20-101995-Certificate of Sewer Availability-05-21-2020-V120-101995-Certlflcate of Sewer Avai1a 11ity-05-21-2020-V1
RECEIVED
Aakehaven 0AU R &SEWER DISTRICTMay 2i 2020
CITY OF I—`EDEWFnL WAY
COMMUNITY DEVELOPMENT
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 (1) ❑ Building Permit-MFR () ❑ Building Permit -Other
❑ Subdivision () ❑ Short Subdivision () ❑ Binding Site Plan
❑ Boundary Line Adjustment ❑ Other (specify/describe)
Tax Parcel Number(s): 9414800130 Site Address: 296XX - 24th Ave S LWSD GIs Grid: K-06
Ex. Bldg. Area to Remain: N/A sf New Bldg. Area Proposed: 2,209 sf
SEWER SYSTEM INFORMATION
1. ❑ Sewer service can be provided by service connection to an existing 8" diameter sewer main that is approximately 30+ - 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.
S. 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: LWSD Service Connection Application required.
Comments/special conditions: Finish floor elevation(s) less than one -foot W) above nearest upstream manhole indicated, Backwater
Check Valve indicated, contact local building official for requirements &/or additional information.
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: BRIAN ASBURY Title: DEVELOPMENT ENGINEERING SUPERVISOR
Signature: BWaa aJ5#y [L (e—Jkwd
Date: 5/13/2U2V
9414800130 swr.docx (Form Update 4/2/19) Page 1 of 2
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