Author: kwhitley
Last saved by: Johnson, Carmen
Company: EPCOR Utilities Inc.

EPCOR Water (West) Inc.
#10D-1343 Alberni Hwy
Parksville, BC V9P 2B9
Tel: (250) 951-2460 Fax: (250) 954-0361

APPLICATION FOR WATER SERVICEABILITY FOR
DEVELOPMENTS
THIS IS A 3-PART FORM
PURPOSE OF APPLICATION
EPCOR Water (West) Inc. (EPCOR) is the water utility for French Creek. The Comptroller of Water Rights requires that EPCOR confirm that proposed buildings can be serviced with water prior to the issuance of a Certificate of Public Convenience & Necessity (CPCN). This application form provides EPCOR with the required information to evaluate the serviceability of a proposed subdivision and determine additional supply capacity required to service the development.

PART 1 - This is the initial part of the application.  This must be completed and dropped off, mailed or faxed to EPCOR Water (West) Inc.  Your application will be date stamped the date when it is received and will be processed in priority of the date received.
PART 2 - All items listed must be completed and received within 30 days of EPCOR’s receipt of Part 1 of the application to hold your place in the priority sequence.
PART 3 – All items listed must be completed and received within 30 days of EPCOR’s receipt of Part 2 of the application to hold your place in the priority sequence.
FEES - All fees are based on the Water Tariff established by the Comptroller of Water Rights, and a breakdown of certain charges is outlined below.  

Fee Type | Fee Amount | Fee Description | Deadline for Payment

Contribution in Aid of Future Construction (Deferred Capacity Trust Fund)

SEE CURRENT TARIFF

Payable to EPCOR Water (West) Inc. and held in a trust account (administered by the Water Comptroller’s Office) for future developments of the water system.

Upon  submission of Part 1 of this Application

Application must be made within one year of payment or payment will be refunded and new rate may then apply.

CPCN Preparation Fee

The full cost of preparing the CPCN is passed on to the customer.  Costs may vary between applications due to factors such as the number of lots involved and technical specifications.

The fee is payable to EPCOR Water (West) Inc. 
Progress invoices will be delivered to the customer as the development proceeds.

Within 30 days of the date of the Invoices

CPCN Application Fee | $50.00 | Payable to the Minister of Finance. | Upon submission of Part 3 of this Application
Meter Connection Fee | $310.00 | Payable to EPCOR Water (West) Inc.   This covers a 5/8” meter only.  Any larger meters will be charged as per their cost. An application must be completed and this fee paid before the meter will be installed and connected. | At the time of the Application for the meter installation
Empty Lot Fee | See Water Tariff | Empty lots are subject to an annual fee due and payable every January until such time as the lot is connected to the water system. | Upon receipt of a CPCN Number from the Water Comptroller’s office.
Note:  To complete submission of the CPCN Application, a Rent Charge Agreement must be registered on the parent property of the subdivision.  This is a legal document that is prepared by a lawyer or notary of your choice.  Examples are available on request.  These costs are your responsibility and are billed by your lawyer or notary.  
Costs are subject to change without notice.

EPCOR Water (West) Inc.
#10D-1343 Alberni Hwy
Parksville, BC V9P 2B9
Tel: (250) 951-2460 Fax: (250) 954-0361

PART 1

Please complete all information and submit to address above.

Type of Subdivision: Fee Simple___ Strata___ Bare Land Strata___ Building Strata___ Phased Strata___

| Applicant | Applicant’s Representative (e.g., Engineer)
Corporation | |
Contact Name | |
Address | |
Telephone | |
Cell Phone | |
Email Address | |

Do you require expected system pressures for sprinkler design? (Y/N)

PROPOSED DEVELOPMENT DETAILS:

Aattach plan drawing showing lot, building footprints, and current and proposed water services and hydrants.  Note that draft plan must be submitted prior to payment of the Deferred Capacity Trust Fund.

LEGAL DESCRIPTION AND CIVIC ADDRESS (If civic address not available please provide site map): ________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

EPCOR Water (West) Inc.
#10D-1343 Alberni Hwy
Parksville, BC V9P 2B9
Tel: (250) 951-2460 Fax: (250) 954-0361

PART 1 (continued)

Building Use (complete with all information known to date):

LOT SIZE (m2) Type

Yes/
No

No. of Storeys
(exclude floors
below ground) floor)

Number
of Units

Building
Footprint
Area (m^2)

Floor
Area
(m^2)

Usage Details
(if known)

Multiple Unit Residential | | | | | |
Residential | | | | | |
Commercial | | | | | |
Other? | | | | | |
TOTAL | | | | | |

Is the lot currently serviced? YES____ NO____

If yes, provide EPCOR account number(s): __________________________________________________________

Current Service Size(s) & Location(s) (e.g., West PL 3.0 m South of North PL): ________________________________

Proposed Size of Service(s) ____________________

EPCOR makes no representation or warranty, either express or implied, and accepts no liability in connection with the accuracy of the information included.  The information contained therein is provided for reference purposes only and any reliance thereon is at the user’s sole risk.

