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HomeMy WebLinkAboutAquifer Recharge 902133005AQUIFER RECHARGE AREA REPORT PROPOSED M & E TRUCKING PIT EXPANSION STATE HIGHWAY 101 JEFFERSON COUNTY, WASHINGTON Project No. 104-03009 June 6, 2003 Prepared for: M & E Trucking, Inc. P.O. Box 524 Port Hadlock, Washington 98339 Prepared by: Krazan & Associates, Inc. 20714 State Hwy. 305 N.E. Suite 3C Poulsbo, Washington 98370 (360) 598-2126 ASSOCIATES, INC. SITE DEVELOPMENT ENGINEERS & ASSOCIATES, INC. ......... Project No. 104-03009 I _ '-R-.~N COUNTY' [ DEPT, OF CO,M..N.IUNll-y DEVELOPMENT Page 1.0 INTR. ODUCTION .................................................................................................................................................. 1 2,0 SITE LOCATION AND DESCRIPTION .............................................................................................................. 1 3,0 PROJECT DESCRIPTION .................................................................................................................................... 2 4.0 GEOLOGIC SETTING .......................................................................................................................................... 2 5.0 GROUNDWATER CONDITIONS ....................................................................................................................... 3 6.0 HYDROLOGIC IMPACT EVALUATION ........................................................................................................... 4 7.0 CONTAMINANT TRANSPORT EVALUATION ...............................................................................................4 8.00NSITE SPILL RESPONSE ................................................................................................................................. 5 9.0 BEST MANAGEMENT PRACTICES ........................................................................................... ' ....................... 5 10.0 CLOSING ............................................................................................................................................................. 6 Figure Figure 1. Site Vicinity Map .................................................................... : ............................... following text Appendices Water Well Reports ...................................................................................................................................... A 20714 State Hwy. 305 N.E. Suite 3C. Poutsbo, Washington 98370 · (360) 598-2126 · FAX (360) 598-2127 With Eleven Offices Serving the Western United States 104.03009 T~clo'ng Pit Groundwater & ASSOCIATES, INC. GEOTECHI~ICAL ENGINEERING · ENVIRONMENTAL ENGINEERING CONSTRUCTI0I~ TESTING & INSPECTION June 6,2003 AQUIFER RECHARGE AREA REPORT PROPOSED M & E TRUCKING PIT EXPANSION STATE HIGHWAY 101 JEFFERSON COUNTY, WASHINGTON 1.0 INTRODUCTION This report has been prepared by Krazan & Associates, Inc. (Krazan) for the proposed expansion of the M & E Trucking Gravel Pit, located on State Highway 101 on the west side of Discovery Bay in Jefferson County, Washington. The purpose of the report is to characterize the hydrogeologie setting of the project area, the Critical Aquifer Recharge Area aspects of the site, and whether specific aquifer protection measures should be applied to the project. The report corresponds to the criteria described in the Unified Development Code (UDC) for Jefferson County, Ordinance 3.6.5. A concurrent Geotechnical Engineering Investigation Report was prepared for the site by Krazan, dated April 10, 2003. The report was developed under the conditions of Krazan's Proposal No. PE02-220P, dated February 19, 2003. 