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Home My WebLink AboutWAT2024-00327 - WAT Application - 1/15/2025 WAT o z 415 N.6°Street 584 MASON COUNTY Shelton,WA 98400 Shelron:360-427.9670,Ern.400 COMMUNITY SERVICES Helfer:360-275-4467,Fad.400 gytyq rlx,nYq.Envnanmeid IN4N.(mxnneY axle, Hlma:360492-5269,EcL 400 Application for Determination of Water Adequacy Instructions t. Complete Part 1. No determination can be made until Part 1 is fully comoletetl. 2. Complete only the portion of Part 2 applying to the type of water connection utilized. g, Submit completed application,with any required attachments for review. 4. Ana roved buildin site Ian must aceom en this a lication. Part 1: Applicant/ Parcel Identification Applicant. I ' 60n5'�l'&"oi,1"4 Date: 011152024 Name on App i eo3 ^ : a '2 Mailing Address. t _Phone: .0 J Parcel Number: 12.220-S0-61007 Type of Water System Reason for Application m PubliclCommuniry 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 to this have more than one residence connected signature required) to this well, check the Public/Community 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 evaluategASON COUNTY ENVIRONMENTAL HEALTH Public Walter System Name of Water System: POr J o T Allyn I Number: 68790 X (write"none"for two-party) Water Facility Inventory(WF) am the managed J this water system.The water system has n approved for services.There pit I are presently connection(s)in use. This will be the 2 connection. ❑ 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 a.: recreational to full ems). Please indicate on the following line the nature of this change: This water system is able and willing to provide water to this(these)connection(s)without exceeding the ! limits of the water system or any limits set by state and local regulation. Print Name of Water System Manager zc-- y✓ry �i�� Phone �Cao`F�06osY Signature of Water System Manager Date l�/ This form may be scanned and available for public view at-----+co ma0ea-wao a, JiFH Fmmel on.M.g We21 I 3 iiPort Ar g Of Allyn Port Staff. WATER AVAILABILITY LETTER Judy Scott m,iw+mv., uaryz t Mlhael Cudn J&J Development LLC mm,wnmer. Dahu't: . ATTN:Joe Cedarland John A Sheridan mart_t PO Box 2269 Trwis Mimi ��nre n,rea"' Gig Harbor,WA98335 Justine NM Dear Mc Cedarland: Natalya Main° The Port of Allyn hereby provides an assurance of current water availability for 41 E. (JAdm"ubew Compass Ln.Parcel M 12220-50-61007('Assigned Lot")[018d Development LLC ("Owner"). This letter("Water Availability Letter")documents the Port's assignment Port Fees: of one connection to the Assigned Lot as of the date ,201 letter pursuant tot e The Dock at Allyn Port,$Water System Policy Manual adoptetl November 6,2017 and Amended April t, 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 Manna Water availability is subject to the fo0owingterms: The North Shore Boat Launch 1, The assignment provided by this Water Availability Letter is The Allyn Wetenront subject to a one(1)-year expiration date from the date of the Pak issuance of this Water Availability Letter pursuant to Section 2 The Allyn"Yak Park end of the Port's Water Policy. Owner may request an extension in launch writing,which the Port may consider at its discretion. The Port of Allyn water 2. Until the owner pays the Port the applicable Residential Company Connection Charge(pursuant to then-adopted Port Water Policy)this Water Availability Letter may be revoked upon ninety 18560 sstam sovte 3 (90)days'written notice from the Port to the owner of the lot as Po eaa i shown on Mason County assessor records. The total Any,,WAvss2n Residential Connection Charge of($5,250.00)plus a 15% 360.2T53a30 administrative fee per ERU connection applicable per lot as of the date of this Water Availability Letter is Six Thousand Thirty ata5r$ponofeay-. — Port of Allyn Water Availability Letter Exhibit a„v,.panoaayn=u"' Settlement Agreement Cedarland Homes LLC and Port of Allyn Block 61 Lots ® Page 7 of 2 I i Port IwOf Allyn Port 8h1P Ji°y Scott Seven Dollars and Fifty Cents($6,037.50). This amount does waa,aae r. Aan" not include the charge for the water meter.Michael Curen mane z 3. Prior to connection,Owner will install cross connection double John A. Sheridan check valve and provide proof of installation to the Port. Proof of installation can be documented by a photograph Provided to rmne Menu the Port along with written confirmation of installation. BemJN DlieCo, JusBne Nbt 4. This Water Availability Letter is not a contract for water service. M"tl°'aa'°"""""`°"` Availability letters are nonbinding until payment of the Nalahye Merrill Residential Connection Charge and applicable administrative RA4mll,ubxm fees. This Water Availability Letter may be revoked pursuant to Port policy,the terms of this Water Availabiliy Letter,or as Pax Facdaur; otherwise Provided by law. The information used to arrive at this The Dock et Allyn determination of availability is believed to be accurate at this The Ally" time,but future demands are not always predictable. Similarly,Boat Launch new laws,regulations,or ordinances could also limit the ability The North Shoreto provide water service in the future. Marine 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 wateMroM approval from the Port,which approval will not be unreasonably Pak withheld. The A"Kayak Park end Launch Approved by: The Pox of Allyn water Digitally signed by many Travis Travis Merrill Merrill Date:2025.01.16 18560 SStete 8oate 3 1353.47-05'00, Travis Merrill PO Box i Aayn,WA98524 Executive Director Port of Allyn 360-275-2430 sh-TRP-Moons.. ^'a'a'.Pono6111ynxoen Port of Allyn Water Availability Letter 1011111 Settlement Agreement edarland Homes LLC and Port Exhibit Allyn Block61 Lots Page 2 of 2