Conditions of Approval. The Customer agrees to comply with the specific requirements of Agency Conditions of Approval (Exhibit C) as included in this Agreement WSA No.: , before approval of this Agreement can be granted by the Agency. Customer privacy is important to Agency and Customer information shall be confidential unless the Customer consents in writing or as otherwise required by law. This shall encompass confidentiality of Customer address, telephone number, e-mail, specific billing, credit, or water usage information. Customer can request that personal information retained by the Agency be released to unauthorized persons. Please provide Customer name, company (if applicable), title, billing address, water service address, phone number(s), email address(es), and signature. Customer/Representative (print name) Company Name (if applicable) Title Water Service Address Billing Address Phone Number(s) Signature E-Mail Address(es) Agency Representative (print name) Agency Name Antelope Valley-East Xxxx Water Agency Title Address 0000 Xxxx Xxxxxx X, Xxxxxxxx, XX 00000-0000 Signature Phone Number (000) 000-0000 AVEK Water Meter Vault (per AVEK specifications provided) Exiting single meter turnout vault to be modified to add one additional meter/valve/pressure reducer/backflow prevention assembly as required. Maximum combined estimated flow: 1,000 gallons per minute (gpm). Customer to pay all related modification costs for design, construction, inspection, etc. Final Turnout is owned, operated, and maintained by AVEK. Flow New additional meter Existing meter Prior to approval of Untreated (Non-Potable) Water Use for the Agency, the Customer shall comply with specific conditions determined by the Agency based on initial review of Customer’s Non-Potable and potable Water systems. The Agency and its representative(s) will perform an annual inspection of Customer’s Premises which shall take place in order to verify Customer’s compliance with Agency Rules and Regulations including all cross- connection and backflow prevention requirements of the Agency (Article 3.35); separating Customer Untreated (Non-Potable) and Treated (Potable) Water systems via an approved air gap. All Customer operations of Untreated (Non-Potable) Water system(s) shall comply with Agency Rules and Regulations, Article 5.0 Untreated (Non-Potable) Water Use Guidelines & Best Management Practices. The following conditions for final approval for water service must be meet prior to water service to the real property(ies), dwellings, water facilities, and/or business(es) indicated in Exhibit B of Water Service Agreement WSA No.: :
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Conditions of Approval. The Customer agrees to comply with the specific requirements of Agency Conditions of Approval (Exhibit C) as included in a part of this Agreement WSA No.: , before approval including required submittal of this plan documents, annual inspection of separate potable water service connection(s), water use applications, and permitting if necessary. For existing Agency water users, compliance with certain of these Conditions of Approval will need to be met in order for an Agency Water Service Agreement can to remain in effect. A final inspection and confirmation of compliance with Agency Rules and Regulations will be granted by the Agencyrequired prior to establishing and continuing water service. Customer privacy is important to Agency and Customer information shall be confidential unless the Customer consents in writing or as otherwise required by law. This shall encompass confidentiality of Customer address, telephone number, e-mail, specific billing, credit, or water usage information. Customer can request that personal information retained by the Agency be released to unauthorized persons. Please provide Customer name, company (if applicable), title, billing address, water service address, phone number(s), email address(es), and signature. Customer/Representative (print name) Company Name (if applicable) Title Water Service Address Billing Address Phone Number(s) Signature E-Mail Address(es) Agency Representative (print name) Agency Name Antelope Valley-East Xxxx Water Agency Title Address 0000 Xxxx Xxxxxx X, Xxxxxxxx, XX 00000-0000 Signature Phone Number (000) 000-0000 AVEK Water Meter Vault (per AVEK specifications provided) Exiting single meter turnout vault to be modified to add one additional meter/valve/pressure reducer/backflow prevention assembly as required. Maximum combined estimated flow: 1,000 gallons per minute (gpm). Customer to pay all related modification costs for design, construction, inspection, etc. Final Turnout is owned, operated, and maintained by AVEK. Flow New additional meter Existing meter Prior to approval of Untreated (Non-Potable) Water Use for the Agency, the Customer shall comply with specific conditions determined by the Agency based on initial review of Customer’s Non-Potable and potable Water systems. The Agency and its representative(s) will perform an annual inspection of Customer’s Premises which shall take place in order to verify Customer’s compliance with Agency Rules and Regulations including all cross- connection and backflow prevention requirements of the Agency (Article 3.35); separating Customer Untreated (Non-Potable) and Treated (Potable) Water systems via an approved air gap. All Customer operations of Untreated (Non-Potable) Water system(s) shall comply with Agency Rules and Regulations, Article 5.0 Untreated (Non-Potable) Water Use Guidelines & Best Management Practices. The following conditions for final approval for water service must be meet prior to water service to the real property(ies), dwellings, water facilities, and/or business(es) indicated in Exhibit B of Water Service Agreement WSA No.: :
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