 113.3 10.3 148.0 113.3 10.3 150.0 113.3 10.3 152.0 113.3 10.3 154.0 113.3 10.3 156.0 113.3 10.3 158.0 113.3 10.3 163.0 113.3 10.3 168.0 113.3 10.3 173.0 113.3 10.3 178.0 113.3 10.3 182.0 113.3 10.3 187.0 113.3 10.3 192.0 113.3 10.3 192.5 113.4 10.4 193.0 113.5 10.5 25 gpm 193.5 113.7 10.7 194.0 113.9 10.9 194.5 113.9 10.9 195.0 113.9 10.9 195.5 113.9 10.9 196.0 113.9 10.9 196.5 113.9 10.9 197.0 113.9 10.9 197.5 113.9 10.9 198.0 114.0 11.0 198.5 114.0 11.0 199.0 114.0 11.0 199.5 114.0 11.0 200.0 114.0 11.0 200.5 114.0 11.0 201.0 114.0 11.0 201.5 114.0 11.0 202.0 114.0 11.0 202.5 114.0 11.0 203.0 114.0 11.0 204.0 114.0 11.0 205.0 114.0 11.0 206.0 114.0 11.0 207.0 114.0 11.0 208.0 114.0 11.0 210.0 114.0 11.0 212.0 114.0 11.0 214.0 114.0 11.0 216.0 114.0 11.0 218.0 114.0 11.0 220.0 114.0 11.0 224.0 114.0 11.0 229.0 114.0 11.0 234.0 114.0 11.0 239.0 114.0 11.0 244.0 114.0 11.0 249.0 114.0 11.0 254.0 114.0 11.0 284.0 114.0 11.0 314.0 114.0 11.0 344.0 114.1 11.1 374.0 114.1 11.1 404.0 114.1 11.1 434.0 114.1 11.1 Sunset Ridge Events Group B Step Test and Constant Rate Drawdown 110 ■ 25 gpm • 24gpm IA t—.-.. _-17 gprrr-_. . . 13 gpm sot _ __.. . __. _ _.. ___-------- -- -- 4_o J_ __ _. _—_ _ __ __ _ - _—_ . _ __ 30 . '.. oa sao loo0 150.0 zaao zsoo nooa 3500 noo.o 4500 rime(mini Recovery Data Collection Form System ID: Pending Well Tag No: DOH source ID: 0 Date: 12/11/2023, Northwest Water Systems Type of test: Recovery County: Mason Owner: 0 Well Elevation (ft) 0 System Name: Sunset Ridge Events Static Water Level(ft) 103 Time since Time since Depth to pumping pumping water drawdown Time began (min) stopped (min) level (ft) (ft) comments 438.0 0.0 114.1 11.1 438.5 0.5 107.9 4.9 439.0 1.0 105.4 2.4 439.5 1.5 104.1 1.1 440.0 2.0 103.8 0.8 440.5 2.5 103.6 0.6 441.0 3.0 103.5 0.5 441.5 3.5 103.4 0.4 442.0 4.0 103.4 0.4 442.5 4.5 103.3 0.3 443.0 5.0 103.3 0.3 443.5 5.5 103.3 0.3 444.0 6.0 103.3 0.3 444.5 6.5 103.3 0.3 445.0 7.0 103.3 0.3 445.5 7.5 103.3 0.3 446.0 8.0 103.2 0.2 446.5 8.5 103.2 0.2 447.0 9.0 103.2 0.2 447.5 9.5 103.2 0.2 448,0 10.0 103.2 0.2 449.0 11.0 103.2 0.2 450.0 12.0 103.2 0.2 451.0 13.0 103.2 0.2 452.0 14.0 103.2 0.2 Sunset Ridge Events Group B Recovery 12 i I o6 -_. __.__ _ 'a ♦ s ® e ♦ a ♦ ♦ m •- ----- 0.0 1.0 2.0 30 d0 5O 6O )0 8O 9.0 10O 130 ''. Time(min) SaaThurston County Environmental Health 412 Lilly Rd NE 0 Olympia,WA 985O6 360 867-2631 n ® COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County allotted IAmn Day �—�� Type of Water Syslerr(check only one box) ❑ Private household ❑Group A ❑Group B ❑Other Group A and Group B Systems-Provide from Water Facilities Inventory(WFI)'. System Name: /%LLWI _ ,Qyw Contact Person. Day Phone: to 7 Cell Phone-( ) E-mail: Eve Phone:( t Send resuBla 'Ml name,address and np e ore3en e0tlrasal Pabo/ 771? SfTtt) SAMPLE INFORMATION Sample collected by(name): .Ia� nyn^a jr/ >vyA Specific location or address where sample collected Special Speciall Instructions or comments: Type of Sample(muslcheck only one box of#1 through#4 listed below) 1 Routine Distribution Sample 2.Repeat Sample(after unaat routine) Chlorinated Yes_No_ ❑Distribution System Chlorine Residual.TotI`Free_ Chlorinated'.Yes No 3.Raw Water Source Sample Chlorine Residual Total Free _ ❑E.colt-GWR(A/P) ❑Fecal-sume.ow seakg inumere1 1J Unsatisfactory routine lab number Filtered Yes -No_ _ ❑Assessment Monitoring(A/P) Unsatisfactory rouh'ne collect data. pother I S 4.0 Sample Collected for Information Only Investigative_ Construction I Repairs_ Other__ LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY ❑Unsatisfactory Total Coll Present and ®Satisfactory ❑E mfr present ❑E mti absent No Colitorm detected Replacement Semple Required: ❑Sampleloa old(>30 hours) ❑TNTC ❑ Bacterial Density Results Total Galilean Il00ml. Ecolr_ 1100m1. Fecal Colitorm It0pm1 Enterococo 1100 ml. Meth W Code®SM 9223B OSM 92220 Cale and Time Rereived ❑SM 92158 ❑EnlerolerlD : 910/2026 Date and Time Analyzed Date Reported Sampe NumbetfooN nvmxi,oe r�.e ei¢I Lab Use Only: 0 8 0 28 5 - p 9 1 0 5 DJx'nrma33l.11a lrtvisvn 11.3] 2246833 MASONCO WA ENGER •226948 PM Fu $610 00 Paves IIIIII11101111111(111 hEll Hi 11111 lifiIPtI It!till I III AFFIDAVIT rr (jCOdI� V A RE. EXCISE TAX - OCT 09 2026 OCT 092026 If Return Address: Melvin&Cathy Enger EXEMPT 'u'y 8391 E State Route 3 AASON COUNTY TREASURER --:- -- Shelton,WA 98584 DOCUMENT TITLE: Shared Well Agreement REFERENCE NUMBERS OF RELATED DOCUMENTS: GRANTORS: ENGER,Melvin D.&Cathy A.,a married couple GRANTEE: ENGER,RONALD,a married individual as his separate property LEGAL DESCRIPTION LOT2 OF LLS#0606515/56532/232 LOT 3OF LLS#06-06 5 15/56 5 32/232 ASSESSOR'S PROPERTY TAX PARCEL NOS. 22129-24-50020; 22129.24-50030 Shared Well Agreement and Grant of Easement PARTIES&RECITALS WHEREAS,MELVIN D. ENGER&CATHY A. ENGER,a married couple,hold record title in and to certain real property located in the County of Mason, State of Washington, which property is referred to herein as the"MELVIN ENGER Parcel - Lot 2" and is more fully described as: Lot two (2) of Large Lot Family Exemption No.06-06,recorded November 29, 2006,in Volume 32 of Surveys,page 232,Auditor's File No. 1883866,and being a portion of the Southeast quarter(SE t/4) of the Northwest quarter(NW 1/4) of Section 29,Township 21 North, Range 2 West,W.M., in Mason County,Washington. Tax Parcel No. 22129.24-50020 And WHEREAS, RONALD D, ENGER, a married individual as his separate property, hold record title in and