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Project Information Form

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Please use this Project Information Form (PIF) to apply for a new water service connection, or upgrade or relocate an existing water meter. If you have questions, please call our Engineering Services Department at 415.945.1530, or email EngineeringServices@MarinWater.org.

(This form is compatible with modern desktop and mobile browsers, including Microsoft Edge, Google Chrome, Mozilla Firefox and Apple Safari.)

 

Applicant Information

 
Applicant Contact Information

 

Property Information

 

Project Information

 
Existing Improvements (pre-project)

List all structures with water-using fixtures currently on the property.

 
Final Improvements (post-project)

List all structures with water-using fixtures that will be on the property following completion of the project.

 

ADU Information

 

ADU water-using fixtures 

Use the total number of planned water-using fixtures in your ADU project to complete the following section about your project's water-using fixture demand.

* Enter the maximum number of lawn sprinkler heads used at one time.

** Enter 0 or 1 for the 1st hose bib (aka spigot to connect a garden hose). Enter remaining hose bibs in "Hose bib additional" field.

 

Fire Protection Information

Dedicated fire line connection size
 
Fire Department contact information

The following fields must be filled out if your project requires a sprinkler system, dedicated fire line connection or fire hydrant.

 

Water-Using Fixtures

For the table below, enter total quantities of water using fixtures in your home or business following completion of your project. This will help Marin Water staff determine the minimum meter size utilizing Water Supply Fixture Units (WSFU) defined by the Uniform Plumbing Code. 

 

Residential Fixtures - main house

* Enter the maximum number of lawn sprinkler heads used at one time.

** Enter 0 or 1 for the 1st hose bib (aka spigot to connect a garden hose). Enter remaining hose bibs in "Hose bib additional" field.

 

Commercial Fixtures

 

Landscape Irrigation

Applies to previously unplanted area without an existing irrigation system.
Applies to changes made to an existing planted area with an existing irrigation system.

 

Cross-Connection Control: Backflow Prevention

Installation of a testable Reduced Pressure Principle (RP) or Double Check (DC) backflow preventer is required for all services at the water meter. Please be advised a Cross-Connection Survey (inspection) will be conducted at this service address to assess for additional potential hazards to the public and internal drinking water systems. The following items must be considered when designing water systems: 

  • Backflow Prevention will significantly affect water and fire protection system(s) pressure. 
  • Backflow prevention is required for all irrigation systems at the point of connection. 
  • Other hazards such as radiant heat, swimming pools, and water fountains require Backflow Prevention at the supply line. 
  • Backflow Prevention installed at the meter requires the installation of a thermal expansion tank. 

If you would like a designated survey date and time, please call 415.945.1488 to schedule an appointment. Otherwise, please select a day of the week and appointment window below.

Day
Appointment window
 
Contractor Contact Information
Contractor address
Facility use

 

Select all existing or planned water fixtures or features*

I declare under penalty of perjury that all statements herein are true and correct. I understand that a cross-connection survey (site visit) may be performed at the above service address and that backflow prevention requirements may be imposed at any time commensurate with the degree of hazard established by state and municipal laws, regulations, and codes.