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2. Developer/Owner Information
4. Developer/Owner Name
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
17. Development Information
19. Development Name (If Applicable)
20. Email Address
22. Address
24. City
25. State
26. Zip Code
28. Tax Map #
29. County
31. Parcel #
32. Area in Acres
34. Total # of Lots/Units
35. Will your development be constructed in more than one phase?

    1. Yes
    2. No

    * If Yes, a Master Utility Plan needs to accompany this request.

37. Estimate of when construction will begin
38. Estimate of when service will begin
39. High Point Elevation
40. Low Point Elevation
44. Do you have Fire Flow Requirements:

    1. Yes
    2. No
46. If yes, provide the following information telling us your requirements set forth by your local planning authority:
48. Static Pressure:
49. Residual Pressure:
50. Flow Rate (gpm):
54. Do you have any Commercial Domestic Flow Requirements:

    1. Yes
    2. No
56. If yes, provide the following information telling us the requirements set forth by your local planning authority:
58. Static Pressure:
59. Max Daily Flow Rate:
60. Residual Pressure:
61. Peak Flow Rate (gpm):
65. Do you have any Irrigation Flow Requirements:

    1. Yes
    2. No
67. If yes, provide the following information telling us the requirements set forth by your local planning authority:
69. Static Pressure:
70. Residual Pressure:
71. Peak Flow Rate (gpm):
72. Max Daily Flow Rate:
76. Requesting Sewer for Development:

    1. Yes
    2. No
77. Requesting Gas for Development:

    1. Yes
    2. No
81. Consultant Information
83. Consulting Firm
85. Consultant's Name
86. Email Address
88. Address
90. City
91. State
92. Zip Code
94. Phone Number
Leave This Blank:


96. 1. Receive an email copy of this form.
97. Email address

    This field is not part of the form submission.

98. Submit

* indicates a required field