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HomeMy WebLinkAboutHydrogeologic Assess 976200102IN-DEF°rM PERSPECTIVE October 28, 2003 Mr. Robert Brasier 1821 East Marrowstone Road Nordland, Washington 98358 Re: 2522 East Marrowstone Road Well Hydrogeologic Assessment Project No. 030146-001-01 Dear Robert: This letter-report presents a hydrogeologic assessment pertaining to local groundwater conditions near your undeveloped property located at 2522 East Marrowstone Road, Nordland Washington. It is our understanding that a drinking water supply well located on your property is within a 1,000-foot radius of a High Risk Seawater Intrusion Protection Zone (SIPZ), as classified by Jefferson County. Jefferson County Department of Community Development has required that a hydrogeologic assessment be submitted as part of your building permit application process since your well is within the High Risk SIPZ. This letter-report is intended to meet the requirement of a hydrogeologic assessment per the Jefferson County Unified Building Code Section 3 - Land Use Districts, Section 3.6.5 Critical Aquifer Recharge Areas. In preparing this hydrogeologic assessment, we have conducted low discharge flow test, performed water quality sampling and reviewed the following material to base our findings and conclusions: · Water Well Reports on file with the Washington Department of Ecology (Ecology). · On-site lo~v discharge pump test data. · On-site well water quality data. · Jefferson County Unified Building Code. · Property Location Maps, Topography Maps. · Jefferson County Coastal Seawater Intrusion Policy and Ordinance. · Map of Marrowstone Seawater Intrusion Protection Zones. · Ecology report on the Geology, Water Resources, and Seawater Intrusion Assessment of Marrowstone Island, Jefferson County, Washington. · WRIA 17 report on Groundwater Quality Data Summary for Water Resources Inventory Area 17. Project Description The Brasier property is an undeveloped waterfront property located on the east side of Marroxvstone Island, approximately ½ mile east of Nordland, Washington (Attachment 1). The Brasier property (Parcel Number 976200102) is located at 2522 East Marrowstone Road and is a high-bank rectangular lot of approximately 1 acre which abuts Admiralty Inlet and Mr. Robert Brasier October 28, 2003 Project No. 030146-001~01 Puget Sound. Attachment 2 is a parcel map that shows the layout of the Brasier property to other surrounding parcels. The Brasier property water supply well was installed on April 23, 1991 (prior to Mr. Brasier's purchase of property) and is located near the western property boundary about 400 feet from the shoreline. Review of the United States Geological Survey 1:24000 Nordland topographic map indicates that the Brasier well is at an approximate elevation of 75 feet relative to mean lower low water. The well is completed at a total depth of 72 feet and is screened in advance glacial outwash sand between 61 and 66 feet below ground surface. Jefferson County has established a High Risk SIPZ in the area of the island surrounding the Brasier property. A High Risk SIPZ extends in a 1,000-foot radius from any individual well that exhibits a chloride reading of 200 parts per million (ppm) or greater. Attachment 3 presents a map sho~ving the location of the Brasier property in relation to other wells exhibiting elevated chloride levels comprising the High Risk SIPZ designation. The Brasier well lies within the High Risk SIPZ and requires the development of a hydrogeologic assessment as per the mandatory actions identified in the Jefferson County Unified Development Code. Hydrogeologic Assessment Weft Log Information Water Well Reports on file with Ecology were obtained and reviexved for wells within 1,000 feet of the Brasier well. The Brasier well was originally recorded with Ecology.as Joann Whipple as the original well owner at the time of well completion. Copies of the well logs are presented as Attachment 4. A summary of well completion data contained in the well logs is presented in Table 1. The well logs indicate that the Brasier well is completed in an unconfined water-bearing sand aquifer, which xvas encountered between 62 feet and 72 feet below ground surface. Geologic maps and cross-sections developed by Ecology for a water resource investigation of Marrowstone Island indicate that the sand unit is designated as glacial advance outwash (Qva) deposited by meltwater flowing from advancing ice of the Puget lobe from the Fraser glaciation (Ecology, 1994). The Qva sand unit is shown to outcrop along the eastern side of Marrowstone Island in the project vicinity. Cross section D-D' completed for the 1994 Ecology study is an east-west section which is located close to the Brasier well location and is presented as Attachment 5. The cross section indicates that a wedge of Qva sand approximately 70 feet thick occurs in the vicinity of the Brasier location. The aquifer is bounded by bedrock consisting of the Quimper Sandstone formation. Based on information on the cross section, it appears that the Qva sand is limited in lateral extent to the west and is not deposited across the island in the area of the Brasier well. Groundwater Elevation Groundwater flows from areas of high head (elevation) to areas of low head. Groundwater in the project area is thought to be flowing in an easterly direction and discharging into Puget Sound. Static groundxvater level data collected at the time of well completion indicate a groundwater level of 62 feet below the top of the well casing (approximately 60.7 feet below ground surface). Static groundwater level was measured on October 14, 2003 at 61.71 feet below the top of the well casing (60.4 feet below ground surface). This data indicates that groundwater levels have remained relatively constant between the two measurement periods which span a period of 12 years. Total depth of the Brasier well was measured on October 14, Page 2 Mr. Robert Brasier October 28, 2003 Project No. 030146-001-01 2003 at approximately 69 feet below ground surface. This measurement suggests that approximately 3 feet of sediment has accumulated in the bottom section of the well casing. Approximately 8.6 feet of groundwater is available in the well, based on the October 2003 total depth measurements. If the sediment were removed from the well, the available column of water available for drawdown would be about 11.6 feet. Water Quality Data Seawater intrusion can be evaluated by collecting water quality data at a well and performing measurements for chloride. Groundwater aquifers in direct hydraulic continuity to the sea will typically contain both freshwater and saltwater. The freshwater, which is a lower density than the saltwater, will float on top of the denser saltwater. A mixing zone between the freshwater and saltwater occurs as a result of hydrodynamic dispersion. This mixing zone typically separates natural background freshwater (chloride levels typically <50 ppm or milligrams per liter [rog/l]) from saltwater (chloride levels on the order of 19,000 mg/1) (Pacific Groundwater Group & Parametrix, 2000). Jefferson County has defined the following three categories of SIPZ's: · Coastal SIPZ - All islands and land area within '/4-mile of marine shorelines & associated aquifers; · At Risk SIPZ - Areas within 1,000 feet of a groundwater source with a history of chloride analyses between 100 mg/1 and 200 mg/1; · High Risk SIPZ - Areas within 1,000 feei of a groundwater source with a history of chloride analyses over 200 mg/1. Conductivity is a measure of the ability 0fwater to conduct electricity and is measured in units of micromohs per centimeter (~tmohs/cm) at 25 degrees centigrade. Conductivity can be easily measured with field monitoring equipment and provides a good field tool for evaluating the relative level of dissolved compounds, such as chloride, in groundwater. Attachment 6 provides a graph showing the correlation between conductivity and chloride for wells completed in the glacial aquifer system on Marrowstone Island. Data used to produce this graph was from a water quality sampling program conducted by Ecology between 1990 and 1992 (Ecology, 1994). The data show a general linear relationship between chloride and conductivity and a linear regression line fitted to the data is presented on the graph. The data suggests that in general conductivity levels between about 800 pmohs/cm and 1200 ~tmohs/cm and greater than 1,200 gmohs/cm represent At Risk and High Risk Seawater Intrusion conditions, respectively. Chloride and conductivity have been analyzed at the Brasier well during the low discharge pump test and are summarized in the following table. Volume of Water Discharge Rate Pumped Prior to Sample Date Conductivity Chloride (mg/l) (gallons per Sample Collection 0tmhos/cm) minute, gpm) (gallons) ' 1 45 10/14/2003 892 152 2 120 10/14/2003 928 152 3 210 10/14/2003 949 145 Page 3 Mr. Robert Brasier October 28, 2003 Project No. 030146-001-01 The chloride samples xvere collected on 10/14/2003 at the end of three different pumping intervals. The data show a