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HomeMy WebLinkAboutZON2017-00010 AQUIFER RECHARGE AREA REPORT APRIL 05 GEOENGINEERS 8410 154th Avenue NE Redmond,Washington 98052 425.861.6000 April 5, 2017 Jefferson County :; Department of Public Works • 623 Sheridan Street ;°�, (Pi.) Port Townsend,Washington 98368 y , , Attention:Gordon Ramstrom 0� _ ; Subject: Aquifer Recharge Area Report Quilcene Solid Waste Drop Box Facility Improvements Quilcene, Washington File No.01422-021-00 INTRODUCTION GeoEngineers, Inc.(GeoEngineers) is pleased to submit this Aquifer Recharge Area Report for the Quilcene Solid Waste Drop Box Facility Improvements project. The project site is located at 295316 Highway 101 near Quilcene, Washington. The site location is shown in the attached Vicinity Map (Figure 1). Our understanding of the project is based on discussions with and information provided by Jefferson County Department of Public Works(Public Works)and our experience preparing hydrogeologic assessments. We understand that Public Works has proposed to upgrade their existing Quilcene Solid Waste Drop Box Facility by replacing an existing 80-square-foot (sf) attendant office with a new 240-sf attendant office structure and upgrading an existing shipping container to an approximately 560-sf environmental center, which would be used for the collection of household waste such as fluorescent lighting,oils and anti-freeze. Minor clearing,grading, or other ground-disturbing activities are proposed and no processing of hazardous materials is expected. The project site is located outside of critical areas,except for the critical aquifer recharge area (CARA).The proposal involves hazardous materials; therefore, an aquifer recharge area report that complies with Jefferson County Code (JCC) 18.22.120(1) Articles III (Critical Aquifer Recharge Areas) and VIII (Special Reports)was required. PURPOSE AND SCOPE OF SERVICES The purpose of our hydrogeologic services is to develop an aquifer recharge area report for the proposed project that will meet the requirements of JCC 18.22.400. Jefferson County Public Works April 5,2017 Page 2 Task 100- Aquifer Recharge Area Report Jefferson County (County) requires that an aquifer recharge area report be completed for this project because it is located within an area of moderate aquifer sensitivity.The County requires submitting a written assessment that details the hydrogeologic characteristics and subsurface conditions and indicates the susceptibility and potential for contamination of groundwater supplies. The report was prepared to meet the requirements of an aquifer recharge area report per JCC 18.22.400.Our scope of services for this task included the following: 1. Reviewing documents provided by Public Works that describe the proposed site plan, operations and uses of the site. 2. Reviewing available published and site-specific reports and other information regarding the geologic setting, hydrogeology and background water quality of the site and vicinity. 3. Reviewing available well and borehole data within 1,000 feet of the site. 4. Estimating groundwater elevations, recharge potential, flow direction and gradient from nearby well and borehole data.We understand that there are no existing groundwater monitoring wells on the site. 5. Completing a brief site visit to observe geologic conditions, nearby surface water features, wells and springs. 6. Preparing an aquifer recharge area report by a qualified licensed hydrogeologist.We will submit a draft report to Public Works for internal review and comment. After your comments are discussed and incorporated,we will produce the final report for submittal to the County.The report will be based on the County's requirements that shall include,from JCC 18.22.400(2): A. A detailed description of the project, including all processes and other activities that have the potential for contaminating groundwater; B. A hydrogeologic evaluation that includes,at a minimum: a. A description of the hydrogeologic setting of the aquifer region; b. Site location,topography, drainage, and surface water bodies; c. Soils and geologic units underlying the site; d. Groundwater characteristics of the area, including flow direction and gradient, and existing groundwater quality; e. The location and characteristics of wells and springs within 1,000 feet of the site; f. An evaluation of existing groundwater recharge;and g. A discussion and evaluation of the potential impact of the proposal upon groundwater recharge; C. A contaminant transport analysis for the uppermost groundwater supply aquifer assuming an accidental spill or release of project-specific contaminants or on-site sewage discharge,or both if applicable; D. A discussion and evaluation that details available on-site spill response and containment equipment,employee spill response training, and emergency service coordination measures; E. Proposed best management practices (BMPs)to minimize exposure of permeable surfaces to potential pollutants and to prevent degradation of groundwater quality;and GEOENGINEERS� Jefferson County Public Works April 5,2017 Page 3 F. Requirements for a monitoring program with financial guarantees/assurances that the monitoring program will be implemented. REFERENCE MATERIALS The following references and databases were accessed to obtain information pertaining to site characteristics: 1. Washington State Department of Ecology(Ecology)Well Log Viewer database. This database provides water well reports (well logs) for wells drilled in Washington state, available at https://fortress.wa.gov/ecy/waterresources/map/WCLSWebMap/defa ult.aspx 2. Washington Department of Fish and Wildlife (WDFW)SalmonScape online mapping tool provides fish use and habitat information for Washington state, available at http://apps.wdfw.wa.gov/salmonscape/map.html 3. Washington Department of Natural Resources (WDNR) Forest Practices Application Mapping Tool (FPMAT).This site provides GIS-based information on the hydrology and fish use in the state,available at https://fortress.wa.gov/dnr/protectiongis/fpamt/default.aspx 4. U.S. Geologic Survey(USGS) Mount Walker, 1:24,000 scale topographic map. 5. WDNR Interactive Geologic Maps. Online data base of surface geology for Washington state, available at https://fortress.wa.gov/dnr/protectiongis/geology/?Theme=wigm 6. Washington State Department of Health (DOH) Division of Environmental Health Office of Drinking Water, Sentry internet database. This database contains information on the location, water sources and water quality information for state public water systems, available at https://fortress.wa.gov/doh/eh/portal/odw/si/Intro.aspx 7. DOH Source Water Assessment Program (SWAP) Maps. This database provides maps of wellhead protection areas for Groups A and B water systems, available at https://fortress.wa.gov/doh/eh/dw/swa p/maps/ 8. United States Department of Agriculture Natural Resources Conservation Service. 2017. Web Soil Survey. Surface soil maps for Jefferson County, available at https://websoilsurvey.sc.egov.usda.gov/App/HomePage.htm A site visit was conducted on March 17,2017, by Joel Purdy,a licensed Hydrogeologist with GeoEngineers. Joel wasiv n g e a tour of the current Quilcene Drop Box Facility by Cordon Ramstrom, the Architectural Project Planner with Public Works. The tour included viewing the current operation of the facilities, the proposed location of the drop box and the general site layout. Field-locating of water-supply wells and surface water bodies in the project site vicinity was conducted by viewing various parcels along Highway 101 while driving. The GPS locations of wells, as the located by assumed pump houses, were recorded and included in maps discussed below. GEOENGINEERSi PROPOSED PROJECT Jefferson County Public Works permanently closed four Rural Drop Box Facilities (RDBF) leaving only one operating RDBF located at the subject site at Quilcene. The RDBF is a vital part of the Jefferson County Solid Waste Management system. The RDBF receives materials and transfer them to other destinations for processing and/or disposal. Municipal Solid Waste and appliances will be transported to a disposal facility outside the boundaries of Jefferson County. The RDBF also has a recycle area with collection boxes for different types of recyclable materials which,once sorted,are transported to the Recycle Center located at the Jefferson County Transfer Station Facility by a company operating under contract.The RDBF has collection containers for used oil and antifreeze that are transported to the Jefferson County Moderate Risk Waste Facility for processing. The RDBF produces two different wastewater streams.The sanitary wastewater is handled by portable vault toilets services by a contractor. All storm water that drains from impermeable