to certain real property located in the County of Mason.State of Washington,which property is hereinafter referred to as the"RONALD ENGER Parcel- Lot 3"and is more fully described as: Lot three (3)of Large Lot Family Exemption No. 06-06, recorded November 29,2006,in Volume 32 of Surveys,page 232,Auditor's File No. 1883866,and being a portion of the Southeast quarter(SE 1/4) of the Northwest quarter(NW 1/4) of Section 29,Township 21 North, Range 2 West,W.M., in Mason County,Washington. Well Agreement- 1 Tax Parcel No.22129-24-50030 And WHEREAS, there is an existing well, pump, and well house located in & on the southeasterly corner of the MELVIN ENGER Parcel - Lot 2 described above,which well is approved to supply water to both parcels described herein, and which well is referenced in Notice to Future Property Owners of Private Two-Party Water System recorded October 8,2026 under Mason County Auditor's File No. 2246759 and shown on the Large Lot Family Exemption Survey referenced herein; And WHEREAS,the parties hereto desire to enter this Agreement for the purpose of reducing to writing their respective rights and obligations pertaining to said well and future water distribution system. GRANT OF EASEMENT FOR WATER LINE MELVIN D. ENGER & CATHY A. ENGER, a married couple, hereby convey a perpetual, non- exclusive easement to RONALD D, ENGER, a married individual as his separate property, said easement to run with the land as follows: An easement for use & maintenance of an existing water line, running under, over and across a portion of the MELVIN ENGER Parcel - Lot 2 property described herein. extending in a easterly direction from the existing well to the common line with the RONALD ENGER Parcel - Lot 3; said easement being ten (10) feet in width, extending along the length of the waterline,with the centerline of the easement being the waterline itself. The purpose of said easement is to provide RONALD ENGER Parcel- Lot 3 with access to that portion of the MELVIN ENGER Parcel- Lot 2 parcel,as reasonably necessary to maintain a water line originating at the well and serving the RONALD ENGER parcel. TERMS OF AGREEMENT NOW THEREFORE, in consideration of the promises and covenants herein contained, it is agreed that that he water distribution system shall he used by the parties to this Agreement,as well as by all future owners and occupants, upon the following terms and conditions: 1. OWNERSHIP. The Parties to this Agreement shall share ownership in the well and its components 50/50. 2. MAINTENANCE/REPAIRS. Once the RONALD ENGER Parcel - Lot 3 connects to the well, the costs for improvements and repairs necessary for the continued operation of the well shall be split equally among the two parties to this Agreement. Major improvements and repairs may include (but not be limited to) pump replacement, pump house repairs,etc. This provision shall not apply to each party's underground water distribution lines as the parties are responsible for their own lines. The parties shall work promptly in cooperation in the event repairs and maintenance are Well Agreement- 2 necessary and payment shall be made promptly to reimburse the other party or pay the contractor directly. The parties agree to annually test the water for bacterial contamination and any additional testing that may be required to maintain the water quality of the system. 3. POWER COSTS. Beginning on the date that the owners of the RONALD ENGER Parcel - Lot 3 connect any structure (permanent or otherwise) to the water system, the owners of the RONALD ENGER Parcel - Lot 3 shall reimburse the owners of the MELVIN ENGER Parcel - Lot 2 an amount of $500.00 annually, for power costs associated with operation of the well. This reimbursement payment shall be due on or before January 30th of each year.The parties agree to work together in good faith to agree on increase(s) or decrease(s) from time to time as utility costs change, but any increases shall not exceed 3%annually 4. WATER USAGE. The Parties agree that the water system shall be used for normal domestic supply for homes on each parcel. If a dispute arises concerning normal water usage, the party having complaints shall have the right to meter the water. The expenses of the meter and installment,thereof,shall be borne by both parties equally. 5. WATER SUPPLY. If the water system shall ever fail to supply adequate domestic supply of water pressure to the Grantees properties, these parties shall act together in a diligent manner to cure the problem and to maintain the water system in good and orderly repair according to applicable laws and regulations. 6. The Parties understand that the well has been approved for single family residential use only in accordance with Mason County Public Health approval issued under Water System Permit WEL2026-00026 and the Parties agree that use of the well will not be expanded to serve any other users without mutual agreement and approval by Mason County. 7. To the extent that this Agreement adds to, amends, or conflicts with the Notice to Future Property Owners referenced above, the terms of this Agreement shall supersede. 