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HomeMy WebLinkAboutR2026-148 Fully ExecutedRESOLUTION TO AUTHORIZE EXECUTION OF AN INTERLOCAL AGREEMENT BETWEEN KITTITAS COUNTY AND THE STATE OF WASHINGTON DEPARTMENT OF ECOLOFY FOR ADMINISTRATION AND ENFORCEMENT OF CERTAIN WATER WELL CONSTRUCTION REGULATIONS WHEREAS, RCW 39.34, the Interlocal Cooperation Act, provides the capability for public agencies to cooperate for mutual advantage; and WHEREAS, the Washington State Department of Ecology (Ecology) has legal authority to enforce minimum standards for construction and maintenance of wells; and WHEREAS, the County also has certain legal authority related to well construction and maintenance; and WHEREAS' Ecology desires to contract with the County via Interlocal Agreement to perform work related to well tagging, sealing and decommissioning components pursuant to Chapter 173-160 WAC; and WHEREAS, Ecology and the County have agreed to the terms, including payment for services, for providing such services as detailed in the Interlocal Agreement that is attached hereto and hereby incorporated by this reference; and WHEREAS, the Board of County Commissioners find that it is in the best interest of the County, and all its citizens to enter the Interlocal Agreement. NOW THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Kittitas County, Washington, authorizes execution of an Interlocal Agreement with the Washington State Department of Ecology. RESOLUTION No.2026- Y-fqrrv' rwrv---f-"'$) l7r auv ot fu& 2026,at Ellensburg, washington. BOARD OF COUNTY COMMISSIONERS COUNTY OF KITTITAS STATE OF WASHINGTON BOARD OF CO SIONERS KITTITAS DATED this Chair CO GTON L AIIGErl? ffi Commissioner ATTEST: of the Docusign Envelope lD 4F A942M-39FE-8FC8-81 DF-3D84336573FD DEPARTMENT OF ECOLOGY State of Washington IAA No. C26O0L94 INTERAGENCY AGREEMENT (IAAI BETWEEN THE STATE OF WASHINGTON, DEPARTMENT OF ECOTOGV AND KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT THf S INTERAGENCY AGREEMENT ("Agreement" or "lM") is made and entered into by and between the state of Washington, Department of Ecology, hereinafter referred to as "ECOLOGY," and the KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT hereinafter referred to as the ,'KCPHD,, and ,,CONTRACTOR," pursuant to the authority granted by Chapter 39.34 of the Revised Code Washington, lnterlocal Cooperation Act. THE PURPOSE OF THIS AGREEMENT is to provide the delegation and funds to KCPHD to administer and enforce the well sealing, tagging, and decommissioning portions of the water well construction regulations WHEREAS, ECOLOGY has legal authority (WAC 173-160) entitled Minimum Standards for Construction and Maintenance of Wells and KCPHD (other party) has legal authority (RCW 18.104) entitled the Washington Well Construction Act, that allows each party to undertake the actions in this agreement. WHEREAS, KCPHD shall implement the provisions of the well tagging, sealing, and decommissioning components of Chapter 173-L60 WAC. Authority for this action of delegation and funding is provided through the provisions of RCW 18.104.043 and 18.104.150. Delegation of authority to inspect wells applies only to water supply wells. I Yersion 1/5/2026 Docusign Envelope lD: 4F 4942A2-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department THEREFORE, IT IS MUTUAIIY AGREED THAT: I. SCOPEOFWORK KCPHD shall furnish the necessary personnel, equipment, material and/or service(s) and otherwise do all things necessary for or incidental to the performance of the work set forth in Appendix A, Stotement of Work, attached hereto and incorporated herein. 2. PERIOD OF PERFORMANCE The period of performance of this IAA will commence on July L,2026 and be completed byJune 30, 2031, unless the Agreement is terminated sooner as provided herein. Amendments extending the period of performance, if any, shall be at the sole discretion of ECOLOGY, 3. PAYMENT Funding provided to KCPHD by ECOLOGY is authorized under the provisions of RCW 18.104.L50 ECOLOGY shall pay KCPHD for services described as follows: Amount: fifty percent (50%) of the notification fees collected for water wells constructed and fifty percent (50%) of the notification fees collected for water wells decommissioned within Kittitas County during the time period covered by this Agreement. ECOLOGY may, at its sole discretion, terminate or suspend this Agreement, or withhold payments claimed by the CONTRACTOR for services rendered, if the CONTRACTOR fails to satisfactorily comply with any term or condition of this Agreement. 