Application For Construction Of Public Sewer

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THE WASHINGTON TOWNSHIP MUNICIPAL UTILITIES AUTHORITY
152 Whitman Drive, Turnersville, NJ 08012
Phone: (856) 227-7788
FORM C:
APPLICATION FOR CONSTRUCTION OF PUBLIC SEWER AND WATER
SYSTEM
PURPOSE:
To control the extent and schedule for planned sewer and water facilities
installations and establish a schedule for Authority inspection of completed
installation.
REVIEW FEE: (Payable to WTMUA: to be Escrowed) 5% of verified construction costs: Fee to
cover engineering fees, legal fee and office processing fees for issuing permits.
FILING FEE:
$400.00: Sewer $400.00: Water (Check made payable to WTMUA)
1.
APPLICANT:
Name: ______________________________________________________________________
2.
PROJECT:
Name: ______________________________________________________________________
Location: ____________________________________________________________________
Section: __________________________ No. Lots:__________________________________
Date of WTMUA Form B Preliminary Approval: ____________________________________
Date of Planning Board Preliminary Approval: ______________________________________
PROFESSIONAL ENGINEER DESIGNING WATER/SEWER SYSTEM:
Name: ______________________________________________________________________
Address: ____________________________________________________________________
Telephone: __________________________________________________________________
DEVELOPER:
Name: ______________________________________________________________________
Address: ____________________________________________________________________
UTILITY CONTRACTOR:
Name: ______________________________________________________________________
Address: ____________________________________________________________________
Page 1 of 2
Form “C” Application (7/05)

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