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HomeMy WebLinkAboutBLD2022-00875 Lot 7 - BLD Sewer Adequacy - 2/9/2023 Aci 400425 als N.61 STREET,B=a,eNELTON NMM" MASON COUNTY 6HELTON:]e V.WD,M.40e BE f4er,1400 SERVICES Es 3soMom6a,UT.4o wasi Wn4p errvaoanarW INAXOsrisissi YMlh i 9ep4P-]]ea Application for Determination of Sewer Adequacy Instructions: i.Complete Pad 1 of application. Permit number may be added at later date. 2.Take application,Site plan,and any other associated information with the proposed development Io the Sam System Manager or Designated Employee for approval. 3.Submit completed application and Information to Pang Center or Mason County Public Health for review. NOTE:you must supply the System Manager with a site plan for the projecR showing all existing or proposed sewer components and lines In relation to proposed development and property. Part 1:Applicant/Parcel lnforrnation Applicant: Sam Martin,Agent for Lennar Northwest,linc Data: 02/09/2023 Mooing Address: 33455 bth Ave S,Unit 1-B City,Slate,zip: Federal Way,WA,98003 Site Address: IN Its adfd SWlo 'Mahnfia olden W dens• Phone: PsO291-131i Partial Number 1]J3611-BWW:11326-24-110000 partnt pai Permit Number.-1�:JA Lf Part 2: Sewer System Information O� —: ' Name of Sewer System: eead © She Plan attatlied7 OlNelel use only: Sewerayafem Mamgw or Dealgmfed Employee fs M aompletc ® NMacomscm IM1em ravbaeE lM1e apprNVMa WMrneIMaM M1ewmlmwaMN MaWn CouMyPWlc NaalN aymalry lM mmmapm4.a ❑ EtiYry Came llm: Mve rdlewaE tin eµY nb Inlwmallon aM Mva no ImumwiM AYaon eounry PUHe NaJN gpwinp Me pprmpwtl4q Man Counts Pi ❑ 1.rmWnd ec ep1..14.9.and lmv EMemiss,wiser—i can,rw NOT assume 1,1 wxim.. ® Ia .ad e. wWs l ane.angwr an Mown County Peres fmmm0 mst meet aasonsGouny design and construction standards,must pay all fees including: connection fee with permit and inspection fee,and Latecomer charge(rBD). Richard L.Dickinson 211311 IHna6Nareaewsr Mrmnle -'is Sblmaseayalnr Msaaal Elabaa a6 PartJt:3,,\.Mason County Public Health Review/Approval 43 slu faciory ❑ unsatisfactory p p yl(11 Ci ll sian.unrm -Uerwamf�erpl Iml`(MS�LP rXiY-.Qd This form may be scanned and available for public view on the Meson County Web Sib,