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State of Washington, Department of Ecology <br />IAA No. C2200023 <br />Kittitas County Public Health Department <br /> <br />6 <br />Version 6/3/2021 <br />APPENDIX A <br />STATEMENT OF WORK <br /> <br />KCPHD shall implement the provisions of the well tagging, sealing and decommissioning <br />components of Chapter 173-160 WAC. Authority for this action of delegation and funding is <br />provided through the provisions of RCW 18.104.043 and 18.104.150. Delegation of authority <br />to inspect wells applies only to water supply wells. <br /> <br />A. KCPHD shall inspect: <br /> <br />• A minimum of thirty percent (30%) of water wells being drilled annually <br />in Kittitas County for proper sealing and tagging; and <br /> <br />• A minimum of ninety percent (90%) of wells being decommissioned <br />annually in Kittitas County. <br /> <br />B. KCPHD, shall at a minimum, conduct twenty-five percent (25%) of all their <br />inspections while the driller is on-site. This percentage may be adjusted by <br />Ecology’s contract manager for driller "no shows". <br /> <br />C. KCPHD shall administer and enforce the provisions of Chapter 173-160 WAC, <br />Sections: 173-160-101, 173-160-181, 173-160-221, 173-160-231, 173-160-241, <br />173-160-251, 173-160-261, 173-160-271, 173-160-311, 173-160-381 and any <br />subsequent revisions. <br /> <br />D. This Agreement does not preclude Ecology from enforcing these <br />aforementioned regulations in Kittitas County. <br /> <br />E. This Agreement does not preclude KCPHD from adopting their own well <br />construction rules or charging additional fees for well inspections. <br /> <br />Deliverables: KCPHD shall submit a quarterly report to ECOLOGY which summarizes the <br />well drilling activities for that reporting period. See Appendix B Special Terms and <br />Conditions for additional deliverables. <br /> <br />The quarterly report shall be submitted on the form provided by ECOLOGY and shall include <br />the number of well construction and decommissioning notices received by KCPHD as well as <br />the number of inspections made. The report shall indicate if the driller was present during the <br />inspection and if the driller was a “no show” at the scheduled time of inspection. <br /> <br />Upon request, an additional detailed report shall itemize (at a minimum) the dates of <br />inspection, notice of intent number, well tag number, well owner, drilling company, and <br />driller. The report will also identify any enforcement activities and any variances issued. <br /> <br />Due Date: Quarterly reports are due on January 20th, April 20th, July 20th and October 20th <br />for inspections done in the prior three-month period.