slight rise in conductivity from 892 ~tmhos/cm, after approximately 45 minutes of pumping at 1 gallon per minute (gpm) to 949 ~tmhos/cm after 2 hours of pumping under the 3 gpm discharge rate. A total of 215 gallons of water was pumped from the Brasier well during the low flow pump test. Conductivity was measured in the field throughout the well yield test and stabilized after about 30 minutes of pumping at a level around 890 ~trnhos/cm during the 1 gpm pumping interval. The conductivity showed a general rising trend at both the 2 gpm and 3 gpm pumping rates. The chloride level measured at the end of both the 1 gpm and 2 gpm pumping intervals was 152 mg/1. A decrease in concentration of chloride to 145 mg/1 was observed near the end of the 3 gpm pumping period. Chloride concentrations in ~oundwater at the Brasier well are within the range of an At Risk SIPZ for the pumping rates tested during the low discharge pump test. The chloride and conductivity measurements collected at the Brasier well are plotted on Attachment 6 and correlate with other Marrowstone Island wells indicative of the At Risk SIPZ designation. Nitrate and bacteriological analysis was also conducted on water samples collected after the 3 gpm pumping period. Results of the analysis indicate nitrate was detected at 4.7 mg/1 which is below the Maximum Contaminant Level (MCL) of 5 mg/1. The bacteriological analysis indicated that the results were satisfactory in that coliforms were absent in the sample. All water quality samples collected for this investigation were analyzed by Twiss Analytical, a Washington state certified laboratory located in Poulsbo, Washington. The xvater quality reports are presented in Attachment 7. Low Di$char~to Pump Test Data A low discharge pump test on the Brasier well was conducted on 10/14/2003 by Peterson Pump and Water Treatment (Peterson) of Port Hadlock, Washington. A temporary test pump was installed to conduct and test and was removed after the pump test was completed. The low discharge flow rate of 3 gpm or less were identified as pumping rates which would have minimal impact on the aquifer and are in line with the voluntary requirements of water conservation measures recommended by Jefferson County for wells completed in SIPZ's. The well was pumped at variable flow rates of 1 gpm, 2 gpm and 3 gpm for a total period of pumping of 125 minutes or about 2 hours. Groundwater level drawdown measurements, discharge measurements and conductivity measurements were recorded throughout the test. Attachment 8 contains the pump test data collected by Peterson. A graphical plot of the flow test data showing drawdown at different pumping rates and conductivity readings for the duration of pumping is sho~vn in Attachment 9. The pump test indicates that the well is capable of producing about 3 gpm with a stabilized drawdown at about 0.2 feet. The drawdown data suggests that the glacial aquifer that the Brasier well is producing from has a high permeability and the low discharge rates produced limited drawdown ranging between 0.04 feet and 0.2 feet for pumping rates between 1 and 3 gpm. Page 4 Mr. Robert Brasier October 28, 2003 Project No. 030146-001-01 Based on information obtained during well testing, a distance to the seaward or downgradient stagnation point (area in the groundwater flow field at which ground~vater is not moving towards the well) can be calculated from the follo~ving equation (EPA, 1993): 2rcKbi Where: XL = Downgradient distance to' stagnation point Q = Pumping rate (gpm) = 3 gpm Kb = Hydraulic Conductivity x _Aquifer Thickness = Transmissivity (gpd/ft) Estimate T based on specific capacity (obtained by dividing pumping rate, Q by drawdown, s (Q/s = 3 gpm/0.21 feet = 14 gpm/ft) T = 1500 x Q/s (unconfined aquifer) (Driscoll, 1986) = 21,000 gpd/ft i = Groundwater gradient (unitless) = Groundwater height above sea level/distance to shoreline from ~vell = 16 ft / 467 ft = 0.03 (based on cross section D-D' in Ecology, 1994) (3 gpm) (1440 rain~day) .fi["'/. -- ~ 2(3.1416) (21,000 gpd/fi) (0.03) 1 foot Likewise, the lateral boundary of the pumping influence of the Brasier xvell can be estimated by the following Equation (EPA, 1993)' 2Kbi Where: YL = Lateral boundary Q = Pumping rate (gpm) = 3 gpm Kb = Hydraulic Conductivity x Aquifer Thickness = Transmissivity (gpd/ft) Estimate T based on specific capacity (obtained by dividing pumping rate, Q by drawdown, s (Q/s = 3 gpm/0.21 feet = 14 gpm/ft) T = 1500 x Q/s (unconfined aquifer) (Driscoll, 1986) = 21,000 gpd/ft i = Groundwater gradient (unitless) = Groundwater height above sea level/distance to shoreline from ~vell = 16 ft / 467 ft = 0.03 (based on cross section D-D' in Ecology, 1994) y~. = + (3 gpm)(1440 min/day) ~ 3 feet 2(21,000 gpd/fi) (0.03) Page 5 Mr. Robert Brasier October 28, 2003 Project No. 030146-001-01 The results of this analysis suggests that the Brasier well pumping at a rate of 3 gpm xvill draw groundwater from the downgradient or seaward side at a distance of about only 1 foot from the well. This indicates that the well will not draw in seawater and leaves about a 399-foot buffer bet~veen the sea and the downgradient area of influence of the well. The lateral distance the well draws in groundwater from the aquifer is only about 3 feet under a pumping rate of 3 gpm. This analysis suggests that the area of xvell influence is contained within the Brasier property and pumping at 3 gpm should not interfere or impair existing wells completed in the surrounding area. Unified Development Code Requirements The following table lists voluntary and mandatory requirements associated with At Risk SIPZ's as well as specific requirements for all development proposals for Marrowstone Island properties. The Brasier property building permit application would need to address these requirements for approval of the well as a potable water supply source. Jefferson County Unified Development Code (UDC) Requirement Description Stormwater Disposal At Risk SIPZ Marrowstone Island Location All new development on Marrowstone Island is required to infiltrate all stormwater onsite to help prevent seawater from intruding landward into aquifers. Voluntary_ Actions Water conservation measures (See Attachment 10) Mandatory_ Actions 1) Submit chloride water quality sample from well analyzed by a certified laboratory 2) Install totalizing flow meter 3) On-going monitoring for chloride 4) Submit flow and chloride data to the County UDC Section Reference Section 3 - Land Use Districts, 3.6.5 Critical Aquifer Recharge Areas, (3) Seawater Intrusion Protection Zones, d. Protection Standards, (2) Stormwater Disposal Section 3 - Land Use Districts, 3.6.5 Critical Aquifer Recharge Areas, (9) Well Drilling, Land Division, and Building Permits in Sea~vater Intrusion Protection Voluntary Actions Installation of timers to enable pumping use limitation to low demand times Mandatory_ Actions 1) Required enrollment in County-sponsored monitoring program 2) Install totalizing flow meter 3) Install variable speed pump, controllable from surface, to enable reduction of pump discharge rate, as necessary 4) Install 1,000ogallon storage tank Zones, iii. Building Permits, B. At Risk SIPZ Requirements Section 3 - Land Use Districts, 3.6.5 Critical Aquifer Recharge Areas, (9) Well Drilling, Land Division, and Building Permits in Seaxvater Intrusion Protection Zones, iii. Building Permits, D. Marrowstone Island Page 6 Mr. Robert Brasier October 28, 2003 Project No. 030146-001-01 Conclusions The following conclusions are developed based on a review of the available hydrogeologic data: 1. The Brasier well is completed in an unconfined glacial outwash sand horizon at a depth of 72 feet below ground surface. The well is screened across a water table aquifer between a depth of 61 and 66 feet. 2. Chloride and conductivity measurements collected from the Brasier well indicate an At Risk SIPZ surrounding the well. Chloride measurements indicate that the levels of chloride decreased during a low discharge pump test. Chloride levels indicate that the Brasier well is classified as an At Risk SIPZ and therefore it is recommended that the well is sampled annually for chloride and data Submitted to the county. 3. The Brasier well can sustain a pumping rate of 3 gpm xvith a minimum amount of drawdown and at that rate the downgradient radius of influence would not extend to the sea and the lateral boundary of influence remains on the Brasier property. Pumping should not exceed a discharge of 3 gpm and only 400 gallons per day or less should be pumped as recommended in the attached Water Conservation Measure list developed by the county (Attachment 10). The At Risk SPIZ designation requires that a totalizing flow meter be installed to record the volume of water pumped from the well. Flow meter data will need to be recorded and submitted to the county. 4. An approximate 399-foot buffer exists between the downgradient radius of influence of the Brasier well and the sea. A variable speed pump is required to be installed in the Brasier well which could be adjusted to a lower flow rate if future water quality readings warrant an adjustment. It is recommended that a timer be installed to limit the pumping period to low demand times. 