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appendix 1 residential connection form and permit application

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No. Item App.<br />

D-15 Water service laterals cannot come off of<br />

other water service laterals. Is this<br />

requirement met<br />

D-16 Are air vacuum release valves installed at<br />

all water main high points for 8-inch pipe<br />

<strong>and</strong> larger<br />

D-17 Are all existing MCWD recycled water<br />

facilities completely <strong>and</strong> correctly depicted<br />

D-18 Are all existing <strong>and</strong> proposed points of<br />

<strong>connection</strong> to existing recycled water<br />

facilities properly depicted<br />

D-19 Are all proposed recycled water facilities in<br />

con<strong>form</strong>ance with the appropriate MCWD<br />

Subdivision Master Plan<br />

D-20 Are MCWD’s conditions of approval on the<br />

subdivision map <strong>and</strong> “will-serve” letter<br />

satisfied<br />

D-21 Hose bibs on recycled water facilities are<br />

forbidden. Is this requirement complied<br />

with<br />

D-22 Potable <strong>and</strong> recycled water facilities are not<br />

to be installed in the same trench, <strong>and</strong> DHS<br />

approval is required if horizontal separation<br />

is less than 10 feet. Is this requirement<br />

complied with<br />

D-23 Cross-<strong>connection</strong>s between potable water<br />

facilities <strong>and</strong> non-potable water facilities<br />

(including sewer) are forbidden. Is this<br />

requirement complied with<br />

D-24 Are irrigation/l<strong>and</strong>scape points of<br />

<strong>connection</strong> (P.O.C.’s) clearly identified <strong>and</strong><br />

called out on the civil street improvement<br />

drawings<br />

D-25 Additional requirements satisfied (as<br />

follows)<br />

a)<br />

b)<br />

c)<br />

d)<br />

Init.<br />

Rev.<br />

Init.<br />

Reviewer Comments<br />

June 2009 A5-16

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