HomeMy WebLinkAboutBLD Sewer Adequacy - 11/7/2023 400488
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Application for Determination of Sewer Adequacy
instructions:
1.Complete Part 1 of application. Peimlt number may be added at later dale.
2.Take application,Site plan.and any other associated information with the proposed development to cite Sewer
System Manager or Designated Employee for approval
j 3.Submit completed application and information to Perm@ Center or Mason County Public Hearn for review.
NOTE:You meet supply me 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
Applicant: Lauren Fafnis,Agent for Lennar Northwest,Inc Date: 11/7/2023
Maling Address: 33455 6th Ave S,Unit 1-B city,Slate,zip: Federal Way,WA,98003
sireadaress:320 NE Belfair Station Phone: 12530308-020
Parcel Number 133M-51-00030 Permit Number
Part 2:Sewer System Information
Name of Sewer System' aelfah g Site Plan attea led?
'.. oMcad use ordr: Sewer System Manage Off ianated Employee Is to complafa.
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Must meet all Mason County design and construction standards must pay all fees
including:connection fee with penntt and inspection fee,and Latecomers charge(TBD).
Richard Dickinson � � 111923
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Part 3:Mason County Public Health Review/Approval
l] Satisfactory ❑ Unsatisfactory
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This form may be scanned and available for public view on the Mason County Web Site.
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