6. A 1,000-gallon storage tank is required to be installed in the Brasier water system which will allow for adequate storage and limit the overall pumping of the well. . All stormwater is required to be infiltrated on-site. It is recommended that the infiltration should be directed in an area between the well and the sea which will further protect the shallow water-bearing horizon from seawater intrusion. 8. Enroll in the county sponsored monitoring program as required for all new Marrowstone Island building permits requiring the use of a well for a water supply source. Based on the data available for review, it appears that there is reasonable probability that pumping at the Brasier well under low flow discharge rates will not cause impairment to existing wells in the surrounding area. Implementation of additional water conservation measures and stormwater infiltration will provide additional measures of protection in the prevention of seawater intrusion. Page 7 Mr. Robert Brasier October 28, 2003 Project No. 030146-001-01 References Driscoll, Fletcher O., 1986, Groundwater and Wells, Johnson Division. Environmental Protection Agency, February 1993, Wellhead Protection: A Guide for Small' Communities, EPA/625/R-93/002. Jefferson County Unified Development Code, Section 3, Land Use Districts. Jefferson County Ordinance No. 06-0609-03, June 9, 2003. Pacific Groundwater Group and Parametrix, Inc., June 2000, Groundwater Quality Data Summary for Water Resources Inventory Area 17, prepared for Water Resources Inventory Area 17 Planning Unit. Washington State Department of Ecology (Ecology), 1994, Geology, Water Resources, and Seawater Intrusion Assessment of Marrrowstone Island, Jefferson County, Washington, Water Supply Bulletin No. 59. Limitations Work for this project was performed and this letter-report prepared in accordance with generally accepted professional practices for the nature and conditions of work completed in the same or similar localities, at the time the work was performed. It is intended for the exclusive use of Robert Brasier for specific application to the referenced property. This letter- report does not represent 'a legal opinion. Within the limitations of scope, schedule and budget, our services have been performed in accordance with generally accepted hydrogeology practices in effect in this area at the time our letter-report was prepared. No other warranty, expressed or implied, is made. The statements presented in this letter-report were developed based on data readily available or provided by Robert Brasier for my review. Page 8 Mr. Robert Brasier October 28, 2003 Project No. 030146-001-01 If you have any questions regarding information contained in this letter-report, please do not hesitate to call me-at (206) 780-9370. Sincerely, Aspect consulting, LLC John Jacob Strunk I Associate Geologist j stmnk~aspectconsulting, com Attachments: Table 1 - Well Records Attachment Attachment Attachment Attachment Attachment Attachment Attachment Attachment Attachment Attachment 1 - Site Location Map 2 - Parcel Map 3 - Marrowstone Island SIPZ Map 4 - Well Logs 5 - Cross Section 6 - Conductivity vs Chloride Graph 7 - Water Quality Reports 8 - Pump Test Data 9 - Pump Test and Conductivity Measurement Graph 10 - Water Conservation Measures W:\030146 Brasier Seawater Intrusion\030146-001-01 Hydrogeologic Ltr. doc Page 9 o o o o o o o o o co c~ co o CZ) C) C)  z z z z z z z z z z z z ..A ,..A m m m m m m FT1 m m FT1 0 .-~ m 'W ~ co co -. r- > o ~u = ~ ~' o ~ ~. ~ ~ rO PO -- 0 I~0 I'O CO 0 PO 0 0 "~ 0 0 0 0 I~J CO O3 O' o o o o o o o o o o o o o ~ ~ 3 3 3 ~ ~ 3 3 3 3 3 ., . ~.~ 0 o i,o co oo oo ro o m ~ 8~o ~ ~ ~ ~ ~ ~ ~ o o o~ -- --. ~ 0 ~ ~ o~ -' ~ ~0 0 ~ ~ o ~ ~ ~ ~ ~ ~ o ~ ~ o 0 --, m m m o m o m m m m m m g ~ m m ~ o ~ o o o o o o o o o ~= o ~= o o o o o o o~ = o o ~ 0 0 _~' o ~ B m Z ~ m ~ ATTACHMENT Site Location Map _~ .," i, , .. , . . ~,, r'.: i _' & :. .'. . . : ~'t ~ ! t ~ \ ~,i~-:~ ~-~'. t~ ,\, . ~~~ ;--~r~~ '~', :.~: :.::'.: Ii - f:":h -~:. L ; '.~. II ~ ~ ~ Ir ',, 't ~ ~ ~ ~ ~----- ............ ' o o ~ '"~ I i -"'~'~- ' - ' i ' ~ '" Site Location Map ASpeCtconsutting Brasier Seawater Intrusion ..... ;,~ 030146  /~,~-~EPTH ~:RSP;CT/V: ~' FIGURE NO. MS 179 M~ L~e ~ 811 Fi~t A~ue ~ 8ainb~ge Ist~, WA ~110 S~. WA 981 ~ ~),~o (~ Nordland, Washington ATTACHMENT 2 Parcel Map Map Output Page 1 of 1 Braiser Property ~ q.-6 7_.o0 loz_ FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respec in this map is limited by the method and accuracy of its collection. Wed Oct 01 14:32:28 2003 http://maps.c~.je~ers~n.wa.us/serv~et/c~m.esri.esrirnap.Esrimap?ServiceName=~vmap-~u... 10/1/2003 ATTACHMENT 3' Marrowstone Island SIPZ Map MARROW STONE ISLAND SALTWATER INTRUSION PROTECTION ZONES (SIPZ)* High Risk SIPZ Wells/ChlOride Concentrations X < 100 mg/L >= 100 mg/L 2000 0 2000 4000 Feet (*All of Marrowstone Island is a Coastal SlPZ) ATTACHMENT 4 Well Logs File Orlglnat and First Copy wilh Oepertmant of Ecology Second Copy--Owaer'~ C=py Th;rd Copy--Dri]~,ar'a Copy (1) OWNER: N,me WATER WELL. REPORT STATE' OF WASHINGTON water Righ~ermll No. {3) PROPOSED USE: ,~',.Domestic [] ~rdgation [] DeWater Industrial [] Municipal [] Test Well [] Other [] (4) TYPE OF WORK: Owner',numb~"olwell (If more than ane) /~ Dug Abandoned [] DeepenedNeW welt . Method: Cable Reconditioned [] Rotary El (5) DIMENSIONS: Diameter of well . ~:~.'. Bored [] Driven [] Jelled [] (6) inches. (7) Drilled 7~--_ feet. Oeplhofcornpletedwell..~..,2._ CONSTRUCTION DETAILS: Caelnglnstalled: _~ . ' Diam. from Welded L~ar inataBed [] - ' Thread,~ [] ~ ' *,,m.,,om~,.,o 7~ ". Perforation-: Yea I--] No~L] Type of perforator used SIZE-of perforations ir). by in. perforations from .. ft. to _ ft. .p~rf~etk~na from. ' ft. to . ft. perforations from _ ft. to ff. Screens: Ye,~ Diam. Sl~ alza~~.frorn ft. to . fl, Gravel packed: Ye-"[-] No,,~'s,ze of Otavel placed from ft. 1o ft. Surface seal: Yee~, Nol~l To~what depth? __ Did any ~frata contain unusable wale~ Yea ~ No~ Type ofwate~ .Deplh of atrat~ Method of aaall~ ,trela all . PUMP: Manufacturer's Name Type:.. . Land.surface elevetk3n WATER LEVELS: above mean asa level fl. ba~ Iopol~ll Date ~~/ A~ealan pressure lbs. persquare Inch Date AHeaian wateria conlro~ed by (8) (9) WELL TESTS: Ormvdow~ le an'~nt waterlevello lowered below etatlo lever Wes e pump test made? Yea[~] N~J Ityee, bywhom? Y~eld: __ gal./ml~;Wilh ~ ft. drawdovm after hr-',. . ,, . . ,i . Recovery dGta (time taken aa zero when pump turned oil) (water level measured from well lop to water level) Wallq' Level 'ii'me Water Le¥~ Time Writer Level (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION Formaflom Describe by colin', character, size el material and afrualure, and show thickness of aquilera and the kind and nature of the material in each ~fratum penetrated, Dale of teat Bailerteat ~ gal./mia, with _('~ f.drawdown after 3 hrs. Alrtest_ gal./min, with stem set at . ft. for hrs. Arle~ien flow g.p.m. Date Temperature of water- Was a chemical analysis made? YesL.J N~ ECY'OSo. I.2a {:10197~ .1329- ¢ii1~3 with al lea~t one entry for each change of information. MATER~L TO WELL CONSTRUCTOR CERTIFICATION: I const~cted and/or accept msponsibilTW for construction of this well, and its compfiance with elf Washington well conslrucHon standards. Materials used and the in~ormation reposed above are line to my be~t kno~edge and belief, Contracter's Registration ~ /~ , 19--/~ No, ~~- ,~ Dele__ ~ ~/~ .... (USE ADDI~L~E~S IF NECESSARY) File Original and ~Ir~ Copy ~tln ~p..~e~ o~ ~,o~ WATER WE~ REPORT ~=~uo~ ~o.' ~ Copy-- D~]le~ Co~y STA~ OF ~~~N Pe~t No ......................... <~) o~: .~..~1..~.....~.~.e.~ ......... /ti ~_~_~,~ ....... ~.24~._.~_~:..~[~3~ .............. (3) PROPOSED USE: nomesuc ~ Indlls~rtaI [] Municipal [] ru:rtgaflon [] Test Well [] Other [] (4) TYPE OF WORK: Owner's numuer of wen (It more than one) ......................... New well '1~" Method: ~g ~ Bored ~~ ~' . . ~ble ~ .. D~v~ Recon~on~ ~ Ro~ ~ Je~d (5) DIMENSIONS: man'xeter.o.' wen ,.L,.~... ....... £'~. Drilled.-~%~.- ...... ft. Depth o% complete.d (6). CONS~RI. TCTION DETATLS: '~ Threaded [] ..-~' "mare. fxomx,~'~._ f~. tt~ ~ 'Walded ~ "Diam. from ..... it. t~ .... it... Gravel packed: ¥~ [] No ~ Size of graver: GTavel placed .f. rom It. to ft. Sun/ace seal: ~ o~ water? ..... ~ep~ of strata ................ ~od o~ se~ st~a: oE .......................................... (7) PEMP: Mantt/acturer's Nme. (8) WATER LEVELS: Land-aaue e]evaUon above mean ~l~ ................ ~,. ~o~ ~ o, ~~__~_,~~ ..... S~Uc level ~taa p~r~ ~. per sq~re tn~ ~ate ................... ~e~ wa~ ~ controDed b~ ............................. ~ ......... (Ca~, v~ve, etc.) (9) WELL TESTS: Was a pump test made? Yes [] Yield: gal.~min, with Drawdown is amount water level is lowered below ~atie level Ho ~j~. I~ yes, by whom? ft. drawdown after hrs. Recovery data (time taken as zero when primp tm-ned off) (water level measured from weal top to water level) Time _,, Water Level { T/m~ ,W~ter Levei, J. Time Water Lever ........... C~F~...Y~_..