HomeMy WebLinkAboutBLD Sewer Adequacy - 11/7/2023 400552
415 N.mH STREET,aWC+8,SHElTIX1 VA WW
MASON COUNTY 9HELTM 360, P-9670,M..4eo
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Application for Determination of Sewer Adequacy
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1.Complete Pan 1 of application. Pertain number may be added at later date.
2.Take application,Sile plan,and any other associated information with the proposed development to the Sewer
System Manager or Designated Employee for approval.
3.Submit completed application and Information m Permit Center or Mason County Public Health far review.
NOTE:You must supply the System Manager with a ails 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
f Applicant Lauren Fafnis,Agent for Lennar Northwest,Inc Date: 11/7/2023
E Melling Andrew 33455 6th Ave S,Unit 1-B City,State,Zip. Federal Way,WA,98003
E S,isAddress:51 NE Olympic Ridge Ph": (255)aoe-0Ms
Parcel Number. rU2B"61"oW% Parmk Number
Part 2:Sewer System Information
Name of Sewer System: edfair Site Plan affected?
Olgeleluseunbe. Sewer System Marsgero Designated EmployaafsMcomplets.
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Must meet all Mason County design and construction standards,must pay all fees
including:connection fee with gamed and inspection fee,and Latecomers charge
Richard Dickinson 11/923
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Part 3:Mason County Public Health Review/Approval
❑ Satisfactory ❑ Unsatisfactory
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This form may be warned and available for public view on the Mason County Web Site.
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