Owners Name: _________Phone:______________________

Billing Address: City:___ State:____________Zip:______________

Email Address:_____________________________________________________________

________________________________

____________________________________________________________

Project Charge #: ________________________________________

Fed. I.D. No: _ Name of Project :__

Service Address:__

Parcel I.D. No.: ___ Type of Development (existing or proposed):____________________________________

_________________________________________________________

_________________________________________________________

________________________________________________________

______________________________________ With evidence of ownership

Water Sewer

Irrigation Reuse Fire Lines Pump S tation Meters

Pasco County Utilities Depart. Administration Building 19420 Central Boulevard Land O’Lakes, Fl. 34637

Pasco County Utilities Service Connection Application

Single Residential Or Commercial

Land O’ Lakes (813) 235-6189 - Dade City (352) 521-4274

For Office Use: Date U tilities Dept. Rec.:

______________________ Billing Start Date: ________________________________________

Work Order #:

______________________

PCU Project #:

______________________ Atlas Map #:

Service Requirements: AWWA Fixture Units Per Attached Data Sheet_______________

(If more than one building provide a list for each structure)

(Sewer service provider) Pasco Septic Other

Anticipated Water Consumption (GPD)_______ Maximum Flow (GPM) _______ Irrigation/Reuse (GPD)______ Fire flow required (GPM)__________ Fire line size__________ Number of onsite hydrants if applicable ______ Date service is required by:_______________________________ If you are an agent for the owner, please fill out the following information: Name:___________________________________ Address:__________________________________________ City:_____________________________________ Zip:__________________ Phone: _____________________ Email Address: _____________________________________________________________________________

Applicant agrees that all necessary connection fees and installation charges for County Utility services and all system improvement costs required will be at the Owners expense in accordance with Pasco County Ordinances. In addition, the Applicant / Owner agrees that all Utility system improvements will be installed according to County Utility standards and specifications All system improvements shall become the property of the Pasco County Utilities Services Branch, and shall constitute part of the Utility system of the County and subject to all the rules and regulations pertaining thereto. Utility System includes only pipe lines and other improvements installed on public right of ways or within utility easements. All application fees and charges must be paid pr ior to the activation of utility services by the County.

Signature of the Owner:__________________________________________________ Date:_______________

Do Not Write In The Space Below --- For Office Use Only Acceptable For Review. FDEP Permits May Be Required.

__________________________________________________________ ________________________ Date Michael J Carballa, Assistant County Administrator (Public Infrastructure)

Page 1 of 6

Customer Peak demand from Curves X Pressure factor = gpm Enter Line Pressure and Pressure Factor

Customer Peak demand from Curves =

Property Identification No.: ___________________________________________________________________

gpm

Combined Fixture Value Total =

Fixture Value at 35 psi

No. of Fixtures

FixtureValue

Fixture x =

Bathtub 8 x = Bedpan washer 10 x = Combination Sink & Tray 3 x = Dental Unit 1 x = Dental Lavatory 2 x = Drinking Fountain - Cooler 1 x = Drinking Fountain - Public 2 x = Kitchen Sink - 1/2" connection 3 x =

- 3/4" connection 7 x = Lavatory - 3/8" connection 2 x =

- 1/2" connection 4 x = Laundry Tray - 1/2" connection 3 x =

- 3/4" connection 7 x = Shower head (shower only) 4 x = Service Sink - 1/2" connection 3 x =

- 3/4" connection 7 x = Urinal - Pedestal Flush Valve 10 x =

- Wall Flush Valve 10 x = - Trough (2 ft. Unit) 2 x =

Wash Sink (each set of faucets) 4 x = Water Closet - Flush Valve 10 x =

- Tank Type 3 x = Dishwasher - 1/2" connection 5 x =

- 3/4" connection 10 x = - 1" connection 25 x =

Washing Machine - 1/2" connection 5 x = - 3/4" connection 10 x = - 1" connection 25 x =

Hose connection - 1/2" 6 x = - 3/4" 10 x =

Hose (50 ft.) - 1/2" 6 x = - 3/4" 9 x = - 1" 12 x =

Customer: _________________________________________________________________________________

Type of Occupancy:__________________________________________________________________________

Pasco County Utilities Data Sheet For Sizing Water Meters

Page 2 of 6

Pasco County Utilities Data Sheet For Sizing Water Meters

Customer: ________________________________________________ Date:____________________________

Address:___________________________________________________________________________________

Type of Occupancy:__________________________________________________________________________

Property Identification No.:____________________________________________________________________