surfaces, such as paved areas and building roofs,are discharged to a grass filtration area located along the edge of the site.Storm water collected in the filtration area is discharged and infiltrated into naturally vegetated areas. These systems are not on a scheduled maintenance program, but they are periodically inspected and, if problems occur, are corrected immediately. Per the Operations and Maintenance PIan1, there are three categories of materials that are expected to arrive at the RDBF: "Acceptable Materials", "Unacceptable Materials", and "Special Materials": "Acceptable Materials"include residential and municipal solid waste and recyclables, including but not limited to garbage,rubbish,refuse,waste paper,tires,cardboard,plastics,metals,and bulky household items. "Unacceptable Materials" are generally liquids, hazardous materials (except oil, antifreeze, compact fluorescent lamps(CFLs),and lead acid batteries that are accepted at the Household Hazardous Waste station)or radioactive materials,explosives,pathological or biological medical materials(except sharps wastes as defined in WAC 173.300.020), bulk loads of tires, or any materials that would likely pose a threat to health or safety. "Special Materials" are any material (even though it may be part of a delivered load of material),that is otherwise considered acceptable material,but because of its unique characteristics,requires special handling and may be subject to a special fee.All special materials not listed above are diverted to other disposal facilities. A state operations permit#SWF 14-0007 is maintained as required and displayed onsite. Accurate records of volumes and/or weights and revenues are required by state regulation. A report is required on an annual basis that describes RDBF activities during the previous year, including the quantity in weight (tons), volume (cubic yards), and estimated density (pounds per cubic yard) by type of material. Jefferson County Department of Public Works, Solid Waste Division, 2012, Volume 3 Jefferson County Rural Dropbox Facility Operation & Maintenance Plan. GEOENGINEERS� Jefferson County Public Works April 5,2017 Page 5 The RDBF is not equipped with weigh scales so all incoming material is tracked and recorded by volume (Jefferson County Department of Public Works, Solid Waste Division, 2012). Public Works provided the following list of the waste materials that will be handled at the Quilcene RDBF. The listed quantities are maximum amounts that are allowed onsite at one time. ▪ Motor oil: 250 gallons Anti-freeze: 150 gallons ▪ Fluorescent tubes and compact fluorescent lamps: 100 ▪ Lead acid batteries: 15 SITE LOCATION,TOPOGRAPHY, DRAINAGE AND SURFACE WATER BODIES The site consists of a part of tax parcel 70223-1010, located at 295316 Highway 101 in Quilcene, Washington. The RDBF site is at approximately 104 feet elevation and is relatively flat. Approximately 1,000 feet north of the site is an unnamed water body identified by the WDFW as a Swamp-Marsh and locally referred to as Nelson's Pond.An unnamed stream is mapped by others (SalmonScape and FPMAT) to be approximately 200 to 300 feet west of the site.According to the maps and existing topography,the stream appears to be shown to flow north toward Nelson's Pond and south toward Big Quilcene River, located approximately 1,200 feet south of the site. However, no stream channel or culvert under Highway 101 was observed during the site visit. SOILS AND GEOLOGIC UNITS UNDERLYING THE SITE GEOLOGY Geologic information for the project vicinity was obtained from the Digital Geology of Washington State 1:100,000 scale map(WDNR November 2016).The Surficial Geology Map(Figure 2)shows three different geologic units of Quaternary Age in the vicinity: Alluvium (Qa), Glacial Recessional Outwash (Qgo), and Undivided Pre-Fraser Deposits(Qgpo)as shown on Figure 2.The nearby bedrock likely occurs at depth below the site and below the surficial soil. The surface geology of the RDBF is Glacial Recessional Outwash (Qa).This unit consists of pebble to cobble gravel and sand that is gray to tan and is generally unoxidized with little iron staining. Recessional outwash was typically deposited over glacial till or advance outwash by meltwater streams emanating from the retreating Vashon glacier. Recessional outwash deposits typically consist of sand, gravel, cobbles and boulders. They were typically deposited within deeper valleys remaining after recession of the Vashon glacier. Recessional outwash is generally 5 to 100 feet thick. Undivided Pre-Fraser Deposits (Qgpc,) can be from glacial and nonglacial deposits. This unit is believed to be Pre-Fraser in age but may include younger deposits such as Quaternary advance outwash because of uncertain identity of similar lithologies. Alluvium (Qa) consists of sand, gravel, silt, and clay that is typically tan to gray but can be dark grayish brown. It is variably sorted, loose to consolidated, and stratified.Alluvium is deposited in stream beds and estuaries. The alluvium in the site vicinity was deposited by the Big Quilcene River to the south of the site, and is mapped in the flood plain of the river. GEOENGINEERS Jefferson County Public Works April 5.2017 Page The USDA Soil Survey has mapped the RDBF site as 'Hoodsport very gravelly sandy loam' (USDA 2017). The site is mapped as having a slope of between 0 to 15 percent and the soil is classified as 'moderately well drained'. The USDA Soil Survey estimates the infiltration rate as low to moderately low at 0 to 0.06 inches per hour and with no frequency of flooding or ponding. HYDROGEOLOGIC SETTING Wells and Springs Wells in the vicinity of RDBF site are shown on the Well Location Map(Figure 3).The logs from wells in the area indicate that the shallow subsurface geology is generally consistent with the surficial geology map. Soils recorded in the well logs consist of sand, gravel, cobbles and clay.Some well logs indicate 'hardpan' several feet below ground surface. Hardpan is a term for very dense glacial till that has relatively low permeability.The source aquifer for nearby wells is likely confined based on well log information. Springs were not identified in the RDBF site vicinity on maps reviewed for this study. No water systems or households in the vicinity are known to have springs as sources for water supplies. Well Logs Water well reports (well logs) were obtained from Ecology's online database. Logs for resource protection wells were not found in the Ecology database search. Although drillers are required to submit water well reports for water-supply wells, not all wells have well logs records, including those drilled prior to the reporting regulations. It should also be noted that location information provided on the well logs are notoriously inaccurate, or even missing. For this study, we assumed that nearby residences are served by individual wells. Figure 3 shows the approximate locations of the wells in the area that fall into four categories: 1. Wells that were visually observed in the field and correlated with well logs; 2. Wells with associated well logs that were not field-located and shown with approximate locations; 3. Wells visually observed in the field without correlated well logs: and 4. Assumed wells associated with residences, without well logs, and not visually observed in the field (shown as "unknown well" on Figure 3). Table 1 summarizes information from well logs associated with nearby parcels(categories 1 and 2 above). Ten wells were identified within 1,000 feet of the proposed site based on Ecology's database and the site visit. Six additional wells were known or assumed within the vicinity. Well logs for wells found in the Ecology's database are included in Appendix A. GEOENGINEERS_Zi7 Jefferson County Public Works April 5,2017 Page 7 TABLE 1.SUMMARY OF WELL LOG INFORMATION Land Well Screen/Well Groundwater Surface Opening Depth2 Elevation3 Well Name Original Well Owner Elevation' (feet) (feet) Quilcene Little League Jefferson County 125 88 to 121.5 93 (ACC086) Department of Public Works Jefferson County PUD#1 USDA Olympic National 80 65 to 166.5 41 (ABR399) Forest-Quilcene Road Quilcene Bible Church Quilcene Bible Church 134 98 to 103 57 Philip Jefferson Philip Jefferson 110 67 60 Ray Colhesse Ray Colhesse 110 53 80 Tranquilcene Trailer Park (AGR 744) Russell"Art'Smith 125 Unknown4 60 W.R.Colyott W.R.Colyott 95 77 55 Walter Pederson Wally Peterson 113 56 65 Notes: 1 Land surface elevations were based on approximate locations and using USGS topographic maps or Google Earth elevations. 2 Depths below ground surface of well screens,perforations or open casing bottoms as reported on well logs. 3 Groundwater elevations were derived from subtracting the depth to water as reported on the well logs from the land surface elevations. 