4. BILTING AND PAYMENT PROCEDURE ECOLOGY will pay KCPHD fifty percent (50%) of the well construction fees and fifty percent (50%) decommissioning fees collected by ECOLOGY for water wells constructed and decommissioned in Kittitas County during the Agreement's period of performance, all payments shall be made to KCPHD after quarterly reports received by ECOLOGY. Payment will be issued through Washington State's Office of Financial Management's Statewide Payee Desk. To receive payment, CONTRACTOR must register as a statewide vendor by submitting a statewide vendor registration form and an IRS W-9 form at website, https://ofm.wa.gov/it-svstems/statewide- vendorpavee-services. For questions about the vendor registration process, contact Statewide Payee Help Desk at (360) 407-8180 or email PaveeRegistration@ofm,wa.sov. 5. ALTEMTIONSANDAMENDMENTS This Agreement may be amended by mutual agreement of the parties. Such amendments shall not be binding unless they are in writing and signed by personnel authorized to bind each of the parties. 6. ASSIGNMENT The work to be provided under this Agreement, and any claim arising thereunder, is not assignable or delegable by either party in whole or in part, without the express prior written consent of the other party, which consent shall not be unreasonably withheld. 2 Yersion l/5/2026 Docusign Envelope lD: 4F A942A2-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department 7. ASSURANCES Parties to this Agreement agree that all activity pursuant to this agreement will be in accordance with all the applicable current federal, state, and local laws, rules, and regulations. 8. CONFORMANCE lf any provision of this Agreement violates any statute or rule of law of the state of Washington, it is considered modified to conform to that statute or rule of law. 9. DISPUTES Parties to this Agreement shall employ every effort to resolve a dispute themselves without resorting to litigation. ln the event that a dispute arises under this Agreement that cannot be resolved among the parties, it shall be determined by a Dispute Board in the following manner. Each party to this Agreement shall appoint one member to the Dispute Board. The members so appointed shalljointly appoint an additional member to the Dispute Board. The Dispute Board shall review the facts, agreement terms, and applicable statutes and rules, and then make a determination of the dispute. The determination of the Dispute Board shall be finaland binding on the parties hereto, unless restricted by law. The cost of resolution will be borne by each party paying its own cost. As an alternative to this process, if state agencies, eitherof the parties may request intervention bythe Governor, as provided by RCW 43.17.330, in which event the Governor's process will control. The parties may mutually agree to a different dispute resolution process, IO. FUNDING AVAITABILITY ECOLOGY's ability to make payments is contingent on availability of funding. ln the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way after the effective date and prior to completion or expiration date of this Agreement, ECOLOGY, at its sole discretion, may elect to terminate the Agreement, in whole or part, for convenience or to renegotiate the Agreement subject to new funding limitations and conditions. ECOLOGY may also elect to suspend performance of the Agreement until ECOLOGY determines the funding insufficiency is resolved. ECOLOGY may exercise any of these options with no notification restrictions, although ECOLOGY will make a reasonable attempt to provide notice. ln the event of termination or suspension, ECOLOGY will reimburse eligible costs incurred by the CONTRACTOR through the effective date of termination or suspension. Reimbursed costs must be agreed to by ECOLOGY and the CONTRACTOR. ln no event shall ECOLOGY's reimbursement exceed ECOLOGY's total responsibility under the agreement and any amendments. I I. GOVERNING tAW AND VENUE This Agreement is entered into pursuant to and under the authority granted by the laws of the state of Washington and any applicable federal laws. The provisions of this Agreement shall be construed to conform to those laws. This Agreement shall be construed and interpreted in accordance with the laws of the state of Washington, and the venue of any action brought hereunder shall be the Superior Court for Thurston County. J Yersion ll5/2026 Docusign Envelope lD: 4F A942M-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department 12, INDEPENDENT CAPACIW The employees or agents of each party who are engaged in the performance of this Agreement shall continue to be employees or agents of that party and shall not be considered for any purpose to be employees or agents of the other party. 