2.0 SITE LOCATION AND DESCRIPTION The project area is located on the west side of Discovery Bay near the south end. According to the United States Geological Survey (USGS)~ 7.S-minute Port Townsend South;-Washington topographic quadrangle map, thee-Property is located-i-n~the southwest quarter of Section-13, Township 29 North; Range 2 West. The property consists of one parcel, number 902133005, which contains 22.03 acres. The site location is shown on the Site Vicinity Map, Figure 1. . .. _... The property is bounded by Highway 101 to the southeast, a Washington State Department of Transportation facility to the northeast, and undeveloped land to the northwest and southwest.' Most of the site is currently forested with the existing gravel pit at the south comer of the property. The site slopes downward to the southeast from an elevation of about 370 feet in the northeast comer to about 115 feet at the southeast side, with an overall grade of 20 to 25 percent and localized grades on natural slopes as steep as 100 percent. Areas within the active portion of the pit have near vertical grades on slopes 10 to 15 feet high. 20714 State Hwy. 305 N.E. Suite 3C · Poulsbo, Washington 98370 ® (360) 598-2126 · FAX (360) 598-2127 Y~ith Eleven Offices Serving the Western United States 104-03009 Trucking Pit Groundtmter L.V. 3.0 PROJECT DESCRIPTION ., We understand that the proposed project consists of expl~nding the.. ~'~iii~g: :s~a-"and gravel pit to the maximum extent possible within the existing property lines.' The present pit occupies a portion of the southeast comer of the property. .104-03009 'une 6, 2003 Page No. 2 The site activities are expected to consist of the excavation and processing of sand and gravel. Excavation equipment will likely consist of robber tire loaders, backhoes, dump trucks, and trackhoes. Processing will likely consist of sand and gravel washing and screening equipment and gravel crashing equipment. Site storm water will be the major source of water and will be recycled and used to wash aggregate. The only major by-product from the washed aggregate is expected to be silt. An onsite infiltration system will be used to manage any excess storm water. An onsite well may be installed as a supplemental water source. The total volume for the currently planned expansion is a ten-acre area containing an estimated 650,000 cubiC' yards of material. The ten-acre expansion area is expected to be mined over a ten-year period with reclamation beginning in a portion of the original ten-acre area in approximately 4 to 5 years. As reclamation activities begin in a portion of the original ten-acre area, the pit operator may plan to begin proceedings to expand the mining operations in order to compensate for the area lost due to reclamation activities (to total 10 acres). The expansion area is expected to be mined to an elevation of approximately 116 feet near the access, sloping upward to the north and west at a 1% grade. With this approach, the highest possible cut for the area surveyed is expected to be approximately 250 ~zertical feet. It should be noted that the Geoteehnical Engineering Investigation Report by Krazan and Associates dated April 10, 2003 recommends permanent slopes from 120 to 250 vertical feet be graded no steeper than 1.6H:IV (horizontal: vertical) for slope stability. Permanent slopes less than 120 feet are recommended to be graded no steeper than 1.SH:IV. Temporary slopes should be no steeper than 1H:IV up to 100 vertical feet. The term temporary applies to areas not being actively mined, but scheduled for mining months or years in the future. Slope configuration for active areas of the mine is an issue for mine operation rather than long-term slope stability. 4.0 GEOLOGIC SETTING The Washington Division of Geology and Earth Resource (WDGER), Geologic Map of Washington - Northwest Quadrant, dated 2002, indicates that the property is located in an area identified as Undifferentiated Outwash (Qgo) on the lower part of the hillside with Glacial Till (Qgt) upslope. The geologic map contained in The Geology and Ground-Water Resources of Eastern Jefferson County (Water Supply Bulletin 54, 1981) indicates that the property is underlain by recessional outwash (Qw) on the hillside below an elevation of about 250 feet, with Glacial Till (Qvt) exposed on the higher slopes. Geologic cross sections contained in the same report indicate that both geologic units overlie Tertiary Volcanic Rock (Tv). Tertiary Sedimentary Rock (Ts) also occurs in the area, typically overlying the volcanic rock. The Tertiary Volcanic Rock is exposed at higher elevations about two miles west of the project site. KRAZAN & ASSOCIATES, INC. With Eleven Offices Serving the Western United States 104-03009 Trucking P{t Groundwater Project No. 