8. The parties agree that the benefits and burdens of this Agreement shall constitute a covenant running with the parcels of land herein described and shall be binding upon the heirs,successors in title and assigns of the parties hereto. IN WITNESS WHEREOF,the parties have hereunto set their hands and seal the day and year set forth below. MELVIN D.ENGER CATHYA. ER Well Agreement-3 RONALD ENGER STATE OF]gJ1d�S 1L.V�IUfr1 ) COUNTY OFL ) On this day personally appeared before me MELVIN D. ENGER&CATHY A.ENGER 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 free and voluntary act and deed for the uses and purposes therein mentioned. and official seal this day of�„LLUI_\11e.�.2026. NOT�9 �s� pM+T r� PublictheSta co(�l1 �1—tPrint Name1T Residing at Commissio STATE OF _V,\ ) ss. COUNTY OF .Ql ) On this day personally appeared before me RONALD ENGER to me known to be the individual described in and who executed the within and foregoing instrument and acknowledged that he signed the same as his free and voluntary act and deed for the //uses and purposes therein mentioned. Given under my hand and official seal this____ day of n( 'DbPK .2026. ,flIt' ppry r'� ,p y�( q�� Notary Public in and forth State of Washington ���Q\S �p�i� Print Name �` }. P0T''q$\ Residing at Commission expires L Altil ff.��b'ItjWell Agreement ; :=yN8li1 i0.�SY N0E iMAPPt]CXION MASON COUNTY DEPARTMENT Official use only c y OF HEALTH SERVICES o� a PERMIT NUMBER. SWG C'& — �.C x' • 426 W.CEDAR STREET < PO BOX 1666 DATE RECEIVED - « DC, S SHELTON,WA 98584 (360)427-9670, Ext.352 RECEIPT NUMBER'. Z E S s APPLICANT DATE CHECK APPLICABLE ITEMS J D NEW SYSTEM O MAILING ADDRESS V DAYTIME PHONE O REPAIR SYSTEM s P.O. tTth( (le\Q 1•�Z(P_- 1.1/88 ❑TABLE6REPAIR CITY STATE ZIP O SINGLE FAMILY ELFA%tZ a O OTHER Please desaihe O SITE ADDRESS z DRINKING WATER SOURCE C LT RDUTts 3 3 NAME OF DESIIGGNER PHONE NUMBER O PRIVATE INDIVIDUAL WELL m O I TALLER r" O PRIVATE TWOpARTYWELL c .. NAME OF INSTALLER - SYSTEM COMMUNITY/PUBLIC WATER IF SYSTEM e sila SYSTEMWFIN. NUMBER OF LOT SIZE ACRES FT)C FT BEDROOMS 3 SYSTEM NAME: SPECIFIC DIRECTIONS FOR LOCATING SITE Al. )' 's LEFT ON DK\V4z Li A-'-( CZC.'FD W¢eCAcuJ L A4V> PD; f i w Pc , cp- m v..✓� This application is for design approval only. \\�� A " illation permit will be required to install the system. • All s*l ss Mg Operetbn and Maintenance as specified in Masai County Onsia Standards. • All cnsDahUlvhge systems must be designed by a Licensed Onshe Waslewarar Designer or PmArssonal Engineer,unless poor r eppSFJi grented. O • A Mason County Certified Installer must install all onsile sewage systems,unless prior approvat Is granted. • Onsite sewage system design approval does not imply otherDul*ng site approvals. • Any change horn the specified use o/the property or any site alteration alla.Ldgthe system design may invalIdate loss permit. • This permh expires 3 years loom the date of the ravow.Denial of this permit may be appealed to me Health Officer wIMs 10 days o/ denial date. - Official use only below this line SOIL LOOS COMMENTS/CONDITIONS 0 -- ZC, Cz zs o 2°' -1 11 SOIL TEXTURE CODES: V =vary G=gravelly 5=sand 1-loam Si=silt C=day E=ebremely ECTOK SIGMA DAT D GN APPRO U DAT DESIGN EXPIRATION DATE 7 zs fS� 06 D'ul 25, ZC09 Recd 3/2005 White Copy—Health Depamaent Yellow Copy—Designer Pink Copy-Applicant ONSITE SEWAGE SYSTEM APPLICATION E- MASON COUNTY PUBLIC HEALTH Official use only i 426W.CEDAR STREET _ C • PO Box 1666 PERMIT NUMBER: Q�`)� S SHELTON,WA 96684 DATE RECEIVED: (77 NAOUNT RECEIVED:$ ( O (36D)427-9670.Ext. 352 • t o s APPLICANT DATE CHECK APPLICABLE ITEMS S S O NEW SYSTEM • • MAILING ADORES O REPAIR SYSTEM Y DA ME PHONE a TABLE 6 REPAIR 0 X 0 TANK REPLACEMENT 3 CITY STATE LP 0 RV HOLDING TANK ONLY (requites waiver) • INSTALLATION PERMIT ONLY 3 SITE ADDRESS 0 SINGLE FAMILY (X�n 2Y O OTHER WA C Z V ~vl J aJ f Phase OeuriEe: C NAME OF DESIGNER PHONE NUMBER Norc: Ash silts required for all insfaflo OMS. 0 In' NAME OF INSi LER DRINKING WATER SOURCE a, ('^ 0 PRIVATE INDIVIDUAL WELL o Y)'1 NUMBER OF BEDROOMS LO SIZE: ACRES FT%� 0 PRIVATE TWO-PARTY WELL 0 COMMUNITY/PUBLIC WATER SYSTEM SYSTEM WFI R. IIV SYSTEM NAME' 1 O SPECIFIC DIRECTIONS FOR LOCATING SITE. ci I� Site must be flagged from main road and test holes must be flagged with test hole numbers , Official use only below this line GY SOIL LOGS COMMENTS/CONDITIONS I FJ REDS\vED ST 416`N•G10PA SOIL TEXTURE CODES: V =vy GgraveIIy 8=send L-loam SI-si6 C-dsy E=aztr INSPECTOR SIGNATURE DATE DESIGN EXPIRATION DATE DESIGN APPROVED BY DATE DATE INSTALLATION FEE PAD) INSTALLATION EXPIRATION DATE a' TALLATION APPROVED BY DATE L 7izo Rcviscd 4/9/2007 MASON COUNTY • DEPARTMENT OF HEALTH SERVICES El August 04, 2006 PO BOX 1666 SHELTON,WA 98584 5HELTON (360)427-9670 FAX (360) 427-7798 Pioneer Digging ELMA (360)482-5269 3083 E Mason Benson Rd BELFAIR (360)Z75-0467 Grapeview WA 98546 SEATTLE (206)464-6968 RE: Design for ENGER Case No: SWG2006-00562 Parcel No: 221292400000 Your design for the above referenced parcel has been review and is APPROVED. Please refer to the comments section of this letter for any additional information. Please cap meat (360) 427-9670, ext. 279 if you have any questions. Sincerely, A�r— Amanda� y Environmental Health Mason County Health Services COMMENTS: 8/412006 1 of 1 SWG2006-00562 On-Site Sewage Systems (Chapter 246-272 WAC) Request for Waiver From State Regulations (mmplmed by applicant) Address: Telephone: property ldcntifiution: (3) 44gge ii E s7a4r. w V 3 t e Y } f_ Pr O u (completed by ay llcan9 WAC Number. (4) WAC Requirement (5) Waiver Sought (6) 246-272— u .S .. t /. s subsection: luali&ation(mWgation measures to be pmvtded): M 41J 4770 Q Z© E D s�c - CMC (completed by health officer) Review Critaic (g) Mitigation Measures(In addidon to those