13. ORDER OF PRECEDENCE ln the event of an inconsistency in the terms of this Agreement, or between its terms and any applicable statute or rule, the inconsistency shall be resolved by giving precedence in the following order: a. Applicable federal and state of Washington statutes, regulations, and rules. b. Mutually agreed upon written amendments to this Agreement. c. This Agreement, number C26O0194, d. Appendix A,Stotementof Work. e. Appendix B, SpecialTerms and Conditions. f. Appendix C, Well Construction and Decommissioning Quorterly Report Form. g. Any other provisions or term of this Agreement, including materials incorporated by reference or othenarise incorporated. 14. RECORDS MAINTENANCE The parties to this Agreement shall each maintain books, records, documents, and other evidence that sufficiently and properly reflect all direct and indirect costs expended by either party in the performance of the service(s) described herein. These materials shall be subject to inspection, review, or audit by personnel of both parties, other personnel duly authorized by either party, the Office of the State Auditor, and federal officials so authorized by law, All books, records, documents, and other materials relevant to this Agreement must be retained for six years after expiration of this Agreement. The Office of the State Auditor, federal auditors, and any persons duly authorized by the parties shall have full access and the right to examine any of these materials during this period. Each party will utilize reasonable security procedures and protections for all materials related to this Agreement. All materials are subject to state public disclosure laws. 15. RESPONSIBILITIES OF THE PARTIES Each party of this Agreement hereby assumes responsibility for claims and/or damages to persons and/or property resulting from any act or omissions on the part of itself, its employees, its officers, and its agents. Neither party will be considered the agent of the other party to this Agreement. 16. RIGHTS IN DATA Unless otherwise provided, data which originates from this Agreement shall be "work made for hire" as defined by the United States Copyright Act, Title 17 U.S.C. section 101 and shall be owned by state of Washington, ECOLOGY.. Data shall include, but not be limited to, reports, documents, pamphlets, advertisements, books magazines, surveys, studies, computer programs, films, tapes, and/or sound reproductions. Ownership includes the right to copyright, patent, and register these items, and the ability to transfer these rights. 4 Yersion l/5/2026 Docusign Envelope lD: 4FA942A2-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department 17. SEVERABILIW lf any provision of this Agreement or any provision of any document incorporated by reference shall be held invalid, such invalidity shall not affect the other provisions of this Agreement which can be given effect without the invalid provision, if such remainder conforms to the requirements of applicable law and the fundamental purpose of this Agreement, and to this end the provisions of this Agreement are declared to be severable. 18. SUBCONTRACTORS a. CONTRACTOR agrees to take complete responsibility for all actions of any Subcontractor used under this Agreement for the performance. When federal funding is involved there will be additiona I CONTRACTOR and su bcontractor requirements and reporting. Prior to performance, all subcontractors who will be performing services under this Agreement must be identified, including their name, the nature of services to be performed, address, telephone, WA State Department of Revenue Registration Tax number (UBl), federal tax identification number (TlN), and anticipated dollar value of each subcontract. ldentify whether subcontractor is certified with Office of Minority and Women's Business Enterprises (OMWBE), WA Dept. of Veterans Affairs (WDVA), or is a WA small business. Provide such information to ECOLOGY's Agreement representative, b. Subcontractor Payment Reporting Requirements - Access Equity: This Agreement is subject to compliance tracking of subcontractor(s) spend using the State's business diversity management system, Access Equity (B2Gnow). Access Equity is web-based and can be accessed at the Office of Minority and Women's Business Enterprises (OMWBE) at https://omwbe.diversitvcompliance.com/. The Contractor and all Subcontractor(s) shall report and confirm receipt of payments made to the Contractor and each Subcontractor through Access Equity. The Contractor may contact Shanyese Trujillo, Shanyese.Trujillo@ecy.wa,gov for technical assistance in using the Access Equity system. Changes to the contact information may be communicated to the CONTRACTOR by email, and does not require an amendment. User guides and documentation related to Contractor and Subcontractor access to and use of Access Equity are available online at https://omwbe.wa.govlaccess-equitv-help-center. ECOLOGY reserves the right to withhold payments from the Contractor for non-compliance with this section. For