4.The well log copy is mostly illegible. The well logs for the wells located nearest to the proposed site (the Jefferson, Colyott, Pederson and Colhesse wells shown on Figure 3)indicate that water is encountered between 50 and 70 feet below ground surface. The source aquifer for these wells appears to be confined by relatively low-permeability layers of clay or "hardpan" as indicated by water levels that are shallower than the depths of the aquifer materials. The Jefferson County PUD Well located approximately 800 feet northeast of the proposed site is drilled relatively deeper(165 feet below ground surface)than other wells in the vicinity and may be completed in a deeper portion of the confined aquifer than the typical residential wells in the vicinity. Groundwater Characteristics Groundwater flow directions were estimated based on water levels in wells near the proposed site and general topography. Water levels reported on the Ecology well logs are prone to being imprecise. Furthermore, the ground surface elevations at the wellheads were not surveyed. However, based on the given information groundwater flow is likely to the south or southeast toward the Big Quilcene River. Our evaluation of groundwater quality is based on the review of DOH online database records for nearby water systems.The database indicates that there have been no exceedances of the inorganic components tested in the water systems listed. In general, water quality appears good, with relatively low hardness, conductivity, manganese and iron. Groundwater Recharge Groundwater recharge in the area comes from infiltration of precipitation falling within the aquifer source area. Precipitation that falls either runs off to surface water bodies, evaporates, is transpired by plants, or GEOENGINEERS Jefferson County Public Works April 5,2017 pie infiltrates below the root zone to provide groundwater recharge. Permeable surfaces such as sands and gravels tend to infiltrate water better than relatively impermeable surfaces such as asphalt,silt or clay. POTENTIAL IMPACTS UPON GROUNDWATER RECHARGE The proposed Quilcene RDBF project is to upgrade the facility by replacing an existing 80-sf attendant office with a new 240-sf attendant office and upgrading an existing shipping container to an approximately 560-sf environmental center, which would be used for the collection of household waste such as fluorescent lighting, oils and anti-freeze. This planned upgrade results in an additional 720 sf of impermeable area. The increase in impermeable area would increase the runoff and decrease infiltration within the 720-sf area. However, the site will be designed to route storm water from impervious surfaces to existing grass infiltration areas. Thus, there will be minimal impacts if any to current groundwater recharge rates and volumes. CONTAMINANT TRANSPORT The surficial geology at the site is recessional outwash, which is generally highly permeable. Most of the site appears to be underlain by surficial sand and gravel. If a spill occurred on soil at the site,the spill may infiltrate within the unsaturated soils. Because the soils are unsaturated,transport of the spill would likely be generally vertical.The nearest groundwater is in a confined aquifer encountered at about 50 to 70 feet below ground surface and appears to be protected by low-permeability layers based on logs of nearby wells. Thus,a quick response is expected to contain the spill before reaching the groundwater table. The proposed site is located within the 10-year travel-time of the fixed-radius wellhead protection area for the Quilcene School District based on the online DOH SWAP mapping application.The School District's well is located approximately 3,500 feet east of the proposed site and is approximately 62 feet deep according to DOH water facilities inventory records (DOH Sentry Internet database). Because the well is located 3.500 feet away and is cross-gradient from the proposed site, potential spills or contamination at the site pose a minimal risk to the well. SPILL RESPONSE Public Works' spill response is outlined in the Jefferson County Limited Moderate-Risk Waste Collection Facilities: Operations, Spill Management & Prevention Plans, Volume 6. Section 8 addresses spill procedures for antifreeze, motor oils, battery acid, and broken mercury-containing lights.Section 8 directs other spill procedures for other hazardous material to be handled by the Solid Waste Coordinator.The spill kit at the Quilcene site is in the on-site tool shed(Jefferson County Department of Public Works,Solid Waste Division 2016). The outlined spill responses include stopping the source of the spill and placing the container over secondary containment, if applicable. Additionally, the outlined spill responses include using loose absorbent to stop the spread of a spill, collecting any free liquid, and cleaning hard surfaces with soap or detergent. Public Works report that it has equipment located on site that could be used to promptly excavate soils within the spill area if necessary. The spill responses are designed in part to minimize the effect of the spill and reduce the likelihood of the spilled material seeping into the aquifer. GEOENGINEERS • Jefferson County Public Works April 5,2017 Page 9 Good housekeeping and preventive maintenance are on-going approaches to improve and maintain a clean environment. We suggest that curbing be considered in the area around the drop-box to prevent spilled materials from reaching the infiltration areas. In addition,the following is a list of suggested BMPs for the proposed Quilcene RDBF upgrades: 1. Vacuum paved surfaces with a vacuum sweeper to remove accumulated pollutants a minimum of once per quarter. 2. Inspect all vehicles and mobile and stationary equipment during site inspections for leaking fluids such as oil,antifreeze,etc.Take leaking equipment and vehicles out of service or prevent leaks from spilling on the ground until repaired. 3. Immediately clean up spills and leaks to prevent the discharge of pollutants.Immediately notify Ecology and the local sewer authority if a spill may reach sanitary or storm sewers, ground water, or surface water, in accordance with federal and Ecology spill reporting requirements. 4. Promptly contain and clean up solid and liquid pollutant leaks and spills including oils and fuels on any exposed soil,vegetation or paved areas. Use solid absorbents(e.g.clay, peat, rags)where practicable. 5. Significant amount of debris can accumulate at uncovered loading/unloading areas. Sweep these surfaces at least quarterly to remove material that could otherwise be washed off by stormwater.Sweep outside areas that are covered for a period of time by containers or other material after the areas are cleared. Do not hose down the areas. 6. Promptly repair any deterioration threatening the structural integrity of the facilities. 7. Place drip containers at locations where leaks or spills may occur such as hose connections,hose reels, filler nozzles, beneath mounted container taps, and under parts or vehicles that drip. Drip containers shall always be used when making and breaking connections. Check loading/unloading equipment such as valves, pumps,flanges, and connections regularly for leaks and repair as needed. Empty drip containers immediately after a spill or leak is collected. 8. Inspect all incoming vehicles, parts, and equipment stored temporarily outside for leaks. 9. Promptly repair or replace all leaking connections, pipes, hoses, valves, etc., which can contaminate stormwater. 10. Conduct all oily parts cleaning,steam cleaning,or pressure washing of equipment or containers inside a building, or on an impervious contained area, such as a concrete pad. Direct contaminated stormwater from such an area to approved treatment. 11. For the storage of liquids use containers that are rigid and durable, non-absorbent, water-tight, and corrosion resistant both to weather and the material stored. Replace or repair containers that are leaking, corroded, or otherwise deteriorating. Use aboveground storage tanks (ASTs), piping, containers, valves etc. that are appropriate for their intended use and for the contained liquid. Place tight-fitting lids on all containers. 12. Where feasible,store potential stormwater pollutant materials inside a building or under a cover and/or containment. 13. Minimize use of toxic cleaning solvents,such as chlorinated solvents and other toxic chemicals.Recycle waste materials to the maximum extent feasible. GEOENGINEERS7 14. If leachates and/or emissions from buildings are suspected sources of stormwater pollutants, then sample and analyze the stormwater draining from the building. 