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HomeMy WebLinkAboutWAT2024-00344 - WAT Application - 1/15/2025 415 N.a°Street She1ra4 WA 98584 MASON COUNTY Si lma:560-427-9670,ExL 400 COMMUNITY SERVICES B 4� Elm W a:36826 P269, 400 araq,vu.�ma em.r�s.en,cmm.+m xwe Application for Determination of Water Adequacy Instructions is L Complete Part'IN,determination can be modhe tylpe of wateruconnectionitutilized Complete only the portion of Part 2 applying Submit completed application,with any required attachments for review. Ana roved buildin site Ian must accompany this a lication. Part 1: Applicant/ Parcel identification ` / ' S 20ZS Name on Applicant: I 1 CCr/157fNC�iO/1 Date: s / f Phone: �S3 50$ 21 Mailing Address: Parcel Number: 12220- Type of Water System Reason for Application Bi Pubiwcommunity Water System(2 or more ® Building permit connections) ❑ Division of land: ❑ Individual water source(one connection), #of Parcels? SPL ❑ Well ❑ Boundary line adjustment ❑ Spring/surface water ❑ Other(explain) ❑ Other(explain) ❑ Replacement or Remodel(please indicate name of water system below if applicable—no If you have more Man one residence connected signature required) to this well, check the Public/Community Water g r�R O C System box. �-+ VC D Part 2: Water connection Information MAS JAN212025 Complete the section appropriate for the type of water connection being evaluated: ON COUNTYENORONMENTA{HEALTH Public Water System RE Name of Water System: or+ 8 " ' h Water Facility Inventory(WFI)Number 68790 A (write"none"for two-party) ® 1 am the manag of this water system.The water system has b d,appco^ or 136 services.There are presently connection(s)in use. This will be the S ❑ 1 am the manager of this system.This connection will be to upgrade or change the use of an existing connection on this system(I.e.: recreational to full time). Please indicate on the following line the nature of this change: This water system is able and willing to provide water to this(these)wnnection(s)without exceeding the j limits of the water system or any limits set by state and local regulation D j7�e„a, lV VJ Phone Print Name of Water System Manager Date Signature of Water System Manager ) 9� 1 This form may be scanned and available for public view at ^e�am4 aaik2viaO2l J WH Fo N Drinking Wray 1 I Port Of Allyn root sure WATER AVAILABILITY LETTER Judy Scott camnluL ,..0. t Michael cure. J6J Development LLC m,,. p _,2 John A.sheriden ATTN:Joe Cedarland cm�n•.�c mm�r n PO Box 2269 T'As Menlo ,D,., Gig Harbor,WA 98335 Ju ne Nix ,u�a"m,wwe,w.aaM Dear Mr.Cedarland: NMI,Memo The Port of Allyn hereby provides an assurance of current water availability for 11 E. Compass Ln.Parcel If 12220-50-61010("Assigned Lot")to 1g1 Development L UG rorc Fuumes. ("Owner"). This letter("Water Availability Letter")documents the Port's assignment of one(1)connection to the Assigned Lot as of the date of this letter pursuant to the TM Dock at Allyn Part's Water System Policy Manual adopted November 6,2017 and Amended April 1, The Allyn 2019("Water Policy"),Sections 2,3 and 5. The Port has a limited number of available Scat launch connections as specified by the Washington State Department of Health. New The connections are provided on a first come,first served basis. North shore Matim Water availability is subject to the following terms: The North shorc scat Launch 1. The assignment provided by this Water Availability Letter is The Allyn Waterhont subject to a one(1)-year expiration date from the date of the Psk issuance of this Water Availability Letter pursuant to Section 2 The Allyn Kayak Pan, and of the Port's Water PoUcy. Owner may request an extension in launch writing.which the Port may consider at its discretion. The Port of Allyn Water company 2. Until the Owner pays the Port the applicable Residential Connection Charge(pursuant to then-adopted Port Water Policy)this Water Availability Letter may be revoked upon ninety 18560 E sute eo.te 3 (90)days'written notice from the Port to the owner of the lot as Po aecl shown on Mason County assessor records. The total A11ya,wA9e524 Residential Connection Charge of($5,250.00)plus a 15% 36o-275-2430 administrative fee per ERU connection applicable per lot as of the date of this Water Availability Letter is Six Thousand Thirty- stat6�pootottayn.com Port of Allyn Water Availability Letter Exhibit A pww.Porto611yn.com Settlement Agreement Cedarland Homes LLC anBlko k 61 Lots ® Page 1 of 2 Port Of Allyn r>on st.er. Judy Scott Seven Dollars and Fifty Cents($6,037.50). This amount does °JeOefie°"'' .0.r not include the charge for the water meter. Mlelwel Curtin oraaes 3. Prior to connection,Owner will install cross connection double John A. sherl0 h check valve and provide proof of installation to the Port. Proof Qanie1i^'"' O1eb*" of installation can be documented by a photograph provided to Trevle Mere the Port along with written confirmation of installation. Jmfine INN 4. This Water Availability Letter is not a contract for water service. Availability letters are nonbinding until payment of the Nahlye Memll Residential Connection Charge and applicable administrative fees. This Water Availability Letter maybe revoked pursuant to Port policy,the terms of this Water Availability Letter,or as port t hies: otherwise Provided by law. The information used to arrive at this The Dock at Allyn determination of availability is believed to be accurate at this time,but future demands are not always predictable. Similarly, The Allyn new laws,regulations,or ordinances could also limit the ability Boa!Launch to provide water service in the future. The North 8hom Maim 5. Owner may assign this Water Availability Letter to MTT The North Shore Boat Launch Construction LLC.All other assignments require prior written approval from the Port,which approval will not be unreasonably The Allyn Watertron[Park withheld. The Allyn Kayak Park inp tench Approved by: The Port or Allyn Water Travis Digitallysigned pa Comny by Travis Menill Merrill Date:2025.01.16 13:55:25-08'00' 16560 Eatare foie 3 Travis Merrill PoBoxt Aa3n,WA98524 Executive Director Port of Allyn 360-275-2430 s[ae�portol§2pr.com ww'w.pottoHt ftlyn.com Port of Allyn Water Availability Letter Fxh[bit A © ® Settlement Agreement Cedartand Homes LLC and Port of Allyn Block 61 Lots Page 2 of 2