21-105289-Certificate of Water Availability-10-08-2021-V1This 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, water service based upon capacity &/or supply limitations
in Lakehaven's or Other Purveyor's system facilities.
Proposed Land use: El Building Permit-SFR 171 Building Permit-MFR [:1 Building Permit -Other
171 Subdivision 0 Short Subdivision (8) 0 Binding Site Plan
171 Rezone El Boundary Line Adjustment
El Other (specify/describe) —
Tax Parcel Numbor(s):282LQ3lD18 Site Address: 16XX SW 344th PI LakehavenGIs Grid: IzL2
Ex. Bldg. Area to Remain: HLA s New Bldg. Area Proposed:
Applicant's Name: fm
1. 0 Water service can be provided by service connection to an existing R! diameter water main that is approximately 10+/- feet
from the site,
2. El Water service for the site will require animprovement taLekehaven'swater distribution system of:
El e. ____ feet of"diameter water main toreach the site; and/or
LJ b. The construction of water distribution system on the site; and/or
[] c. A major portion of Lakehaven's comprehensive water system plan would need to be implemented and/or
constructed; and/or
El d. Other (deouiba):____.
3. 0 a. The existing water system is in conformance with Lakehaven'oComprehensive Water System Plan.
F] b. The existing he system Is L in fo m noewith Lakeh 's Comprehensive Water System Plan and an
-~Amendment '- this ^~Plan -'— '---`—'- This may cause-----' In issuance -r'�granted
'-----~~---ls -- ~---
4. ED a. i
Boundary Review approval for extension of water service outside of Lakehaven's water service area.
[] b. Annexation or Boundary Review Board approval will be necessary to provide service,
S. Waterservice lssubject to:
a. Payment ofconnection charges (to bedetermined byLakehaven);
Ug b. Proof orreservation ufeaemment(m)asrequired byLaAeheven;
Comments/special conditions: Service DressuLe(s) greater than 80 DSI Dotential, Pressure Reducing Valve(S) Dote ntia I ly-in d .1cated
contact local buildina official for reaulrements Wor additional information.
The nearest fire hydrant |mapproximately 32+1- feet from the Property (as marked on map on the back of this page).
Fire Flow atnoless than 2Q psi availablewithin the water distribution system Is1O00GPM for two (2)hours ormore.
This flow figure depicts the theoretical performance afthe water distribution system under high demand conditions. Fine Mow rates
greater than this may be accommodated through water distribution system improvements, contact Lakehaven for additional
Information.
S38Pressure Zone Est, Meter Elevation (s)-GIS: High 370+/-,Low 358+/ Est. Pressure Range aiMeter(s)(pm|): 64'81
Ihereby certify that the above water system Information Is true. This certification shall be validfor from the date of
dgnatuna. DITIONS UN -CHANGED
Name: BRIAN ASBURY Title: DEVELOPMENT ENGINEERING SUPERVI50R 16rz�l ". A
Signature:
C
I 5
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242103gO18wLcdocx(Form Update 1/3/17)
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