CONSTRUCTION
Development Project Application
Owner / Applicant Information:
Date of Application: Name of Project:
Applicant: Phone: E-mail:
Applicant Address:
(Street Address) (City) (Zip Code)
Note: Applicant to provide signed letter of authorization or other proof that the applicant is permitted to act on behalf of owner.
Owner: Contact:
Owner Phone: E-mail:
Owner Address:
(Street Address) (City) (Zip Code)
Engineer/Architect: Contact:
Engineer/Architect Phone: E-mail:
Engineer/Architect Address:
(Street Address) (City) (Zip Code)
Project Location: APN:
(Street Address)
Type of Extension: ¨ Water ¨ Sewer ¨ Drainage ¨ Recycled Water
Project Description:
Service Information: (Check All that Apply)
Project Type: ¨ Single Family ¨ Multi-family/Townhouse ¨ Industrial ¨ Commercial ¨ Office ¨ Remodel/Facility Modification ¨ Other [specify]_________
Will this be a phased project? ¨ Yes ¨ No If “yes”, How Many Phases?
Will this project create new parcels? ¨ Yes ¨ No If “yes”, How Many Parcels?
Project Acreage:
For Internal Use Only
Date Complete Application Package Received (Form and Submittals):______________________
Service Information: (Continued)
Number of Water Services:
Number Sewer Services:
_____ 1² _____1-1/2²
_____ 4² _____6² _____8²
_____ 2² _____ 3² specify______
Number of Recycled Water Service Connections:
_____ 1² _____1-1/2²
_____ 2² _____ 3² specify______
Fire Sprinkler Service to Buildings: ¨ Yes ¨ No Fire Flow Test Requested: ¨ Yes ¨ No
On-Site Fire Hydrants / Fire Service Connections: ¨ Yes ¨ No How Many?
Estimated Service Demands:
(Note: Attach a Copy of the Water Demand Calculations and other supporting information. For residential service(s), provide the range of parcel size(s), the range in house sizes, no. of bathrooms & bedrooms, no. of hose bibs, etc.)
Potable Irrigation Demand (gpm): Other Water Uses & Demand (gpm)
Estimated Total Average Daily Water Demand: gpm.
Estimate Total Project Max Day Water Demand: gpm.
Temporary Construction Water Service Information: (If applicable)Temporary Construction Water Service? ¨ Yes ¨ No Est. Length of Temp. Service: (Months)
Bill Temporary Construction Water Use to: ¨ Owner ¨ Applicant ¨ Contractor
Contractor: Phone: CA License:
Contractor Address:
(Street Address) (City) (Zip Code)
*Obtain a fire hydrant permit if needed (See District’s Water Code 7.07 – Service from Fire Hydrants)
Indemnification:
Applicant(s) agree to defend, indemnify, and hold harmless the Rancho Murieta Community Facilities District (“District”) and its agents, officers, consultants, independent contractors and employees (“District Agents”), through legal counsel selected by the District, from any and all alleged damages, claims, liabilities, or proceedings arising out of or pertaining to this application or the Project, whether contractual, statutory, or otherwise, including, without limitation, claims against the District or the District Agents to attack, set aside, void or annul any approval by the District, or the District Agents concerning the Project (collectively “Claim”). The District shall promptly notify the Applicant of any Claim.
I have read and agree to the above noted Indemnification Language - ¨
(Print Name) (Signature) (Date)
Obligation to pay processing costs:
Applicant(s) acknowledges that it must pay or fully reimburse the District for all costs and expenses (including District’s contract staff engineer, attorney, and other consultants) incurred by the District in connection with the review and analysis of the application, Project, and related plans; associated consultation with property owner/developer and its representatives; design and improvement plan review; Project-related research and site visits; negotiation and preparation of a mainline extension or other District agreements relating to the Project; preparation of staff reports and recommendations, conditions, resolutions, exhibits and other application or Project-related documents; and, application or Project-related meetings, phone calls, emails, and other work involving the applicant/developer, its representatives, County of Sacramento, or other outside agencies (collectively the “Application Process”), regardless of any action taken by the District with respect to the Applicant’s application. Applicant(s) also acknowledge and agree that any deposit that it makes (hereinafter “Funds”) may not be adequate to fully reimburse the District for costs incurred in connection with the Application Process, and that periodically, as the need arises, Applicant(s) may be called upon to make further deposit of Funds. District will draw on the deposit to reimburse District for the cost of District employee time and materials and to pay or reimburse periodic invoices from the District contract service providers. If, before completion of the Application Process, 20% or less of the deposit remains or the Funds become depleted, District reserves the right to require additional deposits to cover additional anticipated District costs. Applicant shall pay any additional deposit within 15 days of request for deposit from District. If any requested deposit or payment is not timely made, District will notify Applicant and it will have 10 days to cure the default. If deposit or payment has not been made within the 10-day period or if the Funds become depleted, then District will suspend all work on the Application Process pending receipt of the deposit or payment. If the deposit or payment remains unpaid, then District may cancel the application by giving written notice of cancellation to Applicant and it then will cease work on the Application Process. Any Applicant deposit remaining upon cancellation of the application or completion of the Application Process will be refunded without interest to Applicant. The advance of Funds shall not be dependent upon the District’s approval or disapproval of the Applicant(s)’ application, or upon the result of any action, and shall no way influence the application or Project. Neither Applicant(s) nor any other person providing funding for the Project shall, as a result of such funding, have any expectations as to the results of the Application Process or the selection of an alternative favorable to or benefiting Applicant(s).
