Residential Building Sewer Service Application The Undersigned,(Required) First Last being the owner or owner's agent of the property located at:(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code LotBlock10 digit TMS number(Required)numbers only no dashesdoes hereby request a permit to install and connect a building sewer tap to serve the said location. Residential UnitsBusiness(Required) Single Family Detached Condominium Mobile Home Unit Other Dwelling UnitsPlease enter a number greater than or equal to 0.No. UnitsPlease enter a number greater than or equal to 0.No. BedroomsPlease enter a number greater than or equal to 0.Per UnitPlease enter a number greater than or equal to 0.Name and address of person perfoming the proposed work:1. Each residential dwelling unit shall be served by a minimum 4-inch diameter line. 2. A maximum of two 4-inch services may be tied into a 6-inch diameter line. 3. Wye connections must be made by utilizing a double 4x6 wye. 4. Clean-outs must be located at property line, at residence connection location, and at any turn of 45 degrees or more. 5. Clean-outs must be constructed to ground level. 6. For services longer that 100 feet, clean-outs must be placed every 50 feet. 7. All lines on private property must be constructed of Schedule 40 PVC pipe or Ductile Iron Pipe. 8. Service lines longer than 150 feet must be served by a minimum 6-inch line. 9. Should the service lateral not be serviceable, the replacement, extension or repair will be done at the applicant's expense. Replacement or extension of service laterals often require a SCDHPT Encroachment Permit and work cannot begin until all such required permits are approved.IN CONSIDERATION OF THE GRANTING OF THIS PERMIT, THE UNDERSIGNED AGREES:1. To accept and abide by all provisions of Chapter #7 of the Berkeley County Code of Ordinances, and of all other pertinent ordinances or regulations that may be adopted in the future. 2. To maintain the building sewer at no expense to Berkeley County Water and Sanitation. 3. To notify Berkeley County Water and Sanitation 24 hours in advance when requesting inspection of the connection of the building to the public sewer, but before any portion of the work is covered. 4. I understand that a sewer impact tap fee must be paid for each dwelling unit, and each unit must have a separate sewer service account.Sewer Inspection Fee:Please enter a number greater than or equal to 0.Sewer Connection Fee:Please enter a number greater than or equal to 0.Additional tap construction fee:Please enter a number greater than or equal to 0.(if applicable)Property impact tap fee:Please enter a number greater than or equal to 0.Your submission of this document ensures that you understand and agree to the requirements concerning this issue and all other information on this document.Phone(Required)Email(Required) Mailing Address Same as above property address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CAPTCHA