CHAPTER 7 APPENDIX

SUBSCRIPTION FOR AVAILABILITY OF WATER SERVICE

NAME OF DEVELOPMENT OWNER OR UTILITY

NAME AND LOCATION OF SUBDIVISION

NAME AND ADDRESS OF SUBSCRIBER

DOLLAR AMOUNT OF PROPOSED AVAILABILITY RATE

NOTICE

 IMPORTANT DISCLOSURE

 READ CAREFULLY

1.   Subscriber hereby makes application for water service for the following lot(s) in _________________________________________________________________________________(subdivision)

Description of lot(s): _________________________________________________________________________

__________________________________________________________________(lot numbers) (street numbers)

2.   Subscriber hereby agrees to pay an availability rate for availability of water service as defined herein. The initial availability rate to be proposed by Developer or Utility is $ ___. per __________. (month) (quarter) (year).

3.   Subscriber hereby agrees to pay the tap fee or other fees described below in order to receive regular water user service instead of availability service as follows:

      ______________________________________________________________________________________________

      ______________________________________________________________________________________________

(fee description and amount)

4.   All availability rates, fees, rules and regulations for availability of water service are subject to change from time to time upon approval by the North Carolina Utilities Commission.

5.   An "availability rate" shall mean a fee or charge paid to a water utility by a subscriber thereof for the availability of water service being provided by the utility in a specific subdivision or development.

6.   "Availability of water service" shall mean that water of adequate quantity, quality, and pressure is available at all times in a water main located within 75 feet of the boundary of the subscriber's property served, or such other distance as the Commission deems reasonable, whether or not water is actually taken from the system by the subscriber, and whether or not a service outlet is located inside the boundary of the property served.

7.   The availability rate for water service shall continue to be applicable to the subscriber even if at some time in the future the subscriber's property should no longer be in use and the water service should no longer be required by the subscriber. The subscriber, however, shall not be required to pay the availability rate during such time that the regular water user rates are in force for the subscriber's property.

CERTIFICATION

I have read the above disclosure and understand that I am agreeing to pay an availability rate for the availability of water service to my lot(s), whether or not I use my lot(s).

_______________________________

Signature of Subscriber(s)

_______________________________

Name and Address of Subscriber(s)

_______________________________

Date

_______________________________

Witness

_______________________________

Date Accepted

SUBSCRIPTION FOR AVAILABILITY OF SEWER SERVICE

NAME OF DEVELOPMENT OWNER OR UTILITY

NAME AND LOCATION OF SUBDIVISION

NAME AND ADDRESS OF SUBSCRIBER

DOLLAR AMOUNT OF PROPOSED AVAILABILITY RATE

NOTICE

IMPORTANT DISCLOSURE

READ CAREFULLY

1.   Subscriber hereby makes application for sewer service for the following lots(s) in_____________________________

      ________________________________________________________________________________(subdivision)

      Descript of lots(s):____________________________________________________________________________

      ___________________________________________________________________(lot numbers) (street numbers)

2.   Subscriber hereby agrees to pay an availability rate for availability of sewer service as defined herein. The

      initial availability rate to be proposed by Developer or Utility is $ ____ per __________ (month) (quarter) (year).

3.   Subscriber hereby agrees to pay the tap fee or other fees described below in order to receive regular sewer user service instead of availability service as follows:_____________________________________________________________

      _____________________________________________________________________(fee description and amount)

4.   All availability rates, fees, rules and regulations for availability of sewer service are subject to change from time to time upon approval by the North Carolina Utilities Commission.

5.   An "availability rate" shall mean a fee or charge paid to a sewer utility by a subscriber thereof for the availability of sewer service being provided by the utility in a specific subdivision or development.

6.   "Availability of sewer service" shall mean that safe, sanitary and unoffensive collection, treatment or disposal of sewage is available at all times by means of a sewer main located within 75 feet of the boundary of the subscriber's property served, or such other distance as the Commission deems reasonable, whether or not sewage is actually delivered to the system by the subscriber, and whether or not a service outlet is located inside the boundary of the property served.

7.   The availability rate for sewer service shall continue to be applicable to the subscriber even if at some time in the future the subscriber's property should no longer be in use and the sewer service should no longer be required by the subscriber. The subscriber, however, shall not be required to pay the availability rate during such time that the regular sewer user rates are in force for the subscriber's property.

CERTIFICATION 

I have read the above disclosure and understand that I am agreeing to pay an availability rate for the availability of sewer service to my lot(s), whether or not I use my lot(s).

_____________________________________

Signature of Subscriber(s)

_____________________________________

Name and Address of Subscriber(s)

_____________________________________

Date

____________________________________

Witness

____________________________________

Date Accepted

SUBSCRIPTION FOR AVAILABILITY OF WATER AND SEWER SERVICE

NAME OF DEVELOPMENT OWNER OR UTILITY

NAME AND LOCATION OF SUBDIVISION

NAME AND ADDRESS OF SUBSCRIBER

DOLLAR AMOUNT OF PROPOSED AVAILABILITY RATE

NOTICE

IMPORTANT DISCLOSURE

READ CAREFULLY

1.   Subscriber hereby makes application for water and sewer service for the following lot(s) in _____________________

      ________________________________________________________________________________(subdivision)

      Description of lot(s):__________________________________________________________________________

      ___________________________________________________________________(lot numbers) (street numbers)

2.   Subscriber hereby agrees to pay an availability rate for availability of water and sewer service as defined herein. The initial availability rate to be proposed by Developer or Utility is $ ____ per _________ (month) (quarter) (year) for water and $ ____ per ________ (month) (quarter) (year) for sewer.

3. Subscriber hereby agrees to pay the tap fee or other fees described below in order to receive regular water and sewer user service instead of availability service as follows: __________________________________________________

      _____________________________________________________________________(fee description and amount)

4.   All availability rates, fees, rules and regulations for availability of water and sewer service are subject to change from time to time upon approval by the North Carolina Utilities Commission.

5.   An "availability rate" shall mean a fee or charge paid to a water or sewer utility by a subscriber thereof for the availability of water or sewer service being provided by the utility in a specific subdivision or development.

6.   (a) "Availability of water service" shall mean that water of adequate quantity, quality, and pressure is available at all times in a water main located within 75 feet of the boundary of the subscriber's property served, or such other distance as the Commission deems reasonable, whether or not water is actually taken from the  system by the subscriber, and whether or not a service outlet is located inside the boundary of the property served.

(b) "Availability of sewer service" shall mean that safe, sanitary and unoffensive collection, treatment or disposal of sewage is available at all times by means of a sewer main located within 75 feet of the boundary of the subscriber's property served, or such other distance as the Commission deems reasonable, whether or not sewage is actually delivered to the system by the subscriber, and whether or not a service outlet is located inside the boundary of the property served.

7.   The availability rate for water and sewer service shall continue to be applicable to the subscriber even if at some time in the future the subscriber's property should no longer be in use and the water and sewer service should no longer be required by the subscriber. The subscriber, however, shall not be required to pay the availability rate during such time that the regular water and sewer user rates are in force for the subscriber's property.

CERTIFICATION

I have read the above disclosure and understand that I am agreeing to pay an availability rate for the availability of water and sewer service to my lot(s), whether or not I use my lot(s).

________________________________________

Signature of Subscriber(s)

________________________________________

Name and Address of Subscriber(s)

________________________________________

Date

_____________________________________

Witness

_____________________________________

Date Accepted

(NCUC Docket No. W‑100, Sub 4, 4/2/75.)