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HomeMy WebLinkAboutWAT2024-00326 - WAT Application - 1/15/2025 WAT _ tr�1440 415 N.6'F StrW Shelton,WA 99594 MASON COUNTY Shehon:360-427-9670,F Oda COMMUNITY SERVICES 400 glme:360 482- 9,EM x 400 puyrynp%amYq FmmmnxMal lNdlla Cwrmniry H W 6 Application for Determination of Water Adequacy Instructions F3Submit mpletePartt Nodeterminaion cans be Iode untile of water connectiontutllized. omplete only the portion of PHR 2 app y g tyP completed application,with any required attachments for review.na roved buildin site Ian must amompany this application, Parts: Applicantl Parcel Identification I ILC p1/JS12O Name on Applicant r I C�+ru['n0R Date: MEZr Mailing Address: -- L' WA19$188 --Phone: S Parcel Number: 1 7 7 70-S—O- OX Type of Water System Reason for Application IN Building permit connections) tiommunity Water System(2 or more ❑ Division of land. connections) ❑ Individual If of Parcels?__ SPL water source(one connector), ❑ Boundary line adjustment ❑ Well ❑ Spring/surface water ❑ Other(explain) ❑ Other(explain) ❑ Replacement or Remodel(please indicate name of water system below if applicable-no If you have more than one residence connected signature required) to this well, check the PublirJCommunity Water g APPROVED System box. Part 2: Water Connection Information JAN 2 1 2025 Complete the section appropriate for the type of water connection being evaluated: MASON COUNTY ENVIRONMENTAL HEALTH Public Water System t' All 7Facility ter System: r O ty Inventory(WPI)Number: 190 x (write*none"for two-party) manag q}this water system.The water system has llapprovetl for i36 services. There ently _connaction(s)in use.This will be the S connection. manager of this system.This connectionwill ) ro upgrade orchange the use of an existing ion on this system(i.e.: recreational to full time). Please intlicete on the following Ilne the nature of nge. This of the yst ws water ater is able ono willing t set by slate end local r to this Imeseregulatlonnnection(s)wwithout exceeding e tem !Pt l.'"(v. PhoneD6Y'y- Pnnl Name of Water System Manager __.ey.�,t+ Date Signature of Water System Manager i r- This roan mW be scanned and available for public view at.-_._..coa,urv�. e18'O�•`rra•F's• ae+�.w<e azmov 1�EH F. DainHna wum r . r Port Of Allyn port sum WATER AVAILABILITY LETTER Judy ero mtheel cunin J&J Development LLC mmwamar. Ol+tnt: ATTN:Joe Cedarland John A.Sherman PO Box 2269 Trws Merrill Gighlarbor,WA98335 Juedne Nu nMnmra a 1 Des Mc Cedarland: Naulya WWII The Port of Allyn hereby provides an assurance of current water availability for 31 E. rz.w*m„nmor Compass Ln.Parcel If 12220-50-61008("Assigned Lot")to l&1 Development LLC ("Owner"). This letter("Water Availability Letter")documents the Port's assignment port F.NIkM: of one(1)connection to the Assigned Lot as of the date of this letter pursuant tot e The Dock at Allyn port's Water System Policy Manual adopted November 6,2017 and Amended April1, 2019("Water Policy"),Sections 2,3 and 5. The Port has a limited number of available The Allyn connections as specified by the Washington State Department of Health. New Boat Launch connections are provided on a first come,first served basis. The North Shore Man. Water availability is subject to the following terms: The North Shore Boat Launch 1, The assignment provided by this Water Availability Letter is The Allyn Waterfront subject to a one(t)-Year expiration date from the date of the Pen< issuance of this Water Availability Letter pursuant to Section 2 The Allyn xayek Park and of the Port-s Water Policy. Owner may request an extension in Launch writing,which the Port may consider at its discretion. The Pert or Allyn Water cerowro 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 1e560 Estee Eoate 3 (90)days'written notice from the Port to the owner of the lot as m Box l shown on Mason County assessor records. The total Aaye,WA98524 Residential Connection Charge of($5,250.00)plus a 15% 360.2y5-2430 administrative fee per ERU connection applicable per lot as of She date of this Water Availability Letter is Six Thousand Thirty staa@porcotaBJn.cou Port of Allyn Water Availability Letter Exhibit A aww Porta611yn.com Settlement Agreement Cedarland Homes LLC and t of Allyn k 61 Lots © ® Page 1 of 2 Port of Allyn Port 9ta1P Judy Scoft Seven Dollars and Fifty Cents($6,037.50). This amount does not include the charge for the water meter. Mleheel Curtin m+wti„' gym 2 3. Prior to connection,Owner will install cross connection double John A. eherlmn check valve and provide proof of installation to the Port. Proof of installation can be documented by a photograph Provided to Travis Meral the Port along with written confirmation of installation. I ID Justine NN 4. This Water Availability Letter is not a contract for water service. Availability letters are nonbindinguntil Netaye Mehl Residential payment of the Residential Connection Charge and applicable administrative fees. This Water Availability Letter may be revoked pursuant to Port policy,the terms of this Water Availability Letter,or as Pon Facrlipcs: otherwise Provided by law. The information used to arrive at this The Dock atgllyn determination of availability is believed to be accurate at this The Allyn time,but future demands are not always predictable. Similarly, Boat Launch g new laws,regulations,or ordinances could also limit the ability Boa The North Shop, to provide water service in the future. Manna S. Owner may assign this Water Availability Letter to MTT The North Shore Boat Launch Construction LLC.All other assignments require prior written The Allyn w.romom approval from the Port,which approval will not be unreasonably Pak withheld. The Allyn Kayak Park and Launch Approved by: The Port of Allyn water company Travis by Tra signed '.by Travvis Merrill Merrill, 12025.01.16 . . 13:54:31-08'00' 19560 EState %outc 3 Travis Merrill M Be.I ARMWA98524 Executive Director Port of Allyn 360-275-2430 stefl@dportofktl-oom aww.porto9llyn.com Port of Allyn Water Availability Letter Exhibit A Settlement Agreement Cede rl nd Homes LL and Port of Allyn Block 61 Lots Page 2 of 2