Sewer Connection Permit Application

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General Information

Sewer Connection Address *

City *

State *

Zip *

In accordance with § 109-15 of the Code of Springfield Township:

There is hereby imposed upon each owner of property connecting to the sanitary sewer system a tapping or connection charge of $1,200 per E.D.U. (equivalent dwelling unit).
For purposes of determining the number of E.D.U.s, the classifications on the following page of this form shall be used.
In the event of a change in user classification of a commercial establishment where an increase in water consumption is projected, the new tenant will be responsible for the payment of a sewer tapping fee based on the net increase in E.D.U.'s.
The tapping fee or connection charge shall be payable upon application for permit to make such connection.

Sewer Connection Permit Application

Applicant Information

Applicant First Name *

Applicant Last Name *

Applicant Email Address *

Applicant Phone Number *

Applicant Fax Number

Address *

City *

State *

Zip *

Applicant is *

Property Owner Contractor Tenant

Sewer Connection Permit Application

EDU Determination

Existing User Classification

Per Pupil

In the case when a combination of one or more private dwellings or living units with one or more commercial establishments in one building and each having the use of the Township sanitary sewer system through one sewer connection, each such private dwelling or living unit and each such commercial establishment shall be charged the foregoing rates, as though each were in a separate structure and as though each had a direct separate connection to the Township Sanitary Sewer System.

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Determined from User Classification.

Total

Negative B

Question text

Per Employee

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Determined from User Classification.

Total per E

Negative B

Per Restroom

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Determined from User Classification.

Total per Restroom

Negative B

Total Net Difference

Per Employee

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Determined from User Classification.

Total per Employee

Negative B

Per First 10 Seats

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Determined from User Classification.

Total per First 10 Seats

Negative B

Per Each Additional Seat

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Determined from User Classification.

Total Each Additional Seat

Negative B

Total Net Difference

Per Employee

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Determined from User Classification.

Total per Employee

Negative B

Per Restroom

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Determined from User Classification.

Total per Restroom

Negative B

Total Net Difference

Per Employee

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Total per Employee

Negative B

Per Restroom

Proposed (A)

Existing (B) *

Net Increase (A) - (B)

Multiplier

Determined from User Classification.

Total per Restroom

Negative B

Total Net Difference

Fee

Total

x $1,200.00 =

FEE

Sewer Connection Permit Application

I agree to comply with the requirements for construction and restoration of the public right-of-way. Notwithstanding the issuance of this permit, I agree to comply with all of the provisions of the Code of Springfield Township.

Applicant Signature

Application Date *

Sewer Connection Permit Application

General Information

Sewer Connection Permit Application

Applicant Information

Sewer Connection Permit Application

EDU Determination

Per Pupil

Per Employee

Per Restroom

Per Employee

Per First 10 Seats

Per Each Additional Seat

Per Employee

Per Restroom

Per Employee

Per Restroom

Fee

Sewer Connection Permit Application

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