15. Sweep roofs routinely to remove zinc residuals. CONCLUSIONS GeoEngineers completed a hydrogeologic evaluation and aquifer recharge area report for the Quilcene Rural Drop Box Facility proposed by Jefferson County Public Works in compliance with Jefferson County Code 18.22.120(1) Articles III (Critical Aquifer Recharge Areas) and VIII (Special Reports). We provide the following conclusions based on our study: Proposed project: The proposed Quilcene Solid Waste Drop Box Facility Improvements project. We understand that Public Works has proposed to upgrade their existing facility by replacing an existing 80-sf attendant office with a new 240-sf attendant office structure and upgrading an existing shipping container to an approximately 560-sf upgrade of the existing environmental center, which would be used for the collection of household waste such as fluorescent lighting, oils and anti-freeze. No new clearing, grading, or other ground-disturbing activities are proposed and no processing of hazardous materials is expected. e Hydrogeologic setting of the aquifer: The RDBF site is located in an upland area approximately 1,200 feet from the Big Quilcene River, and underlain by shallow confined aquifers used by local residences and water systems. ir Site location, topography, drainage, and surface water bodies: The RDBF site is located at 295316 Highway 101 near Quilcene, Washington. Topography slopes generally to the south and southeast toward the Big Quilcene River. Drainage of the site is generally to the south and southeast. There is a large wetland located on the northern edge of the Jefferson County parcel that is locally referred to as Nelson's Pond.A stream that was mapped by WDNR to the west of the site was not found during the site visit. • Soils and geologic units underlying the site: The surface is mapped as being underlain by glacial outwash deposits and Hoodsport soils.These are relatively permeable and "moderately well drained" soils. is Groundwater characteristics of the area, including flow direction and gradient, and existing groundwater quality: Groundwater is generally encountered between 50 and 70 feet below ground. The source aquifer is generally confined based on information on well logs.Groundwater is interpreted to flow to the south and southwest based on water level data and general topography. • The location and characteristics of wells and springs within 1,000 feet of the site: Ten wells were either field located or assumed to be associated with residences located within 1,000 feet of the site. Wells range in depths from 55 and 165 feet. No springs were observed within 1,000 feet of the site during the site visit or noted on maps found at online database sources. *: An evaluation of existing groundwater recharge:Groundwater recharge is from precipitation that falls upon the site.The proposed project will add approximately 720 sf of impervious surfaces.Stormwater from the new impervious surfaces will be routed to existing grass infiltration areas surrounding the site. GEOENGINEERS Jefferson County Public Works April 5.2017 Page 11 ■ Potential impact of the proposal upon groundwater recharge: The proposed project will have minimal, if any, impacts upon groundwater recharge at the site. ■ Transport analysis for the uppermost groundwater supply aquifer assuming an accidental spill or release of project-specific contaminants or on-site sewage discharge, or both: Site soils are unsaturated and relatively permeable. If a spill was to occur,the spill would migrate generally vertically. The source aquifer for wells in the area is encountered between 50 and 70 feet below ground, and is considered confined based on well log information.The confining unit is formed by fine-grained material that will naturally protect the aquifer from potential contamination from a hypothetical spill.Thus,there likely will be time for remedial action and spill response before the contamination reaches the aquifer. ■ On-site spill response and containment equipment, employee spill response training, and emergency service coordination measures:Jefferson County Public Works has a spill response plan, an onsite spill kit, employee response training and emergency service coordination based on a review of their Operations& Maintenance Plan documentation. Proposed best management practices to minimize exposure of permeable surfaces to potential pollutants and to prevent degradation of groundwater quality:A list of suggested BMPs are provided within this report. We also recommend curbing of the area surrounding the proposed environmental center to contain potential spills. Requirements for a monitoring program with financial guarantees/assurances that the monitoring program will be implemented:We are not recommending that a monitoring program be implemented because of the low risk to the aquifer and relatively small volumes of hazardous materials handled at the drop box. ACCURACY,ASSUMPTIONS AND RECOMMENDATIONS The critical areas analysis presented herein relied upon geologic information collected from well logs obtained from the Ecology database that contains imprecise information reported by others. No onsite subsurface investigations were conducted on the proposed project site. Groundwater information in the site vicinity is limited. Water level information for the wells within the proposed project vicinity were obtained from water well reports. Water levels taken at the time of drilling can be inaccurate.Ground surface elevations at the wells were not surveyed and were estimated based on publicly available websites. REFERENCES Jefferson County Department of Public Works,Solid Waste Division.2012.Jefferson County Rural Dropbox Facility Operation & Maintenance Plan.Volume 3. Jefferson County Department of Public Works, Solid Waste Division. 2016. Limited Moderate-Risk Waste Collection Facilities:Operations,Spill Management& Prevention Plans.Volume 6. United States Department of Agriculture Natural Resources Conservation Service. 2017. Web Soil Survey. Available at https://websoilsurvey.sc.egov.usda.gov/App/HomePage.htm GEOENGINEERS Jefferson County Public Works Aoril 5 2017 Page 12 Washington Division of Geology and Earth Resources, 2016, Surface geology, 1:100,000—GIS data, November 2016:Washington Division of Geology and Earth Resources Digital Data Series DS-18, version 3.1, previously released June 2010. Washington State Department of Ecology. 2017. Washington State Well Log Viewer. Available at https://fortress.wa.gov/ecy/waterresou rces/ma p/WC LSWebMa p/ Washington State Department of Fish and Wildlife. 2017. SalmonScape. Available at http://a pps.wdfw.wa.gov/sa I monsca pe/ Washington State Department of Health. 2017. Sentry Internet Database. Available at https://fortress.wa.gov/doh/eh/porta I/odw/si/I ntro.aspx Washington State Department of Health, Source Water Assessment Program (SWAP) Maps. Available at https://fortress.wa.gov/doh/eh/dw/swap/maps/ GEOENGINEERS7 Jefferson County Public Works April 5,2017 Page 13 LIMITATIONS We have prepared this report for use by Jefferson County Public Works to assist them in evaluating critical areas for the Quilcene Rural Drop Box Facility Project near Quilcene,Washington. Within the limitations of scope,schedule and budget,our services have been executed in accordance with generally accepted practices in the field of hydrogeology in this area at the time this report was prepared. The conclusions, recommendations, and opinions presented in this report are based on our professional knowledge, judgment and experience. No warranty or other conditions, express or implied, should be understood. We appreciate the opportunity to provide services to you for this project. Please contact us if you have any questions or wish to discuss this letter. Sincerely, GeoEngineers, Inc. •' ®# WaS/. ����e 7j��fp' ., ...v tivileih. 4 .a\ H dr PFo1ogist / n l sad - -- I,/ 1 /) ' J., I JOEL W. PUR I G1%- anI n�seRu ,-r oel W.P urdy, LG,LHG,CW" Hydrogeolo_st Associate Hydrogeologist TCD:JWP:cam Attachments: Figure 1.Vicinity Map Figure 2.Surface Geology Figure 3.Site Plan Appendix A.Well Logs One copy submitted electronically Disclaimer.Any electronic form,facsimile or hard copy of the original document(email,text,table,and/or figure),if provided,and any attachments are only a copy of the original document.The original document is stored by GeoEngineers,Inc.and will serve as the official document of record. GEOENGINEERS File No.1422-021.00 4°°a Rd wtdwo° a a P c y ¢A s Lgf c O Cemetery Rd J'7 Fikhound Pau,,ti $ ykl ea '''qo, 9wtcene Rd 3 O N Srmth St .c Bowen St Herbert St W Rose St Quikene aOtyrepw:Hwy tenger Longer 5, ONn'Pict+wY a tR're, f101:1 ° iFremont Ave C: Muncie Ave Gtenb&jp Rri Leadwile Ave Rd a sg ROA. ea 101 5 l psikem oar wosw rA.Ia„r: '4, E Nom, Port Angeles PortTownsend �'/� Maryty W E 1, Eueret ` 1__llif r S ii D 2,000 0 2,000 0 4horei,ne trittt ����.... E Feet 3 Seattle Vicinity Map - Notes: 1. The locations of all features shown are approximate. 