20-101813-Certificate of Sewer Availability-05-05-2020-V120-101813-Certificate of Sewer Availability-05-05-202i
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Lakehaven May 26 2020
WATER & SEWER DISTRICT
This certificate is intended to provide the applicant, land use agencies Q/or public health departments with
information necessary to evaluate development proposals. Lakehoven Water &Savver 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 Penni (1) [1 Building Pormi0 [] Building Permit -Other' ~^ �
[� Subdivision 0 El Short Subdivision 0 [] Binding Site Plan
171 Boundary Line Adjustment 171Other
Tax Parcel Numbor$��Lb1b�U�E�L Site LVVSDGISGhd���� . �
Ex. BNg, Area to Remain: 2&yLs New Bldg. Area Proposed: 4,055 sSEWER SYSTEM INFORMATION
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1. ED sewer service can be providedbysemiceconnecbontoanexisUng3�diomaLoroewermnnthetioapproximately
from the site and the sewer system has the capacity to serve the proposed land usm �
2. El Sewer service for the site will require an improvement to UNSD'ssan|tary sewer system of:
171 o. _ feet of_"diameter sewer main ortrunk to reach the site; and/or
LJ b. The construction ofasanitary sewer collection system onthe site; and/or
[] c. A major portion of 0VSDt comprehensive wastewater system plan would need to be implemented and/or '
constructed; and/or
d. Other (desoribe):____. '
3. 0 a. The existing sewer system is in conformance with LVVSD's Comprehensive Wastewater System Plan. �
LJ b. The existing sewer system is not in conformance with Uw50'o 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. 0 a. The proposed site land use is within the corporate limits nfLokehaven Water & Sewer District, or has been granted
' Boundary Review Board approval for extension of sewer service outside of LWSD's sewer service area.
El b. Annexation or Boundary Review Board approval will be necessary to provide service.
5. Sewer service is subject to:
'0 a. Payment ofconnection charges (to bedetermined byNV8D);
LJ b. Proof orreservation ufeanement(o)aarequired byNVSD;
0 c. Other: LWSQ Sewer Service Connection Permit required. Private Grinder Pump Agreement required. .
Comments/apecia|oond|tions:____
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: BRI£N ASBUUY Title:
Signature: Date: --
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