24-100334-Water and Sewer Certificates-01.31.24CoA-2023.docx (Form Update 9/26/23) Page 1 of 4
WATER CERTIFICATE OF AVAILABILITY
Lakehaven Water & Sewer District – Development Engineering Section
31623 – 1st Ave S PO Box 4249 Federal Way, WA 98063-4249
Email: DE@Lakehaven.org Telephone: 253-945-1581 or 253-945-1580
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 Dist rict, 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 () Building Permit-MFR () Building Permit-Other
Subdivision () Short Subdivision (2) Binding Site Plan
Boundary Line Adjustment Other (specify/describe)
Parcel Number(s): 5151800035 Site Address: 1013 S 295th St LWSD GIS Grid: J-05
Ex. Bldg. Area to Remain: UNKNOWN sf New Bldg. Area Proposed: UNKNONWN sf
WATER SYSTEM INFORMATION
1. Water service can be provided by service connection to an existing 4” diameter water main that is approximately 50+/- feet
from the site.
2. Water service for the site will require an improvement to LWSD’s water distribution system of:
a. feet of ” diameter water main to reach the site; and/or
b. The construction of a water distribution system on the site; and/or
c. A major portion of LWSD’s comprehensive water system plan would need to be implemented and/or
constructed; and/or
d. Other (describe): .
3. a. The existing water system is in conformance with LWSD’s Comprehensive Water System Plan.
b. The existing water system is not in conformance with LWSD’s Comprehensive Water 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 subject property is within the corporate limits of Lakehaven Water & Sewer District, or has been granted
Boundary Review Board approval for extension of water service outside of LWSD’s water service area.
b. Annexation or Boundary Review Board approval will be necessary to provide service.
5. Water 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: The existing 5/8”x3/4” meter may need to be evaluated under UPC & LWSD standards, to determine if it’s
adequate for the proposed use. LWSD Service Connection Application required, for any new/modified service
connection. Reservation of private easement(s) required for water supply line(s), depending on the ultimate
configuration/layout of the short plat lots.
Comments/special conditions: .
The nearest fire hydrant is approximately 60+/- feet from the Property (as marked on map on the back of this page).
Fire Flow at no less than 20 psi available within the water distribution system is a maximum 1,000 GPM for two (2) hours or more.
This flow figure depicts the theoretical performance of the water distribution system under high demand conditions. Fire flow rates
greater than this may be accommodated through water distribution system improvements, contact LWSD for additional information.
578 Pressure Zone Est. Meter Elevation(s)-GIS: 414+/- Est. Pressure Range at Meter(s) (psi): 68-77
I hereby certify that the above water 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: Brian Asbury (e-signed) Date: 11/27/23
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SEWER CERTIFICATE OF AVAILABILITY
Lakehaven Water & Sewer District – Development Engineering Section
31623 – 1st Ave S PO Box 4249 Federal Way, WA 98063-4249
Email: DE@Lakehaven.org Telephone: 253-945-1581 or 253-945-1580
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 () Building Permit-MFR () Building Permit-Other
Subdivision () Short Subdivision (2) Binding Site Plan
Boundary Line Adjustment Other (specify/describe)
Parcel Number(s): 5151800035 Site Address: 1013 S 295th St LWSD GIS Grid: J-05
Ex. Bldg. Area to Remain: UNKNOWN sf New Bldg. Area Proposed: UNKNONWN sf
SEWER SYSTEM INFORMATION
1. Sewer service can be provided by service connection to an existing 3” diameter low-pressure sewer main that is
approximately 10+/- 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);
b. Proof or reservation of easement(s) as required by LWSD;
c. Other: LWSD Service Connection Applications required. LWSD Private Grinder Pump Agreements required.
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 SUPERVISOR
Signature: Brian Asbury (e-signed) Date: 11/27/23
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