proposed): (Y) G:J�J Yr tl1 G. tom t0 j'ack5L4 �5 . Comments/Conditions: (10) Type of Waiver (71) )Class D ]Class C—Request DOH review beffq@ granting? Yes_ Noy- NeighborNeification: (/2) Required? Ye _ No - needed are agreemems,emementr,etc.properly flied? Yes — No— (completed by health officer) This Request For Waiver From State Regulations has been reviewed according to the provisions of Chapter 236.272 WAC On-Site Sewage Systems. The review criteria applied,and the mitigation moaanee proposed and/or required,have been evaluated for their ability to provide public health protection at least equal m that provided by this chapter WAC. ]Denied 4]Approv /Granted—Sub' m all comments,conditions and requirements noted n Sections!!and Ill. Local Health officer OS) NAtl-SA. Date: Instructions for Completion Sections land flare to be completed by the Applicant Sections In and IV are to be completed by the Local Health Officer or his/her authorized representative. Most items in each Section are followed by a number in(). The instructions below are listed by these numbers: (1). Individual requesting waiver. (Presumed to be property owner...,indicate if not) Be sure to include mailing address and phone number. (2) Local Health Department Usually this will be"filled in"by the local health agency ofct (3) Propatyldmtfication: Provide the address,parcel number,pamitapptiution number or other identifying description of the property for which a waiver is being requested. A full legal description is not required. (4) WAC Number. Specify the particular WAC number from Chapter 246-272 WAC for which a waiver is being sought,such is WAC 246-272-140(1)" (5) WAC Requirement Stan,the requirement in the specified WAC for which a waiver is being edught,such as"100 foot setback from SSAS to a well". (6) Waiver Sought. Briefly describe the waiver sought,such as"Reduction of setback to 70 feet". (7) Justification. Provide the rationale for the waiver request. What site conditions,system design cha c*autics,etc mitigate the eonans that resulted is the requirements in the WAC? Techmialjnstifimtion should include supporting data,plat plans,device or ueatm of methodology proposed,possible mitigating site characteristics,gross land area,other options explored,and any ott,pertinent data Possible mitigation meuma may include system design,site requirements,or administrative approaches Attach additional pages,If aecuwy to provide the local health officer adequate information upon which to make an informed decision. (8) Review Criteria. Indicate when specific mteris were used in the review of the proposed waiver and mitigation mmmerce. (9) Mitigation Measures. Indicate any mitigation measurer required in addition to those proposed by the applicant. (10) Comments/Conditions. Briefly describe my concerns or issues regarding the waiver request,mitigation measures,orrelated issues. (11) Type of Waiver. Indicate which category of waivers this particular request bin. For Class C Waivers,indicate if DOH review is to be requested before a decision is nu4e to giant the request (12) Neighbor Notification. Are there my aspects of Ihes waiver request for which notification to and/or percolation by,adjoining or nearby property owners/dwellers would be appropriate? (13) Local Health Officer. This is where the Local Health Officer,or blather authorized representative,by checking"appropriate box and signing,grants or denim the requested waiver. Assistance for applicants requesting a"Waiver From Local Health Department/District Health Offices may obtain assistance State Regulations my be obtained from the Local from the Washington State Department of Health in their review of Health Department or District proposed"Waiver From State Regulations": 60 236-3041/John Eliasson 2 `�` MASON COUNTY DEPARTMENT OF HEALTH SERVICES caul Fltsqnnwgtual Health Water Qua ld - rV BOX • LOCAL(360)427-9670 Application for Waiver/Appeal gWAIR(360)2754467&4468 TOLL FM 1 s62-5628 PAR(360)427-7798 Amount Paid: RecelptNumba: S V Instruction PART 1: Applicant/Parcel Identification t0ea Date ea ti ' I Name of Applicant E �-N7/D_`7 Mailing Address P.�• X—1 uk Telephone----- z21QT 2 come Assessor's Parcel Number ,,;G C❑` Subdivision Name and Lot - JUL 102006 PART 2: Nature of Waiver/Appeal 4L v1. CEDAR STf O Food Sanitation Requirements ❑ On-Site Sewage Requirements ❑ Solid Wane Requirements o Bulldingpermlt246pollcl O Group B Water System Rcquirtawnts ❑ Locarlot WAC46-27271-09501 O Water Adequacy Requirements ❑ On-SUe Stamford-Holding tank WAC 146-271-11501 ❑ Enforcement Thnelines ❑ e.Str ❑ Deperttawtal Dctemdmtions ❑ Cyttacari radar(pamper, 0 Other designer.er, installer.O&Mtpw)regwr menrt cription of Waives/Appeal(include Justification,additional material may be attached): dP Applicant Signamrc Date: : !( WOArANRdt1Y6tWAWat IIP Uyaaa:APO 2$.1997 i /PART 3: Health Department Evaluation(Staff'Use Only) IA.Type of Determination Required: IB. Type of On-Site /Wa va(if appltable): O Appeal 'Waiver I]None requhad O Class A /a'Clau B O Clan C 2. Identifta/on of Specific Codeltsndard/Detamination(include date of deterrnlnatlon or latest eodehsanderd revision): ..re uW.hs \\5O\ 3. N° df Ac LW�C'�.Cctx Sec 1 c+ O Zk 1Z ' c . 