RES 109 Draft 01 2008-2010 - Laserfiche WebLink

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Department of Environmental Management Wastewater Division, County of Hawai'i Application For Sewer Extension Part A. (must be completed) Project Address: 200 W. Kawill St. to Kilauea St. I Kawili St. Intersection Date: July 28', 2008 TMk No.: (3) 24-001 • 005 (Description: Site of new China — U.S. Center) Applicant Information: Contractor Information: Name: Debra Fitzsimons Vice Chancellor of Admin. Affairs Name: To Be Determined Address: 200 W. Kawili St. Hilo, HI 96720 Address: Company: University of Hawaii at Hilo Company: Phone No.: (808) 974-7595 Phone No Check applicable box: X Sewer Main installation (indicate reason for work and complete Parts B & C.) I Sewer Lateral Installation (Indicate reason forwork and complete Part C) Reason For Work: The oroposed parallel Kawili St. Sewer Main has the capacity to handle the anticipated wastewater load from the final China — U.S. Center and the growth of UH-Hilo's population. Part B. Sewer extensions are subject to Hawai'i County Code, Chapter 21, Division 4, Extensions and the APPLICANT shel resoonsible for submittine a resolution to the Countv Council for aooroval of the sewer main extension. Select one following methods of payment for cost (Note: reimbursement refers to payments collected by the County from properties connecting to the extension) Section 21-28(a): Applicant constructs and pays. X Section 21-28(b)(1): County constructs, applicant pays. Section 21-28(b)(2): County constructs, applicant and County share cost Estimated Start Date November 1" 2008 Estimated Completion Date April 30'h. 2009 Part C. I hereby certify that all work requested above will conform to appropriate sections of the Hawai'i County Code. Owner Signature: Q &O 1Lf Date: ��dp Department of Environmental Management, Wastewater Division Approved by: � la d6PrAr, Date: Wastewater D' ision Chief Approved by: / c er�P��i Date: d D ector of Environmental Management Note: 1) Approval of the Application for Sewer Extension does NOT constitute approval for construction. Approval for construction is provided by an approved Permit to Perform Work on the Public Sewer System pending final approval by the Hawai'i County Council in accordance with Section 21-26.1 of the Hawaii County Code. 2) Filing of Sewer Extension Resolution is not required for sewerrateral installations. ATTACHMENT "A"