0 2. This drawing is for information purposes.It is intended to Quilcene SW Aquifer Recharge Area Report assist in showing features discussed in an attached document. 71 GeoEngineers,Inc.cannot guarantee the accuracy and content Quilcene, WA of electronic files.The master file is stored by GeoEngineers, Inc.and will serve as the official record of this communication. N Data Source:Mapbox Open Street Map,2016 G E O E N G I N E E R S Figure 1 4 tfi Projection:NAD 1983 StatePlane Washington North FIPS 4601 Feet Qa 0 Qgo QUILCENE DROP-BOX SITE rt . Qa 6. Qgpc Legend Geologic Unit r d SW Site Alluvium(Qa) jv Glacial Outwash(Qgo) 500 0 .5500 7�1�.G v „< Undivided Pre-Fraser Deposits(Qgpc) w \`%/r Feet s Notes: A 1. The locations of all features shown are approximate. Surface GeologyMap 2. This drawing is for information purposes.It is intended to E assist in showing features discussed in an attached document. N GeoEngineers,Inc.cannot guarantee the accuracy and content R, of electronic files.The master file is stored by GeoEngineers, QuIIcene SW Aquifer Recharge Area Report N Inc.and will serve as the official record of this communication. Data Source:WA DNR,Puget Sound LiDAR Consortium Quilcene, WA o Projection:NAD 1983 StatePlane Washington North FIPS 4601 Feet G EO E N G I N E E R Figure 2 •, by 'Xw f z1 � v � t s " '�� JEFFERSON ...� �'. �a �e� COUNTYPUD W ROSE JEFFERSON COUNTY ' T. PUBLIC WORKS ;„ r QOICENE QUILCENE LEAGUE a `?.. DROP-BOX SITE O � ilk `""` LI a¢ m j a ¢o� t PEDERSON . y s/ �� 'UNKNOWN WELL. *�w O " ;, * " - UNKNOWN 'z° �'- � e � � � WELL'7 +» ,, r " . +,�> -� +UNKNOWN' mi ,g ,.»_� WELL»� WALKER �-'9"4,4 "�M^ . ,, k �W.R COLY y .apt.' efr� `, ^ -,.'c' .w,. `", �.xUNKNOWN.WELL J. RAY COLH ESSE '"' s ;UNKNOWN WELL ,- 'pH ILLI �,„" QUILCENE ��a��. *� +"" JEFFERSON �' ` BIBLE -''',,::';1';`;:t'',,,, ,� �. u : trt* CHURCH � *""' '- ' "UNWNWELL RUSSELL � rL 0/''� SMITH - * ,f t.. : UNKNOWN WELL ,, 4 �n r , , A t tom ,. :11111!7 7*l �.n. , Le end o ��� Quilcene Drop Box Site • Field-Located Well with Well Log N o 1,000 ft.Buffer • Approximate Well Location with Well Log 500 0 500 w'�12`E o Parcel Boundary • Approximate Well Location without Well Log V'�/ Feet s ''9 Approximate Field-Located Well without Well Log — i"`Shallow Groundwater m Flow Directions Notes: 1. The locations of all features shown are approximate. Wel i Location Map LL2. This drawing is for information purposes.It is intended to assist in showing features discussed in an attached document. N GeoEngineers,Inc.cannot guarantee the accuracy and content Quilcene SW Aquifer Recharge Area Report v of electronic files.The master file is stored by GeoEngineers, Q U I I C e n e WA Inc.and will serve as the official record of this communication. �_ Data Source:ESRI,Jefferson County GIS,WA Dept.of Ecology N Projection:NAD 1983 State Washington North FIPS 4601 Feet G E 0 E N G I N E E R S Figure 3 a APPENDIX A Well Logs Start Card No. erti- 6 ea 925-- File 2 -- Depar fgln t ofEcthst Copy with WATER WELL REPORT UNIQUE WELL I.0.1I 4Ce. �l2 Department of Ecology Second Copy-Owner's Copy Third Copy-Or111er's Copy STATE OF WASHINGTON Water Right Permlt No. /� /'�� ,�v� /� y� EC-3)(..2070 G�j p "C)(� Y%'�Or'LS., ..S..asig Acer ss�C�r T,61, i eAr..-tt' 9 36 E1 Al; (1) OWNER: FLir�;���'. 0 . �w� fS NG14 Sec T. 2 N..R Z W WM. • (2)a. LOCATION OF WELL: Ceunry;�cr= i CC (2a) STREET'ADDRESS OF WELL(or nearest •S) f�r�27").�7lO tl/ea '`�ilie` c l= // 0 Domesltc ictpai X. (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION CD (3) PROPOSED USE: 0 Irrigation industrial Other Test Well 0 ElFormation:Deser@re by calor,character,sire of material and structure,and show tnlckness of aquifers ❑ DeWater and the land and nature of the material in each stratum penetrated,with at least one entry for each LA change of information. (4) TYPE OF WORK: Owners number of well FROM TO (It mote than Or'A) —. MaTEMAL _ Abandoned 0 New well 51.,, Method:Dug 0 Bored 0 }�j�, j,�, Ltc i iyl C Deepened 0 Cableltsl Driven° f lc'c K rL`�r r 44,64.47z._ O Reconditioned 0 Alif' Rotaryg. Jetted 0 r+� 1) aer,,c tea "l4 CInches. Ri2r.h/Ci07),4 b_972, -7r - pr'c a e its•-- ® (5) DIMENSION& Diametarofweli_t Si' J� Vic'" 471 Drilled /Sir • teal Depth of completed well_r2.3 h. A?'1�.ivi-,K�t J tl c f�`�' 'l r'64e 3 5 3� c0 .cyt/ <Yg"Scalp¢-6e - (6)E CONSTRUCTION DETAILS: ,'4�'47a+11""JGL.- e 57 O Casing Installed: • Dram.from A•to 92.r ft. �/XJ ,tic!'s • 57 S3 '+.• Welded 7�r�rf�. • Diem.From 63 J ft.fo Z3 ftlebeX(/,CI '�e-aS. �,'', 46-3 S Tnreer insldafied 9 r, Diam.from 4'=9' n to ft' t� Lei�'zE S d )� fes' 8 d CC7❑❑❑] J -!�" / Gtr/ Y Perforations: Yes No K /J 6,,-,/JJ,,9iiZa ?" r � - twi 'a 47.07)-'',Slit :C>!/ C tr, Type of perforator used — p�� y / ` 65 O SIZE of perforations in.by hm. �stJr.GGt+tJ t'" `F it 13 pertoralfons horn it.to 4- act, 6 G /a r.lam '�" 69 is perforations from a.to ft. �ir r1ri cce71 LDy ie-�.. ferz_cts ���,}� perforations from ft.to ft. ,e+ crr-4 eAt , . j ' 9, 2`, 72- 76 4.0 en Screens: Yes A No C C t"t r '�; �-�'�``� ® Manufacturer's Name (1oNNSrxU e+ea.4a?! /?ler s.eyvz) 14' �c2. 9�+ t� al Type pvJrL,l Sec./ Sr-s7S _—anodal No. ,S 7"�Sr2;tf t3.P rJ '" rs'.�f `5�5~ _ I I fL to /21=6," IL 5teatdN .0elLW' eesdi2sr , 0,45aor 5.5-- >+ � +-' Clam.�I/ Sb1 silo rd/Z-� from l3 q T Diem. 7 ' Stet else r L?2L !ram ft.to 91 tt C � iJ rll*�ET1,5 p I v C Gravel packed; Yes No❑ Size al gravel I0fix,�r,�vna� Ic'`�lLffYj 6,P,+;tt9 `d CU Gravel pieced from 7f4' it.lo_L-2 ft. .574 77. .4:4044/4/ r 1�s `/e 98 CCIg--,249-41 ,427-143x40 Surfaeseal: Yes No[1 Towhat depth? '25-'' ft• ,�S4�.6,P.."'t l Es Y S Materiel l u ad In seat +�¢m:X� gov7 ,V/>t t e I !fx^YJv/jj�Jlt4i� if e?Did arty strata contain unusable water? Yas❑ Plc th str kr �f '� P1' 'C'rr -'v cS, Q I.' /1/ 1� Depth at strata Z Type of water? '} /�. � to .Method of scaling strata oft ----Ap R 0{= 4s 1� � r r'' _fix 4) �,d,?D - ., a & i2S" /30 O ca tN I\ Ri:t � gyp"em l�.5Gr a (7) Type: PUMP: Manufacturers Name P'ti t LUYitLLmt,.+�u,{,9,PU CLOY r 13: /3S .>s Type. O (8) WATER LEVELS: tandesu,szce ew.ar'an p"� 3-.: Work Started fi':,3/-- 6 19. ComWeted. I-/7- 19 97 /S 1 .lbode mean sea levels.'-:-�y' Static IOWA a,._ ft.bow.top ofwall Date /-/7-S'7 o . WELL CONSTRUCTOR CERTIFICATION: O Artesian pressure lbs.per square inch Date {1 I constructed andlor accept responsibility for construction of this well,and its W Artesian water s controlled by (Cap,rake,etc,) compliance with all Washington well construction standards.Materials used and the information reported above are true to my best knowledge and belief. Q (9j WELL TESTS: Drawdown is amount water loyal is lowered stat�;Vpl. j/,7 c Was a pump test made?Yes I& No El u yes.by whom�.�R�Y.G912- NAME G IGEtfLJ�i�'',/G Lr _ o0� �. r ree sow.HN&OR00R k.A (TYPE OR PRINT) � Yield: s�'S 9a1./min.wen ft.drawdown attar hrs. ,Q / / �^ ' f�/ � � �✓ '75T 7R Address/jO&))(1t ! $ Z'O'�lG{/�S/`� a-r •. `� !OP 7 ICJT 3 /�e�7K ...,'t License No._ CL. Recovery data(lima Wren as sem when pump turned e7)(water level measured trorn well (Signed) WELL DRILLER)0 top to water level) Time Water Level Time Water Level Time Water Level Contractor's a on No.isReg7rGOZ--/SPA Date ./.---Z7- ,197 7 H _ _ r (USE ADDITIONAL SHEETS IF NECESSARY) Date of test Bailer test 34, gat./min-with S ft_drawdown after / hrs. Airiest gal./tern.with stern set at It.for Ecology is an Equal Opportunity and Affirmative Action employer.For spe- cial accommodation needs,contact the Water Resources Program at(206) Artesian flow Date 407-6600.The TDD number is(206)407-6006. Temperature of water Was a chemical al analysis made? Yes tsi. No❑ ECY 06e-1-20(9.93)''I A)01 Now/ etyd Oper'fieJ y 3-e47441-5' UNLQUE WELL ID NUMBER A ! X Y z 1 2 3 o IASNLRtTON ;TATE a DEPARTMENT of ECOLOGY WELL TAGGING FORM Vf Date of Field Visit r By C 0 ADDITIONAL WELL IDENTIFIERS 0 Department of Health System ID Number f=75 750 Y Source Number USGS Site Identification RECORD VERIFICATION Well Report available {p tease attach) ea ❑ Well Report not available 0 Verification inconclusive to WELL OWNERSHIP IF DIFFERENT FROM WELL REPORT Name I t A • MI L til/ fl DMA Q D L. eu Street address 1 635 BLAc K LA KC LVD H{ city QLYNPlPt state LOA 96519s- 5tv93 LOCATION OF WELL, IF DIFFERENT FROM WELL REPORT 0 -a Well Address cf5 14 FEW _La50� City n 1 t arC Erb , t,{)A ci8 37 , County J e FF t2.50ni ,,� T c� 7 N R Oa +,V w M Sec (3.4 PAW IA of the r J w' A 0 a,) 0 GPS (raw data) Latitude 4-7 '�# l ❑ GPS (corrected) a X Topographic Map Longitude as 5 C 50 0 Survey 0 Computer generated 0 Other Digital Altimeter Elevation at land surface d fee meters (circle one) tr Topographic Map X Other u5 suev�Y Additional information if available ¢ ' Location marked on topographic map (please attach) 0 Location marked on air photo (please attach) ce Water Right # Gcg a;(Q g7 G `'r .1509 A Priority Date o� Circle one Application Permit Certificate Claim Exempt WELL CHARACTERISTICS O Physical Description of Well (size of casing type of well housing etc ) D!A CAS in1C� co to5 DGSP 3o- (SAL S �ACa 77INK) C5-mEiJr fltt-t P Hou5E > Cvt MOnl dill WELL Location of Well Identification Tag I tJ P)M P t40USE , ATTA TC- CD TU P!Pe sCONSINCa OFF WELL H-E- O L 0 Was Supplemental Tag needed for ease of identifying well' 'NO ❑ YES ca CI If yes where was tag placed' cu Scale 1 24 000 (I =2 000) ccs D C B A 3 + + + E F G H Indicate the location of the well within the Section � _ + + by drawing dot afthat point -` M L K J V W N P Q R °) SECTION cg4 a COMMEN'T'S a a Please alta h dui form to the W u R p rt and submit It to the Department f F logy Kate R s P grant A adquarters W II Id trficatw P g ant P 0 B 47600 Olympia WA 98504-7600 r -.