HomeMy WebLinkAboutBLD Sewer Adequacy - 7/6/2023 400503
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Application for Determination of Sewer Adequacy
Instructions:
1.Complete Part 1 of application. Permit number may use added at later date.
2.Take application,Site plan,and sly 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 Meson County Public Health for review.
NOTE:You must supply the System Manager with a site plan for the project.showing all existing or proposed
sewer components and lines In relation to proposed development and property.
Part 1:Applicant I Parcel Information
Applicant: Sam Martin,Agent for Lennar Northwest,Inc Dare: 7/6/2023
Mailing Address: 33455 6th Ave S.Unit 1-B city,state,zip: Federal Way,WA,98003
Site Address: 321 NE Olympic Ridge phone; (:s5)xw-uu
Parcel Number. 12328-51-00070 Permit Number., l nosq-o V I.a
Part 2:Sewer System Information �y
Name of Sewer SystSer ndfw L�J Site Plan attached?
ofacialusenwy: Sewer system Manager or Designated Employee ism rompil
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Must meet all Mason County dasian and construction standards must par all fees
including:wnnecfion fee with perm8 and inspection hip,and Latecomers charge(TBD).
Richard Dickinson 7/13P23
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Pa Mason County Public Health Review Approve] C„„ ^ I
atisfactory ❑ Unsatisfactory aVf' 1
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This form may be seemed and available for public view on the Mason County Web Sib.
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