4. Hearing Official: ❑Board of Health O Health Officer ❑Pollution Control Hearing Board ❑ ealth Services D'acctor ❑ Certified Contractor Review Board '(Environmental Health Manager 5 ring E clots:c. 2 \t'7O. O 5\o 7. Q s 0 6. f have reviewed fhbwaiver/variance request ft tr complete,and mitigation required by stare and focal polity barb submttted. Staff Date: PART 4: Determination of the Hearing Official Y7' The hearing official has determined that approval of this request will not adversely affect public health and is hereby granted. This decision Is based an the followurg findings and conditions: O The entially an publhearing health and Is hereby denied. This decision Is based on the followingfindings: adversely affect Date: 3 D Hearing Official HIWdrr4WRCWVEWAIV2R WP Update APHI 25.1991 0 • APPENDIX A • CLASS B WAIVER OF ON-Silt SEWAGE REGULATIONS WAC 246-272 AND WORKSHEET FOR DETERMINING A REDUCTION IN VERTICAL SEPERATION This worksheet is used to deenSie if a she qualifies for a reduction in vertical separation under the Class B Waive. Please fill our the wmksheet m its entirety. Irmmpiate worksheet are returned to you and wdl cause delays in Y.permit application. Part 1:Applicant Information Name of Applicant Xr-- ?.J/,,c P Date Site Address: 0:-v C' S 14- rq04j 9 S 6 cl tot-v W 4 9S C y `f MailingAdd<aaP.o - 73oyc ' ' a' Car: 1 ap,g,e Gar k) 1 Zip: gpS2 A Aacessara Parcel : 2 2 1 2 4 2 9 nhnr', swcx: Part 2: Checklist I) Soil Series 3) Check the soil muctue The soil series must be Afhawaod,Haute, Structure must be single grained or week Haodspmn,Shelton,w Shdair Gravelly Sandy Ivan. Check the soil series a the sae a Ind caed in the Sal `' 5 MasonSingle Grained or Weak............................................................DV urvey, County,Washington(USDA 1960) Wen Suunored. ............................................❑ O Alderwood Gravelly Sandy ban..............................................❑ Other Harstine Gravelly Sandy barn.................................................. O❑ ❑' Ho dspon Gravelly Sandy lasso............................._................❑ p:. :. 3) Check percent slope of pnme7/ueassve desinfield an Shelton Gravelly Sandy Icon....................................................❑ ❑- Slopes must be from 3.30 percent Gravity is allowed only on slopes from 3-15 percent. pressure only a Sindah Gravelly Sandy kam......................................_..............❑ .❑ ` allowed on slope from 16-30 percent Other ......... . . .............. ❑ ❑ Less then 3 percent................................................ O ❑ 3-15 percent...... ..... .. . ._.. .._.. t•2) Check the soil type 16-30 permm.. ..... . .. _.. .. . ... ... .........❑ 0� Sod types must be loan,sady bent,or bamry sand Greater than 30 percent ..... . .. . . ... ._... .❑ [] Gravel and course fragemems may out exceed 60 percent n 4) Check the up-slope vetriml sepaetion Up-slope vertical sgl5ation must be greeter than 12'. Loam................................_._......................................................... ❑ ❑.-. Gravity is allowed down so IS*and promote is . ' regnved from 1St 12 I-eoemy Sand.............................._................................................. SandyLoam...................................................................................❑ Iass dun 1P..................................................-...................._.......�❑{ 0 Percent Gravel by VoMne 12-19............................................................................................ Las than m equal m 60 percent.............................. ;. ' Greater Oran 19...,....................................................................... ❑ O .: Greater than 60 percent...............................................0 Detamroed by •• Depth to Hardpan..........................._.............................�t, -❑" Depth io Moiteliog......................................................... C Both........_......................._...........................................,f'l 6) Check the drainage of she soil 3) Cheek Hrxiaahal Atsmuatim Zoe Soils must be modestly well drained to well drained A 50 foot horizonul attenuation zone is requ red, dowmgredian of the sub-surfee syslms Well Drained..................................................._...._......,.. Is dare less then 50 feet between the down gradient sided the proposed primary(rmem areas ad the Moderately Well Drained....................................................... ❑ ❑ • property boundary? Other ...............................................❑ ❑ Yes........................................_........................................................❑ 0 No................................................................_............................_...",$` :. . 7.) Check dace water table Ind If yes,the applicant will need m provide a recorded or If a seasonal water table exist.above 36",den a easement prior to final acorpursca cite on-site .. curtain drain is required Water tables shallower than sewage application. 12"are nos allowed. l0b) Record 5o foot zone on deed . ,q Is the water able. �°. The 50 foot horizonml atrematiwl zones required to Above 36" . . . .... ..........❑ ❑ . be recorded on the deed ride papery as most agree prior is design apps bed The owner '- C Above 1A'....................................................................................._ must agree that dnu area uviB rat be used fur de _ K Above 12"...................................................................................... ❑ -❑ : concoction of roads,decks,patios,parting arm, :.. _ [ vehicular traffic,or other similar such uses. 7b) lea auto drain proposed up slope oldie primary ' Is the owner aware and in with the dreetfield area? ,e2O. turns?