- -,-r 4.„y id*-f-'�..0- -c- r--='--+:q"-,a-- -., -- --- '1:v t t ^' 4 -o. ,4144ru7#.0 . 6 1r _ -1.',f1 .t...' 1.)::.• axi # r s' Y �'4,1• {'� .4.'7 Y ..14'..1r,51'Y S z-�„r �f a a"14 '+4 tii3:•- �t4 it. 3r s 4f.'''''' T_ Cr x .S `. i , UAT I R. PORT k - 1 3rrAtu Or WA (TON b } i eCD l a 111.4D-11 tom-iretl. f�hr� C.Ar l APS' } '�Ny l r' 3 Rootfxflm!NI1,4;45J. i N i raft -ami h.sar 40, d '' A. .a n l V., !!v s.*� 2 . t a _ �•"4X8llgatl Fcrczt� (f1) ti i.L MT* �°,��°� ,a - t pp srt y ,,......-;.-... +oma tt y. . O ler' a.r-...,...[.. .1�7 -,...-,.Y ter"^ f'�'isu etW T=a....,,�.,t,,-13..,,....u.-,1.- a�:ri.J.4X-..�*-��s°- .r %, Q :- Y e a N� ` , - s h-. _ w�t 2._,Fil Mia_IP4tq� _ .4re.dai'e a '.y Is,. t S R ,2) 1at)Ci4T Oft Or W(.L --_ L! --�-- T_- , � � �-Y.-rte..... J "+e E Jef_arg *cot'et- dela puma tatn.d at Onto/ -ti .� �...-_C=t _ orrw Awl f .. en.,* rd frost(thee fog Se+ppieir Weil . { _X ,-Xf ki bec<arn 24 _ T 5r,. - 2.$ „� !.X flow 1r ace.leant Ohs r... 3 �~ �° .:. comet — 7.. J hi 7 ..�3 ._.sus_ • 17_4 -,.r, x e a 1, GS .,,,o v a-- -r., ; )ii 1�_ -- +Q fie 7moi, `mea z ' it, t Q �..�..t.... ...- --z-,-��.___..,._..__ �............_ �!'� ��r+a -? —rec.ro�de.�n�el5 s7. m. s. 4 3 7 Atiesloo 16aa (i6 at-'flab _- -e' > z 2. _'1 "'"'M .tat Br c {z )'ME K ( heck) ''�;" ;� .._ � .t 7 IN* j.e of JNO Ba ea .wen .Q y tR.r e.+Gnb.µea c ..-44..odon[3 (12 WELl, LOG ```mow '. pog.,.. 03 ti�.s..aaes,a &..seek�w.e,z,na wo e,.:t in 4*r x D. �sw ' � . 1 r t ® (1) Pabtos ISE (r&eeccC) (3)TYPP OF'WELL sent nnwitriina � qut ;�'a e ° ., ►e F.4e e`ei et xoto, ' ' Jim 7 0 txtrm Q ..°=-...=-41:-....".""4"--...... at>ea:r awe.�+6r fa' `.se*fa.'"M 1/°"""" �' t7ro.00sa,c t3 Rrtai D 1lvx>t�al Qy'•v caL4 C7( stt.d D 1- - Mdlaaw � Roll C OJ+r L D 0 /salad 0 �_ Rl f''4.4.1 7SfQtL. ?CO ty } int (9 CAgING INSTALL.M- Tev.wed n w lewd pt _ , ,� _ -+ ;4 r .i� s '`1 ' 7- 0 '-31,27 .� eroa,4,..D ..w. A.a /1%, f. �p AN ...t.,' ''-�%.. 'sw- " r �;s i• ___t. i qtr t ..-__.. it t. .-,. tt. care -; . ._ __ - i �^di. 4 .. 'y� C r Retmr.'trum ,.A. .. to _ care _ ....._. -.� 'S` .Y !" $ X ` _fix 1~ ��y/si (7) PERFORATIONS Pee-'ala eQr 0 no ' tso I (� tune.rp.rtsrste.o. — - -- - -------. ,*� • ,-..r _.1e t,,..r Z�.__,y, tet ..ter,___._ ^ rt.M _ _A -- 4_1( j?4- 4 ti-.r'' 4..T 4 4 , ` '{ Q! _s_______ Dor frown -tc.to __..._..___rt. r_ } rifi'� . `T/. -, a,. x-' -6'•%, O - -- ..:port'n*atioar 1.re ---t1 tc --- D. / •l_.fl t 6 ti'Tf'C' a _ .43 p.rix.Wm from to ft _ l A rt rs, --' d 1'4 sts- ,g-t a- vrtM+t+�• non -.,. _ a - "- _••_ - �' 9 f.L 'ti3.,?'.:' R 01 s ,. ,,fi- 4 C "(S) Sf$F,B�tS wal «),yC, t.w).rd X O _ t c~ `>~€�zj. ' sr� Ukt.ndxOrr..7 .n..SCILi...4'td E ,1-01$lmr, �!- ___. ` a W 'na• STA i t) L A...Sar-L etude No �Y € ,I- Diana- e Lia waw ,CV s. lora GS to/de p O Dian...__..—OA ru a< ts-gm ft w wa.....11"..4�Cr S9 4amo+etad f ! - ��wrd C wot (13) PUMP- -- r r R ..<, C 0) CONSTRUCTION !, " r' ; itaq.taraoesry ame.i.Y'�41d(KL _ ..5W..40 crap!perked .'� e.VI ti r,aa a ..c -. -- pro* .7CLRr-1N-C'E"--. -:ft .._.. " . '�,y,t ti - C a.et etrsd ora .,a. $t to 9 �+-•i•M e,ftp' � ;- y, L. Xaa airtime t.a -v+'6.4 R e. o x .rn..6*Prt, -.,._... tt. W a Driltiiiiii ei.lsastal - ' , t'»�'"..-'�; & a & -i! =-..Dlt1L, - 'X.w.�gL_14 P -- rt+&Wen ars drilled tirades rat Y x i iL3; ,,t..4 .1-r,,, ` C Let O Old '7 E coatam uw+,nab:.a.t, .. - _ _ true to the test or m7 krw.vied4 Vitt 1,4' e +tea ms ®. Tysxars[er- t...._ DeptJ..c rr �- -..__ ,- e..rtE ''....-4* .v`ei ".' `"} Ali rik ],acMd at strata.d " '_ - - "P)4 ,,a',C ' 't &, !'ST M"F-1,,,,,,: 00. t-- '314 1 WATER LSYF3.S yea.( arra y.tatj .. . thelia lie ~.�. Delo'.6r16 surface U.te-�['-�. t AQ(trKf L.1 k1._q 141 . ' t..1,-371.' � y-. yf y ..fit per ariu�a..xlnen rr. .�_ t �. �. . �'.lyi} �tr4r�,�,Y`� „�k . ;c.c '.Til# ,...• A. 4,:t., ..r `-,1 r 4., .�1 4' •..4.1.4W-- ti ti eY -is, 4 E/1�:'t �7 Y kit . kr '�k.X. . .'tG�' •:; ,.. 'tib` S' -Dt '{.: a'S�J++ry ,11. :Zy.. �.,' '�-rte. aM1. ...5.+ d * ." ,- * ' ,3..Y!-- _,,.•,y. 1 „ ,11,'. 1x 4;`• :. og .si Y5•`. -t'_{1 DeOmentl and Picot Copy with WATER WELL REPORT Start Cant Na.(J v j � DepartfieM of Ecology Second Copy-Owner's Copy STATE OF WASHINGTON 'third Copy-Oridees Copy pp�� (( j( Water Right Permit No. • (1) OWNER: Nance(Qf ;i ..P�G N�1ik,,�,J( dge/- __ AddresrCL L� N (2) LOCATION OF WELL: caunri-�.���y -SAO K A u T W.M. ec (2a) STREET ADDDRESS OF WELL( r nearest address) ,Nis ©I 1tt ( 4/A r, • (3) PROPOSED USE: © IR°g don Industrial 0 Municipal 0 (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION 0 DeWater Test Well 0 Other 0 Formatiork Describe by color, character, size of material and structure, and stow fA thlckneaa of aquifers and the kind and nature of the metedal In each etrafurn penetrated, E (4) TYPE OF WORK:Owsar'e number of well with at least one entry for each ohs age of IMorinatfon. d.+ {q more than one) MATERIALMATERIAL _ FROM ' TO = Abandoned Cl New well l Method: Dug ❑0/'cored 0 , /- �1 O Deepened 0 Cable (�' Driven 0 /SA S- s - .. l " f 0 a_. Reconditioned 0 Rotary 0 Jetted 0 Alik, ' � RA // C (5) DIMENSIONS: S 1 ' el; � l�r ,/ j, i' !dm :tr Diameter of well 1x inches. ry��G I(, t4 Drilled_.___/_._feet. Depth of completed well f,3 ft. u. (6) CONSTRUCTION DETAILS: �7 W Caeing Inaiatfedy sl. • Diem.from "i'" I ft.to 1,A3 n. • Welded • Dien.from ft.to ft. Liner Installed 0 - —__. S Threaded 0 tt��ii f�'�Diem.from ft.to ft. 't"a Perforations: YesL.l Nolte i• Type of perforator used �i SIZE of perforations In.by fn. - Rperforations from ft.to ft. - perforations from ft.ro ft. - (141 4+ peri Clone from tt.to ft. 0 Screens: Verse' - J) -z � -'.s C1) Manufacturer's Name ear"it. ( Type ^ Model No i,. A Diem. LP slot alta oc horn 9 ft.to ,/Qt3 rt. •'.z; ' Z 4.6 Dram. Sig!size �,,icom ft.to ft. t15 C �� CO Gravel L. packed: Yea Li NoL Stze of graver .� fI1 7 RI Gravel placed from ft.to ft. "- y Surface seal: YeeE: r.....:1o1 j Toh w�atdepth? O rt. OMateriel used In seal 431 /�)4A44/0 r—�/' Z Did any strata contain unusable water? YsaD Nol Type of water?. Depth of ehate lA a Method of sealing strata off .0 (7) PUMP: Manufacturer's Name • Type: H.P I • (8) WATER LEVELS: Land•surfaceelevatioa above mean sea level tt. O Static level )9 11,below top of well Dale R—1:7A--,v4 V Artesian pressure lbs.per aquaro inch Date I LUArtesian water is controlled by I ,� tOap.veva.ale-Il _ _. d 2 d t— r8. Completed .19 (9) WELL TESTS: Dmwdamount' tar level is lowered below static level 4.0 C LJ Was a pump test made?Yes No LK if yes,by wham? WELL CONSTRUCTOR CERTIFICATION: (I) Yield: gel.t mkt.with ft.drawdown atter hrs. I constructed andtor accept responsibility for construction of this well, and its compliance with all Washington well construction standards. s- •• Materials used and the information reported above are true to my best Recovery date Gime taken as terra when pump tamed oft)(water level messured knowledge and belief. CL front well lop to water level) • Q Time Water Levet 1"ere Water tare! Thee Wear Lerei / / / 1/P !/�,,eNAM /I+- • SPER9• ,fIRM.Ori C.ORPORATIOHJ {TYPE Oh PANT HAddres !/.yr��. d if �dr 4 — Date of lest j // Daher tea!�rG—gal.!mta.with_ a_It.drawdown after. •h7hrs. (Signed /�� `E�f .� 'cerise No.���� Contract 's Airiest gal./min.with stem set at ft.far hrs. R t 0 ^� Artesian flow i�}} g.p.m. Date A a-50 Date a""-AI~ ,19 Temperatureofwater !1JjfWeaasheeniestanalysismade?Yes❑ NoIR...."....-- (USE ADDITIONAL SHEETS IF NECESSARY) 00Y060-1.20 ttoran 1329- 1I15!k's 3 CIA( , — Z File Originaland First Copy with WATER WELL REPORT Department of Ecology Application No. .. ,..,..... ......... .. Second Copy-Owner's Copy Third Co y-Drillers Copy STATE OF WARRINGTON it (1) OWNER: Nam. + ♦. . tt - ' a - ------ Addreaaea�t,13y.1- 1:_ �x1124ro l__9., -f�-/-d 0 (2) LOCATION OF WELL. County_.. '' t••• - ------______._..-.-••_.