Water-Sewer Bill of Sale Backflow Prevention Device INSTR 5263097 OR 5270 PG 3524
PROJECT: Blue Sky's Fire BFPD RECORDED 5/9/2016 11 4R5AM PAGES 3
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DRI
VbIGI I I E. 617901
uC K, CLERK O I HE C IRCUI T COURT
Folio: 24207502866 COLLIER COUNTY FLORIDA
REC$27.00
BILL OF SALE OF BACKFLOW PREVENTION DEVICE
This Bill of Sale is executed this 1\t Th day of A ?i i I , 2016, on behalf of
the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE
GOVERNING BODY OF COLLIER COUNTY AND AS EX-OFFICIO THE GOVERNING BOARD
OF THE COLLIER COUNTY WATER-SEWER DISTRICT, ("Grantor") to BLUE SKY'S CO-OP, INC.,
a Florida not-for-profit corporation, its successors and assigns, ("GRANTEE").
GRANTOR, for and in consideration of Ten Dollars ($10.00) and other good and
valuable consideration from GRANTEE to GRANTOR, receipt of which is hereby
acknowledged, GRANTOR hereby CONVEYS to GRANTEE, its successors and assigns
forever, ownership in and to any and all backflow prevention device(s), and any other
infrastructure or improvements appurtenant thereto or thereunder, associated
therewith and/or connected thereto, attached upstream or downstream of the
backflow prevention device, and all portion(s) thereof lying in, on, over and/or under
the following described land beginning at GRANTEE's property line, for GRANTEE'S
operation, replacement, repairs, maintenance, and/or relocation, lying and being in
Collier County, Florida, as follows:
(Exhibit "A" attached hereto is a sketch or other graphic representation that depicts the
physical location of items being conveyed by this Bill of Sale.)
(Exhibit "B" attached hereto is a device detail for the item being conveyed.)
IN WITNESS WHEREOF, Grantor has caused this Bill of Sale to be executed the
date and year first above written as authorized by the Board of County Commissioners
as the governing body of Collier County and as ex-officio the governing board of the
Collier County Water-Sewer District.
BOARD OF COUNTY COMMISSIONERS OF ''•��
COLLIER COUNTY, FLORIDA, AS.tHE
GOVERNING BODY OF COLLIER COUNTY AND `�' ',.
ATTEST: AS THE EX-OFFICIO GOVERNING BOARD OF THE,:
DWIGHT E. BROCK, Clerk COLLIER COUNTY WATER-SEWER DISTRICT .,r
' �
/ , � ' 'i► BY: 41410
A est as toCh.irmanS ,.D-p :rk DONNA FIALA, Chair •
sivatute Only ,f``` phis Conveyance App
7 pprove•I•si •I •nd legality: The Board Of County By
By
Commissioners
By: It', Collier County Florida,
Pursue t To Agen is
JEFF A. LA �''e County Attorney Date: 40(6 LC,-Item No: ib�a
Accepted „y e 'ANTEE: BLUE SKY'S CO-OP, INC., a Florida
not-for- rofit corporr�ation
By: 4 / .
Print: c�?� i`l&14.c1 v l ( I s
Title: Tug' ��
The foregoing Bill of Sale is acknowledged before me this 1 ' day of
Yyt_ , 2016, by 60 L Pi ‘ 1-AQtri:c 5/ , as c„qn behalf of BLUE
SKY'S CO-OP, INC., who is personally known -V OR wduced identification
. Type of identification produced: .
Notary Public
My Commission Expires: Ur `' h & -D ;`o'�� Y p�e�,; Mary A. Ambeau
44 :*_ CWIMISS!() #F795 82
w,r,., J►�'`.,. EXPIRES: April 22. 2020
�,/,'oF'F\,, Bonded Thru Aaron Notary
I EXISTING AUTOMATED *DIMENSIONS ARE
FLUSHING DEVICE z-EXISTING R.O.W. LINE APPROXIMATE AND ARE
REPRESENTATIVE OF
EXISTING 8" GATE PLAN LOCATIONS.
VALVE WITH BOX f/�EXISTING R.O.W. LINE
-2" WATER METER WITH
EXISTING 8" GATE RPZ BACKFLOW DEVICE
s, VALVE WITH BOX
It (END COUNTY
OWNERSHIP) — _ EXISTING
TRAILER
EXISTING 8" TEE
*7.46' 8" FIRE SYSETEM
EXISTING FIRE COMPACT FIRE
i SYSTEM DETECTOR
HYDRANT ' j CHECK (PRIVATE)
EXISTING MJ *7_46
ADAPTER
....--
ow 2" WATER
SERVICE (PRIVATE) SS
o
N 8" PVC FIRE MAIN
,EXISTING 8" HDPE 3 (PRIVATE)
WATER MAIN
.I 8"x6" REDUCER o 5' 10'
3
6" PVC FIRE MAIN I GRAPHIC SCALE•
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EXISTING ARV , -I
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Li pQEXI
1 .1\., STING WALL
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RADIO ROAD (CR 856)
December 6, 2013 10:40 AM K:\2010\100165.00.00 Blue Sky\0005 Construction Plan Preporation\Rev 03 RECD\Exhibit B.dwg
