Warrenton, NC · Warren County

No notary required

Sewer Adjustment Request

Town of Warrenton water and sewer account holders use this request to seek a sewer charge adjustment for qualifying increased water usage.

What this form is

This form lets Town of Warrenton account holders request an adjustment to sewer costs associated with pool filling, outdoor watering, or plumbing leaks. The form says the billing cycle’s consumption must exceed the account’s 12-month average by more than 1,000 gallons, and requests should be submitted before the due date. It asks for account and service details, the reason for the request, and supporting information when applicable.

Who needs it

Town of Warrenton account holders seeking a sewer adjustment for qualifying pool filling, outdoor watering, or a plumbing leak should complete this request.

How to submit it

Submit the request before the due date to Town of Warrenton Public Works, 113 S Bragg St, PO Box 281, Warrenton, NC 27589.

About notarization

This document is signed and dated without a notary; the signer just provides the requested information and signature.

How to submit this form

  1. 1

    Download The Request

    Download the Sewer Adjustment Request PDF.

  2. 2

    Complete The Form

    Enter your contact, account, service address, billing cycle, reason for the request, and signature and date.

  3. 3

    Gather Supporting Information

    For a leak, identify its location and include repair documentation. For pool filling, list the dates and include required photos for qualifying refilling requests.

  4. 4

    Submit To Public Works

    Submit the request before the due date to Town of Warrenton Public Works at the address shown on the form.

Frequently asked questions

Do I need a notary for the Sewer Adjustment Request?
No. This form asks for the signer’s signature and date, but it has no notary block or notarized attachment requirement.
Who can request a sewer adjustment?
A Town of Warrenton account holder may request an adjustment for qualifying pool filling, outdoor watering, or a plumbing leak when the billing-cycle usage exceeds the 12-month average by more than 1,000 gallons.
What documentation should I include?
For a leak, identify its location and include documentation of repair. For pool filling, provide the exact fill dates; a same-year request for refilling also requires photos confirming the pool was not drained into the sewer system.
How do I submit the Sewer Adjustment Request?
Submit it before the due date to Town of Warrenton Public Works, 113 S Bragg St, PO Box 281, Warrenton, NC 27589. A pending request does not change the requirement to pay the full invoice by its due date.

Need something notarized?

This Sewer Adjustment Request doesn’t need a notary — but if you have another Warrenton form that does, a commissioned online notary can help.