HomeMy WebLinkAboutBLD Sewer Adequacy - 11/7/2023 400551
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Application for Determination of Sewer Adequacy
instructions:
1.Complete Part 1 of application. Permit number may be 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 eppmval.
3.Submit completed application and Information to Permit Center or Mason County Public Health for revim..
NOTE:You must supply the System Manager with a site plan for the project,showing all winning or proposed
sewer components and lines In relation to proposed development and property.
Part 1:Applicant Parcel Information
Applicant Lauren Fafnis.Agent for Lennar Northwest,Inc Data: 11/7/2023
MaiirgAdmess: 33455 6th Ave S,Unit 1-B City,Slate,7Jp: Federal Way,WA,98003
Sire Address: 71 NE Olympic Ridge Phone: tas»wssus
Parcel Number. 12328-51-00095 HS#95 Permit Number. J3Lb20,24-0L^6Mi
Part 2:Sewer System Information
Name of Sewer System: adftir Site Plan attached?
Omcial use only: Sawer System Manager ar Designated Employee is TO complete.
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Must meet all Mason County design and construction standards must pay all fees
_ including:connection fee with permit and in ether fee,and I tecomers charge BD .
Richard Dickinson 11/923
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Part 3:Mason County Public Health Review/Approval
❑ Satisfactory ❑ Unsatisfactory
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This term may be scanned and available for public view on the Mason County Web Site.
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