104-03009 June 6, 2003 Page No. 3 Information on the thickness of the unconsolidated sediments overlying the bedrock is not readily available in this area. The geologic cross section suggests that the thicknesses of the till and outwash units are both on the order of 50 feet or less. Geologic logs of water supply wells are not available west of the Highway 101 corridor in this section. The available well logs (contained in Appendix A, with locations shown on Figure 1) along Highway 101 indicate that the thickness of the unconsolidated deposits, generally sand and gravel, ranges from about 40 to 90 feet. Rock, usually described as shale or sandstone, occurs below this depth. Undifferentiated outwash consists of recessional and proglacial stratified sand, gravel and cobbles with minor silt and clay interbeds deposited in meltwater stream environments. The outwash deposits have a relatively high permeability. Glacial till consists of an unsorted, unstratified, highly compacted mixture of clay, silt, sand, gravel and boulders deposited and overridden by glacial ice. Till typically has a very low permeability. Both bedrock types, the volcanic rock and the sedimentary sandstone and shale, also have relatively low permeability. The USDA Soil Conservation Services (SCS) Soil Survey for Jefferson County, Washington maps the soils in the lower half of the project area as Hoypus gravelly loamy sand, 15 to 30 percent slopes. This soil occupies glacial outwash terraces and may contain areas of poorly drained silt loam. The upper half of the project area is mapped as Clallam gravelly sandy loam, 15 to 30 percent slopes. This soil occupies glacial terraces and is formed in glacial till. The hazard of water erosion is moderate and runoff is medium in both soil types. The subsurface conditions on the project site were investigated by excavating a total of 9 test pits to depths of up to 17 feet. The subsurface soils consist of dense to very dense safid and silty sand with varying amounts of gravel. No glacial till was encountered in the test pits. For additional information regarding the soils encountered, please refer to the Geotechnical Engineering Investigation Report. 5.0 GROUNDWATER CONDITIONS The available well log information was combined with the geologic mapping of the area to develop the hYdr0geologic framework of the site vicinity. One ~quifer ~as identified in the water well records. Revi-ew of the domestic water supply well logs available from the Department of Ecology (Appendix A) indicates that the wells adjacent to the property occur along State Highway 101 and Old Gardiner Road, on properties south of, or to the n~)rtheast of, the subject property.-The only aquifer capable of supplying domestic quantities of water occurs at the base of the Outwash sand and gravel unit. The water table in this aquifer occurs at a depth of about 40 to 50 feet where the wells are located. The saturated thickness of the aquifer in this area is 15 to 25 feet. This aquifer is perched on top of the Tertiary Sedimentary Bedrock. The water in this aquifer is likely moving to the southeast in the site vicinity, toward Discovery Bay. It likely discharges as seepage directly into Discovery Bay below sea level. The northwest (upgradient) extent of the outwash aquifer is not known from the available information. The available geologic information suggests that the lateral extent of the aquifer would be fairly limited and confined to the extent of the outwash, which only extends northwest to about elevation 300 feet. The recharge area of this aquifer is relatively small. The entire hillside above the project site is covered with glacial till, which is relatively impermeable. Precipitation falling on the area upgradient of the site will KRAZAN & ASSOCIATES, INC. With Eleven Offices Serving the Western United States IIM-03009 Trucking Pit Groundwater ~ ...... ~4o]41t NO. 104-03009 JUN 2 ~ ................t"'~~ Page No. 4 primarily be returned to the atmosphere through ew ~.