HomeMy WebLinkAboutBLD Sewer Adequacy - 7/6/2023 ENVIRO� .IENTAL 400504
415 N.M MEET,SLOG 8,SHELTON WAe8584
MASON COUNTY SHELTON:30GAV-e570,E%C 400
COMMUNITY SERVICES SEFNH: 81P5M8,E%Ta88
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Application for Determination of Sewer Adequacy
Instructions:
1.Complete Pan t of application. Permit number may be addled at later date.
2.Take application,Site plan,and any other associated Information with Me 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 must supply Me System Manager MM a Star plan for Me project,showing all existing or proposed
sewer components and line.in relation W proposed development and property.
Part 1:Applicant I Parcel Information
Applicant Sam Martin,Agent for Lennar Northwest,Inc Date: 7/6/2023
Mailing Address: 33455 6th Ave S,Unit 1-B. city,State,Zip: Federal Way,WA,98003
Site Address: 311 NE Olympic Ridge phone: (M)ss 1511
Parcel Number. 12328-51-00071 Permit Number.
1
Part 2:Sewer System Information
Name of Sewer System: aegah [v7 Site Plan aeeched7
Of tc/el usa only: Sewer System Manager w ipnarad Employee is m complet&
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Must meet all Mason County design and construction standards,must pay all fees
including:connection tee with permit and ins io ,and Latecomers chants TO .
Richard Dickinson 7/1323
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Parrtraxxtt��.((rrrr3:��-Mason County Public Health Revlewl Approval
satisfactory ❑ Unsatisfactory
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Thla brm may be Rearmed and available for public view on the Mason County Web Sib.-�Dr