HomeMy WebLinkAboutBLD Sewer Adequacy - 8/21/2023 400548
416 R.MSTREET,BLOG e,SHELT MWSM
MASON COUNTY SHELTON: B0 2#0,Dn,eap
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Application for Determination of Sewer Adequacy
Instruction.:
1.Complete Pal l of application. Perot number may be added at later date,
2.Take application,Sim plan,and any other associated Information wtn the proposed development to the Sewer
System Manager or Designated Employee tor approval.
3.Submit completed application and Information to Permit Center or Mason County Public Heath for reNew.
NOTE:You most 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 Parcel Information
Applicane Sam Martin,Agent for Lennar Northwest,Inc Dam: 8/21/2023
Mating Address: 33455 6th Ave S,Unit I-B city state,zip: Federal Way,WA,98W3
Sim Address: tat NEOlvmpkmdxe phone: 053)29ay-13[22� 2�!�
Parcel Number. 1r32an-aoo9x NSa92 Penult Number 2JU�Hl1A7L
Part 2:Sewer System Information
Name of Sewer System' lklfvr E9 Sim Plan atmded7
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Ny. Sewer System Managerar Deslgrmmtl Employee m incomplete.
osay e l hero ievanes PameLGan,lednn: IMw&g Mum Caumyew'elae eprlcenGa uw Maury wovs*ve let II Maso C nN desG d construction standards must Day all feesin :connection fee with rmit and ins ction Latecomers cha e D .
ichard Dickinson W723
..,nee WaAlaT 9pMaetl9Yean MempalEpy+e a[a
Path�Mason County Public Health Review/Approval G�� c�i
(ry'y"A'abafedory ❑ Unsatisfactory /� �1,y//�
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This form may be scanned and available for public view on the Mason County Web Sim.
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