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Water Meter Request - out of City Limits

  1. City of Belmont, North Carolina

  2. Water Meter Work Order Request

    This online submission is for single family residential lots that are outside of Belmont City limits requesting water service

  3. Read Before Proceeding

    Whoever is listed as the applicant on this application is who the minimum monthly charge will be billed and mailed to. If you are filling out this form on behalf of a builder, the builder must be listed as the applicant.

  4. Water Meter Selection*

    Select one of the following

  5. Please allow up to 10 working days for installation from the date requested.

  6. Mandatory Site Preparation

    The site must be properly prepared for the installation of the water meter and water meter box at the time of this submission. The service line must be 16 to 18 inches deep at the curb stop. The curb stop must be exposed and the hole for the meter box must be a sufficient size to allow the box and meter to be placed at grade level, keeping future landscaping in mind. If the site is not prepared at the time of the installation trip, additional trips will result in fees starting at $75.00.

  7. Minimum Monthly Charge

    Once the meter is set you will be responsible for the minimum monthly charge on all services provided to the property. Minimum monthly charges range based on services provided. For more information please call (704) 825-5586.

  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. By signing below, I certify that I have read and understand the "Mandatory Site Preparation" requirements, the "Minimum Monthly Charge" disclaimer, and "Electronic Signature Agreement".

  9. Leave This Blank:

  10. This field is not part of the form submission.