--S LA Ilfre..ii sea 23 T.Z. N.,R._Z-_.W.M. Q Bearing and distance from section or subdty leo e O X (3) PROPOSED USE: Donaeetia �Industriai ❑ bfunicipat❑ i (10) WELL LOG: Q) Irrigation 0 Test Well Q Other 0 Formation_Describe by color.character.sire of material_and structure,and show thickness of aquifers and the kind and nature of the matertat to each (4) TYPE OF WORK: Owner's number of well at•ratum penetrated,with at least one entry for each change of formation. MATERIAL FROM TO V) New well e" Method: Dug 0 gored 0 44 Domed E Cable - t—Iven -. '�4/-.r 14 /1.L !I Reaaadltiooed{] Rotary❑ Jetted Ll '1i ..d_...,.l_ 1 / �� O DIM —.. ..11111111111 (5) ENSIONS• Diameter of well.___»._ lt lynches. A.• _ ♦ _7., ' 1 O Drilled....._.__ ..._..et. Depth of completed well _. [_3l_ t � .. sr� 4^ ftt (6) CONSTRUCTION DETAILS: y . - r Casing E ` ng installed:_ :. Diana.from�'. ..ft.to--.nr-�.1l_. - ,Wilt � O Threaded p .._—•Elam. from.....__—ft.to ft. w �.� _ / _ CWelded dr` ._.�_"Dim-from._.-__n.to__ n. {� IIV1 . __MIP SPerforations: Yes p No(�/ ; �' .a r _�/..r,- ea T9pe of perforator naed_..__..______ ___......_._.._.__-. ♦ . / IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIII O SZa'of perforations ___ _ _, In. by _.._____ . .__. M. perforation*from ----ft.to---. ft. "" C _ ._.-._.perforations from .____-_..-.ft.to_ __ft. CO yertnratlom from...-_ ft.to---tt. Eil 4-, Screen& Yes o No(i4.--e-- eaCD Manttfactuterb Name..T/Pe _ -•--.- _ Model No_____ el Dfam,__-_ Slot size _tavm ___._. ft.to ___.- ft. 1.1111 44 Diem._____Slot size..__from_-____ft.to _M ft. _ C Gravel packed: Yes 0 No(yam Size of*ravel: ��� L Gravel pleced from_-__._.__.-_._-ft.to_____ )/ __.-.ft. ` • .N II nil Surface seal: yes 6-----No[! To what depth? ___1....r.ft. ♦ s Material used in seal__._ .__„_,._-__-..T-___..�__.._.__ - ' ._._._ .0 Did any strata contain unusable water? Yes❑ No❑ ; File lof Eca1 Copy with WATER WELL REPORT Application No. ................__..._...__.. Second Copy-Owner's Copy Third Copy-Orifices Copy STATE OF WASHINGTON Permit No. �f/ /j (1) OWNER: Nam"�d'rt. _f��.„ ,jam _ .__ _ Address .._. _. r _4-1.-'1‘.t-'_. "-..._.. (2) LOCATION OF " : County.. ��� 2” , s- 44 +r1��/tC-.12 _ - v�Si�.i 3i Seort�1.._T�r• N.,RC.II1K. O Bearing and distance from section or sub..i. . er a -` Lillir Y (3) PROPOSED USE: Demean- dustrial ❑ Municipal.c (10) WELL LOG: frrigadon 0 Test Well ❑ Other 0 Formation:Describe by color,character,size of material and structure,and show thickness of aquifers and the kind and nature of the material in each stratum penetrated,with at least one entry for each change of formation. t13 (4) TYPE OF WORK: Owner's nym ber of well - (if mgre.Ctean one).... ...._..._.........__.__.._ MATERIAL FROM i TO New well �� Method: Dug 0 1Bored D in Deepened ❑ Cable !B+ Driven 0 - - - - 40 i .E. Reconditioned Q Rotary 0 Jetted 0 5, (5) D!MENSIONs• at.,),.....--d• �- 4 l� ® Diameter of well ..__...iQ......._ cbes. Drilled�; _'.__.Ft. Depth of completed weli_4.. ..___.ft /7 3 Q dA ,! �CVV/ L' .40 (6) CONSTRUCTIOND TAJ S: �� e •tiR 0,,,.....1(4-#.,E Casing installed:. „Diem.from _-6-... ft.to, �'It. 3� ` Threaded 0. ----._._."Diem.from .- -_ft.to__—ft. /', �i�[/ O Welded i .. m.Diefrom.-._-....._1t to.--ft. L.1:1---6-1-4 "" 12, 175 Perforations: 0 NoQ ' t% d Type of perforator used- 4..e sed+•+ SIZE of perforations O _-----.-perforations from .--.-__ft.to _.._-........_...it. � 1,- ;•t F _.r. perforations from �..._...... ft. to .-..._.._.._.___ft. •' ,.perforations from---_.__.__ft.to __.__.__._-ft. I t4 Screens: yes❑ No rA ....t.!1: - 3 1983 4�.• Manufacturer's Name_ C1 Type-__.___ _- Model No---.- _ _�_ CEnsor SENT rr ECOLOGY Dram.__.__-Slot size----from...._-.-__ft.to _....._.-_.ft. 41 Diem.____Slot size........_.-from..______ft.to ._.._.__._ft. SOUTHWEST REGIONAL CFFICE AGravel packed: Yes❑ No Size of gravel: .-------- 4.0 Gravel placed from__---_-._...__.ft.to_._.___-.-.-.-._—ft. ccs I.- Surface seal: Yes No ILL, depth? . _CD--_ ft. 03 Material used In seal Did any strata contain unusable water? Yes❑ No tire' l Type of water?_______._.___..__.Depth of strata......_....___._.._.... O Method of sealing strata oH_....,. _-.-----..._.........._ _ -.- z (7) PUMP: Manufacturer's Name-__-_-.______.__..__.-.-__-_._..._.....-. Type:__ __._ _ _ _____-•----8B-.__.- • (8) WATER LEVELS: -suxace elevation above mean sea lvel.... _:O._ .—.....ft. • Static level.i_ -_-.-__—St.below top of well Date. _..—..__....•_ dArtesian pressure _._..._,,........_.-.-__lbs.per square inch Date._._......,._..___._.. tt Artesian water is controlled by--_.-_._.____..-.. ._ ........_..___-_ o (Cap,valve,etc.) V W (9) WELL. TESTS: Drawdown is amount water level is > pp lowered below static level Work started_ I9_ ,��_ .'__..� q.. y. _ �rt ._, � Completed-7-_".7.--114_,19 0 Was a pump test made? Yes 0 No 0 If yes,by whom? ,y Yield: gal./min.with ft.drawdown after brs, WELL MULLER'S STATEMENT: This well was drilled under my jurisdiction and this report is E " " " true to the best of my knowledge and belief. .4'i Recovery data (time taken as zero when pump turned off) (water level measured from welt top to water level) I �{ �/ a. Time Water Levet Time Water Levet Time Water Levet NAME-.. L � [_. ..G'; corporation) - _ �' _ (Person. S or corporation e dr print) in Addresslf14 , �� ; Jn Q �4 -..............._.._.....................__..._........_..-_. es ?. " . . - .. 1:1) I"' Date of test [Signed)t��lyrL L.r 2/2 fef} '2.'iCc"L/ Bailer test til _galfmin.withs-i_____ft.drawdown after.-.-._hrs. ( Drill Artesianow._-_ __ _ . _ g.p.m. Date-------------. do.Q¢ Temperature of water_._._...Was a chemical analysts made?Yes 0 No 21 cense No , Date.?. _J..i , 191 .) (USE ADDITIONAL SWEETS IF NECESSARY) S.F.No.73.56-0S-(Rev.4-71), '3 rraift,r Feta. RECEIVED JUN 162Q16 St- 011 Well Tagging Form WA Stare Department ,!:';►':°;'.; Unique Well 1D Tag Number: • - /lot Ecology (SWRO) BL4L061' Use this form ONLY if an WELL REPORT IS FOUND a (Attach the original well report to this form) c If a water well report is not available, please complete a "Water Well Report for an Existing Well"form. This form is available at Ecology's headquarters h office by calling 360-407-6650 or e-mail mbru461 a©ecy.wa.gov. c Well Ownership, If Different From Weil Report Fhatna�eS US E `.L ". :t Ir Last nems 3M 17/± c"'ou ccE-u E ,.)A z'° 'qk-�-( AZ 4-0 rql Location of Well,if Different From Well Report .s.ctton,Township and Rang.are REWIRED• 4-4. Wee Acidness 21SS 14jo y 101 C Com&O I C CIE J 'VA eu Y..Y._ •l. Section Township Range Q EVAN (V 1V z. N L- "I*a'+! Degrees Mdnute* Second. }•••. Latitude 0 Degrees Minutes Seconds LongRude t r 1/ i Mention et tang surface 1 1 0 iY.irst 0 meters(check mel (p Et /k X37 T Well Characteristics ' 'P Z i- Location d Well identification Tag y q Cy t i� kk) E"L_ \4-V t `6 D i C 8 i A Scale 1:24,000(1'=2,000') t. E F •G E `H Indicate the drawing a dot locationof the well withinthe Section by point 1` M l K J � � • Section - N , P Q aR 8 v UrL Comments i(L,1 C u1k-C- 2 O 'P 1f W LL - udj -l3C�zSc oili, if 61274# 77f4&4)—Z3‘,.., • r•a ro..-...a a... •r.1.0.4.41.11 JIM....11. %JAW A. Second Copy-Owner's Copy , Tbirc Con:, -- Demers Copy STATE OF WASHINGTON Permt No..: (1) OWNER: (2) LOCATION OF WELL: County . . e__ Scaring son distance from section or suldhvialov vcame: _ _ (2) PROPOSED USE: Domestic 9 Industrial 9 Municipal 0 (10) WELL LOG: irrigation 9 Test Well L; Other 9 Formation:Describe bp color,character,size of material and strweture,and ... showthickne.ss of aquifers and the kind and nature of the material in each w stratum penetrated.with at Mast one elan for each change of °motion. (4) TYPE OF WORK ,:r'' ',":' rmbel uf *ekl New welt,,t mote man thcmel 9 Method Dug 9 Bored 9 . MATERIA.L FROM TO Ilff Deepened 9 Cable 9 Driven 9 —' Reconditioned 0 Rotary 0 Jetted 0 (5) DIMENSIONS Diameter of well _ '-. inches- E Drilled ._ It Depth of completed well . ,ft. . ---- _ — _----..:— IT _. C (6) CONSTRUCTION DETAILS: - C> 1 --- Casing installed: , " 012.111. from ., .ft. to ... ,,,.. ft_ Threaded 9 " Main. from . ftto ft. EWelled 0 ."Dian-- from . ft.to ...... ft, Perforations: ye,-,9 No 9 C Type of perforator used- . -... CV SIZE of perforations .....0 perforations fruit . ... . , ft.to ... .. ,. ft. 4-, — ...... 0 perforations from — ft to ft -,,,..., -12 Screens: Yea 0 Na 0 Manufacturer's Name .. fni Model No.. fc; 4....ir MI Diam. Slot size . from .ft.to _ ft. — 1 Gravel packed: 9 No 9 Size of gravel:„ yes Gravel placed from ...._,.....____. ft.to ,-.. ft. [ _______ Surface seal: Yes 9 No 9 To what depth, —.._.. _....ft. C Matertal used in seal ---- -rci 1 Did any strata contain unusable water? 'Yes 0 No Q. __I. fi3 Method of sealing strata off. — ,. -- , — 1"."',..... (7) PUMP: Manufacturer's Name Type: . ilwe# - - - .. = __— v (8) WATER LEVELS: aLauvrle-smuref,aince:ealeiferivtl:in .....„_._ _ _It i ....-• 0 static level . ......_s- . . ,.....