21-105280_06 Certificate of Sewer Availability_12-17-2021-V1RECEIVED
1/3/22
CITY OF FEDERAL WAY
Lakehaven
COMMUNITY DEVELOPMENT
� WATER & SEWER DISTRICT
SEWER CERTIFICATE OF AVAILABILITY
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 () ❑ Building Permit-MFR () ❑ Building Permit -Other
❑ Subdivision () ❑ Short Subdivision () ❑ Binding Site Plan
❑ Boundary Line Adjustment ® Other (specify/describe) Land Use - Process III
Tax Parcel Number(s): 7622400015 Site Address: 17XX S 320th St LWSD GIs Grid: K-09
Ex. Bldg. Area to Remain: UNKNOWN sf
SEWER SYSTEM INFORMATION
New Bldg. Area Proposed: UNKNOWN sf
I. ® Sewer service can be provided by service connection to an existing K diameter sewer main that is on 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, for any new/modified service connection);
❑
b.
Proof or reservation of easement(s) as required by LWSD;
®
c.
Other: LWSD Service Connection Application reauired, for any new/modified service connection.
Comments/special conditions: Care shall be taken to avoid encroachment upon existing LWSD water and/or sewer mains, and/or
associated easement(s), on the site.
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: 33W= (6 (e-,3iWmd) Date: IU11120C
CONDITIONS UN -CHANGED
53tian (6 (e-signed), 11/10/21
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OTE: Lakehaven Water and Sewer'
District neither warrants nor guarantees
the accuracy of any facility information
provided Facility locations and conditions
are subject to field verification.
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Sewer Certificate of Availability
Parcel 7622400015
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