All costs are subject to change without notice.

I understand and accept the requirements as outlined above and certify that the information provided in this application is correct.

Where the applicant is not the owner of the premises for which the Water Service is requested, written authorization from the owner of the property for the installation of a new Water Service connection must be provided.

Signature of Applicant	Name of Applicant	Date

EPCOR Water (West) Inc.
#10D-1343 Alberni Hwy
Parksville, BC V9P 2B9
Tel: (250) 951-2460 Fax: (250) 954-0361

Part 2

COMMERCIAL AND MULTIPLE LOT DEVELOPMENT INFORMATION

Please provide the following information:

Legal Description and Civic Address: _______________________________________

MMCD drawings:			Drawing Number	Revision	Dated
	Key Plan											
	Site Servicing										
	Detail Drawing										
	Plan/Profile											

Infrastructure:
	Length of Service from existing
	Main											
	Size of new service main									
	Distance from property		
	 to nearest hydrant										
-If more than 1 property please								
provide the longest distance								
	Size of backflow device if supplied									Size of meter(s) being requested								
	Number of meters being requested								

Domestic Demand*:			Please supply in L/s
	Peak day demand										
	Max day demand										
	Average day demand									

Fire Flow (FUS)*:
	Flow requirements at property 
 	 line or hydrant										
	Residual pressure for required Flow
	 at property line (if sprinklered)								

*Please provide calculations

Note:  Residual pressures for site hydrant flows will be based on MMCD design standards.

Company: | | | | | | | |
Name: | | | | | | | |
Signature: | | | | | | | |
Date: | | | | | | | |
Note: Once completed please submit in pdf format | | Eng. Seal |

EPCOR Water (West) Inc.
#10D-1343 Alberni Hwy
Parksville, BC V9P 2B9
Tel: (250) 951-2460 Fax: (250) 954-0361

PART 3

1.	COMPLETION OF THE INFORMATION REQUIRED AS LISTED BELOW:

•	The purpose(s) for which service is to be used (e.g., domestic, commercial, irrigation, etc.)
•	The legal description of the land
•	The number and location of the premises to be served
•	Key plan and service area
•	Design brief
•	Engineering specifications and drawings complete with a list of drawings and provide name of consulting engineer
•	Engineering supervision
•	Statutory right of way over private land and permits over Crown land
•	Estimated construction costs
•	Notice of application (e.g., newspaper clipping)
•	Approval by or agreements with other authorities
•	Deferred capacity trust fund payment (payable upon submission of Application).
•	CPCN application
•	Rent Charge Agreement

For assistance in preparation of this package you may refer to the following website www.epcor.ca/french creek for the French Creek Tariff as well as www.env.gov.bc/wsd/water_rights/water_utilities/cabinet/CPCN.pdf to download the CPCN Application Guide.

2.	INSTRUCTIONS

1)	Compile and submit all information for Parts 2 and 3.  
2)	Submit to EPCOR (address above). Your application will be date stamped and will be kept in date priority if all items listed above are received within 30 days of Part 1.  If not, your application will be dropped from the priority list. Note that turnaround time depends on the completeness of the information provided and the complexity of analysis required by EPCOR’s engineer.
3)	EPCOR will confirm availability of water services once approval is received from Water Comptroller’s office.
Note: Upon confirmation of availability a Water Service Agreement will have to be signed.

3.	FINAL APPROVAL

The issuance of a CPCN is governed by the tariff and approved by the Comptroller of Water Rights.

EPCOR Water (West) Inc.
#10D-1343 Alberni Hwy
Parksville, BC V9P 2B9
Tel: (250) 951-2460 Fax: (250) 954-0361

PART 3 (continued)
____________________________________________________________________________________________________

4.	STATEMENT OF UNDERSTANDING

I understand and accept the requirements as outlined above and certify that information provided in this application is correct:

Signature of Applicant	Name of Applicant	Date

EPCOR makes no representation or warranty, either express or implied, and accepts no liability in connection with the accuracy of the information included.  The information contained therein is provided for reference purposes only and any reliance thereon is at the user’s sole risk. 

Where the applicant is not the owner of the premises for which the Water Service is requested, written authorization from the owner of the property for the installation of a new Water Service connection must be provided.

of 	Revised: 7/16/2019