Form PDS-399S "Project Facility Availability - Sewer" - County of San Diego, California

What Is Form PDS-399S?

This is a legal form that was released by the Planning and Development Services - County of San Diego, California - a government authority operating within California. The form may be used strictly within County of San Diego. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

Released on February 26, 2021;
The latest edition provided by the Planning and Development Services - County of San Diego, California;
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Download Form PDS-399S "Project Facility Availability - Sewer" - County of San Diego, California

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County of San Diego, Planning & Development Services

PROJECT FACILITY AVAILABILITY - SEWER

ZONING DIVISION

Please type or use pen

ORG___________

____________________________________________________________

ACCT__________

Owner’s Name

Phone

ACT___________

____________________________________________________________

Owner’s Mailing Address

Street

TASK__________

AMT $__________

DATE__________

____________________________________________________________

City

State

Zip

DISTRICT CASHIER’S USE ONLY

SECTION 1. PROJECT DESCRIPTION

TO BE COMPLETED BY APPLICANT

Assessor’s Parcel Number(s)

Major Subdivision (TM)

Certificate of Compliance:______________

(Add extra if necessary)

Minor Subdivision (TPM)

Boundary Adjustment

Specific Plan or Specific Plan Amendment

Rezone (Reclassification) from_______________to_______________zone

Major Use Permit (MUP), purpose:________________________________

Time Extension…Case No.______________________________________

Expired Map…Case No.________________________________________

Other_______________________________________________________

Residential . . . . . Total number of dwelling units_____________________

Commercial. . . . . Gross floor area________________________________

Industrial . . . . . . . Gross floor area________________________________

Other . . . . . . . . . . Gross floor area________________________________

Thomas Guide Page _________ Grid __________

C. Total Project acreage ______Total lots________Smallest proposed lot________

__________________________________________________

Project address

Street

Yes No

D. Is the project proposing its own wastewater treatment plant?

__________________________________________________

Is the project proposing the use of reclaimed water?

Community Planning Area/Subregion

Zip

Owner/Applicant agrees to pay all necessary construction costs and dedicate all district required easements to extend service to the project.

OWNER/APPLICANT MUST COMPLETE ALL CONDITIONS REQUIRED BY THE DISTRICT.

Applicant’s Signature:___________________________________________________ Date:________________________________________________

Address:_____________________________________________________________ Phone:_______________________________________________

(On completion of above, present to the district that provides sewer protection to complete Section 2 below.)

SECTION 2: FACILITY AVAILABILITY

TO BE COMPLETED BY DISTRICT

District name_______________________________________________ Service area ____________________________________________________

Project is in the District.

Project is not in the District but is within its Sphere of Influence boundary, owner must apply for annexation.

Project is not in the District and is not within its Sphere of Influence boundary.

Project is not located entirely within the District and a potential boundary issue exists with the ____________________ District.

Facilities to serve the project

ARE

ARE NOT reasonably expected to be available within the next 5 years based on the

capital facility plans of the district. Explain in space below or on attached. Number of sheets attached:___________________

Project will not be served for the following reason(s): _________________________________________________________________________

___________________________________________________________________________________________________________________

District conditions are attached. Number of sheets attached:_______________________

District has specific water reclamation conditions which are attached. Number of sheets attached:_________________

District will submit conditions at a later date.

How far will the pipeline(s) have to be extended to serve the project? __________________________________________________

This Project Facility Availability Form is valid until final discretionary action is taken pursuant to the application for the proposed project or until it is

withdrawn, unless a shorter expiration date is otherwise noted.

__________________________________ __________________________________ ___________________ _________________

Authorized Signature

Print Name and Title

Phone

Date

THIS DOCUMENT IS NOT A COMMITMENT OF FACILITIES OR SERVICE BY THE DISTRICT On completion of Section 2 by the district, applicant is

to submit this form with application to: Planning & Development Services, Zoning Counter, 5510 Overland Ave. Suite 110 San Diego, CA 92123

*PDS-PLN-399S*

PDS-399S (Rev. 2/26/2021)