21-105294-Certificate of Sewer Availability-10-08-2021-V1Aakehaven
CFFYOF FEDERAL NN AV
WATER & SEWER DISTRICT
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 sola.
discretion, reserves the right to delay, or deny, sewer service based upon capacity &/or supply limitationnA
in Lakehaven's or Other Purveyor's system facilities.
Proposed Land Use: El Building Permit-SRR El Build|ngPermit-MFR 171 Building Permit -Other
[] Subdivision [0 Short Subdivision (8) [l Binding Site Plan
[]Rezone [lBoundary Line Adjustment
LJOther (epedfy/deaor|be)____
Tax Parcel 0umber(o): 2421039018 Site Address: 16XX SW 344tb Pi LakehavenGIs Grid: I-12
Ex. Bldg. Area to Remain: N/A s New Bldg. Area Proposed:
Applicant's Name: Pena
SEWER SYSTEM INFORMATION
t. Sewer service can be provided by service connection to an existing 8" diameter sewer main that is approximately 15+/- feet
from the site and the ew r system has the capacity to serve the d land
2. If improvement of public right-of-way along the noLth side of the property is required, sewer service for the site will require
an improvement to Lakehaven's sanitary sewer system of:
a. - feet of " diameter sewer main or trunk to reach the site; and/or
El b. The construction of a sanitary sewer collection system on the site; and/or
El c. A major portion of Lakehaven's comprehensive wastewater system plan would need to be implemented and/or
constructed; and/or
d. Other (describe): Lakehaven Developer ELdgrislon Agreement reaulred. Extend to far edge Der Lakehaven Q0IICV.
3. a. The existing sewer system is in conformance with Lakehaven's Comprehensive Wastewater System Plan.
El b. The existing sewer system is not in conformance with Lakehaven's Comprehensive Wastewater System Plan and an
Amendment hothis Plan will barequired. This may cause adelay in Issuance o[land use approvals orpermits.
4. 0 a. The proposed site land use |swithin the corporate limits ofLakehavenWater & Sewer District, orhas been granted
Boundary Review Board approval rorexKansionofseweroen4oeoutaideofLakehoven'soeweraerv|oeanea.
[] b. Annexation or Boundary Review Board approval will be necessary to provide service.
5. Sewer service is subject to:
a. Payment nfconnection charges (to bedetermined byLakehawan))
U� b. Proof or or easement(s) as required by Lakehaven;
c Other: .
Comments/special conditions: There are eight (8) existing sewer service stubs on the property.
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. CONDITIONS UN -CHANGED
Name: RRIAN _ASBURY Title: DEVELOPMENT ENGINEERING SUPERVISOR
E5/5 21 iqwan (66uW (e-signed)
Signature: V Date: 2zz 7
2421O]9U18owrdncx(Form Update 1/3/17) Page 1of2
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Ft_ . Lakehavert Water and
trkt nether warrants, nor gaga
accuracy of any facility info
vided. Facility tocations, and co
subject tof iefd verification.
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1895450270
ISS5450-780
18854-50250
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Parcel 2421091DIR
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