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Home My WebLink AboutWAT2024-00329 - WAT Application - 1/15/2025 WAT F 415 N.6N Street I Shelton,WA 99594 MASON COUNTY Shelton:360-427A670,B.t 400 COMMUNITY SERVICES BF.Ime:360-482-�9,Ext.400 gyy4,y%ynYyFmvmnxmd NeeNM1.(emnTNyexIN Application for Determination of Water Adequacy Instructions t. Complete Part i. No date?naapp can Ye made until I an I is h illy completed. 2. Complete only the portion of Part 2 applying to the type of water Connection utilized. i 3. Submit Completed application,with any required attachments for review. 4. Ana roved building uildin site plan must accompany this a2plication. i V i Part t: Applicantl Parcel Identification p Name on Applicant: MTTcv'154ru cJio.i L1LCCDate' 01 I1Sp_ as. C k Mailing Address: YYIt Wit te 6 Phone: 1- Z I J Parcel Number: 122W-SO-6100S Type of Water System Reason for Application ® Building permit Conne ctions) tiommunity Water System(2 or more El Division of land: Connections) ❑ 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 1epp�ey�e-no It you have more than one residence Connected of water system signature requir d �i rC l.1 V E D to this well, check the PUblic/Community Water System box. JAN 212025 Part 2: Water Connection Information MASON COUNTY ENVIRONMENTAL HEALTH Complete the section appropriate for the type of water Connection being evaluated: RET Public Water System Name of Water System: Oe'1- df A'l n Water Facility Inventory(WFI)Number: 6 S '110 X (write*none"for two-party) ® I am the manag��II$A{f this water system.The water system has r1ePP ovSd for 136 services. There are Presently�' n connections) in use.This will be the ❑ I am the manager of this system.This connection will be to upgrade or change the use of an existing Connection on this system(i.e.: recreational to full time). Please indicate on the following line the nature of this change. This water system is able and willing to provide water to this (these)Connections)without exceeding the limits of the water system or any limits set by state and Jowl regulation.l Print Name of Water System Manager b /4.4, V b `z Phone 460 f$ z O6Y { Signature of Water System Manager ..✓ Date This form may be scanned and available for public view at a ' J\EN Perms\printing Weser Port of Allyn sort shaft. WATER AVAILABILITY LETTER Judy scot p»v,uxaweat ArtM l Michael Curtin 1&1 Development LLC m.munc*+r, xa. a John A. Sheridan ATTN:Joe Cedarland cmm,,,mnee D ,3 PO Box 2269 TraNs Merril Psw D,., Gig Harbor,WA98335 Justine Nu M,a. rrea -cW Dear Mr.Cedarland: Naiee Methll The Port of Allyn hereby provides an assurance of current water availability for 61 E. ly rzmm,."nrto. Compass Ln.Parcel li 12220-50-61005("Assigned Lot")to 1&1 Development LL ("Owner"). This letter("Water Availability Letter")documents the Port's assignment Port Rli ics' of one connection to the Assigned Lot as of the bee of this letter pursuant tot e The Dock at Allyn port's Water System Policy Manual adopted November 6,2017 end Amended April1, 2019("Water Policy-),Sections 2,3 and 5. The Port has a limited no The Allynmber of available as specified by the Washington Boet Launch connections connections are p provided on first State nt of Health. New fkstry d sebas se The North shore Manna Water availability is subject to the following terms: The NOM shore Boat Launch 1. The assignment provided by this Water Availability Letter is The Allyn Wmmhem subject to a one(1)-year expiration date from the date of the Park 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 pod of Allyn water c,eml>any 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 Esm. some 3 (90)days'written notice from the Port to the owner of the lot as ro Eox i shown on Mason County assessor records. The total Aeyn,WA"324 Residential Connection Charge of($5,250.00)plus a 15% administrative fee per ERU connection applicable per lot as of 360.215-2430 the date of this Water Availability latter is Six Thousand Thirty Snarl Port of Allyn water Availability Letter Exhibit A waw.portoaiiyn com Settlement Agreement Cetlarlend Homes LLC P and rt of Allyn ck 61 Lots in 0 Page 1 of 2 IDPort Of Allyn Pott Staff. Judy seon Seven Dollars and Fifty Cents($6,037.50). This amount does not include the charge for the water meter. Michael Curtin CbnuX1rtO , a+emr; 3. Prior to connection,Owner wit(instalt cross connection double John A.8herklan check valve and provide proof of installation to the Port. Proof °vinmt}p"` A1bi'" of installation can be documented by a photograph provided to Travis Mamr the Port along with written confirmation of installation. Justine Nx 4. This Water Availability Letter is not a contract for water'' service. °Q =FpafP' c&^ Availability letters are nonbinding until payment of the Natal,Menill 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 Nd FacBvies: otherwise Provided by law. The information used to arrive at this The Deck at Allyn determination of availability is believed to be accurate at this The tiyn time,but future demands are not always Predictable. Similarly, scar Launch new laws,regulations,or ordinances could also limit the ability The North anti, to Provide water service in the future. Manna 5. Owner may assign this Water Availability Letter to MTT The North shoro Soar Launch Construction LLC.All other assignments require prior written The Allyn Wa[erhon[ approval from the Port,which approval wilt not be unreasonably Park withheld. The Allyn Kayak Perk and Launch Approved by: The Port or Allyn Water Company Travis Digitallysigneci by Travis Merrill Merrill Da524C0Z08006 18360 EStatc Rana 3 Travis Merrill Po box 1 AByo,WA98524 Executive Director Port of Allyn 360.275-2430 sta8@p0rtofa83n.com vww.poeoe8yn.00m Port of Allyn Water Availability Letter Exhibit A ® Settlement Agreement Cedarland Homes LLC and Port of Allyn Block 61 Lots Page 2 of 2