Mineral, VA · Louisa County

No notary required

Application for Water and/or Wastewater Usage (Property Owner)

Property owners use this application to request water and/or wastewater service from the Town of Mineral and provide applicant, property, and billing information.

What this form is

This application is for property owners requesting water and/or wastewater usage in the Town of Mineral. It asks for applicant and property owner contact details, service and billing addresses, requested connection date, and, for new construction, building use and bedroom count. The form lists applicable deposits and processing fees and states that a deposit is required before service connection.

Who needs it

Property owners requesting water and/or wastewater service in the Town of Mineral should complete this application and provide the requested property and contact information.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; the signer just signs and dates it to acknowledge responsibility for charges.

How to submit this form

  1. 1

    Download the Application

    Download the Town of Mineral water and/or wastewater usage application for property owners.

  2. 2

    Complete the Application

    Enter the requested applicant, property, contact, service, and billing information.

  3. 3

    Review Deposits and Fees

    Check the listed deposit and processing fee amounts applicable to the service requested.

  4. 4

    Submit to the Town

    Submit the completed application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for this application?
No. The application has no notary block; the property occupant or owner signs and dates it to acknowledge responsibility for charges.
Who uses the Water and/or Wastewater Usage Application?
Property owners requesting water and/or wastewater usage in the Town of Mineral use this application to provide applicant, property, and billing information.
What information does the application ask for?
It asks for applicant and property owner contact details, service and billing addresses, requested connection date, and new-construction details where applicable.
How do I submit the application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application for Water and/or Wastewater Usage (Property Owner) doesn’t need a notary — but if you have another Mineral form that does, a commissioned online notary can help.