Mason County Public Portal

Well Permit: Construction of New Well
	Environmental Health
	Record Number	WEC2021-00168 Closed

				Current Fees $0.00 Additional fees may be required

Project Information

Location
10 E KAYAK CT	Parcel
SHELTON, WA 98584	220202393001


Created	8/30/2021
Submitted	8/30/2021
Approved	8/30/2021
Issued	8/30/2021
Closed	12/16/2021
Application Expires	- -
Give your project a name

Describe the purpose of the project

Contacts

If you need to update contact information, please reach out to the permit center at 360-427-9670 ext. 352.

Contact	Role
KIVLEY MICHAEL & TAMI A(view notes) MIKE.KIVELY@MILESRESOURCES.COM 253.307.4956	Submitter of the Application
KIVLEY MICHAEL & TAMI A(view notes) MIKE.KIVELY@MILESRESOURCES.COM 253.307.4956	Owner of Record

Details

Start Card No.(view notes)

Drilling Firm(view notes)

Drilling Firm Phone #(view notes)

Is the well site within 100 ft. of salt/seawater? Y/N(view notes)

If Yes, a variance from the Department of Ecology is required. Have you applied/received a variance? Y/N(view notes)

Submittals At least 1 file must be uploaded for each submittal requirement

Please ensure all required submittals have been uploaded. All required submittals must be received prior to routing for review and being considered a complete application. Required submittals are marked with red asterisk unless directed otherwise. Mason County staff will contact you if submittal(s) are found insufficient via email or phone.

*	Required for Application
	Required before application can be closed

Submittal Name	Received	Version	Status
Plot Plan & Vicinity Map* (view notes)	8/30/2021	1	Approved

Parcels

If you click on the blue parcel number below, you will be able to view information related to the parcel.

Parcel Number	Primary Owner	Primary Address
220202393001 (view notes)	KIVLEY MICHAEL & TAMI A	10 E KAYAK CT SHELTON, WA 98584

Conditions

The Owner/Applicant agree to the permit conditions at issuance. Prior to issuance, conditions are subject to change.

Submit this completed application with appropriate fee a minimum of 24 hours in advance of initiating well construction. (view notes)
Mason County Environmental Health must receive notification at least 24 hours prior to the drilling of the well. (view notes)
NOTICE: All proposed connections to new wells are subject to water adequacy requirements at time of building permit per Mason County Title 6.68 Water usage restrictions and additional fees may apply to all new wells drilled after January 19th, 2018 per ESSB 6091. (view notes)
Applicant/Owner must maintain appropriate setbacks to critical areas, such as wetlands, streams, and steep slopes. Applicants are encouraged to investigate these setbacks with Planning Dept. staff prior to construction activities. (view notes)

Fees Current Fees $0.00

The fees listed below are subject to change based on project and permit requirements. Current fees are listed at the top of this page and may be paid at any time. All fees must be paid at issuance or prior.

Fee	Amount	Paid	Balance	Due Now
Total $ 0.00		$ 0.00	$ 0.00	$ 0.00

Inspections There is 1 required inspection for this application

The list of inspections below are subject to change based on project and permit requirements.

Inspection	Date	Status
Well Construction Inspection (view notes)	12/16/2021	Inspection Not Completed

Approval Steps Follow the approval process

Follow your application through the permitting process.

Step	Status	Date
Environmental Health Clerical (view notes)	Done	8/30/2021