(home owner initial Yes ... ...... .. . . .. ...... . .. . ❑ Yes.. ... .. .. .. ... .... .. . . . No...... ... ....... ... .... .... .. ..... No ... . . . . . _❑ -❑ Is the 50 four zone recorded on the deed? 8) Is the property m marine shoreline? Yes...................................................................................................❑ 0 Sea widdn 200 feet of marine slwrelines mums - -. Na..............................................................................................__�I comply with standard requitmens Q�Q,QEDQ-Ttt+tE OF 11) Check pmxinliy m well, {ZQQQOV Al Yes.................................................................................................. ❑ ❑` �a( Down-gradient wells must have a hwvoml Bedeck No..................................................................................................fail. of 200 feet Up-gradient wells must be setback 100 If yes,Indicate the distance fipn the shoreline to primary dcainfield eras: Q_feet Indicate the smallest durance from editing or 9) Is dare any fresh waer bodies within,or adjacent m, proposed wells to the de properly bondaries a.,a.; IRS t)i swe A 200 foe,horizontal se-back must be maintained between the shoreline and the pwns,,/matte drianfield area. Yec.............................................................._................................. ,t❑,/ ❑ No...................................................................................................,�1 . If yea,Indian the distance flap the shaelS m primary drainfield arms: N ifeet Designer Comments: Health Department Comments: G//{E,At D4 Mt/ L Qd?vleam, DOC, 'ntEWT WILL flE XCZ T" Part 3: Certification and Approval Applicant Certification: I aenify,to the best of my knowledge,that the above information is true and correct I admowledge that lam.slily raponsible iw memteining the integrity of the primary and rave drainfield areas; and tha demotion or damage to the drairdkld arm may rends in immediate rescinding of the umne sewage permit Designs Dace tAa Applicant Date Health Department Review: Preliminary Review For Design Submission: O Approved ❑Denied Enviromental Heel h Sanitarian Dare Waiver is ❑ Approved ❑Denied Enviam ental He.W Sanitarian Dale Comments: DESIGN .FORM—PAGE ONE Pier �� A NO rM le revlerfd WHI 3 CWN N ad N Ile rnNvrrt Yeas Be WAFA w: Canpleted desgl(am U•at has been slged ad dated s' 5Sed laph sketch, Ircidt aY mdkable Items m dedJist / haled dd play,xdudrq dl aP7lkable Reim m ckdJist .' Cro5r ehlm sketch.Ircludeq all apolrable Items m dedlizt PARCEL IDENTIFICATION ply A 5WG DGo -Q7 SC, 2 lesaN n NNNNk 606 PAY5 edam P1NNE#: 360-426-1805 ApYta t le t; ME IL NCE flats lam 5085 E. Mason Demai R . r :an; P0. OX 1618 c EVIEW Wk 98546 DELFAIR WA 98528 eiaSfah A9E0MYPYce* 22129-24-00000 DESIGN PARAMETERS ❑ elab"m■ler ❑ rw tees ❑ MM ❑ sew liw earner ❑ lam lSMlree/NMd: —6`r— ❑ m own D$4Se/MNd 1hain/idwer tpreswe ❑ IN o rwrw p Grob ®'IIEwI �6tNyeles aa.Nds ASId N {ep6c ank/9ra nfteG/Sme?Sm i f eE SveeMe t SCH, 40 — aat ua a e . 49O °^h T «erleees Trtfl/Itd� sere Ekevasan'Meamnemen6 S ermemN Area IO> ' s /om -- rz 4O M NewOIAMd �� � me"d navow ffn 10 Rod"ceNe�eN O m Mild QrNk ` Teanrparf Apse Peslgiel vernw twerdin 24"4 stare/ads 5C rtneIntCoomBefore ? ❑m n oeeeear pop lei O r Pump!Siphon/ l S ftmlione NNdkr N Nld/siNl �am�,Cfwmber 6 �ion /Kv' pwuelee Is 6ev«IM edeva pw asi Nw alNwer hpNrr4 epealdM reree: 12' enter rice ss o suer t tner eNl psw iLi !w1 Gssress Tldd IM e realty®TNN!reads Nat 30,09 L7M I— pAd TNaI«aTWlpft3l eIeM 12.111s s prides l saE EXPF i 7weer Uggvq Irc��evvk� DESIGN FORM-PAGE TWO ram M.rK: 5WG AseALTT Pvcd# 22129-24-00000 DESIGN CHECKLISTS SeaWPW PGn ScaWAyoutjbf 1 Crow-SeAF0"If b I�Tr1Me NMY ®'trrel Iw.tll- as _- .as . 0'S -0'SeIW al RrM1Nb- ®'TIMa_: -an s— ❑ MIILN - r1tMMLMMMe rMI g MKMMr IS SIMILM a�yy ����lI�l�MM��■a tns/'f-r reM tWIIYrN cMM.J.M S YMIrtV IMt_- II ar IuIn..aJ SW..MS l lS'S rr �Illrll ilil MIfbrruwata rl �01��M IIIrrL� BIisa,WtmN lgrlwrl. r M1MMM/lAllat el.. ILIaIeI ❑ nit—'- ____ - aLE• ttMIllslr O Sand augmentation r IMaN Mr iIIMMMMLs6nIMINMn �111OIL It See teMM •IrMn_M rl as ertMM [dYMe M tnMl Orl r Mlle Ml �UTi/aela�/MnIUINY! aNmrw lY�rrr laM�IgMm, i Nllt nA MM LMEMtll.Jtrlr InsLNIM_ O 4. _MtIrlAMe• O IMtleAtltMaya rlWlMlr' IUMM ❑ UtMIe.MLtLR.VrtME�wIW l,II1.:see G UMIIe r1 t�aNle ld MNrr'.i'i',_. PIONEER DIGGING, INC. 360426.1803 Att4bona(7nfama6on bob Pg e(Dceigi ) Rreela11111w Na Pgrs(D.dla) MIeeMWr RlfMeelq MMILM DESIGN APPROVAL TIe MtiMYMIe�IeYYa 26nfl 6nul,sv MeyteaMlNler— Wte lrMMlle burrralMlr MYMIN1MrNI MMIeMIE 'Hr Le rLWe11i iE11efeJ tL tMLI■MleIMMMr(et�1gMMId Mle�lakMrltlM�ellMleMM �rfer IIrM MYIe Ie{Mr1E ILlMIIMIrLI MM:M / MID tlRltt IIILLIlM.MLarrLSteLMLJ_— I 11e SLMrNIIt-__ b LMrhSlllMreMMlIIr 11ILe i nearMtewewnl.s.a .LserarltauurMt v j is, zoo .r Tue+ltLrrwbl.aSJ - .reMsrnrnalr M.IItI�ls.-_I / w�M�IJ1seMl�IeMMrleelrfMNlneffbMLa-_—_IMJtl.,MiM - i - I a 4 I 7Acz 132 588" 46.55"E 3ID•CIO A`" M IO.00 A,q'i s v, N N n , ° o z ,M Z ri o `L �I o• 581°011 E 353.j 1s 33055 ' X11. ( 25 N. OF LIME): 2 1322. 48 586°1649" E 6.01 i I / / 2"21/ I. P. Vol. 9 of Plait, Pg. 82 REBAR CONCRE TI . 28) 111 ( .52 S. OF LINE) ` / V.I. 9 of Platt, P SHELTON , WA. ( 206) 426 -4566 LARGE LOT 54€ DW\ Stb/J BASIS OF BEARING : roll r SURVEY BY 0. HOLMAN FOR GE ,k R G tJ/o (< Vol . 6 OF SURVEYS, Pa 1, A.F. 4 T {/ OWN BY DATE J . 