~.~... ~<~. ~ ..... Z ~ ~~._ ........... ~.z.~ ..... :, .... ~.~ .......... x~ ..... ~ ..... l-~e:~~.. ........ ~~.~...~~..._Z~r~...~o~_..~.~ Da~ o~ t~ ...................................... t/ ....... A~e~ flow ........................... g.g~. Da~ ................................ (10) WELL LOG: '"'-. one en~ ]or eaoh c~ge o[ Y~att~. T/IOM I TO' Work st~-'ted_.. 19 ....... Completed ........ W17I,T, DRILLER'S STATEMENT: This well was drilled under my jurisdiction and ~.his report is true to the best o! my knowledge and belief. ............... (]Person. arm, or eorpor~on) (~ype or ~t) ...... r.,i~ ~o ................ /.,~.:.7--~ ...... ~t~..SZS_~... ............. ~.~.~ ~ ECY D50-1-20 (USE ADDITIONAL File Original and First Copy wllh WEL~,~ 0, 'WATER REPORT 0 Second Co~y--Owner's C~py ~ ~--Dflller'a ~py STA~ OF W~SHINGTON .,~ ' Water Right P~ No. (2) LOCA?'O" OF WELL: county ~ ~S~ ~/~~ S~~/~-~t- '~ ~ ~N., ~W.~. ' [~omestic Industrial I-). Municipal [] (3) PROPOSED USE: [] Irrigation [] DeWeter Test Well [] Other [] (4) TYPE OF WORK: Owner'enumberofwetl (11 more Ihnn one}. Abandoned F-I New well ~'~elhod: Dug [] ,,,- Bored [] Deepened [] Cable ~ Driven [] Reconditioned [] Rotary ~_, Jetted [] ! (5) DIMENSIONS: Diameter of well ~ inches. Drilled ~'~ feet. Depth ofc~.mple.!ed w.ell___ ¢ ~ ft. (6) CONSTRUCTION DETAILS: Casing instal]ed: ~ ' Di8m. from Weld~ ~ ' Diem. from fl. to Liner inntal~d ~ ~res~d ~ ~' Diem. from ff. to ff. , Pe.orations: Ye9~o~ / Typoof pedomtor used ~ ~ ~ fi SIZE at pedoral~ns . . i~ by In. .. ft. to .. (7) (8) (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION Formation: Describe by color, cheracler, size Of material and structure, and ',how thickness gl aqui~e~ and the kind and nnl~e of the material ~ each stratum penet~ted, with al Jena/one ent~ for each c~nge of inl~nt~n. ' ] - ' perforations from perfo~at~na trom pud. orations from i I Did and-strata conlnie unusable water? YesL_J Type otwater? Me, hod et sealtag strata off . Depth of stret PUMP: Mnnulacturer'e Namo Type: H.P WATER LEVELS: Lend-em-face elavatk~n · , ,~...,~at~ove mean ada level Static level ~ ~ ff. bel<~w top of weft A~eaian p~as~e lbo. peraqunre Inch Date ~a~an water Is c~tmll~ by WELL TESTS: Drawdew"nisam~erlevellelcweredbeiowataticlevel Waeapum'pteetmede? Yes~--'] NoL-~ Ityae, bywflom? Yield: gal./min, with Il 11 il Ii l, 1, ii ,, Recovery date (time taken as zero vixen pLmlp ttu'ned Oh') (water level mesa~ed from well top to water level) Time Water Level T~n., Water Le'~l T/ma Water La. vel WELL CONSTRUCTOR CERTIFICATION: I constructed end/or accept responsibility tot construction of this well, and its compliance with all Washington well constr~ction standards. Materials used and lhe information repo~ted above are true to my best knowledge and belief. (PERSON. F~IRM. OR CORPORAI"i'ON) / (TYPE ~ PRrNT) ',,19ned . (W~LL O:LLER)" License No Date of test Bailer/est .~_.~ gal. / min. with ,~- . ,. drewdow~ after__ / hrs. Atrtest ~ gal./mira ~lh stem set at ~ A~ealan flow g.p.m. Date Temperature o~ waler~ Was a chemical ~alysi~ ~dff? Yes Contractor's ' (USE ADDITIONAL SHEETS IF NECESSARY) Fila Original and First Cop~ ~ith ~e~m~e.~ o~ ~.~olo~ WATER ~econd C~py ~ Owner'~Copy ................ ......... .......... .... Bearing and dl.~mnc~- from section or ~ubdlvJslon corner (3) PROPOSED USE: DomesUe ~ Industrial [] :~uat,.lnaI [] I. nfl~tion [] Test Well [] Other [] (4) TYPE OF WORK: o~er'~ .umber ot well t (ff more than one) ............. 1. New well ~ Method: Dug ~ Bo~d ~ D~p~ed ~ Cable ~ D~v~ ~ ~econ~tioned ~ ~o~ ~ Je~ed D ,/ (5) DIMF_~sIONs: Ditaneter ~t well ...... ~. .............. i~ches. .... · (6) CONSTRUCTION DETAILS: Threaded [] -" Diam. ~rom Welded ~]~ "Diam. ~rom Perforations: ~es ~ ~o'~ ~e o~ ps,orator ~ed . _. S~ of p~ra~ons tn. by pe~oraflo~ ~ p~ora~ ~ SCreens: Yes [] No~. 7w~ntlfa cturm-'s Name.... T~pe . Model D~. ~ Slot ~ ..... ~m ~.~ it. Gravel pac.~eu: Yes [] ~o~. raze ot Sravem Gravel placed from it. to Surface seal: y= j~ No [] To whst de,th? __./_,.~___ ii. Material ~ed in s~._~ Did ~y ~a~ con~ ~ble ~t~? Y~ ~ No~ ~e et ~ater7 Dep~ o~ ~a~ ....... Me~od ol s~g ~a~ ~ (8) WATER LEVELS: above mean sea level ..... ~t. Static ]~el ~ : ~t, ~t~ pr~ 1~. p~ sq~ ~ Date .............. ~ water is coutmBed (~p, vffive, etc.) · (9) WELL TESTS: Drawdown is amount water level i~ . lowered below static level '~'as a pump test made? Yes [] No~ Ii ye~, by whore? Yield: gal./min, with it. drawdown a~ter hrs. Recovery darn (time taken as =era when pump turned off) [water lav~1 meam~refl/.rom wen top to water level) Time Water L~ael Time .W~cr Level Time Wet;er La, vel Date of l~t __ Temperature cr~ ~ater ..... Was a chemical analysk~ made? Yes [] No ~ Bio. 7~6~OS--(Rev. 4-71), (10) WELL LOG: Formation: Describe by color, character, zize of material and ztructure, and r ~m pe~r~, ~x:~ ar ie~ ~e ~ for each change o~. TO I I 'l;;t~.f.l, DRTIJ,ER'S STATEM]/IN'h, .This. well w~as drilled under my jurisdiction and this report is true to the best o/' my knowledge and belial, .... ( e-r~n, firm. or corporation) (~rpe or'~i¥ ........ ..... l~lle OrtKlnal and First Copy with Department of _E~otngy - Second C~py -- trainer's ~crgy Third CoDy -- Driller's C~py WATER WELL REPORT STATE OF WASHINGTON Application-No .............................. Perml~ No ...................... Bearing and distance f. rom section or subdivtslon corner (3) PROPOSED USE: Domestt~ ]~ ln~kmtrtaI [] Municipal 12 Irrigation [] Test Well [] Other [] (4) TYPE OF WORK: o~,,e~'., numbor of wen (L~ more than one) ...................................... New weLT ~ Method: Dug [] Bored Deepened ~ Cable ~ Driven Reconditioned [] Rotary [] 3'erred (5) DIMENSIONS: Diameter of well ............... Lnches. / lDrfllecL__..'!~.. ........ ft. Depth of completed welL~,_~ (6) CONSTRUCTION DETAILS: Casing installed: "niam. !rom ......... ~t. to .... it. Threaded [] .......... "Diam. tram ........... it. to ..... It. we~d,d'~. .... ¢_." ~lam. ~. ~..t~ ~ ~'---% ~. Perforations: Yes [] ~o ~ Type of per~orator uaed SIZE vt perforations __ in. by in, perioraflons from ti, to ............. it. periorations fi-om ti. to it. per/oraUons /.rom it. to it. Gravel packed: Ye~ 12 No ~ Size o! gra{eh Gravel placed/rom __ __ ~t. to Surface seal: Ye~ ~ ~o_c~ :o what depth?., / .~ ~ Did ~y ~ta ~n~ ~able water? Yes ~ ~o ~ ~ ~ wat~?. D~ of ~a~, M~od of ae~ stra~ ~, (7) PUMP: Manuta~turer's ~lame ..... · (8~ WATEB LEVELS: T.~-d-~-~c, e~evatto,, · ! _ ,,, above mean sea l~el ............. ~e~ p~ ' ~s. p~ ~uare inch ~e~ wat~ ~ contused by iccp, v~ve, (9) W~l,l, ~'~a.~TS: Drawdcwn is amount water leal ts - W~ a p~p te~made~ Yes ~ ~o ~ Hy~, by w~m~ ........................... Yield: g~./~. ~ It. ~awdo~ ~ter hrs. (10) WELL LOG: Recovery data (time taken as zero when pump turned off) (water level measured :from well top to 'water level) Time Water Level Time Wnter La-vel Time Water Le~el · ........................... . .......... ..., ............................... . .... ,.,.... ............... ..... ..... , DaCe of t~..~---- Ari~alan flo~.~ '.~ ,.~~,p~. Date. ............ . Temperature vt waler-~4~LL~ Was a cherrdcel analysis made? Yes [] No ~ I~CY 0~0-1-20 Formation: Dez~'tbe by color, character, site o! material and ztructurb, =nd ~mm ~ted, Wtt~ at le~t ~e ~ ]or ~ach ~e vi MATERIAL FROM [ TO i W'EI,I, DRILLER'S STATEMIilN~, This well was drilled under my jurisdiction and this repor~ is ,, true to the best o! my knowledge and helteL ......... fUb-~ ADDITIONAL ~ IF N~CI~SA3:I.Y} ....... File Origh~al and First Copy wilh Department of Ecology Secend Copy--Owner'a Copy Th[rd Copy--Driller's Copy WATER 'WELL iREPORT WASHINGTON '"~' STATE OF . .'~ Water Right pen-nit No. LO OWNER: (2a) STREET ADDDRESS OF WELL (or nearesl addm,~s) (3) PROPOSED USE: ~' Domestic Industrial [] Municipal [] Irrigation [] DeWater Test Well [] Other [] ,, t Owner"~ number of well (4) TYPE OF WORK: (if more lhan one) Abandoned ~ New well ~ Method: Dug ~ Bored 1-] Deepened []" Cable ~ Driven [] Reconditioned [] Rotary'ri Jelled [] (5) (7) (9) DIMENSIONS: Diameter of well ~ inches. Drilled -~-~ feet. Dapth of completed well ,-~-~ ft. (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION CONSTRUCTION DETAILS: Casing installed: ~._~__. Diam, ,rom"'~'" ~ ,t. to ~" Y ft. Welded ~;~ .--~' Diam. from~ff, to.__~__....~?L~lt. Liner installe~!