-ft. below top of well Date:S......r.,_ -tap Artesian pressure lbs. per square inch Date 1 ---- - . i' Artesian. water is controlled by . ..-_.„.,..... . (Cap. valve, etc I (9) WELL TESTS: Drawdown is amount water level is lowered below static levet 1,..) Was a pump test made? Yes E No 9 If yes by whom? .. .........,_... , .. , 1-1-1 Yield. gal:minwith ft draw:town after:__) hrs. WELL DRILLER'S STATEMENT: ,....— 0 " - - This well was drilled under my jurisdiction and this report as - true to the best of my knowledge and belief. .= — 4) Recovery data Wow taken as zero when pump turned off) (water level measured from well top to.water level; ,,,..„.. . r ... . -',.'..... -, .... -e_ ... E Tone Vi,,rer Levimo: on el 1 Te Water LetI Te Mite, Levet NAN1E,4..„-. .. ,,... t .. ,,,, trier$013.rirrn.OT OOrpOrattOO) (Type or print) 11; Address. ' T"..... ... - - eg. , . I Signed). iv - Railer test . gal.iminwith ft drawdown after .bre (Well DrIller) ig Artesian flow . ..g.p re Date Temperature of water Was a chemical analysis meant Yes 9 No 9 License No.. , Da te. ., 19 -' ;USE ADDITIONAL SHEETS IF NECESSARYI S.F.No 735s-0S-racy 4-71i File Original and First Copy with WATER WELL REPORT Second Copy of Ecology Application No. Second —Owner's Copy Third Copy—Driller's Copy STATE OF WASWNGTON Permit No. .,,. (1) OWNER: Name._:_lZ_..r?,.-.._...G.!.0_1.- _...a..T_..7::._....__....___... Address... (2) LOCATION OF WELL: county .,.t... f.Q..zt.f'.t1_ _._.-_.,___. .._.._......—S_-� ..44N.F014ec.s }} a'r . .Z.,3_Tel-7-N.. R1yW M. OBearing and distance from section or subdivision corner ty (3) PROPOSED USE: Domestic Ads-Industrial 0 Munleipai 0 (10) WELL LOG: iX irrigation 0 Test Well 0 Other 0 Formation:Describe by color,character,size of material and structure.and show thickness of aquifers and the kind and nature of the materlat in each S SI (4) TYPE OF WORK: Owner's number of well stratum penetrated,with at !east one entry for each change of formation, thane ... ...._......_._._..__....__ _ New well(if more on ). Method: Dug 0 Bored 0 MATERIAL FROM TO H Deepened 0 Cable Q Driven 0 •C.42 r 6 4.....2..V v 41.,e fI .eVY�` i____i____ /.. 3 44.+ Reconditioned j] Rotary Betted ❑ �'Y,t/ �� P, d//y ,ttl ice ' Ss z/ C (5) DIMENSIONS: Diameter of well +�!_...._.inches. ,�r ' '� 4'/ ?a C Drilled.__...-_-„Z__..,ft. Depth of completed well____ _._..it. .�7t�..jsl "� - `r J,ry �,p j S (6) CONSTRUCTION DETAILS: -- IL 2 Casing installed: ...f Diana.from-_.�,... ft.to __7_4_$, Threaded 0 '• Diem.from ....,_-..--_-ft.to---ft. O Welded A ..............”Diem.from._.........._ ft.to w.•._,.._.,ft. sim — Perforations: Yes 0 No a) Type of perforator toed..,..._..—.._.___. __ is.+ SIZE of perforations in. by _—.-.___—. in. o — perforations from.-----ft.to._._—,____.ft. o - 'C _-_..._____perforations from .__ , ft.to _—..__—..._ft. `'` ` R Screens: Yes Q No pit 03 }1114 L . .. Manufacturer's Name Q Type—. _ — —_�._ Model No.._._—_---_—.. j'? f' -`r ; =-. Diem._.__—_Slot size_____.._from ............._.ft.to .._._,ft. - . GJ Diem.__......_...Slot size..______.from-----ft.to--- ft. .0 44 Gravel packed: yea 0 No R size of gravel'...._....._.-.....__._ 4.1 = Gravel placed from__—______ ft.to_..._______._......__ft. - L. Surface seal: Yes, No 0 To what.depth? ,_.__-oa4„•Zl.._ ft. Se ft/ Material used in seal_._ _ r_o_b1.1..T ,„-.__._,,..•...—_-.._ sy Did any strata contain unusable water? Yes 13 No Eit Type of water?____.._._..—___.._Depth of strata------- 1 OMethod of sealing strata off__....—.-._._........._......___-_.__..._______ Z (7) PUMP: Manufacturer's� Nan:e ._..e ,r_,yAt'.e.,lje I V) Type:_-.c2...Li.,.�_f_— /HB • G (8) WATER LEVELS: Land-surface elevation above mean sea level-... ._�....-.i 1 9__.,ft, > Static level.-.__—.,_•S/_. 2___.SG below top of well Datec...a.L}(_2..3- I f 21/4,‘ oArtesian pressure___.__.__,�1bs,per square inch Date_.___._ .__....._..,,, Artesian water is controlled _ .V C—,vav_-etc,)__ ._ W (9) WELL TESTS: Drawdown is amount water level is lowered below static level OWas a pump test made? Yes[7 No R U yes,by whom?..__._.__. Work started_----____.l9____. Completed--.________,l9—... Yield: gal./min.with ft,drawdown after hrs. WELL DRILLER'S STATEMENT: This well was drilled under my Jurisdiction and this report is " true to the best of my knowledge and belief. L Recovery data (time taken as zero when pump turned off) (water level measured from well top to water level) hh ) / /' a Time Water Levet Time Water Levet Time Water Level ftli NAME.- a•� a . �. 1f?!'�c�..j' Co,.. ( arson,firm. or -. k i. Q _.. ..».....». Pore (Type or print) 1 . Data of test_—_.__ _.__ _.____---... • lrfe. :�j: ,!�t--. Bailer test_./-,gal✓min.with__t" t._.it.drawdown after. ;,L:1irs. (Signed].- t y+ men Driller} Artesian How._-_.___-_ —___g-p-m, DateeS.A-1-44�_m-/77 1-- �{{�.'. _` p Temperature of water_.'�!_.Was a chemical analysis£rade?Yes 0 Nod} License No ...._. Date-'! . tY rR.....f0 - 19..7..A (USE ADDITIONAL SBEErS IF NECESSARY) S.F.No.7356—OS—(Rev,4-71). 3 with Dep Original in nrlof£ca First WATER WELL REPORT Application No. .._._..--_.__.-......... Second Copy-Owner's Copy Third Copy-Driller's Copy . STATE OF WASHINGTON Permit (1) OWNER: Name _ _l atee. ___..Y..e/F- c:s4e5G-__ Address-- b:.-._.�'C/_ .-_-- 41. _Q "`:u4_t,d-.`.= 3-P (2) LOCATION OF WELL: C ty._..._ �/ _._�./._.--1Jf ._;'4 ../r".Sec.-rL�. T-.�2�ZN.,/442-wool. 44 ® � /�ki. 9- /7S f� �/V. * c 4' -2 II Bearlrig and distance from section or subdivision comer N i.. coC�Y'N P•� O. (3) PROPOSED USE: Domestic �Industrlal ❑ Municipal ❑ (10) WELL LOG: v 1Q �, Z 3 I Irrigation ❑ Test Well D Other 0 Formation:Describe by color,character,size of material and structure,and show thickness of aquifers and the kind and nature of the material in each stratum penetrated. with at least one entry for each change of formation. .y (4) TYPE OF WORK: Owner's numberhaan of well 5. _................_.___._ MATERIAL FROM TO U) Dew well Method:Dug (] Bored 0 -- /�/� _ f •s; � , ill Deepened 0 Cable � Driven 0 Rh D rY.V �eclC., tQ p el- 1E Q Rotary❑ retied ❑ g Aso..,v A Il /9N ? C (5) DIMENSIONS: Diameter of well __.-_ ._._-Inches. } � SR� r �r� � 0 Drilled-._fFt._.16__._.it. Depth of completed well....__-sts--3t Ts O (6) CONSTRUCTION DETAILS: MI Casing installed:.......6.2. Diem.tram f'.).ft.to_a4'4+ ft. EThreaded 0 '.Edam.from _-_.____ft.to_ . ft. 0 Welded i• . Diam.Pfrom...._-__..ft.to .---__ft. ' ` • . Perforations: Yes to No t}/' fp Type of perforator used_-..._. eaSTTV of perforations .- In. by _ ....... —in, - , s` perforations from--ft.to —.—.ft. 0 —_—perforations from __ ft.to ^_ ft. - Mi . -perforations from_.-.._.___....ft.to—ft. " C 03 . Screens: yes❑ No a" ; 1 k.4-1 Manufacturer's Name__ ® Type. ._ _ Model No-...� _ Diem..__ -_ Slot size_____from.-----ft.to _._._ft. 1 ID Mani..___—.Slot size-...__---from_ -ft.to._____ft. it acked: >t Gravel pXes 0 Na 3?"..Size of gravet:.______--.-_ • "1�`� ".1 CGravel placed from---------ft.to-.._.._—__..............ft. • I, 'a i L ,Surface seal: yes No T hat. th7 ........La........Lar..._... tt. CO Material used in seal.... , r1it __.__.._-.-._-- Did any strata contain unusable water? Yes❑ No Type of water?-__----Depth of strata_.----_______ O Method of sealing strata off-_______....___.___._.._____ _- Z (7) pUMF': Manufacturer's Name-._.__---__.-_.—_..__--__-__ 0 Type: . .. .____ __. $.P._ __--- C (8) WATER LEVELS: Land-surface elevation '� above mean sea level.... t. ;is Static level .._.__:_� - 3t.below top of well Date._ .7�i4d7 60 O Artesian pressure ---._--lbs.per square inch Date....______-_-_ Artesian water is controlled by_..__.-_—___—_....__-__-_-,_.- O (Cap,valve,etc.) W9 WELL TESTS: Drawdown is amount water level is ( ) lowered below static level d'-. I5 +r��� Y`7- I"'iy Work starte -- �,19 e.._ Completed_.. ._»..._ 5..._., 19. 0 Was a pump test made? Yes 0 No 0 If yes,by whom?.-.._.__..._._____. - 44 Yield: gal./min.with ft.drawdown after hes. WELL DRILLER'S STATEMENT: C This well was drilled under my jurisdiction and this report is W ., true to the best of my knowledge and belief. 4-4 Recovery data (time taken as sero when pump turned oft) (water level measured from wall top to water level) r CO NAME...J as Ccs!!ft.,6:.,. ...11!0,44.-1?.0. - ..........- Time Water Ll Time water Levet Time water Level � eve _ (Posses,firm,or corporation) {type or print) CI t Addres421.4 6112X‘/O......-..9NACEi .....__.4414- CD i F,., Date of test_____-_--- _..._...------- [Signed3._.�ll"'c-�, . _r P7t _8-el '-e'--- Bailer test__4.0.-_gal./mit.with-C1-..ft.drawd after__ hre. (Well Drll/az) Artesian flaw..._.._-_-__......._.._.-_.___.g.pm. Date_ ._....442....._____ d._.... _ I Temperature of water_.___._....Was a chemical analysis made?Yes❑ No❑ License No Q6 -- Dai -..7 .., i9..J.y. (USE ADDITIONAL SHEETS IF NECESSARY) S.F.No.7336-OS-(Rev.4-7i). 410E"1