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Water and/or Sewer Abandonment Request

  1. City of Belmont, North Carolina

  2. Water/Sewer Tap Abandonment Request

  3. Please indicate why you want to have a tap abandoned.

  4. (If applicable)
    Please include the zoning permit number at the top right hand of your demolition zoning permit.

  5. Requesting Abandonment Of:*

    Select all that apply

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

  7. 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 and "Electronic Signature Agreement".

  8. Leave This Blank:

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