_J Threaded [] ~ ·Diam. from~Jt, to Perforations: Yes ["-~ NO[~ Type of perforator used ' SIZE of perfarallona in. by . in. perforations from ft. to ff. perforations from ft. to ff. perforations from. lt. to fl. Screens: Yea/4~ NaJ~ Manufacturer's Name ./. ~ ./~' -r,p. D Dham Slot size from [1. tn ff. Gravel packed: Yeab..J N°~:Size of gravel Grovel placed from ~t. to . ft. Surl'aceseel: Yes~ No['-'~ To what depth? M~tadal used in seal -- Did anyatrala contain unusable water? Yea [] No J--~ Type al water? .. Depth of slrat~ Method af sealing strala off PUMP: Manufe, cturer's Name Type:, H,P, WATER LEVELS: Land-sudace elevation ,~// . above meanaaa level Static level . JJ. below top el waJJ Date//_~'__--~' Artesian pressure . ]be. per square inch Dele _ ,. Artesian water ia c~trolled by (Cap, valve, WELL TESTS: Drewdowntsamauntwaterlevelialowemdb~owataliclevel Yes J'--] Was a pump test made? No/~ I~ yes, by whom? Yield: ~ gal./min, with ft. clrawclewn alter , hrs. Recovery dale (lime taken aazero when pump turned off) (water level measured from well top to water level) 'time Waler Legal Tirr~ Waler Level Time Water Level · _ gal./min, with ~1~ ~ ti. drawdown alter __ gal./mitt, will1 ',lei aa[ al ~ ft. far g.p.m. Date Was a chemm'~t e'nolyais made? Yes~ N~ / . hrs.. hrs. Formation: Describe by color, character, size of material end Slructure. and show lhlckness cf aqullars and the kh~d and nalure of the material in each stratum penetrated, w~lh et least one entry for each change of infon'natlon. MATERIAL j FROM / TO ,., (USE ADDITIONAL SHEETS IF NECESSARY). Date of test.. Bailer test Afrtesl Artesian flow Temper&tu~e ot water EC¥ O50. I.20 (IOl87) WELL CONSTRUCTOR CERTIFICATION: ] constructed and/or accept responsibility for construction of this wall and ils compliance with all Washington well construClion standards.. Materials used and Ihe information reported above are true to my best · knowledge and belief, (PERSON, RF~, OR CC~IPORATION) CI'YPE OR PRINT) ~ ' ' "~WELL DRILLER-~ ~ o- Contr~ctor'a RegJa~.L~alion WATER WELL REPORT UNIQUE WELL LD.# STATE OF WASHINGTON WATER RIGHT PERMIT NO W_41'127. (1) OWNER: Name Steve Price 314 NW 601h_,S. eat[le,_tA~3.~qJ~07 (2) LOCATION OFWELL: Count, Jefferson (2a) STREET ADDRESS OF WELL (a'nearest address) 5651 FlagleL_Rd~Nordland. Wa. (3) PROPOSED USE: ~ Domestic [] lnSgatbn [] Other [] Indus~'ial [] DoWeler [] MuNcSpal [] Test Well (4) TYPE OF WORK: ow~a nL~=erofwall (Irmore ~ ane) 2 [] NewWell Melhod 0 D~ 0 B~ed Ab~e~ - ~ Cable~ D~en 0 De~s~d ~ Ro~ ~ Jelled ~ Re~l~ed (,5) DIMENSIONS: Diameter o~' well ~;" inches Drtlsd 37 feet, D,e]~h. of c:~np~e/ed well 38'-6..3J_4Z_ feet (6) CONSTRUCTION DETAILS: (7) (9) 1/'4 ~ 1/'4 Sect. _3.3_ T._30N_ R _iE_ w,M. Casing Installed:__6.'_'- diam. From 0 It. To __~.~'..zL.3f4" E, [] Welded [~ Liner · _5.~_ diem. From __32'-7 3/4" rL To __3.3'.-4 3/4" fL Threaded diam. Frccn I~ To IL Perforations: [] Yes [] No Type perforator used Size a[ perfm'atf~ms ~n. by In~ peda'aUons From fL To It. pertbral~ons From fL To ft. ped'omlJons From fL To . It. Scre0na: i~ Yes ?1 No Manufac~ure's Name S. mtth Type SlaJ 13[P~ss_.V_:.-SIot Model No. __ Di.~n.__5.~' $~otsize ..0_1.2. Fr~-n__33'-4 3/4"-rL To __3_8~-6._3/4" Diam. Sldt size F~'m'n fL To Diam. S~=[ size From fL To __.20 Gavel packed: [] Yes F~ No Size of gravel Gravel p~aced from It. To Surfeceseat: ~'1 Yes [] No Towha~deFIh? Material used i~ seal No_,._8_Me.s h Did any strata ~ntain unusable waler? [] Yes [] No Type of waler Depth of s~r'ata Method c:f sea[~r~j strata off PUMP: Mamrfadu~a's Name Type: H.P. WATER LEVELS: Land acrface elevalldn ebcwe sea level ;~0 Slal[c. level 24'-5" fr. bek:xv tap of well Date __~r 7:1994 Azlssian pressure lbs. per square t,,..~. Date AHesiaa water is conttoled by (CAD. vane, sic..) WELL TEST: Orawdown Is amount water level Is I<~vered belaw static ~ Was a pump [es[ made? [] Yes ~ No ii' yes.~ wh~m? Yield; gat.lain. ~lh ~ ~ cL~a,,~lown after, hrs. Yield: g~l. lm~n, wilh ~ II. d,z-awd~ alter hfs. YIalcI:~ gaJ.knin, wilh ~ ft. d,--~wd,o,w~ after ~ bm, Reca'v~ry data (tkne laken as zero when pt.,~p turned off) (water level mea~ from wet1 tcrp to water level). 'rime Wa~er Level Trna Wat~ Lave{ 'rrna Waler Level Dale ot' test Bailer test 4 gal./min, w1113 ._.....~.~.~ t~. dr-~wdc~n eU'ter 2 hrs. A~issl gal./min, wi!,h stem se[ si ~ Q. for ~ hrs. Artesian ~ gak/mw'k Dale Temp. of water Was a chemh:::al analysis made? O Yes [] No (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION Formali,~n: Da.cribs by color, characler, s~s ~ ma~al a~ s~ure, and ~ I~ of ~u~ ~ ~ k~ ~ naive of I~ matra[ Jn ~ s~atum p~ted, wilh al ~l ~e en~ for e~h ~anga of bf~n. Eu~t.o p_soII Bm heed_clay Bm dirty, sand_&_gL-a.v, el,._W!B Bm_tig bLsaa.d_&_g_my_ef 13 27 WELL CONSTRUCTOR CERTIFICATION: I c~nslruct~l a,'3d/ar a, cc~p[ msponsibl~,y ~pl~ ~h a~ Washmgt~ we3 ~~ s/a~a~. Mat~s ~ed ~ ~/~al~n ~ed a~s ~ t~s to my bas[ kn~e and ~sf. NAME 74 f WesLS~auim ~eauim ~A E8382 (Signed) ~all Driller) Contm~ofs Regist~ion Date Mar 7:1994 Worked started Mar-Z., 1994 Completed Ma~ 7, 1994 WATER WELL REPORT ~,~TO~ONO UNIQUE WELL I.D.# STATE OF WASHINGTON WATER RIGHT PERMIT NO (1) OWNER: Name S.[e.v.e Prfce Address 314 NW_~.QthS.~,U/e: Wa...~8.107 (2) LOCATION OF WELL: county {'2a) S~REET ADDRESS Of WELL (or ~'~r.~ Jefferson 565'[ FIagle, LRcL~Qr.d~nd, Wa. 1/4 _ NRA/ 114 Sect, _3_3_ R --1-L W.M. (3) PROPOSED USE: (4) (7) (8) (~) ($) {~] Domestic [] frrJcjati~n [] Other [] )r~ustrial ~ DeWater t--j Municipal r-I Teal Well (8) TYPE OF WORK: Owner'snumberofwell (ffmDratharlana) NewWell Mathad I-I Dug ~] Bored Aband~rmd [] Cable Driven [] Deepened [] Rota,,y Jelled [] Recon,'Hion od DIMENSIONS: Diameter of wall . Dnlled 3.~..-~.,_~,~_ reel, D~plh of completed well __3.~ feet CONSTRUCT[ON DETAILS: Caslngin$/alIed:~ diam. Fm O [] Welded E~ Lber 5!!_ diam. From .__....~8~-3" [] Threaded __~ diem. From __34'-1/2" ~. To__ '-2.9~2~__ ff. · ff. To_ '-3JS~?._J./2~_ ff. Perorations: [] Yes ~ Na Type perfarat~.r used Size of perforatic~s :'n. by !~rforat~ons From E To psrfoc~ons From rt..To per/ceation$ Fram ~L Ta Screens: [] Yes [] No Manufactura's Name Type S. taj~e.ss D~,~t._5~_ S~ol s~ze ~Q_1_Q_ From 2~ r~ To __34'-1/2" rt. D/an. S)ot size From ff. To fL Diam.__ Slot s~ze __ (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION Gravelpacked: ~] Yes [] Ne Size or gravel Gm, vel placed from fL To Surface seal: [] Yes [] No To what depth? 20 ff- Male,-ial used h seal No. 8 Me. sh DM any strata cantatn unus~le wa/er? ~ Ye~ [] No Type et'waler Depth o[ slra{a It. Methad et' sea,lng strata afl PUMP: Mar~e~a-~a Name Type: H,P. WATER LEVELS: Landsudaceelsvatbnabove sas ~vel 30 StaEc level 24'-11" R. bek:~ lop A.,les+e~ pressure I~. per -quam ix:fi. Date Artes~a'~ water ~s c~nlrolea by (Cap, vane, etc.. WELL TEST: Orewdown Is amount'water level is lawemd be[z:~,~ staUc level Was a pump [est m~:le? [] Yes [] No . li'yes, bywh~m? Y~d: gaL/min, w~th ~ ff. ctr-awdmvn aP. er ~ hrs, Y/oki: . . gaUmin, with ~ ff. ctrawdcw,'n after ~ hrs. Y~eld: gal./min, wilh ~ ft. cl~aw~ after ~ hrs. Recavery data (t~T]e tek'an as zero when pump turned afl) (waist i~ve{ measu"ed tram wal~ tap to water tavat), 'F~ne Water L~vel T'rne Water Level i-u'ne Wa~er Level gal/mb, wilh ,5 ff. d,'awd~ alter 2 hrs. gaL/mb, wi~h stem set at ff. for hr's. gal./min. Dele _Ma r_3 ._1~_4_ Was a chemical analysis made? i"l Yes L~ No Date af last Bail-test 4 AJrteat Ar'te.~an flow Temp. ,~f water __ Fc,"mslion: Describe by cc{or, ~aracter, size of msia'iai and structure, a~d ~ [h~e~ of a~ff~ a~ ~ E~ ~ nmure ~ the mattel in e~ s~um pe~l~, ~ at I~st ~e e~ f~ e~ ~e ~i~at~. MATERIAL J~:Lt~p_soil Brn ce~ej:tLed_grave!: boulders BzD_ce~e~e.d...g r a v e I B..~L~ [dize. d_ce m~ nte. d_sa ~.cL,~clay .~~~ & small gravel= B~ c~te~~ha~, no water FROM t TO ~ -I Worked started Mar 2. 1 g~4. Completed Mar WELL CONSTRUCTOR CERTIFICATION: I canstrucbad a,'ld/er a, cce~. t reapm~sl'nl~ty f~ cz3nslrucfion nf' this we~l, ~ its complla",,ce with arl W~ash[ng/on wa~ constructiaa slandards. Materfals used a",d the infoemalion reported shave a,-e flue to my best. knc~vt'edge and bel;af. NAME '('Parsec't, Firm, ar Corporation) Date Ma~7. 1994 File Or~lrml and F~rst Corm/ e, rlth . WATER WELL REPORT Third Copy--Driller's Cogy Water Right Portal1 . (3) PROPOSED USE: ~ Domest~ [] DeWater Irx:lu~ffial [] Municipal [] Te~t Well [] O~her n (4) TYPE OFWORK; owr, er'snumberafwe]] (Il mare Ihan or~e} Abarx~ned (5) D]ME~IO~: (6) CONSTRUCTION DETAILS: Casing Installed: ~' Liner ms~aJ;edL~ Threaded 'ID ' P, rl'or~,k3ns: Yes [] Incha~. Type 0t parietals' used SiZE of perfo~all<ms ]n. by ~. ~ ~ns f~ ~ ~ .~ Diam. ,~ot raze Imm IL Gm'vel packed: Yes [] Na ,.~ Size el~ gra.~l Gr;wal pieced [ram __fl. lo PUMP: Maz~ulacturer'a Name Type: H,P. WATER LEVELS: Land. mJrfaceel, evallOn x/'~a..-~,.~ / Artaamn pressure 138. I~r ¢~quato rnc~l, Da~e Anes~ wate~ ~ ~mroqed by {Cap, va~vo, etc.1 WELL TESTS: Drawdown is a~'nount wah~r I~,'el Is lowered' balm,~ sla~ Wa~ a pump test mac~? year'"] No~ ~gal./m[n. ~ · ~ ~er 11 i! i! 11 - il il . i! Rccovet~ data (l~'ne taken ~ ~m ~n pump ~ o~ (w[t~ ~1 me~ur~ ~m ~ll tap to Wa~ ~1 T~e Waler La~. ~ wa~r L~I (~) (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION[ Farr~tt~n: O~scflbe b~ cok~r. ~r..~e ~ m~e~l ~ s~um. a~ ~h~ Ihl~nass al ,,07 7..? WmkS~r~d ~"~' 19. Campl.,~l ,19F7 WELL CONSTRUCTOR CER'J'ZFICATiON: I canslructed and/or Emcept respensl~llty h3r conslruclJon af this well, and c~mpliance wllh all W~shlngton well c~nsZmcUon standarcL~, Malmiais used and the information reported al:rove are m JO Io my best km3wtedge and belial'. -- (PI~ 8 0~.,, F~ RM, OR COR'PORA~ ~l'ypIE OFi pRiN0 ~WI~LL D RIIJ. ER) Conlrac~er's (USE ADDITIONAL'SHEET8 IF NECESSARY) EC, Y 050-1-20 (9~] · · t Ecology ts an Equal Opportunity and Afl~rmatNe Action employer. For spa. cial accommodation needs, contact the Water Resources Program at (206) 407-6600. The TDD number is (2{36) 407..6006. i! (1) OWNER; N.m~ Pete Joh~on (2) LOCATION OF WELL: (~) STREET ADDRESS OF WELL (o~ near~t ~'~s) __Ff~_ter Rd WATER WELL REPORT STATE OF WASHINGTON w~r P~h4 Pe~ N~ Xddr~= ~,~ F~gler Rd. Nord~ond Jeffe~on _ SW 1/4 NW 114 ~ 33 T. 30N_~., ~ IE w.