Developer Site Preparation Form | Suffolk County Water Authority

Applicant Details

Applicant First Name *

Applicant Last Name *

Organization

Applicant Title

Email *

Phone # *

Fax #

Development Details

Name of Residential Development *

Location *

Authorization # *

Date *

Please check off the following items to confirm they have been completed:

Curbs *

Drainage and/or sewer installed *

Sewer laterals staked w/invert info from top of curb clearly marked *

Grading and clearing completed within 6” of finished grade *

Hydrant locations staked out *

Property corner lines staked out *

Easements cleared *

(FOR COMMERCIAL PROPERTIES ONLY) Please Complete These Steps if you requesting a services stub at time of main installation:

Are you requesting a services stub? *

(If Yes) Lot #’s clearly marked

(If Yes) Service locations staked out

(If Yes) 10' area behind edge of road or curb cleared and graded for vault installation

NOTE TO BUILDERS: The contractor will NOT connect to your service lines on Fast-Track services. Your plumber will have to make the connection

I Agree that the information above is true and all payments have been made. *