HomeMy WebLinkAboutBLD Sewer Adequacy - 11/7/2023 400490
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MASON COUNTY SHELTER v004R-11670,EM.40o
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Application for Determination of Sewer Adequacy
Instructions:
I.Complete Part t of application. Permit number may be added at later date.
2.Take application,Site plan,and any other associated information with the proposed development to the Sewer
System Manager or Desgnate l Employee for approval.
3.SubmH completed application and information to Permit Center or Mason County Public Health for review.
NOTE:you must supply the System Manager with a site plan for the project showing all existing or proposed
sower components and lines in reform,to proposed development and property.
! Part 1:Applicant I Parcel Information
Applicant Lauren Fafnis,Agent for.Lennar Northwat,Inc Data: 11/7/2023
Mailing Address: 33455 6th Ave S,Unit 1-B city,State,zip: Federal Way,WA,98003
Site Addres6:321 NE Belfair Station phone; cssa16M-6xos
',. Parcel Number. rvrssr-oo0sl Peron Nunber BLD90,7, F-QQ(a2q
Part 2:Sewer System Information
Name of Sewer System: sdfeo- EA Site Plan altaCredT
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Must meet all Mason County design and construction standards must pay all fees
including'Connection fae with pennd and inspection fee,and latecomers charge
Richard Dickinson 11/923
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Part 3:Mason county Public Health Review/Approval
❑ Satisfactory ❑ Unsadsfarluiy
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This form may be scanned and avallable for public view on the Mason County Web Site.
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