~. 017153 (3) PROPOSED USE: ~ ~o~,~ Indus~ [] ~lml a [] ~W~r T~I WeN ~ ~r ~ (4) ~ OF ~: ~ ~~ ~ ~n ~) I A~ o ~n i ~ ~ O ~ 0 (5) DIMENSIONS: C,]arl3~ter ~ ~]l 6" Inches ..... (g) CONSTRUCllON DETAILS: we~ ~ ~' "~.~ ~'~" ~ 5I'~" m ~) (9) Pmr~ ~ni; Yes [] Ne I Ty~ perfi~'~tor ue~ed sgE c~ p~ rta~-~ns In, by k~ Houston Yes 0 No ~a ...qi:ze c~ gra,,~ Grawl p~,aca fram It. ta - ft. 20' PUMP: ~,u~'s ~ WATER LEVELS:. i..~lm'f~:~em, l~.,e 50' fc~, W~,~ a pump, test ~? YesC] No ti ~y~, bywflom? Y~id.' 9al,fml~ ~1~ ft. dmwda, wn al'~r 'f'mk~: ~galJmi~ wi~ lt. drawdow~ aAisr Recove,'y data ('~ne taken ~ z~ ~en ~mp ~ ~ (~r De~ of ~st Bai=hsl 7 galtmin.wi,lh 1' P.. drawd,:~vn after I h~ Aktest ~L/mln. withmemse~a~ . ft. k~ ~ ~ ~k~ ~J_~ ~ AU~ 24 1992 Tempe~atum~wat~, ~ Wasachemic~lar,.a~i~me~? Ye~ N~ B, (10) WELL LOG orABANBONMENT PROCEDURE DESCRIPTION ~ t~.~ mil Brn I~rd clc~/ ~ub soil, boufdem Gr~. ' h bm gravel & c~. h~d ~ c~ c~n ~nd. W/B ~ ~ tight ~el, ~ woter ~ ~nted ~el. no woter Comp~ted ck~ 180 p~m ch~d~ with ~ te~t Hf wom~ =ta¢~ Auq 20 1992 co~r~e~ Auq 24 1992 WELL CONSTRUCTOR CERTIFICATION: compliance ~ a nd b~ Infm'mat~n repe.T/~d a bov~ a m tree t~ my, best tmo,vl~lg~ a~l be~lef. NAME Stoican Drillinq loc. Address P.O. BOx..l.6J .Sequir~, Wa. 98382_ _ ,, ... Contractm"s Registr~ No. STOl EX7. I37 NR · Date Aug 24 I992 WATER WELL REPORT STATE OF WASHINGTON 017I$4 (1) OWNER: ~r~ #erie Johnson (2) LOCATION OF WELL: County Jeffemon {2a) STREET ADDRESS OF WELL (o~ r~r~ ~,~r~$) F~_cfler Rd. Nordlond, Wo. (3) PROPOSED USE: ~ [:]o,'ne-.~ ~b'~ [] ~unim~l [] [] Irrigml~on [] DaWab~ TestWel~ [] Olt~r [] (4) DIMENSIONS: D~m~'~r o~w~ll 6" ~ ~ 42'-2" te~ D~p~ c~ compl~ed w~ll 43'-2" fe~t. CONSTRUCT[ON DETAILS: Casing h~stall~d: ~" · Di~m. tmen 0' ~ ~ ~0'~" ~ W~ a ~' = ~am; ~m 37'~" · ~ 38'-l" ~ Yes ~ N~ 0 Name Stainless V-Slot Houston ~ .5" s~,~,, .OtO from 38'-I" m~ 43'-.2" m Dram. ~Sl~t size -- from P:. t~ ff.. D~a('n. ,,clot size fra~'n ft. b:) It. Yes D No B ,Size of grav~ Ftc~l~' Rd. Nord~nd, Wa. - $W___~__1/4 NW 414 ~ 33 T, 30__.N., R _ IE w.~. , , · , (I0)WELL LOG or ABANDONMENT PROCEDURE DESCRIP'i'IOlY Lt brn hord ck3¥ ~_ C~r~vel sub 50il ~'n fine ~nd, W/B dirty PUMP:. ManuPactura's Name Aup 26 199'2 camp~ Sep I 1992 WELL CONSTRUCTOR CERTIFICATION: - l ~ and~ ~pl resp~nstbi4Ay k~ c~m ~ this w~, aha ils and the Ir~m'ma.tk~ reported m am b~e b3 my be~ know~:~]e and beef, NAME Sfoiccm Drilling/nc. Address P.O. Box 161 Sequi,m~ Wo. g8382 (Signed) . . I.be~ No. C~nfl-act~s Regislralk~ No, STOl D,C'137 NR DMe ~p i 1~7X~ (3) Owner'. number of we~l with et least o~e EH~ry for each ~a~ of ~f~t~. (4) ~PE OF WORK: ~f mare than one) , . Aba~oned ~ Newwe[I ~ Method: Dug De~ened ~ Cabte Reconditioned ~ Rota~ DIM~U~O,S: Diameter of wall - '~ '~ . Ddll~ ~0 feet. Depth of c~pleted well PROPOSED USE:LJ lrdgallon~L"D°mastlc Industrial [] Municipal E] (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION [] DaWDler Test Wall [] Other [] Ff~matton: Deacrrbe by calor, character, see el' mMertal sad slru~u~, and aho~ IhJelmeea of aqulfere and Ihe klfld and netu3~ of the rr~terl~! la each at. tatum Pem~rsted, (6) CONSTRUCTION DETAILS: Casing Installed: Diam. from ~ ~ - ft to~~t. L~ bat~d ~ ~ead~ ' ~' Diam. f~ ff. lo.,, Peflorat~na: Yes~ No~ ~ of p~ator used, ~ of pefl~ation. - ~, by In. pedoretions ~rom ff. to ff. pedoratlo~a tree ff. pedoratlon8 from ,, Screens: Ye,~ ~am, Slot size. ~,. ~. to Gravelpacked: Yea~ ~ Slzeo~gmv~ ~a~ pJac~ from ~. to Su~oeeal: Ye~ No~ T~atdepth? D~ a~ atm~ c~ta~ u~ble wate~ Ye.~ No~ MeI~ of sealing ~ta off /5' H.P (8) WATER LEVELS: Lar~l.eurface atevallon above mean aaa level ~an}~ ~a~ ~ ~r a~ ~ch Date. ~aalan wat~ la controlled by . WELL TESTS: Dr-wdow, le sml~3~.water level is lowered below qtalia lays! Weeapumpteatmade? Yea['-"] NoL._'~ Iiyee, bywhom? YIGfd: ,~ gal.lmfm with ~ ft. draw~3w~ after hr.,. si l, ,, ,, Recovery data (time taken aa zero when pump turned off) (water level measured fram well top to water level) Time W&ler Level Time Waler Level Time Walnr Level Date o! teat__ Bal~ertest 7 -- gal./mia, with ~ ~t. drawdown after Ah'test __ ger./miff, with stem sat at ~ it. let ~ A.'lealan flow O.p.m. Date Tamperatu, ra of water ~'~"'""Waa a chemical anelyeL~ made? Yea~ Nor--'] a, · .. WELL CONSTRUCTOR cERTIFICATiON: - i constructed and/or accept responsibility for construction of thls wall, and Its compliance wflh all Waahlnglon well coflstructlon sta6darda. Materials used and the |ntOn~atlon reported above are true to my be~t knowledge and belief. (PEP-SQN, F'~. OFI CORPORATION} {'TYPE OR PRIN'~ Co~tractor'a No. ~ (..) ~s ' Date _, lg-~._ (USE ADDITIONAL SHEETS IF NECESSARY) File G~lglrml and First Copy with l~nl ot Em3togy Sebond Copy ~ ~r's C~ ' ¢) O~ER: ~ ~.~. WATER WELL REPORT ?,?" STATE OF WASHINGTON Wa~r Rtght Pm'm~t U~. " (2) LOCA"I3ON OF WELL: ~ "~7"~,.~,~ (2a) STREET ADDRESS OF WELLio~nea~staddr~s).. (3) (4) PROPOSED USE: ~ D~rnestic D' Irrigatfen [] DoWeler Industrial ~ - Municipal [] Test Well F'I Other . [] TYPE OF WORK: Owner's number atwall (If m~-e Ihan aris) Abandoned [] New well ~ MeU'~d: Dug ~ D~ ~ C~e 0 Borecl [] OrivanD Jailed ~} DIMENSIONS: Diameter of well _/~7/'/ Dri~ed ~'..-~.-- .l%et Deplh of completed weU -~ /' Inches. fi. CONSTRUCTION DETAILS: Caslng Installed: ~' Diem. from '"/~".,=,~ ~ to ,-.~"',~ Liner Installea'~ Threaded [] ' Diam. Eom .it, to. . Perforations; Yes [] Type of par/orator used SIZE. of pedoral~ns in. by ~ pa_doratlons lmm ft. lo ~ psdaratlons from -. ff, to ~ padorafions lmm ff. fo Screens: Ye,, ~, No [] .' (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION .,. Foffna~3n; Desmibe I~/c~lor, char'4cter, size of mated~[ and structure, and show lhJckness of aquifers and Ihs Idr~l and nature of Ihs ma~efial in each slratum penetrated, w~h at least one entry Ic, r each chon. ga ot MATERIAL TO . /.,,~_.. ~ravei packed: Yes [] No ~ Size o~ ~ravel Gravel placed fr~31'l ft. t~ I~:x:ial No. ,.~o ,5-~-~, ~t. ft. to ft. Did any sffata contain unusatfle waist? Yes [] Typ~ of water? Melhod of sealing slrata o~ surf.ce..~: Yes J~ N.oi--I , 'r,, ,,,,at ~p~? /~' Depth of strata PUMP: Manufacturer's Name "'"'----'---- Type: H.R. WA'TER LEVELS: Land-surface a~ava'~n ,,~,a,~._. ~a mea~ sen level Stm~ I~al A~s~n pressure ~ ~r ~sra In~ Date ~eslsn ~er Is ~1~ by (~ va~. WELL TESTS: Drowdown Is amount wrest level Is lowered below stalJc level Was a pump teal: mens? Yes [] No ~ Jf yes, by wtlom? Yield: __ gai,/mln, with ' ft. d~awc[own afte~ hfs, 11 i! if ti Recovery dam (Ih'ne taken as zero when pump turned off} (wamr level measured from well top la water level) ~ms Water Level Time Water Level ']3me Water Level ECL n50-1-20 (P_%J3) ' ' f · . Dam of test Baliartsst ~.~ _gal./min. wifh / _fl, drawdown a~ter / Airiest. ~ gaJ,/min, wffh siam SOl at fl, for . Aries'an f/ow . g.p.m. Dam Temperature of water Was a _chemical anal3,~ls made? Yes [] Wad< Stax'ted ~"'2_~. , ~g. Camplated lg ~_~' WELL CONSTRUCTOR CERTIFICATION: ' I constructed and/or accept respons~lli~ for construction of this well, and ils compliance with all Washfngtan welt construction standards. Materials used and ti3e In[ormatlon reported above are true to my best Imc~ledge and belial. ,__._ Lwehse No. Contractor's FlegLstration lus ^DgmO ^L S,EETS FJ3e Original and Flrst Co~y with Department al Ecology Second Cop'y--Owner's Copy Third Copy-- Driller's Coj3y WATER WELL REPORT STATE OF WASHINGTON Water Right I~rrnlt No, (2) LOCATION OFWELL: (,?.a) STREET ADDRESS (3) PROPOSED USS: _~ D~mastic Irx~ustriat [] Mun~-pal [] Irriga~n [] DaWater Test Werl [] Other [] (4) ts) ts) (a) (9) 'i-YPE OF WORK: Owner's numt~r ofwall (It more than one) / Abaru:foned [] New well "~ Method: Dug [] Deepened [] · Cal:~e [] aomd [] Driven [] · Jetted [] DIMENSIONS; Diammar 01 weft.. ~' inches. Drilled CONSTRUCTION DETAILS: c~.g mst.,,,.: ~;// · Df=n.~,~ --/'-~.-- ~.to ,~? ~ Uner installed]~. Diem, h'~m_ fL ~o ,~"~' ft, Perforations: Yes No Type c~ perforator used -qrZE el paHoratJor~ In. by In. ~ psdo~atfons from ~ perfora~ns from ~t to .fL screer~: ¥~ ~ ~o [] Ma. nuP'octurer's Name Type ,X"~Z~'~.~/C Dlam..l~'"~'~c:~[et size - C,-~/",.~7,. from Diam. Sbt size fram Model ~7 P.. to Grsvel pecked: Yes [] No [] Size o! gravel Gravel p~eced In:x'n E. to Suf'tace seal: Yes f j,/// Msta~aJ used in seal _ . Did any strata canon unusab~ water? Yes [] No Type of water? Depth of strata M~hod ~f ssaJIng strata PUMP: Manufacturer's Name - Type: H.P. WATER LEVELS:. ga~.~r~a a~a~n ,~.f ~ mean ~ level ../ StaUc A,,mstan pr'essa~e roe. p~r square inch Da~e (C~, rahs. WELL TESTS: ~ Is amount wamr level is lowered bek3w static W~ a pump test made? Yes J--] NO~ If yes, by whom? Y'~cI: ~ gaL/min, with it. drawdow~ altar Recove~ data (~r,e taken as zero when pump turned ot0 {waLer I~vel measured from well top to water level) ~me Water I.a~al ~me Water Legal ' T~ne Water I..