Water & Sewer Availability Request Form

Water & Sewer Availability Request Form

Provide your property and project details to request preliminary confirmation of public water and/or sewer availability.
If you are requesting a map of the water and sewer lines adjacent to the parcel, please check here. By checking this box, you acknowledge that all maps are furnished exclusively for the requester and/or their client for informational purposes only and shall not be reproduced, distributed, shared, or published in any form.
Property Information
Parcel ID Number(s)
Property Address (or street name if no address is assigned)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Requester Name

First NameMiddle NameLast Name
Requester Email Address
example@example.com
Project Type (check one)
Duplex/Triplex/Commercial/Industrial
Please provide a brief description of your project:
Public Water
Public Sewer
Private Well
Private Septic System
Irrigation
Fire Line
Subdivision or Townhomes on Multiple Lots
Number of proposed lots
Brief description of project
Public Water
Public Sewer
Private Well
Private Septic System
Irrigation
Fire Line
Site drawing or sketch

Cancelof
Note

The sketch should include: property boundaries, proposed layout, streets or access points, existing structures (if any), proposed utiliity connection points (if known).
Acknowledgment
I understand that this request is for preliminary guidance only. Final utility approval will require engineered plans, permits, and inspections. Please note that annexation may be required for connecting to City Utilities.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Should be Empty:

Water & Sewer Availability Request Form

Property Information

Duplex/Triplex/Commercial/Industrial

Subdivision or Townhomes on Multiple Lots

Acknowledgment