HomeMy WebLinkAboutBLD Sewer Adequacy - 11/7/2023 400489
415 N.eTH aTHEET,8 Da a.SHEITON M085e4
MASON COUNTY SNELmN:aew27-9670,EXT.400
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Application for Determination of Sewer Adequacy
Instructions:
1.Compate Pan i of application. Permit number maybe added at later date.
2.Take application,Site plan,aM any other associated Information with the proposed development to Me Sewer
System Manager or Designated Employee for approval.
3.Submit completed application and information to Permit Center or Mason County Public Haab for review.
NOTE:You most supply the System Manager Min 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
Mailing Address: 33455 6th Ave S,Unit I-B city,Stale,zip: Federal Way,WA,98003
Sit.Address 331NEBelfairStation phonal (ssi)amaus 'I, /I�'�
Parini Number. 123} 51-00031 Permit Number. I)L 2024-01/ 11
Part2:Sewer System Information
Name of Sewer 5yslem: iklfalr Ir Site Plan attacW7
Official use only: Sewer System Manager of JaWis irtad Employee Is to cOMPfete.
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Must
meet
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thus[meet all Mason County design and construction standards,must pay all fees
including:connection fee with permit and inspection fee and Latecomers charge(TE D).
Richard Dickinson 1119/23
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Part 3: Mason County Public Health Reviewf Approval
❑ Satisfactory ❑ Unsatisfactory
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This torn may bar scanned and available for public view on fire Mason County Web She.