VENTURA COUNTY

WATER AND SANITATION Representing: Ventura County Waterworks District Nos. 1, 16, 17, 19, and 38

6767 Spring Road • P.O. Box 250 • Moorpark, California 93021-0250 (805) 378-3000 • WSDevelop@ventura.org • http://publicworks.countyofventura.org

SEWER WILL SERVE LETTER

CUSTOMER FORMS Updated: August 2018

PLEASE FILL OUT AND SUBMIT THE FOLLOWING FORMS AND A COPY OF STAMPED

PLANNING APPROVED DRAWINGS TO WSDEVELOP@VENTURA.ORG OR TO THE FRONT

OFFICE LOCATED AT: 6767 SPRING ROAD, MOORPARK, CA 93021

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CUSTOMER INFORMATION FORMSEWER WILL SERVE LETTER APPLICATION

Ventura County Water & Sanitation6767 Spring Road, Moorpark CA 93021

PLEASE FILL OUT ALL INFORMATION APPLICABLE TO YOUR INQUIRY.

NAME:

PRIMARY PHONE: EMAIL:

SERVICE ADDRESS: APN #: APPLICANT IS A(N)o HOME OWNERo CONTRACTORPROJECT TYPEo ENGINEERo RESIDENTIALo ARCHITECTo COMMERCIALo CONSULTANTo INDUSTRIAL

SELECT PROJECT LOCATION

o DISTRICT 1 – MOORPARK o CSA 30 - NYELAND ACRESo DISTRICT 16 – PIRU o CSA 34 - EL RIOo CSA 29 - NORTH COAST o CAMARILLO AIRPORT

SEWER SERVICE CONNECTION INFORMATION

o LOT IS DEVELOPED, REQUESTING TO UPSIZE OR ADD A SEWER SERVICE CONNECTIONo LOT IS DEVELOPED, APPLICANT IS PROPOSING TO BUILD AN ADDITIONAL DWELIING UNITo VACANT LOT, NO EXISTING SEWER SERVICEo VACANT LOT, HAS AN EXISTING SERVICEo UNSURE OF SEWER CONNECTION STATUS o OTHER (EXPLAIN BELOW)

PROJECT DESCRIPTION & ADDITIONAL INFORMATION

FOR DISTRICT USE

RECEIVED BY: DATE:

NOTES:

6767 Spring Road • P.O. Box 250 • Moorpark, California 93021-0250(805) 378-3000 • WSDevelop@Ventura.org • http://publicworks.countyofventura.org

Sewer Will Serve Letter - Forms Packet Updated: 8/28/28

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VENTURA COUNTY WATER & SANITATION DEPARTMENTCOUNTY SERVICE AREAS COMPUTATION OF SEWER CONNECTION FEES

EXISTING PROPOSED TOTAL UNIT TOTAL FIXTURE+ = x

FIXTURES FIXTURES FIXTURES VALUE UNITSFIXTURE UNITS

Bar Sink (Residential) + = xBar Sink (Public Use) + = xBathtub or Combination Bath/Shower + = xBidets + = xClothes Washers + = xDental Units or Cuspidors + = xDish Washer (Domestic) + = xDrinking Fountains + = xFloor Drains + = xFloor Drains - 2" + = xFloor Drains - 3" + = xFloor Drains - 4" + = xFood-waste-grinder (Commercial) + = xInterceptors for grease, oil, solids, etc. + = xInterceptors for sand, auto wash, etc. + = xLaundry Sink + = xReceptors (floor sinks) Indirect waste receptors for refrigerators, coffee urn, water station, etc. + = xReceptors, indirect waste receptors for commercial sinks, dishwashers, hairwashers, etc. + = xShowers, single stalls + = xShowers, gang (one unit per head) + = xSinks, kitchen, private, w/ or w/o food-waste-grinder (1½" min. waste) + = xSinks, bar, private (1½" min. waste) + = xSinks, bar, commercial (2" min. waste) + = xSinks, commercial or industrial (2" main waste) + = xSinks, flushing rim, clinic + = xSinks, and/or dishwashers (residential) (2" min. waste) + = xSinks, service + = xTrailer park traps (one for each trailer) + = xUrinals, pedestal + = xUrinals stall + = xUrinals, wall (2" min. waste) + = xUrinals, wall trough (2" min. waste) + = xWash Basins (lavatories) single + = xWash Basins, in sets + = xWater Closets / Toilet + = xWhirlpool Bath or Combination Bath/Shower + = x

TOTAL FIXTURE UNITS

Sewer Will Serve Letter - Info Packet Updated: 8­28­2018

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