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HomeMy WebLinkAboutWAT2024-00341 - WAT Application - 1/15/2025 415 N.6°Sheet Shelton,WA 99594 MASON COU1V 1 + Sheloo:360427-9670,Fit.400 COMMUNITY SERVICES lm::366b�33269.Ext 400 yy,p Mu,tr9 FmYmnurlJ HMh ConvnuihY IMeM Application for Determination of Water Adequacy Instructionsso F4An mplete Part i. No determiation cant be rodhe H of water uconnectlontutih2ed. mplete only the portion of Part 2 app y 9mit completed application,with any required attachments for review.ap2roved buildin site plan must 8200m2any this application. Part 1: Applicant/ Parcel Identification c 2�Z5 Name on Applicant.MTT ira6+I/I U- Date: 01/I`1 ���"4 A cz Snst 21 Sb Phone: Mailing Address: f Parcel Number: f'�77 fl- 5p' Type of Water System Reason for Application ® Building ® PubliGCommuniry Water System(2 or more ❑ of land: Division of land: connections) #of Parcels'?__. SPl ❑ Individual water source(one connection), ❑ 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 si nature req�t ern p R O V E D to this wait, check the Pubiin/Crlmmunily,Water g system box. JAN 21 2025 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 rWater ater System: f n1r ty I Number: 2 R 79L1 A (write"none"for two 1 i Inventory(WF) �—.--e mana .of this water system.The water system has b apponneroved ction3 services.There sently oonnection(s)in use. This will be the be to rade or cam the onnection onthissystemI (bath echreabonal tois fullon will Please indicate on change followingfhne the an existing re of 1 this change: onnection(s)without exceeding the This water system is able and willing to provide water to this(these) limits of the water system or any limits set by state and local regulation, k4b 1`� Phone Print Name of Water System Manager J Signature of Water System Manager Date at This font may be scanned and available for public view •"'""'coax^'via'a"-' Reriud W7Q031 1 J\EH Fome\DnnWn4 water i 1 Port of Allyn Port Staff. WATER AVAILABILITY LETTER J,xy SceB tn.w ,, aerut I Mkheel cunin J&J Development LLC mmwnaur. aaru+' John A.SMritlan ATTN:Joe Cedarland tt 113 PO Box 2269 Thws Mane Gig Harbor,WA 98335 JusBne NU I. Dear Mr.Cedadand: neMaatwra.lm Netelya Memll The Port of Allyn hereby provides an assurance of currentwater availability for 101 E. m,w,�mmw Compass Ln.Parcelri 12220-50-61001 ("Assigned Lot")to J&1 Development L LC (-Owner"). This letter("Water Availability Letter")documents the Pores assignment Port F➢cr s: of one(1)connection to the Assigned Lot as of the date of this letter pursuant tot e TM Dock at 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 Allyn connections as specified by the Washington State Department of Health. New Boat Launch connections are provided on a first come,first sewed bases. The North Store Mane Water availability is subject to the following terms: The North Shme Bost Launch 1, The assignment provided by this Water Availability Letter is The Allyn Weterfrord subject to a one(,)-year expiration date from the date of the Palk issuance of this Water Availability Letter pursuant to Section 2 The Allyn Kayttl,Pan,and of the Port's Water Policy. Owner may request an extension in Launcn writing,which the Port may consider at its discretion. The port of Allyn water 2. Until the Owner pays the Port the applicable Residential m copenv Connection Charge(pursuant to then-adopted Port Water Policy)this Water Availability Letter may be revoked upon ninety 18560 E Stetc acute 3 (90)days'written notice from the Port to the owner of the lot as PO Box 1 shown on Mason County assessor records. The total AByn,WA98520 Residential Connection Charge of($5,250.00)plus a 15% administrative fee per ERU connection applicable per lot as of 360325-2a30 the date of this Water Availability Letter is Six Thousand Thlrty- stafw_p.b'fe03"com Port of Allyn Water Availability Letter Exhibit A ,, e,cMMyn com Settlement Agreement Cedarland Homes LLC and Port of Allyn Block61 Lots © ® Page 1 of 2 port of Allyn Port 9tatP. Judy scoff Seven Dollars and Fifty Cents($6,037.50). This amount does ccaammer, qa"`` not include the charge for the water meter. M lcheel Curt, cue,av ' °,,,, 3. Prior to connection,Owner will install cross connection double John A. Shencen check valve and Provide proof of installation to the Port. Proof `.a°"` °"°', of installation can be documented by a photograph Provided to Travis Menu the Port along with written confirmation of installation. Hjmmv gmvnr Juatlne No, 4. This Water Availability Letter is not a contract for water service. ae,aaan�.,mm„r Availability letters are nonbinding until payment of the Nelelye Memli� '� aM Residential Connection Charge and applicable administrative fees. This Water Availability Letter maybe revoked pursuant to Port policy,the terms of this Water Availability Letter,or as Pon FacBdfcs. otherwise Provided by law. The information used to arrive at this The cock at Allyn determination of availability is believed to be accurate at this The Lau gulations Allyntime,but future demands are not always Predictable. Similarly, Boat au new laws,re ncn ,or ordinances could also limit the ability The North Shore to Provide water service in the future. Manna 5. Owner may assign this Water Availability Letter to MTT The North Shore Boat Launch Construction LLC.All other assignments require prior written The Allyn Waterfmm approval from the Port,which approval will not be unreasonably pane withheld. The Allyn Kayak Park and Launch Approved by: The Port W Allyn Water Company TraviS Dlsaanysigneci by Travis Merrill Merrill Date:21M.01.16 13:50.31-u8'00' 18560 EStatc aoub 3 Travis Merrill Po Box AoynwA58524 Executive Director Port of Allyn 360-275-N30 ar>�pottafa8pccom vnvw panofiB3'n.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