0. V. JULY 194 CHILD BY SCAM H . T. V. I" = IOC PIONEER DIGGING. INC. PARCEL#: 221 29.24-00000 SOIL L.OG5: 366426-1803 CUSTOMER: MEL ENGER 5LI-o22"Gs 5L2-024"GlS 5L3o24"OLs 22"♦c T. 24"+G.T. 24"+Oob Pgrx fDceiq a) DRAWING: PLOT PLAN rro.To22" nooTSTo 24" noois10ro 24" Nn Payrx Write) SCALE: 1"=200' I----- 356' A" ------- AI2'-1" I -- 552'-4' —� rqr OiG p8 Z ' H I \ I I I a o q1s O' 200' 400' E%ptt PIONEER DIGGING,INC. PARCEL#: 221 292400000 SOIL LOGS: 3604261803 CUSTOMER: MEL ENGER su-022"Gts SL2-024"us SL3024"G&s 06O Pe(Dar) DRAWING: PLOT PLAN rro Yo22" uoorsro 24" no .24" Na Poy�x(Ptdta) SCALE: 1"=l00' I I I I I I I J� '1s p � 1 4a'z I I 1 I I I I I n nJ flL-P: 3-9O'x� (490SF) I i wi 50' Arne.zone \ I c ( fxi51 \V�> %' / wc6L 11 68•,4• ! PR05�7 1 fANK � OCAiION PULVIN6\ -i I L_ AAA J - I I � / MY c AAA/ bo n"^"� 0 I00�Iay.;c 200' PIONEER DIGGING, INC. PARCELS: 22129-2400000 SOIL LOGS: 60'426-1803 CUSTOMER: MEL ENGER SLt- 22"GL SS SL 024"GIS SL324"+GL4 2 G.T.22'4 24'4 G.T. 24'4 G.T. Bob Pot's c(Oca'q'n) DRAWING: DRAINFIELD DETAIL POOTGTO22'• RG0l5T024" ParTS1024" Na P ', c(Dde,) SCALE: 1"=10' \ Mr ^D.; . roc rqb vv our 0 ;3 24 p \ \ \\ 410 c S Q / / / / arMNJIFGl.l7 / 6 / wrecE a is 2O 005FFVAj0N F0Rf5 PIONEER DIGGING, INC. PARCEL#: 22129-24.00000 SOIL LOGS: 360-426.1803 C0STOMER: MEL ENGER =2G. 8L2-a24••Gl5 st3O 4GLs 24"+GT. 24TDRAWING: CROSS-SECTION " ROOISTO24" aeoisro 24" )a Poysx(D,dlc) SCALE: N/A 6 0 %FVA1ION PORE W ICV DOX z F_O7 IF, J700� SANIN f LL PINI`MED pMOVABI E CAP 5ANIT'FILL FLT V FAMC 17RANROCK pRIGINN,CKN�� I .25" LAT t I I I I I I I + 36" � I I I I I I I �5fRICnvE I,AY�R 3� �4aq„ exvs SEER DIGGING,INC. PARCEL#: 22129-24-00000 DESIGNER'S NOTES: 0.426-1803 CUSTOMER: MEL ENGER INSTALL ALL RISERS TO FINISHED GRADESEPTETMIK IW MUST BE PLACED AT PROPER ELEVATION FOR CRANKY Bab Pq�c!GealycvJ DRAWING:TANK DETAIL DRAINING OUT OF HOUSE. Nn Pe(Did/c) SCALE: N/A 4'GfkCN 74 V(1 W/ IV NN LV`hNLY 6if0N 1•M 1"M NA la 10'MONICfO YPACLMFN NffONIY'M.r- [L5L.N c ntrnli t1 GR'CfIIIIli IMM1LS ;r' .•)� Mt Lam. //��//�� /�� �y YJh ♦A�W 4 rUftML /Il A �.• (',:„%� 12OO CA- A.1 IC MK V �006 6 r X0I wuL4M1mL* CL fQW Mf W/QYl.PY IlCT Z1"410f09Y4w/ffiW0LP 1Of90VVLM fO c4MIRA - ov vn NV 1"M NUT-. HMWMf4NlOP,IC it I PYk 4KifNlLCf UYAI 4M OR v N£IQ flN^MA LCAI WME AMM Miff FLOW _- FUND'1P ( weeAmr EIFtti.d PIONEER DIGGING,INC. PARCEL#: 221 2932400000 DESIGNER'S NOTES 360426.1803 CUSTOMER: MEL ENGER INSTALLALL.RtSOSOR W4WOLDCOVEp5TOFlNI6NCGfl FOR EASY ACCESS. Bob Poyex CDi4n>J DRAWING: MANIFOLD Nc+Pgx(Drdla) SCALE: N/A 1116 /J7OIJ 51PE VIEW OF �d R VPLVE COX 1.25" CPU. VPLVE (T ) 1.25" FI,EXPN'E 1.25" FEEDER 6IW5 1.25" C'rECK VPLVE (tYP.) 1125" DECK VPLVE5(M'.) 1.25" 13&L VAVE(TT.) ® 2" 5CN, 40 T.L(- __________________ . TOP VIEW OF VPLVE DOG 25" FEEDERI,IKE5(TYP.) EF33E EF33 SPECIFICATIONS •Capacity to 120 GPM •Heads to 90 feet •Discharge size • It' 2"female NPT - •Power cord l0'or 20' -1 U6 Z Solids 3/4"maximum MATERIALS OF MATERIALS OF CONSTRUCTION ;''s CONSTRUCTION •Stainless Steel -Stainless Steel •Engineered Composite •Engineered Composite FEATURES&BENEFITS APPLICATIONS FEATURES&BENEFITS APPLICATIONS •Ughtwelght •Graywater pumping .Lightweight •G Septic pumping •Corrosion resistant •Septic Tanks Effluent •Corrosion resistant •Septic Tanks Effluent •Manual or automatic •STEP Systems .Manual or •STEP Systems operation •Watertransfer automatic operation •Watertransfer •Field replaceable power PUMP MODELS •Field replaceable power cords cords EF33.1/3 hp,115 or 230 volt, •Continuous duty when fully SPECIFICATIONS •Continuous duty when fully 1-phase submerged •1/3 hp.se or 230 volt, submerged Temp. EFSO.1/2 hp,115 or 230 volt, 1-phase •Fluid Temp.Range: 1-phase •Fluid Temp.Range: •Capacity to 64 GPM 104-F(•C)mm. P 32'F(0'C).mim 104F(40t)max. EFTS•3/4 hp,230 volt, 104'F(40'C)max. •Heads tonfeet 1-phase •Discharge size 1-1/2' AGENCY LISTINGS EF10D•I hp,230 volt, AGENCY LISTINGS female NPT ® UL Usted 1-phase ® UL Usted •Power Cord 10 or 20' aril UL Usted to Canadian EF1SO.1-1/2 hp,230 volt, , UL Listed to Canadian •Solids 3/4'maximum SS��'' safety standards 1-phase safety standards M N : ;ntn I. q 6 b q q , . 1f,4A in & q I. p d io M n , p 5P - b 14 SD ss xa a 4 0 g M p tl N N q QIOOON407CI0PGflro G M Us apY usoauaagtM ,m VSLMIOMSMMINYn N t 'as. • PIONEER DIGGING INC. • 36a426-1803 Bob Payne Washington State Onsite Wastewater Designer '...L, y4' Installation&Maintenance for: Shallow Pressure System 1: This system Wiu— require a.05 Fast ATU.(Circled one applies) Ex,_.,,, 2: Install Aquaworx control panel as per design. 3:Install risers to surface on septic tank(or ATU)and Pump tank as per design. 4:Install check valve&union in transport line within tank lid. 5:Divert all storm water runoff within 10'of upslope edge of the drainfield or reserve area. 6:No curtain drains allowed within 10'of the upslope edge and 30' of the downslope edge of drainfield or reserve area. 7:All Materials and workmanship must meet County and State Regulations 8:Deviation from this design without prior written approval from the designer and Mason County Health Dept.will make this design null and void. 9: The prepared plot plan is not a survey;it is the owner's responsibility to verify property line locations,all easements,and encroachments prior to installation. Any discrepancies must be reported to the designer immediately. 