~,~,~0h~~~ face flow. The excess surface flow from these higher elevations an¢ 'r~p~ia~~'clireCfl~, °n-ihe outwash area (minus that returned as evapotranspiration) will be available to infiltrate into the outwash and recharge the outwash aquifer. One water supply well, drilled on the northeast-adjacent Washington State Highway Department property, is relevant. The well, drilled to a depth of 333 feet in 1977, encountered 40 feet of outwash sand and gravel over sandstone and shale bedrock. No groundwater was encountered in the outwash material, and the well was abandoned. This information indicates that the outwash aquifer west of Highway 101 may be very thin or discontinuous. On the subject property, minor water seepage was encountered in TP-3 (excavated in the northwest comer of the property) at a depth of about 9 feet below the ground surface. Ground water was not encountered in any of the other test pits. We did not see any evidence of springs or stream channels on the site. No perennial streams are known to exist within 1,000 feet of the project site. 6.0 HYDROLOGIC IMPACT EVALUATION The project is located within an area designated a Susceptible Aquifer Recharge Area, based on the October 1999 Special Aquifer Recharge Areas Map by Jefferson County. This area generally corresponds with the occurrence of the mapped outwash soils along the west side of Discovery Bay. The available geologic information suggests that this outwash unit extends landward from Discovery Bay a distance of about one-quarter mile, extending up the slope to an elevation of about 300 feet. The outwash overlies sedimentary bedrock with very low permeability. The outwash aquifer is recharged by excess surface runoff from the higher till-covered hillslopes and precipitation falling directly on the outwash soil. The aquifer has sufficient saturated thickness east of Highway 101 to support individual domestic water supply wells. Limited drilling west of Highway 101 suggests that the aquifer thins to the east and may be discontinuous. We understand that the proposed pit operation will use stormwater runoff, possibly augmented with an on-site well,, t0.fprocess and wash the sand and gravel. Excess runoff wilii[be infiltrated into the outwash soil on-site. The net effect on the hydrologic cycle from this operation will likely be a-'Slight increase in the recharge of water into the soil over existing conditions. This is primarily due to decreased evapotranspiration and surface runoff due to the removal of vegetation. Because-there ar.e no significant low-permeability layers in the outwash unit, the recharged water probably percolates downward through the sand sequence to recharge the aquifer at the base of the out'wash unit. Consequently, there should be no negative impact on the aquifer recharge from the proposed operation. 7.0 CONTAMINANT TRANSPORT EVALUATION Potential release of hydrocarbon fuel products into the soil is the only potential project-specific concern. Approximately forty feet of unsaturated sand and gravel occur at the site above the outwash aquifer water table. Fuel releases into the soil would extend both laterally and vertically into the unsaturated soil. Established management practices and spill response measures (described below in Section 8.0) should KRAZAN & ASSOCIATES, INC. With Eleven Offices Serving the Western United States 104-03009 Trucking Pit Groundwatc'r LI JUN 2 7 2005 ! .... -'~.'L"~ ,~'/"~ il~ i- ' li~t the extent of ~a~on of ~y sz~zfic~t release ~,:~ ~;,~?~[,~~ ~f ~sat~atcd soil and the available spill response measles, ~e l~el~0od of~ny'zmpaet~o-the'~q~r'~nimal. lo. 104-03009 June 6, 2003 Page No. 5. 8.0 ON-SITE SPILL RESPONSE Potential sources of contamination are expected to include hydrocarbon fuel products such as diesel, motor oil, hydraulic oil, and grease. The levels of contamination are expected to be minor and consistent with sand and gravel mining operations. In the event of a fuel spill onto unpaved areas, the primary effort will be to minimize the movement of fuel over the ground surface with the use of either shovels or excavation equipment. The affected soil will then be excavated and placed in a temporary containment cell with a berm and lined with plastic sheeting pending removal fi.om the site. If immediate (same day) removal fi.om the site cannot occur, the stockpiled soil should also be covered with plastic sheeting. In the event of a fuel spill onto paved areas, absorbent material will be used to block