~,~' EC, Y 050-1-20 (9¢93} ' ' f Date ot test Ba~r test ,~'..~/,.2 ga/./min, with /'~9 ft. d~ after N~sst g~./mln.~ stem ~tat ~es~ ~ , g.~m, T~m~re afw~~ ~ a c~ ~i~ ~? Y~ (10) WELL LOG or ABANDONMENT PROCEDURE DF_SCRIPT[ON R:rrnali~n: Describe by c~k~r, chem'c'mr, s,lze of matadal and str,.mtu~e, and sh~w Ihlckness o! aqul~m and ff~e kind anc] .,',.e, tum of the mat,.al in e~h stratum panama.ted, with at least arm o~m/~r aa, ch cl'mnge o! In~3ffnation. MATERIAL Ecology IS an Equal Cpp~rtunity and Affirmative Action employer. For spe- cial accommodation needs, centact the Water Resources Program ~t (206) 407-6600. The TDD number is (206) 407-6006. Contractor's No. ,.,~'~3/"~ Date (USE ADDITIONAL SHEETS IF NECESSARY) WELL CONSTRUCTOR CERTIFICATION: I constructed and/or accept responsiblrrty for construction of this well, and its compliance with all Washington well construction standards. Msterlals used ar, d the information repot'md abeve are true to my best know'fed,ge and be~. (P E ~ FIR~I, OR CORF~RATIO~ ~Jle O~jtnaf ami First ~ with Dfl~rirr~nl of Ecology ~%c~nd Copy -- Owner'." Copy Third Copy -- Driller'-- Copy WATER WELL REPORT STATE OF WASHINGTON Water L~ght Permit No. (2a) STREETAODRESSOFWELL(~nea~,~I'ess)~ "~~ ~~. -~-../')-~3 ,,,~~ ~,~;~ (3) PROPOSED USE; I~ Di3mestic Industrial [] Municipal [] [] Irrigati~ [] DeWatar Test Well [] Olher [] (4) TYPE OF WORK; Owner's(ti more thannumberona)Df w~ll ~ Aban4:h3ned [] N~ ~11 ~ ~I~: Dug ~ Bcd'ed [] Driven[] Jetted [] (5) DIMENSIONS: Dlameter of well DrilL-d ~ feel DaFIh (6) CONSTRUCTION DETAILS: Casing Installed: ~ llr ' Welded ~ ~._~~ Liner installad~L Threaded Pel'foratlo,e-' Yes [] No ,{~ Type of perforate' used SIZE of pefloratlons ~ pedoralions h'~m ~ perfora~ns from ~ perfora~ns from fL to fL to '11. to fi,to fl. Screens: Yes ,J~- No [] Manufacturer's Name Type Dl~.~'~'~,,tai~ .0/5'- ~m Z/'~ ft. to _5--/ ~ Gravel packed: Yes [] No (~ Size Df grovel Gravel placed from fL to PUMP: Manufacturer's Nme Type: H.P. WATER LEVELS:. Lar~su~aca aleva~n It. belowtopotw~l Date~C'Z~"./'~ "'~'~"'"" SIn~ level Arlasim'l I~essure be. persquare Im;h Date Adaaia. n wa~ar ts c~trol~e~ W (Cap, valve, em.) (9) WELL TESTS: Orawdm~m is amount water level is k3,w~red below static le~el Was a pump mst m~? Yes [] No J~L if yes, by whom? Yisld: gaL/min, with fi, drawdewn a~ter Recovery data (t~s taken ~s zero v~sn p~mp lumed o~/(water level me~umd from top to water Water Levet T~e Water Le,,~l Time Waler Level Date o! test Ba~ler test'"'~._~_..__g~l,/min. with ._,~--" ft. d~ alter ~ hrs. Airiest '--'--"- gaJJmin, with stem set at ----- ft. for ~ hrs. Artesian ~ g.p.m. Date Temperature ,~f watar~ Was a chemical analysis made? Yes [] No [] EoY oso-~.~0 (9¢33) -' f ~ (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION FmTr,,mlon: Describe by cabr, chamcmr~ size of material and structure, ~ show th~sa at aq. ui~ars and the kind and .,'tutu.re of the mat,,dal In each eh'alum peneh'-at~l, with at least one entry for sac.h ch~ of ink3m'~tie~ MATERIAL TO / :Z... Sc::,. WELL CONSTRUCTOR CERTIFICATION: J canstructed and/or accept rasponsiblllly fl3r construction of fhis well, and its compliance with all Washington well constructfon slandards. Mater/als used ~ the infarmalion reported above are true Io my besl ~e and belief. (F~ P, SON, FIRM, C~ CORPORATION) (TYPE OR PRIT~'T) (Signed) Ucense No. /Z~'.,~ "'" IW'EU., [:~U. ER) Contractor's Regist~n - ---/_~'~',~!~.. No..~,~'"~'/~ ,~,~---. Date (USE ADDmONAL SHE~S IF NECESSARY) ,19 Ecolog7 is an Equal Opportunity and Affirmative Action employer. For spe- cial accommodation needs, contact the Water Resources Program at (206) 407-6600. The TDD number is (206) 407.-6006. .- File Odglnal and Flint-Copy with ' . .' WATER.WELL REPORT Sec, end Copy-- O'wner'n COPy STATE OF WASHINGTON ' Third Copy-- Driller's Copy Wafer Right Permit No, . . ~ _ ,'~ '~ ~E~ AD~E~ (3) PROPOSED USE: ~m~l~ I~us~al D Mun~ipal D (10) WELL LOG er ABANDONME~ PROCEDURE ~ l~a~n ........ . .. · D OeW~er 'Test WeJl ~.,';...' ~r' (4) TYPE OF WORK: Ow~r's number or well (1! mom lhan one) Abandoaed C1 New well Method: Dug Deepened [] . Cable Flec~ndiBoned [] IRala ry (5) DIMENS1ONS:~ ~ Diernamrelwel[ Ddlod ,~; ~ foal. Depth o! complelad well DrivenE] CONSTRUCTION DETAILS: Welded · Liner installed [] Perforations: Yes [] No [~ Type el p~rforator used SIZE nf perforations in. by tn. perforations from ft. to ,fl. perforali~ns fn~n ~. to perforations Imm fL la ft. Screens: Yes~ N~[] .,. IF '" , Diem. ~ ~lot size h'om Gravel packed: Yes [] No ~ Size of gravel Gravel placed from ft. ta ft. ~,e.~.~in.ea, - .~777. Dr7.77-~_ C_lao~ Did any strain contain unusable ~nmr? Yes [] No [Z]~~ -"-' Type of water? . Depth ~1 strata . Method of sealing .strata off M~i~I No. tL to ~ ,fi. to..ft. (s) PUMP: Manulac,,rer's Name Type: H.P. (9) WELL TESTS: ' Drawdawn t~ arno, nt~wata_.,~l Is lowered bevy sta~ I<~el wssa pump tasl mode? Yes [] ' No ~ I! yes, by whom? . Yield: gal./min, with IL' drawdown attar ill i1 1! I! Recovery data (time taken as zero when pump turned elf} (w~er level measured imm w~il top lo wamr level) Time Water Level Time Water Level Time Water Level D ats~l~ test B~iler test , 41 gaL/rainr wilh ~ ft. dra. wdown after - Nrtest gaL/min, with stem sat at . ft. for Artesian f~nv _ g.p.m. Date · Temperature of water ~Wasachamical analys~s made?' Yes [] - EC¥ 050-1-20 (9/93) ' ' ! - _ ....... hrs. hrs. Form~lbn: Describ~ ~ c~br, character, size of maledal and 'Jtuc~um, and show lhL--knes~ al aqu3ers and Ihe kind and nature el lh~ maWr[al in each s~mtum penetrated, with at tea~t one antr}/ ~or each change of intorma~ion. ~ ' MATERIAL ,_. C}>-ct '1 / /3% WELL CONSTRUCTOR CERTi FICATION: I consh'ucted and/or aCCept responsibility for construction of this well, and ils compliance wilh all Washington well cons~'ucti=n standards. Materials used and the info,~.j~1~n r,eporled alive are true to my best knowledge and belief. - __ b,. _ {PE~ FIRM~OR CORPORATK3N) 1 (TYPE OR I;~.1~___..,.~ pa~CL I~. IJ.I~R) - . Cantmctnr's -7 ,,, . -.. (URE ADDFTIONAL SHEETS IF'NECESSARY). Ecology is an Equal Opportunity and Affirmath/e Aclion employer, For spa. clal 'accommodation needs, comact the Water Rd.sources Program at (206) 407-8600. The TDD number Is (208) 407-6006. .. ...- · . ATTACHMENT 5 Cross SeCtion 4 I Z 0 F- LU LL! (].ee.~ u!) NOilVA::I'I::I O 0 I ! I 0 0 (Lg) ~;gO ~BVV (9g) g~O BVV 0-- ,.:J-:J/M JO@$Ja~,Ul) (st) s90 ~vv 'Pl:l lU!Ocl S,ql!ll!J9 / / . 11 0 0 (],aa~ u!) NOlZVAa-i:a ATTACHMENT 6 Conductivity vs Chloride Graph Chloride vs. ConduCtivity Marrowstone Island Glacial Wells Sampled in 1990- 1992 (Ecology, 1994) 3OO 25O 2OO · 150 rD 100 5O 0 2OO · · · · · · · · · · · · · 400 600 800 1000 1200 1400 1600 COnductivity (umhos/cm) 1800 2OO0 22OO 2400 · Marrowstone Island Glacial Wells O Brasier Well Data Linear Regression [ y = 0.25 (x) + (-98.83) ] Reference: Washington State Dept. of Ecology, 1994, Geology, Water Resources, and Seawater Intrusion Assessment of Marrowstone Island, Jefferson County, Washington, Water Supply Bulletin No. 59. ATTACHMENT 7 Water Quality Reports TWISS ANALYTICAL LABORATORIES, INC. 26280 Twelve Trees Lane, Suite C Poulsbo, WA 98370 Telephone (360) 779-5141 FAX (360) 779-5150 · 'i Multiple Sources' INORGANIC CHEMICALS (IOCS) REPORT System ID No: Private ! System Name: Robert & Marilyn Brasier Lab/SampleNo: 01096809 [ Date Collected: 10/14/03 i DOH Source No: [ Sample Type: B Sample Purpose: B Date ReceiVed: 10/15/03 I ' Date Reported: 10/20/03 i Supervisor: ST Date Prepared: i Date Analyzed: 10/17/03 ! Analyst: AT County: Jefferson I Group: ..... Sample Location: Well Head-2522 E Marrowstone Rd 1 ~ 1 gpm Send Report To: Peterson Pump & Water Treatment Bill To: PO Box 1110 Port Hadlock, WA 98339 Trigger MCLI Exceeds ! Method/Analyst 250 I 250i i ! SM4500-CIE ~ AT ~ Notes: SRL: Trigger Level: vlCL: NA: ND: < (0.001): (State Reporting Level), indicates the minimum reporting level required by the Washington Department of Health (DOH). DOH Drinking Water response level. Systems with compounds detected at concentrations in excess of this level are required to take additional samples. Contact your regional DOH office for further information. (Maximum Contaminant Level), If the contaminant amount exceeds the MCL, immediately contact your regional DOH office. (Not Analyzed), in the results column indicates this compound was not included in the current analysis. (Not Detected), in the results column indicates this compound was analyzed and not detected at a level greater than or equal to the SRL indicates the compound was not detected in the sample at or above the concentration indicated. Comments: *wiss Laboratory Number: 45014 Page 1 TWISS ANALYTICAL LABORATORIES, INC. 26280 Twelve Trees Lane, Suite C Poulsbo, WA 98370 Telephone (360) 779-5141 FAX (360) 779-5150 INORGANIC CHEMICALS (IOCS) REPORT System ID No: Private I System Name: Robert & Marilyn Brasier · i Lab/SampleNo: 