purposes of this section, Subcontractor means any subcontractor working on the Agreement, at any tier and regardless of status as certified WMBE or Non-WMBE. The Contractor shall: a. Register and enter all required Subcontractor information into Access Equity no later than fifteen (L5) days after ECOLOGY creates the file (Contract Record) in Access Equity. b. Complete the required user training (two (2) one-hour online sessions) no later than twenty (20) days after ECOLOGY creates the file (Contract Record) in Access Equity. c. Report the amount and date of all payments i. received from ECOLOGY, and ii. paid to Subcontractors, no later than fifteen (15) days after the issuance of each payment made by ECOLOGY to the Contractor, unless otherwise specified in writing 5 Yersion l/5/2026 Docusign Envelope lD 4F 4942M-39F8-8FC8-8'1 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department by ECOLOGY, except that the Contractor shall mark as "Final" and report the final Subcontractor payments into Access Equity no later than thirty (30) days after the final payment is due the Subcontractor(s) under the Agreement, with all payment information entered no later than sixty (60) days after end of fiscalyear, June 30. d. Monitor Agreement payments and respond promptly to any requests or instructions from ECOLOGY or system-generated messages to check or provide information in Access Equity. e. Coordinate with Subcontractors, or ECOLOGY, when necessary, to resolve promptly any discrepancies between reported and received payments. f, Require each Subcontractor to: i. register in Access Equity and complete the required user training. ii. verify the amount and date of receipt of each payment from the Contractor or a higher tier Subcontractor, if applicable, through Access Equity. iii. report payments made to any lower tier Subcontractors, if any, in the same manner as specified herein. iv. respond promptly to any requests or instructions from the Contractor or system- generated messages to check or provide information in Access Equity; and v. coordinate with Contractor, or ECOLOGY, when necessary, to resolve promptly any discrepancies between reported and received payments. I9. SUSPENSION FOR CONVENIENCE ECOLOGY may suspend this Agreement or any portion thereof for a temporary period by providing written notice to the CONTRACTOR a minimum of seven (7) calendar days before the suspension date CONTRACTOR shall resume performance on the first business day following the suspension period unless another day is specified in writing by ECOLOGY prior to the expiration of the suspension period 20. TERMINATION FOR CAUSE lf for any cause, either party does not fulfill in a timely and proper manner its obligations under this Agreement, or if either party violates any of these terms and conditions, the aggrieved party will give the other party written notice of such failure or violation. The responsible party will be given the opportunity to correct the violation or failure within fifteen (15) business days. lf failure or violation is not corrected, this Agreement may be terminated immediately by written notice of the aggrieved party to the other. 2I. TERMINATION FOR CONVENIENCE Either party may terminate this Agreement without cause upon thirty (30) calendar day prior written notification to the other party. lf this Agreement is so terminated, the parties shall be liable only for performance rendered or costs incurred in accordance with the terms of this Agreement prior to the effective date of termination. 22. WAIVER A failure by either party to exercise its rights under this Agreement shall not preclude that party from subsequent exercise of such rights and shall not constitute a waiver of any other rights under this Agreement unless stated to be such in a written amendment to this Agreement signed by an authorized representative of the parties. 6 Yersron 1/5/2026 Docusign Envelope lD: 4F A942A2-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department 23. AGREEMENT MANAGEMENT The representative for each of the parties shall be responsible for and shall be the contact person for all communications, notifications, and billings questions regarding the performance of this Agreement. The parties agree that if there is a change in representatives, they will promptly notify the other party in writing of such change, such changes do not need an amendment. The ECOLOGY Representative is:The KCPHD Representative is: Name: Scott Malone Address: PO Box 47600 Olympia, WA 98504-7600 Phone: (3601407-6648 Email: ScottMalone@ecy.wa.gov Name: MelissaSchumaier Address: 507 N. Nanum St. Suite 102 Ellensburg, WA 98926 Phone: (509) 962-7009 Email: melissa.schumaier@co.kittitas.wa.us 7 Yersion 115/2026 Docusign Envelope lD: 4F