HomeMy WebLinkAboutCompleted Utility Availability Certificate WATER AND SEWER AVAILABILITY REQUEST
Community and Economic Development
City of Arlington• 18204 59th Avenue NE•Arlington,WA 98223•Phone(360)403-3551
Submittal Requirements:
1. Complete Application
2. 8-1/2"x 11"Site Plan/Sketch of the Proposal
Type of Request: ❑ Water Only ❑✓ Sewer Only ❑ Water and Sewer
Location/Legal Property Address: 18650 59th Drive NE
Lot#: Parcel ID No(s): 31052200200101 Subdivision:
Project Scope of Work: Connect existing builing with nearby sewer line
Owner Name: Bruce Hamilton Office No.:
Email Address: Bruce@Stoddardintl.com Cell No.: 360-631-2232
Mailing Address: 5604 Lakeview DR city: Kirkland State: WA Zip:98033
Owners Agent: Artyom Nikolin Office No.: 4254223825
Email Address: Art@septicsolutionsllc.com Cell No.: 4254263631
Mailing Address: 13930 WA-9 City: Arlington WA State: WA Zi : 98223
RESIDENTIAL INFORMATION
❑Proposed Single Family Residence ❑Existing Single Family Residence ❑Accessory Dwelling Unit
❑Proposed Multi-Family Residence:#of Units #of Buildings ❑Residential Plat:#of Lots
C01MURCIAL 114FORMAWN
❑Binding Site Plan/Plat:#of Lots #of Phases #of Buildings 1 Total Square Footage 14000
TYPE OF COMMERCIAL USE
❑Hotel/Motel ❑Food Service ❑Medical/Dental ❑Office ❑Retail
❑Vehicle Service ❑Warehouse/Storage ❑✓ Industrial ❑Other(specify):
Commercial Water Usage:Monthly Estimation: 15000 Gallons
WATER,SEPTIC SYSTEM AND FIRE
Is there an existing Well on the property? ❑Yes ❑✓ No Is there an existing Septic System on-site? ❑✓ Yes❑No
Water Meter Size Requested? ❑5/8" ❑ 1" ❑ 1.5" ❑2" ❑3" ❑4" ❑6"
Type of Fire Protection Requested? ❑Fire Sprinkler System ❑Fire Hydrant ❑Unknown
1,the undersigned,request City of Arlington Utilities Division to certify willingness to provide water and/or sewer as indicated.
The above information is complete and accurate to the best of my knowledge. 1 understand that any changes to the above
information must be reported immediately to the City ofArlington Utilities Division as a condition of Utility Availability approval.
Digitally
Artyom Nikolin Date:026.12.2318:27:12"-'00' Artyom Nikolin 12/23/25
Signature(owner/agent) Print Name Date
Page 1 of 2 REV02.2022
TO BE COMPLETED BY THE CITY OF ARLINGTON
CITY OF ARLINGTON UTILITIES DIVISION - PRELIMINARY INFORMATION / CERTIFICATION
This non-binding preliminary commitment is only valid for the above referenced property in accordance
with City of Arlington policies and for only 18 months.
N/A A water main or other capital facility improvement ❑ is required; ® is not required
(If required, refer to below conditions)
Water is presently available from City of Arlington to service the above referenced property and
N/A specified number of connections per the below conditions and upon payment of applicable
connection fees and charges.
Fire Flow Estimate: STATIC PRESSURE _PSI RESIDUAL PRESSURE _ PSI FLOW GPM
YES A sanitary sewer main or other capital facility improvement ® is required; ❑ is not required
(If required, refer to attached conditions)
Sanitary sewer is presently available from City of Arlington to service the above referenced
YES property and specified number of connections per the below conditions and upon payment of
applicable connection fees and charges.
Other: Sewer service is available at this location Der the below conditions.
J
Approved By. Date: or f t Za"
EXPIRES 18 MOk THW FROM DATE OF ISSUE
COMMENTS:
1 Sewer service is available for this project; please coordinate with the Arlington City
Engineer for specifics pertaining to off-site sewer connection point (MH-3102), sewer main
extension alignment, service location, utility easements, required pipe slope, monitoring
manhole location, pretreatment requirements, and any other City of Arlington sewer
requirements.
2 Any septic systems on the development property are to be abandoned per Arlington Municipal
Code 13.08.160 as a condition of service.
3. Water and Sewer system improvements shall be designed and constructed in accordance with
City of Arlington Design and Construction Standards.
ArcGIS Web Map
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Wastewater Gravity Mains
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community. Esri Community Maps Contnbutors. City of Arlington,
WA. WA State Parks GIS, Oc openStreetMap, Microsoft. Esri,