HomeMy WebLinkAboutBLD2023-00485 Lot 99 - BLD Sewer Adequacy - 2/9/2023 Acct#400429
415 N.M STREET,aLCG B.WELTON M00644
MASON COUNTY SHELTON: 80 T4aVO.FCr too
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Application for Determination of Sewer Adequacy
Inebvctlons:
t.Campteto Pad 1 of application. Permit number may be added at later dam.
2.Take application,Site plan,and any other associated information with the proposed development m the Sewer
System Manager or Designated Employee for approval.
3.Submit completed application and Information to Permit Center or Mason County Public Health for review.
NOTE:you must supply the System Manager witti a site plan for the proiact,shoving all existing or proposed
sewer components and lines In relat on m proposed development and properly.
Part 1:Applicant Parcel Information L'o f 'q'r
Applicant Sam Martin,Agent for Lennar Northwest,Inc Date: 02/09/2023
Mating Address: 33455 6th Ave S.Unit 1-B city,state,zip: Federal Way,WA,98003
Site Address:4%NE Ridge Pooh Rkalvard'Addy...a bpatoduoge'Phone: (253)a94-1.33i3�J �,,n � tin Q
Parcel Number. 1Uze'al-0a%q;1232s-N-oolwopalmhparcde Perot Number. BW 20Z.5- CC"ES6
Part 2:Sewer System Information
Nameof Sewer Systam: Nagar ® Site Plan attached?
onrclsluseonty: Sewer Systam Manager er Dasignared Employes Is m complete.
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Must meet al Mason County design and construction standards,must pay all fees including:
connection fee with permit and inspection fee.and Low arcisBD
Richard L. Dickinson 2/13123
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PaF: Mason County Public Health Review/Approval -7
Satisfactory ❑ Unsatisfactory
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This form may be scanned and available for public view on the Macon County Web Site.
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