HomeMy WebLinkAboutSDP201400073 Study 2015-02-04pr AIt, _
COUNTY OF ALBENIARLE
Department of Community Development
401 McIntire Road, Room 227
Charlottesville, Virginia 22902 -4596
Phone 434 296 -5832 Fax (434) 972 -4126
PUBLIC WATER / SEWER CONNECTION EVALUATION
THIS SECTION IS TO BE COMPLETED BY THE ALBEMARLE COUNTY SERVICE
AUTHORITY ENGINEERING DIVISION.
1. Distance to public water connection: 30' (existing 12" DIP in VDO'T' Ri hg t of Way)
2. Access across adjoining property will / will not be required: Will Not (Adjacent to VDOT Right of Way)
3. Distance to public sewer connection: 250' to RWSA (Approval Required), 315' to ACSA
4. Access across adjoining properly will /will not be required: Offsite easements required.
Sewer cmuiection will require grinder purnp and wat:erway.crossing. RWSA Approval required for a
COMMENTS: rnnnPCfi�]1o_RWSA Sewer _..._ .
SIGNATURE: .G% G�� , G�•i �Qj�r,,,eler S. Morr,wn , TI t A.C.S.A.
THIS SECTION IS TO BE COMPLETED BY THE PROPERTY OWNER
1. Provide contractor's written estimates.
2. Estimated cost to install a well and associated electrical and plumbing equipment: 1 —A d511-
/��-4 j; Lle
3. Estimated cost to install a water line for public connection (do not include ACSA
4. Estimated cost to install a septic system:_ 7'
5. Estimated cost to install a sewer line for public connection: /V 14 — /V o7 4- t� /C
THIS SECTION IS TO BE COMPLETED BY THE AGENT
Connection to public w� teDI'vil / will not be required:
--'^ -�
Connection to public sewer will(( will not
a'e required;
Signature;
5/19106