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Home My WebLink AboutWAT2024-00343 - WAT Application - 1/15/2025 WAT 415 N.6°Sant Shelton,WA 965" MASON COUNTY Sh<lWn:360.427-%70,ExL 400 COMMUNITY SERVICES BEMs:360-482-5269,Exf.400 ¢,se,y,w,m.0 rmirnm.m.1 xwa.<wrmwkv xraitl Application for Determination of Water Adequacy Instructions Part 1 is t, Complete Part t. No determination wn ti madhe mile of waleruconnectioo utt ized. 2. Complete only the portion of Part 2 applying to a type 0 wants far review. 3. Submit completed application,with any required 4. An approved building site Plan must accompany this application, Part 1: Applicantl Parcel Identification Name on Applicant:�� _STvr1 LLC Date: 0 1 iS d 2 Mailing Address: I l✓✓ Phone: Parcel Number: i z-rza'SO-6 /023 Type of Water System Reason for Application Building permit rJD wirneKommuniry Water System(2 or more 0 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 app' I/you have mot than one residence connected Signature requiryd� to this well, check the PublicJCommunity Water g H,� PROVE D System box. Part 2: Water Connection Information u� BAN 2 1 2025 Complete the section appropriate for the type of water connection being evaluatee$�N COUNTY ENVIRONMENTAL HEALTH Purb'lic�Water System RET Name of Water System: r Lye H I �nf I Number: fti�79 /` (wrde"none"for two-parry) Water Facility Inventory(VVF) �..------ b approved for 3 services. Them am the managg�gf thisownne[ater Yon(s) in use.TFlis w lstem The water the them e onnectan. are presently�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)conneclion(s)without exceeding the limits of the water system or any limits FJ set by state and local regulation.yr't � - Date Phone Print Name of Water System Manager r � > L� Signature of Water System Manager This form may be scanned and avallable for public view at Rwiv M27r2021 2:1E1r Fm sr Drinking Wwr Port of Allyn Port staff WATER AVAILABILITY LETTER JWY scoC ,,uecme,. Dz.W I Mchel cuNn Batjack Holdings LLC John Shendlln ATTN:Ioe Cedarland pgne6ia"" um,l PO Box 2269 Travis Meni1 Gig Harbor,WA98335 Justine Nu ,wm.mw.o Amy Dear Mr.Cedarland: New"WON The Port of Allyn hereby provides an assurance of current water availability for 81 E. w mwmu Compass Ln.Parcel#1 2220-50-61 003("Assigned Lot")to Batjack Holdings LLC ("Owner"). This letter("Water Availability Letter")documents the port's assignment Port Faedeies: of one(1)connection to the Assigned Lot as of the date of this letter pursuant tot e The Dock al Allyn port's Water System Policy Manual adopted November 6,2017 and Amended April 1, 2019("Water Policy"),Sections 2,3 and 5. The Port has a limited number of available The Ailyn 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 following terms: The North Shore scat Launch 1. The assignment provided by this Water Availability Letter is The Anyn waterfront 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 Kayak Perk 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 compam 2. U Mil the Owner pays the Portthe applicable Residential Connection Charge(pursuant to then-adopted Port Water Policy)this Water Availability Letter may be revoked upon ninety 16560 EShoe roule 3 (90)days'written notice from the Port to the owner of the lot as POBox1 shown on Mason County assessor records. The total AEy,wrA08524 Residential Connection Charge of($5,250.00)plus a 15% 36o-ns-x+3o administrative fee per ERU connection applicable per lot as of the date of this Water Availability Letter is Six Thousand Thirty- statl@poncfe0yn.com Port of Allyn Water Availability Letter Exhibit A prvp.porto�0yn tom Settlement Agreement Cedarland Homes LLC and lort of Allyn ock 61 Lots Kilo Page 1 of 2 iaport OfAllyn Port stare duly soon Seven Dollars and Fifty Cents($6,037.50). This amount does not Include the charge for the water meter. M khael coe, Lbn1 ., DWret` 3. Prior o 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 TraN. Menu the Port alongwith written confirmation of installation. YieNm Drmaor Justine Nor 4. This Water Availability Letter is not a contract for water service. Availability letters are nonbinding until payment of the Natalye Menlll 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 y°<dit<s otherwise provided by law. The information used to arrive at this The Dock atAllyn determination of availability is believed to be accurate at this The Allyn time,but future demands are not always predictable. Similarly, Boat Lnch new laws,regulations,or ordinances could also limit the ability The North SMro to provide water service in the future. M.H. 5. Owner may assign this Water Availability Letter to Mrr The Norm shore Boat Launch Construction LLC.All other assignments require prior written approval from the Port,which approval will not be unreasonably Tha Allyn WalerhoW Perk Withheld. Tha Allyn Kayak Palk antl L Uu Approved by: The Port W Allyn water Digitally signed Company Travis by Travis Merrill Merrill Date:2025.01.16 13560 ESWe Route] 13:51.48-08'00' Travis Merrill Po Box I AUMWA98524 Executive Director Port of Allyn 360.275-2430 M.flt ,0MhlIy>Lcom www.pmto®0yn.com AllynPort of Settlement Agreement Cedarlano Homes LLC and Port of Allyn Block 61 Lots Page 2 of 2