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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

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