Additional Equipment Peak Usage (gpm) 1. ________________________________________________________________________ = ____________ 2. ________________________________________________________________________ = ____________ 3. ________________________________________________________________________ = ____________ 4. ________________________________________________________________________ = ____________ 5. ________________________________________________________________________ = ____________ 6. ________________________________________________________________________ = ____________ 7. ________________________________________________________________________ = ____________ 8. ________________________________________________________________________ = ____________ 9. ________________________________________________________________________ = ____________ 10. ________________________________________________________________________ = ____________

Total of Additional Units = ________ gpm Largest Irrigation Zone or Combination of Zones = ________ gpm Total Of Customer Usage, Equipment & Irrigation = ________ gpm

Notes or Comments:

Page 3 of 6

5/8” x ¾” Meter - 16 gpm 1” Meter - 40 gpm 1-1/2” Meter - 80 gpm 2” Meter - 130 gpm 3” Meter - 255 gpm.* 4” Meter - 400 gpm * 6” & above **

Single Family Residences

• Standard equivalent residential unit (ERU) 5/8” x ¾” Meter 0 – 45 Fixture values (Typical single family home / no irrigation)

• Nonstandard single family 1” Meter 40 gpm. maximum peak flow, or 45- 350 Fixture values. Large single family homes exceeding 4000 sf. With or without irrigation.

Commercial Meter size determined by using fixture values & type of service to determine customer peak flows (peak demand to be determined from figures 4.4 and 4.5 page 32, AWWA M-22, latest addition) plus special use equipment, at maximum flows.

* = Compound meters or where minimum flows are not less than 3% of maximum range of the meter, turbines may be used., with approval of the Pasco County Utilities. ** = Meter sizes to be approved by Pasco County Utilities Department. The approval package shall include all design documentation used to determine the peak flow rate required, and shall be submitted by the owners engineer during the initial design review process.

Page 4 of 6

----~ i..-

:..----~ --i.----i..-,,.. ,..... _.,,,,. ,,, ., ~

...,.I,' .... ... ~

,,, ,./

,,,. !,"

,,, ... ~ ...

,/ /

/ V

I/ V

/ V -'--

~/

/ """ .--L..-.---/' i..----.... --

I/ V ... , i.--.....

V .,,,,. ., ..,,. .... i.--

,,,,, ,,.. .,. .,,,,.

,,, .,,,,. I/

,,,,,

V I I

I I I I I I I

I I I I I

I Upper curve: I Hotels, Shopping Centers, Restaurants, Public Schools, Public Buildings, Hospitals Lower Curves: I Apartments, Motels, Condominiums, Trailer Parks

140

135

130

125

120

115

110

105

100

95

90

85

80

75

70

65

60

55

50

45

40

35

30

25

20

15

10

5

0

025

50

75

100

125

150

175

200

225

250

275

300

325

350

375

400

425

450

475

500

525

550

575

600

625

650

675

700

725

750

775

800

825

850

875

900

925

950

975

1000

1025

1050

1075

1100

1125

1150

1175

1200

1225

1250

1275

1300

Combined Fixture Value

M

PG

Domestic Use Only

Page 5 of 6

\ \ , '

' ' 1l 1l I , ,

' ' ' ' 1

' ' ,

\

' \ \

\ ' \ \ \

\ , \ \ \

\ , \ \ \

' \ , \ \ \ \ \

\ \ \ ' \

\ \ \ 1

' \ \

\ \ , \

\ \ , \

' \ \

\ \

' \ \

\ \ \ \

' \ \ \ \ ,

' \ \ \ \ \

\ \ \ \

' \ \ \ \

' \ \

\

' \ \ ,

\ \ \ , \ ,

\ \ \ 1 \

\ \ \ \ \

\ \ \ \

' \

GPM

10009759509259008758508258007757507257006756506256005755505255004754504254003753503253002752502252001751501251007550250

Combined Fixture Value

0 1000 2000 3000 4000 5000 6000 7000 8000 9000

10000 11000 12000 13000 14000 15000 16000 17000 18000 19000 20000 21000 22000 23000 24000 25000 26000 27000 28000 29000 30000 31000 32000 33000 34000 35000 36000 37000 38000 39000 40000 41000 42000 43000 44000 45000 46000 47000 48000 49000 50000 51000 52000 53000 54000 55000 56000 57000 58000 59000 60000 61000 62000 63000 64000 65000 66000 67000 68000 69000 70000 71000 72000 73000 74000 75000 76000 77000 78000 79000 80000 81000 82000 83000 84000 85000 86000 87000 88000 89000 90000 91000 92000 93000 94000 95000 96000 97000 98000 99000

100000

Page 6 of 6 Rev 10/1/2018 (WCAG: 12/27/19)