the flow and collect the spilled fuel. Spills will be prevented from entering.any storm drain or drainage channel with absorbent pads, booms, or soil berms. If a spill ..... occurs in the vicinity of a temporary slope, care should be taken to not oversteepen or undercut the temporary slope. No fuel or hazardous chemicals are stored at the project site. Diesel fuel is delivered to the site by a company-owned service track (100-gallon capacity). All site vehicles are refueled in a designated area on the site. Inspections of tanks, valves, and dispenser hose connections are conducted on a daily basis. A small quantity of lube oil and grease will be stored in the company-owned service trucks. Transfer of fuel fi.om delivery truck to site vehicles includes the following methodology: 1) Fuel delivery track enters site to the fueling area where vehicles are parked; 2) fuel delivery truck is equipped with a spill response kit, non-sparking shovel, and spill response manual; 3) transfer hose is connected between delivery truck and vehicle; and 4) fuel-track driver operates fueling controls at each vehicle being fueled during entire operation. Facility personnel are required t~' participate in an annual hands-on training session; ine!t~ding the location and contents of hazardous materials response equipment (Spill Kits), as well aS -s~'0rmwater management practices for protecting the aquifer. The hazardous materials response kits for this project are located at the fueling station or in the company-owned service track and contain po.m_ ble absorbent materials. 9.0 BEST MANAGEMENT PRACTICES Proposed best management practices to address storm water control on the project site and prevent degradation of the groundwater quality are described in the Drainage and Erosion Control Plan developed by Zenovic & Associates, Inc. KRAZAN & ASSOCIATES, INC. With Eleven Offices Serving the Western United States 104-O3009 Trucking Pit Groundwater 10.0 CLOSING __JUN 2 7 2003 IL J£FFER. SON COUNTY DEPt. OF COJ~,!h~LNIW DEVELOPMENT ~1o. I04-03009 June 6, 2003 Page No. 6 Krazan warrants that the findings, recommendations, specifications, or professional advice .contained herein have been made in accordance with generally accepted professi6nal geotechnical engineering practices in the local area. No other warranties are implied or expressed. If you have any questions or if we may be of further assistance, please do not hesitate to contact our office at (360) 598-2126. Respectfully submitted, KRAZAN & ASSOCIATES, INC. Licensed Hydrogeologist (No. 1950) Shawn E. Williams, R.G., R.E.A. Senior Env/ronmental Geologist KRAZAN & ASSOCIATES, INC. With Eleven Offices Serving the Western United States 104 -03009 Tracking Pit Groundwaler SITE HWY i01 KRAZAN & ASSOCIATES, INC. 20714 State Route 305-Suite 3C Poulsbo, WA 98370 360-598-2126 Printed from TOPO! ©1997 Wildflower Productions (www.topo.¢om) Note; Map adapted iqo., TOPO! © i 997, Wildflower Productions. FIGURE 1 - SITE VICINITY MAP Job name: Proposed M & E Trucking Expansion Location: Jefferson County, Washington Job No.: 104-03009 Client: M & E Trucking Inc. Date: 6/4/03 · . JUN 27 2003 J£FFERSOI~I COUNTY L.DEPT. Or COMML.~NI'r"i' DE~¢ELOFMEh~T WATER WELL REPORT ~T&~ OF AppLication No .................... ~lt No ........ N,me Washington State (;) LOCATION OF WELL: scorer ~a Mainte~a~c gea~r~ --d dlataz~ fr~m sect/on or subd~vL~/on cor~er (5) DIMENSIONS: D~neter of we~ ........ ~___ In. teL D~pth o~ completed well .... ft. (10) ~i~TJ'. LOG: Gravel & s~nd ! 0 I ].'' -~nd_v~-i~-v. Some ~ravel I1~ I ~ ~oul~ers ~'~ravel- j 30 ! ~ ~ray ~and sYcone / ~.i No wa~er~ was Gravel packed: Yes 0 No ~ SL~ of ~'avth ....... Gravel placed f~m ~t. Did a~ ~a~ ~n~n ~ble wa~rt ~ ~ ~tet~ ..................... ~ ol a~a~...~~- M~od of se~ stra~ DrawdOwn_ta am .otln. t.wa~,er level (9) WELL TESTS: Wu a pu, mo test made? Ye~ ~ No f'l It yes, by whom?..' ........................ Yield: gal~mln, with f~. drawdown after htl~.. Reeove~ dam (Umn ..t~t. en ~ zero when primp tUrnL~:[ ~ t~ ......... g~./~, wi~ .............. ~. ~wdo~ ~ ............ ~. ~ ~w ............................ g.p~. Date ......................... ~~ of water ............. W~ a ~cM AU G ! ! .m.?7 .~o ~.l.lllng._~.O.a.,....Ixt~.