Community Sewer Questionnaire

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Please correct the field(s) marked in red below:

Rural Development Authority Questionnaire for Decentralized Sewer Systems
1
Name of Development
 *
2
Location
 *
3
Developer information
Developer information
4
Engineer information
Engineer information
5
Type of system (described in detail)
6
Owner of system once completed and operational
7
Proposed licensed waste water operator
8
Proposed method of billing, collection, and procedures for failure to pay
Proposed method of billing, collection, and procedures for failure to pay
9
Proposed schedule of maintenance and testing
10
Population of development
Population of development
11
Estimated date that system will be operational
12
Estimated date that all proposed homes/living units will be built, occupied, and system fully operational
13
Proposed rate per household
14
Breakdown of rate
Rate
Ongoing maintenance and operation
Rural Development Authority Fee
Long term capital reserves
15

Attach proposed contracts with waste water operator person or entity responsible for billing and collection.

Note: If you have multiple files or your file is too large, please contact the Washington County Public Utility Department at (479) 444-1896.

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