HomeMy WebLinkAboutBLD CD Environmental Health Review - 8/22/2023 i
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Application for Determination of Sewer Adequacy
Insurrections;
1.Complete Pad 1 of application. Permit number may he added at later data
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 add information to Permit Center or Mason County Public Health for review.
NOTE:You must supply Me System Manager with a site plan for the project,showing all existing or proposed
sewer components and tines In relatted W proposed development and property.
Part 1:Applicant Parcel Information
Applicant: Sam Martin,Agent for Iennar Northwest,Inc Date: 8122/2023
Mailing Address: 33455 6th Ave S,Unit 1-B City,State,zip: Federal Way WA,98003
Site Address• 81 NE Olympic Ridge Ph" (m)n4-1322 ,I
Parcel Number 12328-51-00094 HSi94 Permit Number. I,T)=4-00640
Part 2: Sewer System Information �y
Name of Sewer System: Bdfair 1SJ She Plan attached?
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Must meet all Mason County dq§inn and construction standards must pay all fees
indudi p'connecti n fee with peril and inspection fee and Lateoarnams charge iTBD)
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Part 3: Mason County Public Health Review/Approval
❑ Satisfactory ❑ Unsatisfactory
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This fund may be scanned and available for public view on the Mason County Web Site.
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