- ............... ............. o, ~ P.O. Box 161 Se~uim~ Wash. ~.~ ..................................................................... ..... '~;;F'"'joe.. ~ke 0391 ............................ [s~] ~o Harold ~ller ~,~ ........... ~ .................... l~. 0~4} WATER WELL REPORT ~ ~ --~? ~Y STATE OF WASHINGTON Water Rl~t (t) ~: ~ ~ (2~) STREETADDRESsOFWELLc°'~'~ta':k~"~) ~ (~ /"C~r~;/' P~,~ ~ (3) PROPOSED USE: 1;~Dom~ic lndu~al [] [] DeWater Test We~l O Munic~ (10) WELL LOG or ABANDONMENT PROCEOURE DESCRIPTION Other C] I FO,~: Descdbe by color, cheater. ~ze ol ma~.rial end ~'uct~'e. and ~Ow lh~.ne~ ~t ,,qui ~ ~a Idr~l I~l nature ot the matedal in elu:h ~,tum p,er~.fl~ted. ~h at le~ one e~h'y fo~ · (4) TYPE OF WORK: Ow~m'anumbetofwe41 (if more ~ o~e) MATERIAL TO Abandcmed 0 New well I~ Me~hod: Dug 0 Bored [] ~ RecondiUo~l 0 Ro~y O Jetted [] .,... ~ ~ (5) DIMENSIONS: Olame~er cd w~l. IrC'ms, COHSTRUCT1ON DETAILS: · c..~.,,~.lI~: & .-:D~.~_O .~..~'~ .". Wekled ~ ~' 'Diam. trom . fl. to It. Une~ Inslalled 0 Dia~. ~ Slot size Gravel p4aced from tr. to It. Surfac~ ~e,l: Yes ~r' NO [].. Mst~al USed id seal ~:)"~t"..~,t't ,'~" Did any strata c~f(a~ unu~t~,e Type o~ water? Depth 04 strata _ Method ol seali~g s~Tata off (6) PUMP: Manufacturer's Name Type: H,P. (e) WELL TESTS: D~ is .m~Jm~ le~l Is Iow,ered bek:~w sta~ level Was a pump test madeq Yes I'-] NOE3 If ye~, by whor~? Yield: gal./min, with _ It. d~av~tc~,n aRer F~eq data (lima I~ken as zero when I~Jmp turned ol) (wate~ ~ mea~Jred from lop to water level) Tm',e Wate~ Lev~ Time Water Level T~ne Water Level Oate ot test ~1 ~./ml~. ~ st~ ~ It ,. ~ ~ -- ~' Tam. faire ol wa~r .~ W~ a ~em~l anal~ls mede? Yes ~ ~ ~ Wo~ Started ~tg. WELL CONSTRUCTOR CERTIFICATION: I c~nstmcted and/or accept msp~nsib~lity tor construction of this well, s~ compliance with all Washington well censlructJon standards. Materials used Ibe information refx)rted a~)ve are tree to_.my best knowledge and belial. Co.qb'actor's (USE ADDITIONAL SHEETS IF NECESSARY) Ecology is an Equal Opportunity and Affirmative Action employer. For ctal accommodation needs, conta~ the Water Resources program at (: 407.6600. The TDD cumber is (206) 407-6006. o,~..~ ..d ~.~* copy w~m WATER WF, J~ REPORT a~uo~ ~o ................. ~t of ~o~ _ - ~nd ~pY ~r ~gopy Copy-- ~ners ~opy ~ O~ W~~N Pe~t No ................... ..... , " . _ ~ (3) PROPOSED USE: (4) TYPE OF WORK: o~e,', .~r of ~u ti! morro tt~n one) .... ~ ,si N .. "~' 'Q~'~"~ " D~m ....... S~t I~ .... ~u ......... O~ei P~ ~m ~' ~ ~ter~ ~ In se~.~~.~ Did any ~a~ ~n~n ~ble ~? Y~ 0 No ~ ~ of wat~?-~ .................. ~ of ~ ............... Recovery da.tn. (time t.a.k, en ~ zero when pump turned off) (water l~ves measul~CJ ~rorn WeLl top water level) D.~ o~ t~ ~. .............................. 'Z ..... ~ .....~.....~. ~r t~...~....s~./mln, mm ...... ~. d~o~ A~ flow ................................ ~.p~. Ds~ .......................... T~m~t~e of w~r ............ W~ · ~ ~ ~ Y~ ~ Ho ~ File Orlg~nm) =nd I='~) COPy O~rtm~t of Ecology 8~'o~d C~y--O*~M'e COpy T1Tkd Copy--Orlllet'l (1) (2) (2e) (3) (4) WATER WELL REPORT STATE OF WASHINGTON w-,let Right PMmh Ho. OWNER; Nam. PROPOSED USE: [3/""°metric Induatrial I::] Idunlclpal t-I (10) WELL LDO or ABANDONMENT PROCEDURE DESCRIPTIOI i-1 Irrigation ' . n DeW&tar T.t Wall r'l Other l-1 Fom~tlon: I:)eacrme by co,~', charade. AaA .. U't~ela o~ aquif~rl aim thl IC~ end rml~l of (~) DIMENSIONS: Oiamaterotw*U · ~ '~//'~""' fl, Drilled '~L"~ Ce~t. Depth of completed wait (6) CONSTRUCTION DETAILS: C,,Ino,n,tall~d; .~_' "--.om t~ ""~.'~o /'~.._.~". ~d~ ~ · " .' '-~m. ff~. fl. P~ora~ne~ Ho T~ of ~orlt~ p~orit~ni ~ fl, to D~m.- Slot i~e~ fl. I~~. L~.,d.