21-102193-Certificate of Sewer Availability-06-03-2021-V12921049060 2921049091 wtr swr.docx (Form Update 3/13/20) Page 3 of 4
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 (2) Building Permit-MFR () Building Permit-Other
Subdivision () Short Subdivision () Binding Site Plan
Boundary Line Adjustment Other (specify/describe)
Tax Parcel Number(s): 2921049060, 2921049091 Site Address: 12XX S 359th St LWSD GIS Grid: J-13
Ex. Bldg. Area to Remain: N/A sf New Bldg. Area Proposed: 1,562 sf (ea. parcel)
SEWER SYSTEM INFORMATION
1. Sewer service can be provided by service connection to an existing 12” diameter sewer main that is approximately 40+/-
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. Private easement across parcel 2921049060 required for
sewer service line for parcel 2921049091.
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: 4/6/21
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