10:This design is intended to meet State and local health dept requirements that are related to the system being proposed. Any placement of proposed buildings,or other non related items on these drawings may or may not meet local and or stat requirements. It is the property owner's responsibility to determine what is acceptable to the various departments for non-related items. 11: Install this system in dry weather. 12: Trench bottoms must be level. Follow the contours of the slopes. 13:For protection of the drainfield,no traffic is allowed on top of the proposed drainfield areas. 14:Encroachment of house and/or driveway into drainfield areas may render this design and site unusable. 15: All roof drains and downspouts shall be directed away from drainfield areas. 16:Drainfield should not be installed into depressed areas where surface water can collect. All grading over drainfield must provide proper surface water run-off. ASBUILT FORM I b tud/ Mason County Public Health PARCEL IDENTIFICATION Assessor's parcel# J 2/2 9 -p4(-COOOel Permit Number SWG Ow -- Cnct2 (Twelve-Digit Number) L P4l (. d""2 Subdivision ___________________________________ Applicant Name (Name_io0 / Applicant Address 8, r11— -y''^^ .3 Installer's Name ?O�( /a1,s—-4z YC City,Sate,Zip $. ,fJ4,,j t44- Designer's Name INSTALLER CHECKLIST N/A Yes Prior to Completion 1. SEPTIC TANK >5 ft.Prom foundation?....................................................... . ❑ .a+ ❑ >50 ft from wells? ......................................................-.......... p ,[f 0 >50 ft Surface water? .................................................._.......... ❑ ,Zf ❑ Building stubout to septic tank:cleanout if not 1-2%?................... ❑ ,0 ❑ Baffles intact and clean?............................................._.__....... ❑ ,@" ❑ Dividing wall inact?........_.................................................__ ❑ rZf 0 Risers installed for ?...... ........................................._..... ❑ ,g ❑ Screen basket effluent fil iosmlled?(circle oneJ.�jQ ❑ ❑ Tanksize: iiaS gal.: Manufacture: K•' th IL D-BOX Leveled with water? ........................................................... .0 ❑ ❑ Speed leveler used? ............................................................ Rf ❑ ❑ ID. Drainfield >IO ft from foundation?....................................................... ❑ 9 ❑ >5 ft from property lines and easement lines?........................._.. ❑ ❑ > 100 ft fromwels?................._............._.......................... ❑ fd ❑ >100 ft from surface water?......................................_......... ❑ ❑ >IO ft from potable water lines? ............................................. ❑ .E( ❑ Laterals level to±l inch&end caps present if not looped?.............. ❑ X ❑ Gmvelless chambers utilized?................................................ . 0 0 Grovel clean,properly sized,and proper depth'........................... 0❑ )2 ❑ PRESSURE SYSTEMS Sand quality ASTMC-33?......................_.............._.._.. ❑ ,Pf ❑ Head height uniform >24 inchu? Actual head height_ ❑ a RI Clean-outs and observation ports present?...._................_. ❑ le ❑ Mound: Side Slope 3:1?............................................. .Pf ❑ ❑ Owner informed electrical connections must be made by owner or licensed electrician and inspected by L&I'............- ❑ ❑ IV. PUMP/PUMP CHAMBER Pump make p4._ ._./.: ; Pump model S1ae 4F- 50 ❑ ,� ❑ Chamber size 1000 gal; Manufacture ❑ '0 ❑ Height of pump oB bottom of pump chamber inches Pump chamber draw-down/.s gallons per inch per minter Pump capacity 33 gallons per minute Pump controls:Timer,Elapsed Time Mew,Counter?(Circle all that ❑ ❑ a' apply). if timer:Pump On Pump Off er--a+_a— Riser installed for access?......................................................... 0 p 0 Alarminsalled?............................................................-......_ 0 0 ASBUILT DRAWING CBKCKLIST "ar t y cI --- 1 771 ' t Drainfield& � ,eei `f. p_ manifold orientation v � ' &layout ts.i..Wj Afi M_ 6, .S r tas Si 0Trench/beddimensions and 1 S. critical distances a�^�O lt,�fj��,o within layout , septic/pump lank placement 0 Location of buildings Observation Pori& clean-Out location 0' Location of wells& iA roads fd Undisturbed native soil between fP trenches North arrow yrkl eidanematlon madeMmetebythe inrtalleraregenerdyaccePtahuero CAUTION:de anmentandtedesi designer, bra kuld in cn ertand in casessystem. Ins the installer's responsibility to both the depart n o and designer,but he he in de rein cases comp in the viability e t obtain prior written approval from em the approvedroved drs�i must befroshownabov re making any deviations from the design that affect the eYsrem viabrhry. Any vianoru from appmv 8 CERTIFICATION OF INSTALLATION r: Check a box from Row"A"and"B",sign and data the cc certificaatitof tleviatiwu from the design stamped on A. I certify that I installed the system without any „A�vem' by MCPH we shown above- rtify deviation from the design stamped"APPROVED"by MCPH B. ❑ I certify that I contacted the designer and lei the ❑ I did not contact the designer prior to final rover because the system open for inspection up to 48 his prior to cover, designer waived the notification requirement. I further certify that all infommdon contained on this form is accurate. I understand that if the information contained herein is not accurate,there will be jug cause for immediate suspension afmY insWt r certification. pa S./^d ///���Sllli Nre of Insist Dais• The undersigned approves this installation on behalf of Mason County Public Health. intuit of Sanity ian Date • Revised Jmmary 2W7