Forms
Legal Processing for Engineering
Developers, consultants, contractors and builders may mail or hand-deliver documents to DPU Engineering. In the transmittal, include an email address and contact information for the person preparing the document. Address documents to a specific person in DPU Engineering. If unsure of the specific person, please call 757-382-6671.
Upon receipt of the document, it will be routed to the appropriate staff member for review and processing, and an email message will be sent acknowledging receipt of the document. Upon approval and recordation of the document, an electronic copy will be sent to the preparer.
Note: For documents recorded with the Circuit Court, do not use white-out or corrective tape. The Circuit Court rejects documents with white-out or correction tape.
Agreements
| Name of Agreement | Adobe PDF | More Information |
|---|---|---|
| Deed of Easement (PDF) | Fillable Form | Instructions (PDF) |
| Land Locked Property Agreement for Water and/or Sewer Connection (PDF) | Fillable Form | Instructions: Please type. Do not handwrite. |
| Sewer Facility Operation and Maintenance Agreement (PDF) | Fillable Form | Please type. Do not handwrite. |
| Temporary Water Meter Agreement (PDF) | Fillable Form | Please type. Do not handwrite |
Checklists
| Name of Checklist | Adobe PDF |
|---|---|
| Construction Record Drawing (PDF) | Fillable List |
| Utility Activation Checklist (PDF) | Fillable List |
Connection Fees
| Name of Fees | Web Page |
|---|---|
| Public Utilities Connection Fees | Fees |
Forms
| Name of form | Adobe PDF | More Info |
|---|---|---|
| Backflow Prevention Device Test Report (PDF) | Fillable Form | Please type. |
| Cost of Utility Improvements (PDF) | Fillable Form | Please type. |
| Deed of Dedication (PDF) | Fillable Form | Please type. |
| Defect Bond (PDF) | Fillable Form | Please type. |
| Defer Connection Fee (PDF) | Fillable Form | Please type. |
| Defer Connection Fee Printable (PDF) | Printable Form | Please Print |
| Field Change Request (PDF) | Fillable Form | Please type. |
| HRSD Interceptor Engineering Project Initiation | N/A | HRSD |
| Letter of Credit (PDF) | Sample | N/A |
| Runoff Control Permit Application (PDF) | Fillable Form | Please type. |
| Statement Of Responsibility - Project Fees (PDF) | Fillable Form | Please type. |
| Affidavit of No Dues & Payment of Claims (PDF) | Fillable Form | Please type. |