22-100365-SF-Sewer Certificate of Availability-02-04-22-V1RECEIVED
Feb 08 2022
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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 0 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 Lend Use: ® Building Permit-SFR (1) ❑ Building Permit-MFR O ❑ Building Permit -Other
❑ Subdivision O ❑ Short Subdivision O ❑ Binding Site flan
❑ Boundary Line Adjustment ® Other (specify/describe) ADU
Tax Parcel Number(s): 8581200210 Site Address: 3006 SW 341st St LWSD GIs Grid: E-11
Ex. Bldg. Area to Remain: 1,220 sf (ex. SFR) New Bldg. Area Proposed: 488 sf (ADU)
SEWER SYSTEM INFORMATION
1. ® Sewer service can be provided by service connection to an existing 8" diameter sewer main that is approximately 2S+ -
(west or south) 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, for any new/modified service connection);
❑ b. Proof or reservation of easement(s) as required by LWSD;
® c. Other: LWSD Service Connection A lication re fired for any.new modified servi a connection.
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: BRIAN ASBURY Title: DEVELOPMENT ENGINEERING SUPERVI OR
Signature: "3Yia 2 (b&iW fe-signed)
Date: 1211CI21
8581200210 swr.docx (Form Update 4/2119) Page 1 of 2
8581200210 swr.docx (Form Update 4/2/19) Page 2 of 2