Big Stone Gap, VA · Wise County
Request for Sewer Adjustment for Residential Pool Fill-Up
Property owners use this form to request approval for a sewer charge credit when filling or refilling a residential swimming pool.
What this form is
This form lets a property owner request approval to fill or refill a swimming pool and receive a sewer charge credit for the water used. It asks for the owner's contact and property details, fill-up dates, beginning and ending meter readings, estimated pool capacity, and signature. The form explains meter readings, acceptable meter photos, hose requirements, and how water usage is billed.
Who needs it
A property owner seeking approval for a swimming pool fill-up and a sewer charge credit for the water used should complete this form.
How to submit it
Submit it to the Utilities Department named on the form for approval; check the city website for current contact details.
About notarization
No notary is required; the owner signs and dates the request, and the document identifies no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Residential Pool Fill-Up Sewer Adjustment request.
- 2
Complete The Request
Enter the owner and property details, fill-up dates, meter readings, estimated pool capacity, and signature.
- 3
Prepare Meter Information
Provide beginning and ending meter readings; readable photos of the meter before and after filling are accepted.
- 4
Submit For Approval
Submit the completed request to the Utilities Department named on the form for approval.
Frequently asked questions
- What is the Residential Pool Fill-Up Sewer Adjustment form for?
- It requests approval to fill or refill a swimming pool and a sewer charge credit for the water used. The water usage is billed on the next water bill.
- What information does the pool fill-up form ask for?
- It asks for owner and property details, fill-up dates, beginning and ending meter readings, estimated pool capacity, and the owner's signature.
- Do I need a notary for the Residential Pool Fill-Up Sewer Adjustment form?
- No. The owner signs and dates the request; the document identifies no notarized or sworn attachment or related step.
- How do I submit the pool fill-up sewer adjustment request?
- Submit the request to the Utilities Department named on the form for approval. Check the city website for current contact details.