21-104799-Certificate of Sewer Availability-05-24-2021-V1926480-0060-0070 swr.docx (Form Update 4/2/19)Page 1 of 1
SEWER CERTIFICATE OF AVAILABILITY
Lakehaven Water & Sewer District – Development Engineering Section
31623 – 1st Ave S PO Box 4249 Federal Way, WA 98063-4249
Telephone: 253-945-1581 or 253-945-1580 Email: DE@Lakehaven.org
This certificate is intended to provide the applicant, land use agencies &/or public health departments with
information necessary to evaluate development proposals. Lakehaven Water & Sewer District, at its sole
discretion, reserves the right to delay, or deny, sewer service based upon capacity &/or supply limitations
in Lakehaven’s or Other Purveyor’s system facilities.
Proposed Land Use: Building Permit-SFR () Building Permit-MFR () Building Permit-Other
Subdivision () Short Subdivision () Binding Site Plan
Boundary Line Adjustment Other (specify/describe) SEPA, Process III Land Use Approval
Tax Parcel Number(s): 926480-0060,-0070 Site Address: 34520 9
th Avenue S LWSD GIS Grid: J-12
Ex. Bldg. Area to Remain: 0 sf New Bldg. Area Proposed: 55,000 sf
SEWER SYSTEM INFORMATION
1.Sewer service can be provided by service connection to an existing 10” diameter sewer main that is
approximately 0 feet from the site and the sewer system has the capacity to serve the proposed land use.
2.Sewer service for the site will require an improvement to LWSD’s sanitary sewer system of:
a. feet of ” diameter sewer main or trunk to reach the site; and/or
b. The construction of a sanitary sewer collection system on the site; and/or
c. A major portion of LWSD’s comprehensive wastewater system plan would need to be implemented and/or
constructed; and/or
d. Other (describe): .
3.a. The existing sewer system is in conformance with LWSD’s Comprehensive Wastewater System Plan.
b. The existing sewer system is not in conformance with LWSD’s Comprehensive Wastewater System Plan and an
Amendment to this Plan will be required. This may cause a delay in issuance of land use approvals or permits.
4.a. The proposed site land use is within the corporate limits of Lakehaven Water & Sewer District, or has been granted
Boundary Review Board approval for extension of sewer service outside of LWSD’s sewer service area.
b. Annexation or Boundary Review Board approval will be necessary to provide service.
5.Sewer service is subject to:
a. Payment of connection charges (to be determined by LWSD);
b. Proof or reservation of easement(s) as required by LWSD;
c. Other: Sewer Service Connection Permit required.
Comments/special conditions: .
I hereby certify that the above sewer system information is true. This certification shall be valid for one (1) year from the date of
signature.
Name: BILL NELSON Title: ENGINEERING TECHNICIAN III
Signature: Bill Nelson (Signed Electronically)Date: 5/24/21
(P
7504510090
34500 9TH AVE S
7504510080
34500 9TH
AVE S
2021049157
34301 9TH
AVE S
9264800080
34310 9TH
AVE S
9264800070
34520
9TH AV S
7504510110
2021049159
1001 S
344TH ST
7504510060
34500 9TH AVE S
7504510050
34503 9TH
AVE S
9264800060
34700 9TH
AVE S
2021049173
1017 S
344TH ST
9264700090
750 S
348TH ST
9264800050
34620 9TH
AVE S9TH AVE SS 344TH ST
J11
J12
12" PVC8" CONC10"CONC" UNK
12" PVC
12" PVC10" CONC12"AC10" CONC10" CONC12" PVC12"AC0 18090
Feet
NOTE:Lakehaven Utility District neither warrants nor
guarantees the accuracy of any facility information provided.
Facility locations and conditions are subject to field verification.
SEWER AVAILABILITY
5/24/21
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