HomeMy WebLinkAboutBLD Sewer Adequacy - 8/24/2024 400525
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Application for Determination of Sewer Adequacy
Instructions:
1.complete Part i of application. Perms number may be added at later date,
2.Take applicafion,Site plan,and any other assodated infom yton with the proposed development M the Sewer
System Manager or Designated Employee for approval.
3.Stands completed application and IMormabon t0 Penns censer or Mason County Public Heash for review.
NOTE:You most supply the System Manager with a site plan for the project,showing all existing or proposed
sewer coos cmad is and lines In relation to proposed development and property.
Part 1:Applicant Parcel Information
Applicant Sam Martin,Agent for Lennar Northwest,Inc Date: 8/24/2023
Mailing Address: 33455 6th Ave S.Unit I-B City,state,Zip: Federal Way,WA,98003
Site Address: 140NE01ympkitidrr Phone: fu3)294-1322
ParCB Number 1�28-51-00t34 H54B3d PJLa.YJSDrX.TI/l/ �Perms Number
Part 2: Sewer System Information
Name of Sewer System: Eelfaatr EJ Site Plan attaCied?
I 0180hf use oNy; S~Sysrem Manager or Designated Empluyw is M romplete.
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Must meet all Mason County design and construction standards,must pay all fees
including:connection fee with permit and Inspection fee,and Latecomers charge(TBD).
Richard Dickinson �.:, � 917123
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Part 3:Mason County Public Health Review/Approval
❑ Satisfactory, ❑ unsatisfadory
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This form may be scanned and evaliable for public view on no Mason comity Web Site.
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