~fAce e~4viflon Ad.in wirer 18 o~ by ' (~. v~. Recovery deli (ll~A tAk~ AA zero wh~ pun~ tLLmnd off} (w~t~" 14vel m841~'~d Imm w~ll top to wlt~' ~v41) ?m~ WIII~ L~v~! TI~4 Wlll(LlvM h W&tM LIV~ Date el te~l _ Ai('teet {3AL / mia. with item Ief al . ft. f~' _ -- ~ ~e~in flow ., _ O,p.m. DAte ' T~peralurlofwltlr~ Wlll~lla~Wellmldl? YIt~ NO~ WELL CONSTRUCTOR CERTIFICATION: I c~atructed and/or accept reapon~ibility for conntrucflon of tl~$. w and Ita compliance with ,.11 Washington well conelructmn standan Idatefta(I uaed end the information reported above are true to my bi Imowledge and belief. · C OI'I~,'TI Ct O r ' a (USE ADDITIONAL SHEETS IF NECESSARY) File_ Original and F.st Copy with Dep&flment of Ecology ~ Gopy--O~et'~ Copy 'rh~*d C~oy--Dd, fler'$ Copy WATER WELL REPORT STATE OF WASHINGTON '-~ (2) LOCA~ON OF WELL: (2l) STREET XDDD.ESS OF WELL TYPE OF WOR:K: Ovme~,nun~Mc~wMI (Il mo~ thin one) Abandoned I-I N~wwMI I'1 Motived: l~g I-I Bmod [] Recondflio~ed O Rotmry U Jeffed O (4) (10) WELL LOG or ABANDONMENT PROCEDURE DESCPJPTIOI DIMENSIONS: Dlam~l.r of well Drilled fe~l.' -Depth o! completed w~ll (6) (7) Inches. fl. PUMP: Type' I.LP Recovery dali (t~e takofl H %o~o whe~ pump from w~ll lop !o ~mt~ level) W~l~ LIvM ~ W&~ O&te of te~t WATER WELL REPORT 91'A1~ OF AppLtcat~on No ..................... Parmlt Ho ........................... (10) w~., LOG: 58 .: OF COMMUNITY to water levall '.., Time W'~'~r L~et Time Watee ~[ T~ W~ ~t ~ ~ t~ ............................................. ~ ~...~. ......... g~j~. ~...~ ......... ~t, drawd~ ~,~-~-~. 11 Work started ........................... lO ....... WELL DRILLF-~S STATEMENT: This w~ll .was dl~illed, und.e~ ~ ~~n and th~ rep, ~e'~'~ ~ of-~ ~owl~e ~u ~. ~..~[~. ~;.C~. 2.~ ...Cc [.... ................. (uS,!f ADDFr~OI~AL ~ 17 N~ESSARY) .d File Original and ~ Copy with WATER WE!,L REPORT ^~p,,c.t,o..0 .................... ~~ Dflller's ~PY STA~ OF W~G~N P~t No ................................ (2) (3) PROPOSED USE: DomesUc ~r/Znd~ ~ M,_,,,i~p,d C! (10) W~ L~: ~ ~ Cable ~ Dflv~ --(5) D~NSIONS: D~e~r of weU ....... ~_~._m~. (6) CONS~U~ON D~:- S~ ~u ~ No ~ Grovel pa~e& y~ O ~o ~ s~ o~ ~a~:.~ M~ of se~ stra~ off ~ water ~ ~n~ll~ by ...... {Cap, v~ve, (9) WE~ T~TS: ~ow~ b~ow ~u, ,~. R~ ~m (~e ~n ~ ~ro wh~ P~P t~ed off) (wat~ 1~ m~ur~ ~m w~ wp to water T~e W~ ~el ~ Time Water ~el ~ Time T~pe~t~e ot water ............. W~ a ~c~ ~ made~ Y~ i~. Ie. No. ?3Sf---OS--iRev. JER WELL DBILI. EK~ STATeMENt. ~ well was drilled unde. r .my ju .ris, dj,c.ti~.n and this report true to the best of my knowledge aha Dene. '° "~"--~-'~fiff' ...... '-"'":'"~ ......... ' ............. ,"-~" u~-- No.....~..S.~..~.. .................. ~'te-~"l°'''t'''''/''~' ...... (USE ADDITIONAL, SKEETS 11~ ~ARY) o~-~ ~-~ r~ cop,.~t~ WATER WELL REPORT ~pp.c..o. ~ ............................... ~~t ot ~1o~ __ ~nd ~PY -- Copy-- Dflllarl copy ~TA~ O~ WA~~N Pe~t NO ................................. (4) ~E OF WO~: o~.,'..~, o~ wen 4~ mo~ ~ one) ......................... (6) CONST~U~ON ~vel pa~ed: y. ~ ~o ~ Did ~Y ~a~ con~ ~ble watert f~ B Ro ~ pr~ ................. J~. per eq~re in~ (9) ~LL TBS: Drawdo~ m~ from w~ top ~ wa~r lev~) Date ot t~ ........................................... WELL DRr~J,F.R'S STATEMEN~ This well ~s ~H~ ~der ~ ju~ion and this re~r~ ~e ~ ~e best of my ~owl~e and ~icf. (USE ADDITIONAL 8H~ZTS I~ NECESSARY) WATER WELL REPORT STATE OF WA~RTNGTON AppUcaUon ~o. Permit .N'o. " " ~ - ~e ~ ~e b~t of ~ ~owl~e and ~te. ADDITIONAL RECEIV£D 19 JUL 1994 ~EPARTMENT OF ECOLOGY WA~R RES~ECES ,'-,' ADDITIONAL WELL IDENTIFIERS Department of Health System ID Number ~ USGS Site Idenuficauon '" ' . f WELL TAGGIZNG FOI~V!. RECORD VERIFICATION -- - ; ~ l~ Well Report avmlable (please attach) [] Well Report not avadable El Verification inconclusive ' . ............ . ...... ."...~ :-~:,:.. ........... ("~' '~=', n", , ~,' ill Iii ........... ~k~, dgl'q. Z / ,'uuo J[FFERSON COUNTY DEPT. OF CO[,d}~U~'~JTf DEVELOPMEN'i. WELL OWNERSHIP, IF 'DIFFERENT FROM WELL.REPORT d-ty /~t ............ . .... s~, ac LOCATION OF WELL; IF'DIFFERENT. FROM.WELL REPORT Well Address ,- - - City County T, N.R. W.M. Sec. , ~,4 of the. Latitude o , Longitude ° ' , feet/meters (circle one) Elevation at land surface []-' GPS (raw data) "[] OPS (cprrected) ' [] Topographic Map " [] Survey [] Coinputir 'generated' [] Other 1"3 D~gital AlUmeter [] Topographic Map' [3 [] Water R~ght # Orcle one: Application Additional information, if available: Location marked on topographic map (please attach) Location marked on air photo (pleas~ attach) Priority Date Permit Certificate Claim Physical Description of Well (size o.f casing, typ~ of well, housing, etc.): . Exempt Loc~tion-0fWelI Identification Tag: Was Supplemental Tag needed for ease of identifying well? [] NO g~'YES If yes, whe~ was tag placed? Scale 1:24,000 (t" =2,000') D C E ~ · ! , ! ~ B A I I 2' I ! ! Indicate the location of the wel[~thin the Section by drawing a dot'at that point. SEC~ON ~ COMM~NTS: Please attach ttds form to ~e Well Report and submit tt to the Dep~nt of Ecology Water Resources Program tteadqua~rs, Well Ident~flcalton Pro,ram. P 0 Bor 47600. Olvmntn. WA OJt~tl~.7t;Oa ......... :':" ' ....... "' '*~' ~V *.TER WELL REPORT ~,,,,, c~' ,.. :~ lhud (, ~ ~rtltcr~ ~op~ STATE OF WASt~GTOH P~t No .. (1) OWNER' x~me ,'~v' ~' f~ .... ' ' Address 'f" ~ ''. ._' ....... , ~ , (2)-LOCATION OF %~LL: county -,.. = )i . se,, . T.,-".N, ~J ]') ~lrlll~ld d~stan~o iron sectmn or subdiwsm~ corner (3) PROPOSED USE: (10) WELL LOG: Don~e~Bc [] InduslrIM ~ Munimpal Irrigation ri n-c'-t Well L] Other (4) TYPE OF %VORK. ow.er~ ,,umber of ~,ll (if moro than one) l~ew 'well l~ Me.od Dug ~ Bo~d Deepened ~ Cable 0 Driven ~econdtflo~ed ~ ~ot~ ~ Jetted (5) DIMENSIONS: D,ameter of well 4' inches Drilled .'.'~-- .' ' tt Depth of completed well ~ .~ / ft (fi) CONSTRUCTION DETAILS: Casing installed: Y "Dlam from ! / ft tO .3 /. ? It Threaded I-I "Dian from ft to tt ..... Welded 0 "Diarn from it to ' 'fl Per/orat~ons: Yes O ~o 1~ ' ' , t Type o! perforator u~ed SIZE og perfora~ons .... in by . ~rforatto~ from .. . ft ~ .... ' ft I '.. _ ~ora~o~ ~m .... .... , Screens: y~ ~oO,, ' " ' ~' r . '~ ,- ~~ ,~.' ~~ Type of.water? .... Depth of ~r~rata. *Method of ~eallng strata off ......... PUlPIt: Manutacturer'a Name Typo Static level ~es[~ ~re~e .... Jbs per ~re ~ Date A~eman water ~ controlled by ' (9) WELL TESTS: WAs a pump te~t made? Yes Drawdown Ls amount water level Is lowered below ataUo level BTo ri It yAs, by whom/ . . ... I'orlrhltton DescrIbe bp. color, character, s,ze ul ~-atrrtal and stat. et, ute show Ch~cknes~ oJ aquifers and thc k .d a.d nature o/ the meier'at I I I ' I Work started ,19 Completect ' ' ' '~ II ...'~J" Yield ', ,al/mia ,.vita '* it drawdown atf~r "hr, WET,L DRILLER'S STATEMENt, ~, ~,3.r.'~. ".," --" " Z I Th~s well was drilled under ray )urzs&ctmn and,,~,r, el~. ', ....... true to the best of my knowledge and belief Recovery data (time taken as zero when pump turned off} (water level ' . . , , ,. -,-~ , 4'r¢1'i- - · measured from well top to water level) , t / .~,- /~ ._~ ..r~' _/~ / ~ '-' Z,/ ~', ,;'~ ~.~.. -', .............. , · , ' '~ , , , ,, I ........ : .... I ........... '/D , ,w, , ,5 . ,t'~,~.-- ~,~ STATE OF WASHINGTON DEFARTM. ENT OF CONSERYATXON DIVI'31ON OF WAT.KB RKSOI.;"RCES WELL LOG ~o~ ............. ,~././.~.~..~/~.~ ................. !---~ Turn up Sheet.~ol ...... .aheets .~ W l,,t Illlt i T 0 K STt, TE tie P AItT lit E I T OF ECOLOGY Date of Field Visit A Y Z I 2 3 WELL TAGGING FORM AI)DITIONAL 'WELL IDENTIFI~RS Department of'Health' System ID Number \ ~'Q~ ~) ~ Source Number SO., Identification --':-:-' RECORD VERIFI/gATION !~ Well Report available O~/ease attach) r-1 Well Report not available [] Verification inconclusive JF. FF£RSON COUNTY DEPT. OF- COMMONITY DEVELOPMENT WELL OWNERSHIP, IF DIFFERENT FROM WELL REPORT LOCATION OF WELL, IF DIFFERENT'FROM WELL REPORT Co,nV, Latimd. e.. _ Longitude 0 [] OYS (raw dam) [] OPS (corrected) [] Topographic Map [2 Survey [] Computer generated [] Other Elevation at land surface feet/meters (circle one) [] Digital Altimeter Topographic Map [] Other Additional information, if available: [] Location marked on topographic map (please attach) [] Location marked on afl photo (please attach) Water P, aght # Priority Date Circle one: Appbcation Permit - Cemficate Clmm Exempt Wle__.LT CHARACTERISTICS , Physt .eal ~)esefiptiofi of Well (size of casing, type of vfell, housing,'etc.'~):, Location of Well IdenUfication Tag: Was Supplemental Tag needed for ease of identifying well? C]NO [] YES If yes, where was tag placed? D B M C B A L ~ K JEFFERSON COUNTY Iadicate the location of the-well ..within the Section by drawing a dot at that point. Please attach this form to tl~ Well Report an4 submrt it to the Deparm~nt of Ecology Water Resource$ Program Headquarters, Well ldentfficatwn Program, P 0 Box 47600, Otympta, WA 98504.7500 .. D~A~NT OF CONSERVA~ON ~h~/~-~:'~,:~:~ ~, ~,:" s~u~. ~//~~. -. ----l- - ~d ~% ~~ : ~ . . .~ .~1 ..... ~~/~I ' , I ~ I ~o. ...