appendix 1 residential connection form and permit application
appendix 1 residential connection form and permit application
appendix 1 residential connection form and permit application
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PART A: ADMINISTRATIVE REQUIREMENTS<br />
Reviewer Name:<br />
Results ___ Approved<br />
___ Approved with Exceptions<br />
___ Not Approved. Revise <strong>and</strong> Resubmit<br />
No. Item<br />
App.<br />
Rev.<br />
Reviewer Comments<br />
Init.<br />
Init.<br />
A-01 3 bond or blueline copies of public<br />
improvement plans (street/ sewer/ water/<br />
storm drain) submitted to the District<br />
A-02 2 bond or blueline copies of the Subdivision<br />
(Tract or Parcel) Map submitted to MCWD<br />
for review, all pages intact<br />
A-03 1 set of grading plans (for in<strong>form</strong>ation<br />
purposes – 1 st Check Only) submitted to<br />
MCWD (Check pad elevations vs. service<br />
elevations in zone - can minimum pressure<br />
be provided to each lot)<br />
A-04 Engineer’s estimate (of cost of proposed<br />
public sewer <strong>and</strong> water facilities)<br />
submitted<br />
A-05 Has the Applicant provided a complete Fees<br />
& Changes Worksheet <strong>and</strong>/or a complete<br />
appropriate Connection Form & Permit<br />
Application<br />
A-06 Plan review <strong>and</strong> inspection fees paid to<br />
MCWD<br />
A-07 Water <strong>and</strong> sewer <strong>permit</strong> fees, installation<br />
fees, <strong>and</strong> Capacity Charges paid to MCWD<br />
A-08 Has the Applicant been made aware of<br />
MCWD Code Sections 6.08.090, Paragraph<br />
D <strong>and</strong> 6.12.020, Paragraph D that explain<br />
the 1-year time-frame to complete<br />
<strong>connection</strong>s <strong>and</strong> the potential for increased<br />
Capacity Charges See Footnotes 1 <strong>and</strong> 2.<br />
A-09 Supporting calculations submitted (for the<br />
following items)<br />
a)<br />
b)<br />
c)<br />
A-10 Will serve letters:<br />
Requested<br />
June 2009 A5-2