A942A2-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department 24. ALLWRITINGS CONTAINED HEREIN This Agreement contains all the terms and conditions agreed upon by the parties. No other understandings, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to exist or to bind any of the parties hereto. The signatories to this Agreement represent that they have the authority to bind their respective organizations to this Agreement. lN WITNESS WHLREOF, the parties below, having read this Agreement in its entirety, including all attachments, do agree in each and every particular as indicated by their signatures below. State of Washington Department of Ecology Kittitas County Public Health Department by:by: ('ta- ktws 9t24t2026 9t24t2026b,frn Ria Berns Date Water Resources Program Manager Chelsey Loeffers Director Date 8 Yersion 11512026 Docusign Envelope lD: 4F 4942M-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department APPENDIX A STATEMENT OF WORK KCPHD shall implement the provisions of the well tagging, sealing, and decommissioning components of Chapter I73-t6O WAC. Authority for this action of delegation and funding is provided through the provisions of RCW 18.L04.043 and 18.104.L50. Delegation of authority to inspect wells applies only to water supply wells. A. KCPHD shall inspect A minimum of thirty percent (30%l of water wells being drilled annually in Kittitas County for proposer sealing and tagging; and A minimum of ninety percent (90%) of wells being decommissioned annually in Kittitas County. B. KCPHD shall at a minimum, conduct twenty-five percent (25%l of alltheir inspections while the driller is on-site. This percentage may be adjusted by ECOLOGY's contract manager for driller "no shows". C. KCPHD shall administer and enforce the provisions of Chapter I73-t6O WAC, Sections: 173- 160-101, L73-L60-r81,, r73-160-22L, L73-L60-231.,173-160-24L, L73-L60-25L, t73-1,60-26L, L7 3 -t6O-27 L, t7 3-'J,6O-3II, L7 3-t6O-38 1, a n d a ny s u bseq ue nt revis io ns. D. This Agreement does not preclude ECOLOGY from enforcing these aforementioned regulations in Kittitas County. E. This Agreement does not preclude KCPHD from adopting their own well construction rules or charging additional fees for well inspections. Deliverables: KCPHD shall submit a quarterly report to ECOLOGY which summarizes the well drilling activities for that reporting period. See Appendix B SpecialTerms and Conditions and Appendix C Well Construction and Decommissioning Quarterly Report Form for additional deliverables. The quarterly report shall be submitted on the form provided by ECOLOGY and shall include the number of well construction and decommissioning notes received by KCPHD as well as the number of inspections made. The report shall indicate if the driller was present during the inspection and if the driller was a "no show" at the scheduled time of inspection. Upon request, an additional detailed report shall itemize (at a minimum) the dates of inspection, notice of intent number, welltag number, well owner, drilling company, and driller. The report will also identify any enforcement activities, and any variances issued. Due Date: Quarterly reports are due on January 2Oth, April 20th, July 2Oth, and October 2Oth for inspections done in the prior three-month period a a 9 Yersion l/5/2O26 Docusign Envelope lD: 4F A942A2-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department APPENDIX B SPECIAL TERMS AND CONDITIONS EDUCATIONAL REQUIREMENT FOR KCPHD INSPECTIONS KCPHD will ensure that inspectors will have the following minimum qualifications. a) A Bachelor's degree from an accredited college or university involving major study in environmental health, sanitary science, bacteriology or public health, or other closely related science field. On the job experience with a health jurisdiction involving environmental health related work may be substituted year for year for the college education, including substituting for the requirement of a Bachelor's degree. Experience obtained through military service may be substituted year-for-year for up to two (2) years of college education. b) Demonstrated written and oral communication skills. c) Ability to establish and maintain professional and cooperative relationships with the public, state and federal agency personnel, and county personnel. d) Physical capability to work outdoors under inclement weather conditions and climbing over rough terrain. e) Valid Washington State drive/s license and a vehicle adequate for daily use on the job. DESIRED QUALIFICATIONS FOR KCPHD INSPECTIONS a) Registration as a Sanitarian with the Washington State Board of Registered Sanitarians or National Environmental Health Association, or eligibility for registration in either. b) Registration as a Professional