I have read and agree to the above noted acknowledgement - ¨
(Print Name) (Signature) (Date)
Plan Review: (Note: A plan review deposit is required when all submitted plans with any request for review)
I hereby request a plan review for sewer service, water service, and drainage facilities from Rancho Murieta Community Services District. I hereby certify that the above information is correct and I agree to comply with all District ordinances, rules, regulations and policies in effect from time to time and pay all applicable fees.
Authorized Signature of Applicant: (Must be the Property Owner or Authorized Representative) (Date)
Plan Review Format Checklist (All drawings shall be 24” x 36” and use common engineering scales)
Please refer to Sacramento County guidelines for additional design information regarding Improvement Plan submittals. The checklist is not intended to be comprehensive and additional information may be required during the plan review process. Complete and accurate plan submittals help speed the plan review process.
Applicants are responsible for submitting a complete package for review, in pdf form and three (3) hardcopy sets. Incomplete Improvement Plan submittals will result in plans being rejected or returned to the applicant during the review process.
The following items must be submitted and approved before improvement plans can be submitted for processing.
· Final Conditions of Approval
Applicable Studies[RPS1] :
· Sanitary Sewer Study
· Water Supply Study
· Drainage Study
The Project shall meet the requirements of the District’s adopted Codes, ordinances, regulations and standards, California Building Code, Sacramento County codes, improvement standards, and construction specifications standards, and other applicable law. Where there is a conflict between a District requirement and a County or other requirement, the applicant/developer shall comply with the more stringent requirement.
IMPROVEMENT PLAN CHECKLIST (Drawings shall be 24” x 36”)
Cover Sheet/Detail and Note Sheet
( )
Meets County Improvement Plan requirements. Refer to Sacramento County Improvement Plan Submittal Guideline.
( )
District Engineer approval block.
( )
RMCSD General Notes
Utility Plans
( )
( )
Profiles of water, recycled water, sewer and storm drainage, both proposed and existing. Include all applicable design information, such as inverts, rim elevations, hydraulic grade line etc.
Overall Water, Sewer, Drainage, and Recycled Water sheets (if combined provide colored utilities per APWA Uniform color code)
( )
Pipes sizes, material type, class, length and slope
( )
For Water and Recycled Water, show locations of valves, fire hydrants, air relief/vacuum assemblies, blow offs and all other
appurtenances
( )
Stationing of all structures (manholes, inlets, etc.) Specify size/type for all structures.
( )
Inlet and manhole numbers corresponding
Open channels or swales:
( )
A. Flowline elevation at the beginning, end and all grade breaks
( )
B. Slope of swale
( )
C. Typical section.
( )
D. Existing and proposed improvements clearly delineated as such.
( )
Inlet/manhole numbers corresponding to plan view
( )
Existing ground surface and finished grade
( )
Utility crossings (show with clearance)
( )
Profile open channels
( )
Pad and Finished Floor Elevation
Grading Plans
( )
100-year Flood Plain Elevation
( )
Existing and proposed wells, septic systems, lift stations etc.
( )
Existing and finished contours (and grade elevations at all grade breaks).
( )
Existing and proposed (if known or required) structures.
( )
Flow arrows, with overland release at least one foot below finish floor
( )
Existing trees noted as to whether to be saved or removed (base elevations for trees to be saved)
( )
Cross-section and details of any detention or retention ponds
( )
Erosion and sediment control measures proposed (show on separate plan for grading)
( )
Provisions for accepting off-site drainage
( )
Typical lot drainage details. Any cross-lot drainage shall include a drainage easement.
( )
Quantities of cut and fill
( )
Cross property drainage
[RPS1]Are these required for every development project application, regardless of how small? If not, then you may wish to describe the threshold over which these studies will be required.