HomeMy WebLinkAboutBLD Sewer Adequacy - 8/11/2023 400536
,,,I st,mmEET,KDG v,SHELNN WA-W
MASON COUNTY aH,,ol; 90.Q>-aa o,IX aCe
COMMUNITY SERVICES eElsl aaoaarwaar,EXT.•oe
ELAK aawersxsa,EZT goo
gdl@^e Ra^nFY.FmYm++AJXeaIW CnmmannYHOMh PNC NEW-n.rlea
Application for Determination of Sewer Adequacy
IncWctions:
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 Health for review.
NOTE:You most supply the System r,hagm,with a she plan for the project,showing all and ting or proposed
sewer components and lines In relation to proposed development and property.
Part 1:ApplicantI Parcel Information
Applicant Sam Martin Agent for Lennar Northwest,Inc Dare: 8/1112023
' Melling Address: 334556th Ave S,Unitl-B city,slate,Zip: Federal Way WA 98003
E 3n M Oympic aidr Phone: (ssa)39a-1313
Site Address: Q t��1 n�1 7�(�
Parcel Number.
ill)%-5t-0a080 nS ON petmil Numb&: SLZ9a;V-0l/'rJ71__
Part 2:Sewer System Information
System:
aetiah Site Plan atladred9
Name of Sewer Sys
Official use only: Sewer System Mam9er or Designated Employee is to pompleta
� rvwcovwalan lnew l..w«mme.aHs.m.mwmmAn•mn•wmi:9�,.swnn N..m,ravNV P,Nk Heats aonodaa ue��.womlw
Macon County Fv mn,
❑ n4ew, kV Qr:nlGwnrr Pa,nil Ne eGF✓G°M lnfd?aYM aM iuwmNw»vAIM1 Main Go,M'Puhl'c Heala,eppwsq nor
❑ IMw miewee me.GPtaMa inlun�•tlw.cats haw deknnYcdseve,wnmsliai'a anemlY HOi evYYWe bIMs VmOmW
- Q'Puw•da Vw ldpwmg,xe,plpnla)enewoxwaPnEhy lAwnca•M P.ri¢2P�+Po
Must meet all Mason County design and construction standards, must Day a8 fees
includi nnection fee with permit and inspection fee, and Latecomers cha a ).
Richard Dickinson 8115/2
` sq,nwasye.aaara.eaaww,... ana
raga.cam.n ewwn x.w.e envlai+
Part
3: Mason County Public Health Reviewf Approval �I`Ln ��rlW1 '-L[(2,(Z,L,f
I Uatvfadory ❑ Unsatisfactory aac �is,uhs e'drm1 pee,
The form maybe scanned and available for public view on the Mason County Web she. avwmnaamn