01096808 I Date Collected: 10/14/03 I DOH Source No ' lVlultiple Sources: i Sample Type: B j Sample Purpose: B /~ i Date Received: 10/15/03 i Date Reported: 10/20/03 , Supervisor: ST Date Prepared: I Date Analyzed: 10/17/03 ! Analyst: AT I Group: County: Jefferson Sample Location: Well Head-2522 E Marrowstone Rd 2 @ 2 gpm Send Report To' Peterson Pump & Water Treatment Bill To: PO Box 1110 Port Hadlock, WA 98339 DOH #~ Analytes , Results ~! Units ,[ SRL Tri~,oer~,,, ,I MCL , Exceeds I~ Method/Analyst 21 ~ Chloride ~ ~52 m~L 20 I 2S0 [ 2S0~ I I sm4s°°-C I Notes: SRL: Trigger Level: MCL: 'NA: ND: < (0.001): (State Reporting Level), indicates the minimum reporting level required by the Washington Department of Health (DOH). DOH Drinking Water response level. Systems with compounds detected at concentrations in excess of this level are required to take additional samples. Contact your regional DOH office for further information. (Maximum Contaminant Level), If the contaminant amount exceeds the MCL, immediately contact your regional DOH office. (Not Analyzed), in the results column indicates this compound was not included in the current analysis. (Not Detected), in the results column indicates this compound was analyzed and not detected at a level greater than or equal to the SRL indicates the compound was not detected in the sample at or above the concentration indicated. Comments: Twiss Laboratory Number: 45014 Page 1 System ID No: Private TWISS ANALYTICAL LABORATORIES, INC. 26280 Twelve Trees Lane, Suite C Poul~bo, WA 98370 Telephone (360) 779-5141 FAX (360) 779-5150 Lab/Sample No: Multiple Sources: INORGANIC CHEMICALS (IOCS)REPORT i System Name: Robert & Marilyn Brasier 01096807 Date Collected:' 10/14/03 I DOH Source No: I Sample Type: B , Sample Purpose: B /) Date Reported: 10/20/03 i Supervisor: ~-T i Date Analyzed: 10/17/03 i Analyst: AT I Group: _ Date Received: 10/15/03 Date Prepared: County: Jefferson Sample Location: Well Head-2522 E Marrowstone Rd 3 ~ 3 gpm Send Report To: Peterson Pump & Water Treatment ] PO Box 1110 Port Hadlock, WA 98339 Bill To: 'i DOH # Analytes Results Units SRL Trigger MCL Exceeds i ~ 20 ~ Ni~ate 4.7 mg/L 0.1 5 10 21 Chloride [ 145 ~- m~L 20 250 i 250 Notes: SRL: Trigger Level: MCL: 'NA: ND: < (0.001): (State Reporting Level), indicates the minimum reporting level required by the Washington Department of Health (DOH). DOH Drinking Water response level. Systems with compounds detected at concentrations in excess of this level are required to take additional samples. Contact your regional DOH office for further information. (Maximum Contaminant Level), If the contaminant amount exceeds the MCL, immediately contact your regional DOH office. (Not Analyzed), in the results column indicates this compound was not included in the current analysis. (Not Detected), in the results column indicates this compound was analyzed and not detected at a level greater than or equal to the SRL indicates the compound was not detected in the sample at or above the concentration indicated. Comments: Twiss Laboratory Number: 45014 Page 1 ?Twiss 26280 Twelve Trees Lane, Suite C Poulsb0, Washingtor~. 98370_, (360)'779-514'1 WATER BACTERIOLOGICAL A'~ALYSlS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COpy If instructions are not followed, sample will be rejected. DATE COLLECTED TIME COLLECTED I COUNTY NAME TYPE OF SYSTEM IF PUBLIC SYSTEM,' COMPLETE [] PUBLIC I~NDIVIDUAL ll.D. No.I CIRCLE GROUP (serves only 1 residence) A B NAME OF SYSTEM sPEc~¢~c ~OC^T~ON WHERE SAUP~E COLLECTE~ TELEPHeN~ .. EVENING ( ~ ) SAMPLE COLLEOTED BY: (Name) SYSTEM Q~E~MGR.; (Name) SOURCE ~PE ~ ~ GROUND WATER UNDER SURF~'~F~U~N~':; :--:.: . ~ SURFACE ~WELL or ~ SPRING ~ 8.URCHA~ED. or .: ~:COMBINATION WELL FIELD INTERTIE ~ or OTHER SEND REPORTTO: (Print Full Name, Address. an~d Zip Cod?) . . Po_ 6o× TYPE OF SAMPLE {ci~e~k only one, in this column) ,: ,~ { - [~OUTINE [] Chlorinated (Residual: . Total Free) RINKING WATER check treatment ~ [] Filtered [~lJntreated or O~her [] REPEAT SAMPLE Previous coliform presence Lab # · ' ' ' Date / i-] RAW SOURCE WATER Source.# E~ I I~ I I-] Total Coliform [] NEW CONSTRUCTION or REPAIRS [] Fecal Coliform [] OTHER (..SPecify) ~EMARKS: : . ~ -(LAB USE ONLY) DRINKING WATER RESULTS/ [] UNSATISFACTORY, Coliforms present - ; /~ATISFACTORY, . i Coliforms absent REPEAT [] E. Coil present [] E. Coil absent SAMPLES REQUIRED [] Fecal present [] ~ecal absent' OTHER LABORATORY RESULTS ~-:- TOTAL COLIFORM ~/100 mi E. COLI~ /1,~0 mi FECAL COLIFORM~./100 mi PLATE COUNT .~ / mi ANOTHER SAMPLE REQUIRED .,- SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: [] Samples too old [] Confluent growth [] Wrong container [] TNTC [] Incomplete form [] Turbid culture [] [] Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS RECEIVED BY DATE REPQRTED/[/ I LABORATORY: -~EMARK$ ~ ' ' WATER ,qlJPPl li=R ATTACHMENT 8 Pump. Test Data PETERSON PUMP & WATER TREATMENT, INC PO BOX 1110, 10712 RHODY DRIVE PORT HADLOCK, WA 98339-1110 360-385-3437 fx: 385-6174 Contr Lic~PETERPT989KS Electr Contr Domestic Well Llc~ PETERPT997R1 SP£C~JJ~T ~] T ME -8-T-A-J4¢:~- -~,~,,-,,r'~ ^ ,,,, r~ r',~ ^ ~,,,, ,., ,.~, ·, · GPM COMMENTS I 'Z.q~ zo G l'-q" 1 1~2' s-o z~ 6~ "- ~" I $e,s - F3;s¢ 6¢ (~i' i0" 'z I J~:oo q( 61'- Il" 3 c13i 4'20 lt~ 6/'-It" 3 ~:~ ~z~ ~ ~1'-I/" ~ ~ 5~P ~'~ pump ~( I I ATTACHMENT 9 Pump Test and ConduCtivity Measurement Graph iBrasier Well .Low Discharge~Pump Test -0 0 0.00 0.05 0.10 0.15 0.20 0.25 0.30 lOO0 95O 9OO 85O 8OO 75O 7O0 65O 0 20 40 60 80 100 120 140 Time Since Pumping Started (minutes) _ ....................................: i ~. .............................. : ............................................................ O..--O ....................... :- ........................... .i ...~ ....i - -~. -:, ...... · .o · ............ :' ::~::: ':::: ::::::: :::::.:i '::::' ::::::i .... :!::i:e.'O::®'e'i:::'. :~::'.::'.i '.."'::: ' . : ...... .-i .-.i .... '.."-ee ....~ ..... : .... :. ...... ~- .:. .- ......... . ...... ::'"'.: '~.':':":i ......... :..;.-:...-:..o...e.e.~ e. · e-":--.i-' ................. : ................................. ~ .................... ~ ................................ ' :' ................... · .::.. .0.·.: -.~... ~ .... : .-- ::::: ::::".::::::'::: :::: ::.: i::::i: . . .: ............. . .: ...... ~ ..... ; .... : ..... ~ - . .: . . . ~- : .... ..... : . . ~ .... : .....: ...........,, ..: ..... ; ...... : ........ . .........! : ....... .... : ...... ~ ...... . . .: ........ ! - . .: ~ ..... : - . ~ . .... ..... . ...... ~ ...... ~ .... ; : ..... ~ : . .... ; ......... .. ..: ..... : .......... - .. . ~ ..... : ' .. ~ ........ ~. : .... .... : ....... ! "' · " '~ ....... - .....i ~ ' ''~ .............. :' ..... ~ ...... :''' --:--' :. ....: ' '~ ...... : --' i' '; .... ~ ....... ~ .....: .....~ :'' i ; i i ; i I ' I i iI , 0 20 40 60 80 100 120 140 Time Since Pumping Started (minutes) Pump Test conducted on 10/14/02 by Marty Peterson of Peterson Pump & Water Treatment, Inc. Well Depth 72 feet below ground surface (ft bgs) reported on well log, 69.06 ft bgs sounded on 10/14/03 Static Ground Water Level 61.71 ft bgs Well Screen 61 - 66 ft bgs ATTACHMENT 10 Water Conservation Measures 7/31/03 DEPARTMENT OF COMMUNITY DEVELOPMENT ADMINISTRATIVE WATER CONSERVATION MEASURES LIST To Promote Aquifer Recharge and Prevent Seawater Intrusion 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from storm water and roof catchments may be used for watering lawns and gardens. Unless catchments water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Ground water withdrawn from each property should not exceed a rate of three (3) gallons per minute. 4. Install water-conserving fixtures such as Iow flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 5. Landscaping should include xeriscaping and native vegetation with minimal amounts of irrigation. 6. Use drip irrigation, soaker hose systems and root irrigation. 7. Use water basin techniques to water plants, shrubs and trees. 8. Routinely water deeply and less frequently. 9. Weed control is an important part of water conservation. 10. For your landscaping select drought tolerant plants, shrubs and trees stay away from heavy water consumers. 11. Limit the amount of irrigated lawn. 12. Mulch your garden as well as isolated plants, trees and shrubs. 13. Use shade and windbreaks to assist in water conservation. 14. Use Iow flow water closets, showerheads and water conserving dish and clothes washers. 15. Use rainwater catchment systems that corral rainwater from manmade surfaces and into storage. 16. Install water-conserving devices such as Iow-volume toilets and plumbing fixtures. 17. Only 400 gallons per day or less should be pumped from all exempt wells in Seawater Intrusion Protection Zones (SIPZ). 18. Water softeners that contribute salt to groundwater through infiltration should not be used in SIPZ. 19. Hose bibs (outdoor spigots) for outdoor water use should not be used in SIPZ. [end] PLEASE NOTE:THIS LIST IS A WORK IN PROGRESS AND MAY HAVE ADDITIONS / DELETIONS MADE AT ANY TIME. USE CURRENT LIST.