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HomeMy WebLinkAboutBLD Sewer Adequacy - 8/11/2023 400520 415 M"VREET,MDO B.SHELI w4& MASON COUNTY SHELTOM.]dHay.Wo.M.400 COMMUNITY SERVICES ""R:aBB2 21W.w.EX`" EtMA:aBWa?SSB.IXT.1m BullionrLnnBs.riwi>.nenW HOM1M1.(nmmmaY Heats FAX:350. 27.n09 Application for Determination of Sewer Adequacy mB WCUVnB: 1.Complete Part 1 of application. Pemut number may be added at later date. 2.Take application,Site plan,and any other associated inbrmabon with the proposed development to the Saver System Manager or Designated Employee for approval. 3.Suom@ completed application and infonnaiion to Permit Center or Mason County Public Health for review. NOTE:You most supply the System Manager with a site plan for the project showing all existing at proposed sewer components and lines In rotation to proposed development and property. Part 1:Applicant I Parcel Information Applicant Sam Martin,Agent for Lennar Northwest,Inc Dale: 8/11/2023 Mailing Address: 33455 6th Ave S,Unit I-B city,state,zip. Federal Way WA 98003 SiiB Address: 190molyv,pkaidge Phone: (x3)39413nxx �x Pamel Number: I B28-51-M129 Its alx9 Permit Number Part 2:Sevier System Information Name of Sewer System: rules, E9 Site Plan attached? official use only: Sewar System Manageror Deslgnated Employes Is to compMe. NmC 1brt Illaro revkwml tM1u eppAraNsinkrtneEanand lawno lseumwiM Meson Cw,iy Pudk fbtlN apPwk9 tl'ewnaRaatll�p Maven CaNry PeemM. ❑ FjiaLYn(grvw Jon: IM1aw,evar+ef by apglcvd lnlamnticFl xtl nawmlaauo'xGM1 Meca Cowly PNiB HetlN erniwirg tle ceneepc,fl�n Maem County PmNt ❑ IM1asnX,,vYV,e applCaM9 inlrvmatlM&p lwatlebnigtltMal vrmKlin'o N W NOT masts,Is Nb PMem ate na Mlv^m6 axENm(s)on.aw,oePma'W.ocvm P.mc.4 must meet all Mason County design d ccost,uction standard t pay,all fees ;1udin :won fee with perm8 and ins ' n fee,and Latecomers ch e D. Richard Dickinson ar15123 m x.,ne dsnw.Wyvl5npbRe slawnasruwsvermenPMra. ow Part 3: Mason County Public Health Review/Approval ❑ Satisfactory ❑ Unsatisfactory s9mwra dEmkomvlw HmNaPeit•9tl oak This form may be scanned and available for public view on the Mason County Web Site.