Engineer, Geologist, Hydrogeologist, or Engineering Geologist. c) Experience in operation and maintenance of groundwater monitoring equipment. TRAINING FOR KCPHD INSPECTIONS ECOLOGY shall provide training for KCPHD inspectors in well sealing, tagging, and decommissioning techniques. Training will focus on enforcement, data collection techniques, field investigations, well construction, and an overview of all applicable laws and regulations pertaining to this Agreement. New inspectors will be trained by ECOLOGY and KCPHD. Each new inspector shall be required to complete a minimum of eight hours of classroom instruction provided by ECOLOGY. Twenty-eight hours of field instruction shall be provided by the combined resources of ECOLOGY and KCPHD. KCPHD shall provide adequate time and funding for inspectors to attend this training. All KCPHD inspectors will be required to obtain two (2) one-hour Continuing Education Units (CEUs) per year in Washington State well construction rules and regulations. These CEUs will be available at the request of the KCPHD via web conference or in-person meetings. lf KCPHD inspectors cannot travel outside local areas, ECOLOGY staff may travel to the KCPHD or to a nearby location where several counties can be trained at one time. CEUs will be tracked by the ECOLOGY project manager. Yersron l/5/2026 l0 Docusign Envelope lD: 4F A942A2-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department TECHNICAL AND ENFORCEMENT SUPPORT ECOLOGY shall provide technical and enforcement support throughout the term of this Agreement. The primary point of contact for technical and enforcement assistance will be the Well Construction and Licensing Program Coordi nator (350) 407-6648. VIOLATIONS PROCEDURES KCPHD shall supply ECOLOGY with a copy of their enforcement procedures relating to the delegated items of this Agreement within ninety (90) days from signing. Violations identified by KCPHD which are not covered by this Agreement shall be reported to ECOLOGY's Central Regional Office (509) 575-2639. Verbal notification of these types of violations shall be given within 24 hours. To facilitate ECOLOGY's role in future enforcement actions, written documentation of suspected violations may be required and will be evaluated by ECOLOGY on a case-by-case basis. Specific enforcement procedures will be included in the basic training instructions. ANNUAT REVIEW KCPHD and ECOLOGY shall review and evaluate the terms of this Agreement annually upon a mutually agreed month. At a minimum, the evaluation must include an audit of construction inspections, decommissioning inspections, enforcement activities, variances, and other driller interactions that occurred during the year. The evaluation will also address the need to update or othenarise change portions of this Agreement, changes will be handled via amendment. ECOLOGY shall prepare a report of the findings. The report shall be made available via the internet or upon request. Yersron l/5/2026 ll Docusign Envelope lD: 4F A942A2-39FE-8FC8-81 DF-3D84336573FD State of Washington, Department of Ecology IAA No. C2600194 Entity Name: Kittitas County Public Health Department County Name APPENDIX C WELL CONSTRUCTION AND DECOMMISSIONING QUARTERLY REPORT FORM Contact phone number: Contact email:Person reporting: Year Quarter: Ecology Contact: Scott A. Malone Well Construction and Licensing Coordinator Phone (360) 407-6648 Send completed form to: Email: scma461@ecv.wa.gov Mail: Department of Ecology Well Construction Unit PO Box 47600 Olympia, WA 98504-7600FAX (with cover sheet): (360l.407-7762 ECY 070-529 (Revised 04/761 To request ADA accommodation including mqteriols in a formot for the visuolly impoired, call Ecology Wqter Resources Progrom qt 360-407-6872. Persons with impqired heoring may coll Woshington Relay Seruice at 777. Persons with speech disability may cqll TTY ot 877-833-6347. tr JAN - MAR (due Apr 20th) tr JUL - SEP (due Oct 20th) fl APR - JUN (due July 20th) ! OCT - DEC (due Jan 20th) Well Construction Number Reports of new (and alteration of existing) wells N u mber co I led-i n county New wells (and alteration of existing) inspected at least once First inspection only Total number of well inspections Could be more thon one inspection per well call-in Wells inspected with driller present lnteroction with driller is encouroged Planned well inspections with driller absent Well Decommissioning Number Reports of new (and alteration of existing) wells N u mber ca lled-i n county New wells (and alteration of existing) inspected at least once First inspection only Total number of well inspections Could be more thon one inspection per well coll-in Wells inspected with driller present lnteraction with driller is encouraged Planned well inspections with driller absent Yersion l/512026 t2