HomeMy WebLinkAboutBLD Sewer Adequacy - 4/25/2023 400447
415 N.STH STREET,N MS.SHELTON M90504
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Application for Determination of Sewer Adequacy
Instructions:
1.Complete Part 1 of applkaticn. Permit number may the added at later date.
2.Take application,Site plan,and any other associated information with the proposed development to me Sewer
System Manager or Designated Employee for appmval.
3.Submit completed application and information to Permit Center or Mason County Public Health for review.
NOTE:You must supply the System Manager with a site plan for the project,showing all existing or proposed
sower components and tines In relation to proposed development and property.
Part 1:Applicant I Parcel Information
Appicant Sam Martin,Agent for Lennar Northwest,Inc Date: 4/25/2023
Mailing address: 33455 6th Ave S,Unit 1-B city,state,zip: Federal Way,WA,98003
Site Address: 351NERidi Point Boulevard Phones, l253)39f-133i
Parcel Number. lnn-51.Mile Permit Number. �LD 0-a ')
Part 2:Sewer System Information
Name of Sewer System: B&Hr ® Site Plan attachetl9
Official use Only, Sewer System Manager or Designated Employee is to complete.
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This form may be scanned and available for public view on the Mason County Web Site.