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appendix 1 residential connection form and permit application

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DEVELOPER’S REQUIRED ITEMS CHECKLIST<br />

Date: _________________________ Phone: ____________________<br />

To: _________________________ Fax: ____________________<br />

_________________________<br />

Track/PM#:<br />

___________________<br />

MCWD must receive the following items (of the checked boxes only) prior to MCWD plan approval.<br />

Required/Date Received<br />

□__________<br />

□__________<br />

□__________<br />

□__________<br />

□__________<br />

□__________<br />

GRADING INSPECTION DEPOSIT: If grading will occur near MCWD existing<br />

facilities prior to or during the plan check process, a minimum grading inspection of<br />

$1,000 is required, or the inspection will be charged to the plan check work order.<br />

ENGINEER’S FIRE FLOW CALCULATIONS: Provide fire flow calculations per<br />

requirements of Fire Agency having jurisdiction (City/County). Due before 2 nd plan<br />

check.<br />

SOILS REPORT: Provide a soils report from a certified geo-technical<br />

firm.<br />

FEE TITLE PARCEL: A Grant Deed to MCWD for Fee title parcel(s) will be required<br />

for locations where MCWD’s facilities are not in a dedicated public right of way. Fee<br />

title document(s) shall include the legal description, a plat <strong>and</strong> the Grantor’s signature.<br />

QUITCLAIM DEED: At the request of the Developer, MCWD will prepare <strong>and</strong> process<br />

Quitclaim Deeds for the Developer in order to ab<strong>and</strong>on existing easements.<br />

ENGINEER’S COST ESTIMATE: Submit <strong>and</strong> updated Engineer’s Cost Estimate. The<br />

Engineer’s Cost Estimate shall include a unit cost for each item listed on the quantity<br />

estimate on plans.<br />

□__________ AutoCAD DISKETTE: Submit an AutoCAD diskette in accordance with MCWD ‘s<br />

Digital Plan Submittal. The diskette should contain the plan in<strong>form</strong>ation that is ready to<br />

be approved so that all plan check comments are reflected. PLEASE SUBMIT IN<br />

AutoCAD 2002 OR EARLIER. Must be provided when mylars are submitted for<br />

signature.<br />

□__________<br />

□__________<br />

RECORD MAP: Provide a copy of the Record Map to MCWD. A Copy of the<br />

Recorded Record Map will be required as a condition of MCWD’s final acceptance of<br />

the water facilities. If the Tract Map has not been recorded, then a blanket easement<br />

will be required. Must be provided for final acceptance of water system.<br />

WATER CONSERVATION CERTIFICATION: Developer provides letter certifying<br />

it has complied with the District’s Water Conservation Ordinance <strong>and</strong> agrees to make any<br />

corrections needed upon inspection after all work is complete.<br />

NOTE: The Plan Check/Work Order balance must be current prior to MCWD’s signature on plans.<br />

CC: □ Developer/Owner______________________<br />

□ MCWD- Tract File

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