HomeMy WebLinkAboutBLD2022-00863 Lot 6 - BLD Sewer Adequacy - 2/9/2023 ACCtff 400422
415 N.aTH STREET,BLOO B,SHELTON NARW
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Application for Determination of Sewer Adequacy
Instruction:
1.Complete Pan 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 to the Sewer
System Manager or Designated Employee for approval.
3.Submit completed application and Information to Permit Center or Meson County Public Health for review.
NOTE:You most supply the System Manager with a sib plan for the project.showing all existing or proposed
sewer components and line.In relation to proposed development and property.
Part 1:Applicant Parcel Information
Applicant Sam Martin,Agent for Lennar Northwest,Inc Date: 02/09/2023
Mailing Address: 33455 6th Ave S,Unit I-B City,su e,Zip: Federal Way,WA,98003
Site Addmse: TIONE&dvr SUaon•AddrexwhycE bcM1wg• Phone: (253)2%-13a3 p'^
Pascal Number 1>_aze'zl-0auo0:f'asaB�aa�aaeef���eX� Permit Number: —602DZZ- 60SLO5
Part 2:Sevres System Information Lo } 1D
Name of Sewer System: RdMr ® Site Plan attached?
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Most meat all Mason County design and construction standards,must pay all Lass including:
connectionfee"In dennit oncinspection fee and Latecanem chance(TSD)
Richard L. Dickinson --- 2/13/23
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Part 3:Mason County Public Health Review/Approval v� - _ ,. IQ 73
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This form may be scanned and available for public view on the Mason County Web She.