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HomeMy WebLinkAboutBLD Sewer Adequacy - 6/16/2023 40D494 415 N.STH craEET,M-UG S.SKELTON WAaaW1 MASON COUNTY SNELTON1BP"T-'5'°on.`W COMMUNITY SERVICES "a �n Na,EXT.Im ELIM:SWda2518a, Ioa Mlms.-I, ,..--l..ar,,Communitr Heave FM:] 27-PSS 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. [yT NMGmM2ort IaeroreeieaedlM eppirams WaarwlMe,d Neeewiea.eavAM Maem GwadyPWCMeaM aDDldviry Ma au,e-+poNn9 Mown Oxarai NIwI. ❑ EWIMp Gonsaa.: I M1--vand Te aepWna lna.son ard N.m les,m WN W.cwmN P Nip HulN epgwig Wa wnawagina Macon cas y Pondl ',. ❑ Inaa,rev wea ft ,aaaaas Mbmuam ant New des n8wE aeva,m s ua av NOT aeNyh b Nb pap®ly. ''..,. � %aan aadNO*sNaaQ rn,Nffl.%on Necar.Peadlas Naam Comb P"(loorsO 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 nWn.dNmiedsrea.,,arvdamev.. /� syawaszva na.aa amps. oma Part 3:Mason County Public Health Reviewl Approval p Satisfactory ❑ 0nsa8sfadory SIBneNred f/�ti� lal �Wsl a pate n This forth may be scanned and available for public view on me Mason County Web Site.