HomeMy WebLinkAboutBLD Sewer Adequacy - 8/11/2023 400534
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Application for Determination of sewer Adequacy
Inebvctions:
1,Complete Part 1 of application. Pelmh number may be added at later data
associaad inIk nnation with the Proposed development to the Sewer
2.Take application.Site plan,and any other
System Manager or Designated Employee for approval.
3.Submd completed application and information to Permit Center or Mason County Public Health for review.
NOTE:You must supply the System Manager with a alto plan for the project,showing all existing or proposed
sewer components and lines in natation to proposed development and property.
Part 1:Applicant/Parcel Information
Applicant Sam Martin,Agent for Lennar Northwest,Inc Date: 8/11/2023
Mains;Address: 33455 loth Ave S,Unit 1-B City,state,zip: Federal Way,WA 98003
Phone: (]531)94aR]
$it¢Address: INEOIym kRid6e _ - -- �04(pa
Par.)Number. I]3l6'S1-W?a HS aN Permit Nlxnber.
Part 2: Sewer System Information
S
Name of Sewer System:
eager [`� he Plan ettacAed?
Fmeetall
nly Sewer System Manager or Designated Employee is to complete.
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meet all Mason County desi n and construction standards, must pay all fees' : connection fee with ermd and ins ection fee and Latecomers Char e BRichard Dickinson 8115123
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Part 3: Mason County Public Health Reviewl Approval
Satisfactory ❑ Unsatisfactory slNnen,ma A,,,I`onlyH am speaerm- Ao�
This form may be,scanned and avallable for public view on the Mason County Web Site. asmasr.r