HomeMy WebLinkAboutBLD Sewer Adequacy - 6/16/2023 40D494
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Application for Determination of Sewer Adequacy
InsWcgone:
1.Complete Part 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 Mason County Public Haab for review.
NOTE:You must supply Me System Manager with a sas plan for the project shearing all existing or proposed
sewer components and tines in relation to proposed development and property.
Part 1:Applicant/Parcel Information
Applicant Sam Martin,Agent for Lennar Northwest Inc Data 6/16/2023
Mailing Addmss: 33455 6th Ave S,Unit I-B City,State,Zip: Federal Way,WA,98003
Silo Address: 390 NE Ol) Wic Ridge phone: (Z3)2w--U222
Parcel Number 173IR-Si-nf ms permit Number. l"J)1�1/IX. �LMJ M ]
Part 2:Sewer System Information
Name of Sewer System: &Ifalr 0 Site Plan adached?
Ofllclel use ordy: Sewer System Managerar Designated Employee Is to complete.
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Must meet all Mason County design and construction standards,must pay all fees
including:connection fee with permit and dins—pe/ctioon fee, Latecomers charge(TED).
Richard Dickinson /� 629/23
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Part 3:Mason County Public Health Reviewl Approval
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This forth may be scanned and available for public view on me Mason County Web Site.