HomeMy WebLinkAboutWAT2024-00328 - WAT Application - 1/15/2025 WAT _ �
415 N.61°Street
shea9a,WA 98584
MASON COUNTY
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UNITY SERVICES H 2754EIme:360- 6 0
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Application for Determination of Water Adequacy
Instructions
1. Complete Pan 1. No determination can bn madhe type of watery clonnectiolntut,I-ad.
2. Complete only the portion of Pad 2 apply g
to 3. Submit completed application,with any required attachments for review.
q, Ana roved building site plan must accompany this application
Part 1: Applicant/ Parcel identification
�
Name on Applicant: 115+,m, Ion L_Lrr Date' (Q'�•1O �J
1d' a ) Phone: 3
Mailing Address* _� -�
Parcel Number: 1Z,Z20-W- 6
/O
Type of Water System Reason for Application
QG Public/community Water System(2 or more M Building Permit
connections) ❑ Division of land.
❑ Individual water source(one connection), #of Parcels?_ SPL
❑ Well ❑ Boundary line adjustment
❑ Spring/surface water ❑ Other(explain)
❑ Omer(explain) ❑ Replacement or Remodel(please indicate name
of water system below if applicable-no
if you have more than Pyle residence connected signature required)
to this well, check the PuDlic/Community,Wafer APPROVED
System box.
Part 2: Water Connection Information JAN 21 2025
Complete the section appropriate for the type of water connection being evalu .ON COUNTY ENARONMENTAL HEALTH
Public Water System
Name of Water System: �r+ 0 'F I( by
Water Facility Inventory(WFI)Number: 7p /� (write'none'for two-party)
W I am the maneg of this water syatem.The water system has been approved for I _services.There
are presently connection(s)in use.This will be the—y_connection.
❑ I 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 MIS(these)connections)without exceeding e
limits of the water system or any limits set by state and local)regulation. 6O
r)r. 05 6 f-a- Phone
Print Name of Water System Manager
1
Date
Signature of Water System Manager
This form may be scanned and available for public view at to masonQwau s.
1 TH Fomn1 DnWM Wm
i
Port
of Allyn
rote score WATER AVAILABILITY LETTER
Judy Soot
m�,muxw�r. uxme �
Michael cuon 1gJ Development LLC
m wxw�.. ux.rct:
John A.Sheridan ATTNaoe Cederlantl
....., war,
PO Box 2269
Travis Memo
�D,., Gig Harbor,WA96335
Justine Nk
Dear Mr.Cedarland:
NaleiYa 6lenill The Port of Allyn hereby provides an assurance of current water availability for 51 E.
rz m "wxa
Compass Ln.Parcel if 12220-50-61006("Assigned Lot")to 1&1 Development LLC
("Owner"). This letter("Water Availability Letter")documents the Port's assignment
Port F ilibol:
of one(1)connection to the Assigned Lot as of the date of this letter pursuant to the
2017 and Amended April 1,
The Dock at Allyn Port's Water System Policy Manual adopts November 6,
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
Boet Launch
connections are provided on a first come,first served basis.
The NOM Shore
Marine Water availability is subject to the following terms:
The NOM Shore Bost Launch 1. The assignment provided by this Water Availability Letter is
The Allyn Wete,front subject to a one(1)-year expiration date from the date of the
pe k issuance of this Water Availability Letter pursuant to Section 2
The Allyn Kayak 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 port of Allyn Water 2. Until the Owner pays the Port the applicable Residential
CompenY
Connection Charge(pursuant to then-adopted Port Water
Policy)this Water Availability Letter may be revoked upon ninety
18560 Estate Roble 3 (90)days'written notice from the port to the owner of the lot as
PO Bon 1 shown on Mason County assessor records. The total
ARy,WA9s52a Residential Connection Charge of($5,250.00)plus a 15%
360.2T5-2430 administrative fee per ERU connection applicable per lot as of
the date of this Water Availability Letter is Six Thousand Thirty-
ctat�por»r Rmcmn port of Allyn Water Availability Letter Exhibit A
po,,s.eortofeRyasom
Settlement Agreement Cedarland Homes LLC anBlo t of Allyn
lock 61 Lots
® Page 1 of 2
ISPort
M Allyn
Port 9talP
July Scott Seven Dollars and Fifty Cents($6,037.50). This amount does
not include the charge for the water meter.
M khael Curtin
3. Prior to connection,Owner will install cross connection double
John A. Sheridan check valve and provide proof of installation to the Port. Proof
of installation can be documented by,photograph provided to
Travis Menlo the Port along with written confirmation of installation.
armnw o„ma.
Justine Nk 4. This Water Availability Letter is not a contract for water service.
Availability letters are nonbinding until payment of the
vewn mrda Residential Connection Charge and applicable administrative
fees. This Water Availability Letter may be revoked pursuant to
Port policy,the terms of this Water Availability Letter,or as
Port 6acamcs: otherwise provided bylaw. The information used to arrive at this
The Dock otAllyn determination of availability is believed to be accurate at this
time,but future demands are not always predictable. Similarly,
The A°y" new laws,regulations,or ordinances could also limit the ability
That Launch
The North Shona to provide water service in the future.
Mati"a S. Owner may assign this Water Availability Letter to MTT
The North Shona eon Launch Construction LLC.All other assignments require prior written
approval from the Port,which approval will not be unreasonably
The Allyn Watertrom Peck withheld.
The Allyn Kayak Park and
Launch
Approved by:
The Port of Allyn Water
Digitally signed by Company Travis
Travis Merrill
Merrill Date:2025.01.76
13:53:14-ea'00'
18560 B$tate Rome 3 Travis Merrill
PO Box 1
AUya,WA98524 Executive Director Port of Allyn
360-275-2430
itallfdp-MANon.com
"'a'wPortotirllyn.com
Port of Allyn Water Availability Letter Exhibit A
® Settlement Agreement Cedarland Homes LLC and Port of Allyn
Block 61 Lots
Page 2 of 2