Residential Water Tap Availability Application Residential Building Water Tap 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 Lot Block 10 digit TMS number(Required) numbers only no dashesdoes hereby request a permit to install and connect a building water tap to serve the said location. Residential UnitsBusiness(Required) Single Family Detached Condominium Mobile Home Unit Other Dwelling Units(Required)Please enter a number greater than or equal to 0.No. Units(Required)Please enter a number greater than or equal to 0.No. Bedrooms(Required)Please enter a number greater than or equal to 0.Per Unit(Required)Please enter a number greater than or equal to 0.Name and address of person perfoming the proposed work: 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 notify the Authority 24 hours prior to a requested meter set. 3. That I understand that each dwelling unit must pay a separate water impact tap fee, have a separate water meter and a separate water account., and that I will not provide water to another property or residence through my meter service. 4. The following information addresses the issue of customers currently receiving their water from a well. Once BCWS installs our water meter at your residence, your existing well must be disconnected from your water service line immediately in accordance with the International Plumbing Code, Section 608.6.1. You must schedule an inspection with us to verify that your well has been disconnected within 24 hours of our equipment being installed. This requirement is necessary in order to protect our water supply from possible contaminants and ensure we are providing our customers with the highest quality of water possible. You may continue to use your well for other purposes; However it cannot be tied into the water service that connects your house to our water meter. If at any time in the future we determine you have reconnected your well, BCWS will immediately remove our water service from your address. A $100.00 reconnection fee will be required to have service restored to your address.Meter Set Inspection Fee:Please enter a number greater than or equal to 0.Water 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