Pink Hill, NC · Lenoir County

No notary required

Water/Sewer Application

Pink Hill residents and businesses use this application to request water or sewer service and provide account, contact, and service-start information.

What this form is

The application is used to request water or sewer service from the Town of Pink Hill. It asks for applicant and business names, service and billing addresses, contact and employer details, driver’s license number, and the requested water start date. Applicants accept responsibility for charges, and the form lists deposits, a nonrefundable application fee, payment methods, and required picture ID.

Who needs it

Residents or businesses seeking water or sewer service at a Pink Hill location can use this application to establish service responsibility.

How to submit it

The form lists the Town of Pink Hill at 303 S Central Ave., P.O. Box 530, Pink Hill, NC 28572, and phone number (252) 568-3181. It states that picture ID is required and lists accepted payment methods.

About notarization

This application is signed without a notary; the applicant signs and dates it, and no notarized attachment or related step is listed.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Pink Hill Water/Sewer Application PDF.

  2. 2

    Complete The Application

    Fill in the applicant and service details, requested water start date, and responsibility statement; sign and date the form.

  3. 3

    Gather Required Items

    Bring picture ID and prepare payment using one of the methods listed on the form.

  4. 4

    Submit To The Town

    Use the town address listed on the form: 303 S Central Ave., P.O. Box 530, Pink Hill, NC 28572.

Frequently asked questions

Do I need a notary for the Water/Sewer Application?
No. The application is signed and dated without a notary, and it does not list a notarized attachment or related step.
How do I submit the Water/Sewer Application?
The form lists the Town of Pink Hill at 303 S Central Ave., P.O. Box 530, Pink Hill, NC 28572. It also lists (252) 568-3181 for contact.
What information does the application request?
It asks for applicant and business names, service and billing addresses, phone and employer details, a driver’s license number, and the date water needs to be turned on.
What should I bring with the application?
The form states that picture ID is required. It also lists deposits, a nonrefundable application fee, and accepted payment methods.

Need something notarized?

This Water/Sewer Application doesn’t need a notary — but if you have another Pink Hill form that does, a commissioned online notary can help.