DIATAINC. DEC., 2013LE CLIENT: COLLIER COUNTY
Planning
VisualizationS`" BOARD OF COUNTY COMMISONERS
CONSULTING Civil Engineering 1 = 10
AL Y 6 O i Se,Sudeng84 ng "A" TITLE:BLUE SKY'S FIRE BACKFLOW TURN OVER
6610 Willow Park Drive,Suite 200 M.S.J.
Naples,FloridaX34109 CHECKED es. EXHIBIT A (PLAN VIEW)
(239)597-0575 FAX (239)597-0578
www.consult-rwa.com
Florida Certificates of Authorization SEC: TWP: RCE: PROJECT 4 cr r i 6S.00.00 SHEET FILE EXHIBIT A
EB 7663 LB 6952 31 49S 26E NUMBER. NUMBER: OF NUMBER.
EXHIBIT A
Page 1 of 1
5"-0"
WILKINS MODEL 475DA, OR COUNTY APPROVED
EQUAL, REDUCED PRESSURE DETECTOR ASSEMBLY---�______
•'111.1.W111111100,••l_'•
t\411,\ t\w
I RISING STEM AND RESILIENT - C41r. 0,
SEAT FLANGED GATE VALVE \ -�_
ct LZ 10 aft i •• Pal f"---\
wIJ VEHICULAR GUARD POST (nP)�
X13
I
0
wF
a=
°'I� INSTALL INLINE GATE VALVE 30
AT PROPERTY LINE OR c)
I RIGHT—OF—WAY LINE
T
CONCRETE FOUNDATION (TYP)
4' WIDE ■ 5' LONG, 6" THICK
REINFORCED 6 x 6 10/10
WELDED WIRE MESH
,---C> f
.iliul III
______Lc----- jt.,___ S
WILKINS VALVE SETTER
NOTES:
•
1. ALL ABOVE GROUND PIPE WILL HAVE FLANGED END DUCTILE IRON PIPE, PRESSURE CLASS 350. ALL NUTS
AND BOLTS SHALL BE STAINLESS STEEL.
2. (4) VEHICULAR GUARD POSTS TO BE INSTALLED AROUND METER. CONFIGURATION TO BE ILLUSTRATED ON
CONSTRUCTION DOCUMENTS SUBMITTED FOR REVIEW AND APPROVAL.
3. CONNECTIONS REFER TO ANY OUTLET PERMITTING ACCESS TO INTERNAL FIRE SYSTEM (HYDRANTS, Tic).
4. AS THIS UNIT WILL REQUIRE PERIODIC TESTING, FACILITIES REQUIRING CONTINUOUS WATER SERVICE MAY WISH
TO INSTALL PARALLEL UNITS TO PREVENT SERVICE INTERRUPTIONS.
5. ASSEMBLY WILL BE OWNED AND MAINTAINED BY PROPERTY OWNER, STARTING AFTER THE INLINE GATE VALVE
AT THE PROPERTY LINE OR RIGHT-OF-WAY LINE.
6. BACKFLOW DEVICE REQUIRES INITIAL CERTIFICATION BY AN APPROVED CERTIFIED TESTER WITH RESULTS AND
ANNUAL TEST RESULTS SUBMITTED TO THE COUNTY WATER DEPARTMENT
7. ALL PLANTING SHALL BE A MINIMUM OF 3' FROM THE EDGE OF SLAB, AND SHALL PROVIDE A 3' ACCESS
OPENING.
8. ALL ABOVE. GROUND PIPING, INCLUDING ASSTMBL Y, SHALL BF PAINTED RUSTOLEUM FEDERAL SAFETY RED.
9. ALL COMPONENTS THAT COME INTO CONTACT WITH DRINKING WATER SHALL CONFORM TO NSF STANDARD 61.
4" THROUGH 10" COMPACT FIRE SYSTEM DETECTOR CHECK
•
ASSEMBLY DETAIL WITH CONNECTIONS
PERMITTED DOWNSTREAM (WILKINS)
W-10A REVISED: FEBRUARY 2007 N.T.S.
December 6, 2013 10:40 AM K:\2010\100165.00.00 Blue Sky\0005 Construction Plan Preparation\Rev 03 RECD\Exhibit B.dwg T�/
•
INC. DDEC., 2.013 CLIENT: COLLIER COUNTY
I
t %XTA Planning BOARD OF COUNTY COMMISONERS
Visualization SEAL
CONSULTING CM Engineering _N.T.S. 1
A. IL • TA. � eying&Mapping DRAWN
IVIHr TITLE:BLUE SKY S FIRE BACKFLOW TURN OVER
6610 Willow Park Drive,Suite 200
Naples,Florida 34109 CHECKED BY. EXHIBIT B (DEVICE DETAIL)
(239)597-0575 FAX:(239)597-0578
www.consult-rwa.com
Florida Certificates ot Authorization SEC: TWP: RGE. PROJECT 1000165.00.00 SHEET FILE EXHIBIT B
EB7663 LB6952 31 49S 26E NUMBER: NUMBER: OF NUMBER:
EXHIBIT .6
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