HomeMy WebLinkAboutBLD Sewer Adequacy - 8/23/2023 I
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Application for Determination of Sewer Adequacy
Instructions:
E3.Subndf
plete Pan 1 of application. permit number may be added et later data
application,Site plan,and any other associated informallon with the proposed development to the Sewer
Manager or Designated Employee for approval.
completed application and infotmeflon to Penult Center or Mason County Public Health for review.
You must supply the SystemManager with a site plan far the project,showing all existing or proposedcomponents antl lines in relation to proposed development and property.
Part 1:Applicant I Parcel Informatlon
Applicant Sam Martin,Agent for Lennar Northwest,Inc oaf: 8/23/2023
Mailing Address: 33455 6th Ave S.Unit I-B city,State,Zip: Federal Way WA 98gg3
Phone: (253)M4-1322 �7
Sne Address: 20 NEotymplaasa ld —
Parcel Number: 12320-51-adi Permit Number. _
Part 2: Sewer System information
® Site Plan adechedt
Name of Sewer System: "gair
ofielatuseoMy: Sewer System Manageror Oesigmted EmptayeeisWCOMP te.
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Must meet all Mason Courtly design and conStr cation standards,must pay all fees)ncWdng:
connection fee with ermit and inspection fee,and latecomers charge(feD)
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Part 3: Mason County Public HealthReviewl Approval
❑ Satisfactory ❑ Unsatisfactory apnpMsedEnvyarnrxtl H®m apaaMul pare
Three form may be scanned and available for public view on the Mason County Web Slis"
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