CONCRETE PAD REQUEST FORM

CONCRETE PAD REQUEST FORM
DATE*

MonthDayYear
Date
Name*

FIRST NAMELAST NAME
PHONE*
EMAIL*
example@example.com
DEED #
(N/A is unknown)
SITE #*
CONTACT INFORMATION OF INSTALLER (COMPANY NAME & PHONE)
MATERIALS INTENDED FOR INSTALLATION
Concrete Pad Guidelines:

Concrete pads are permitted on exclusive sites but must comply with the restrictions and approval process outlined in this policy.

Concrete pads must not exceed 12 feet by 40 feet (12' x 40') in size.

All concrete pad installations require submission of a request form at least 72 hours prior to installation.

The request must include:
A) A sketch showing the property line, dwelling, and proposed concrete pad.
B) Contact information for the installer, if not the member.
C) A list of materials to be used.

Utility Access:

Members should be mindful of maintaining clear access to all utilities (water, sewer, and electric).
Members are encouraged to contact DigRight to have utilities marked prior to installation.

Inspections:
If approved, the project must be inspected at each phase of construction through completion.
Inspections will confirm compliance with all guidelines.

Any concrete pad installed without approval or in violation of this policy may be subject to modification or removal at the member’s expense.
ESTIMATED DATE OF INSTALLATION*

MonthDayYear
Date
I AGREE TO ADHERE TO THE ABOVE GUIDELINES*
PLEASE ATTACH ANY DOCUMENTS, PHOTOS OR DRAWINGS TO ASSIST WITH BOARD APPROVAL.

Form submissions will be directed to the EA/REA board members for review. You will receive a response by email.
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