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2. To request a new temporary hydrant meter (no engineering permit), complete the information below and submit. Please print this form to submit to our office with payment of the applicable deposit. Water shall only be used within the Windsor Water District service area. All hydrant meter request are subject to approval by the Public Works Department.
4. Date:
   Date:

   Date:
6. Applicant: *
8. Contact Name:*
10. Billing Address:*
12. City:*
13. State: *
14. Zip:*
16. Cell #:*
17. Phone #:
19. Paperless Billing:*
    -- Select One --Yes No
21. Job Site Contact Name:*
23. Phone #:*
24. Email:*
26. Service Location Information
28. When:*
30. Location:*
31. City*
    -- Select One --WindsorSanta Rosa
33. Use/Project:*

    Please describe project and estimated time meter is needed. 

34. HYD #:

36. Deposit: 

    Hydrant Meter:                  $1200.00

     

    Fees: 

    First-Time Set Fee:            $ 143.00

    Relocate/Pull Meter Fee:   $ 143.00

    Meter Lost or Stolen Fee:  $ 121.00 - per meter plus payment in full and forfeiture of deposit.

    
    

    Monthly Fixed Charge: 

    Hydrant :                            $138.83

     

    *Rates and fee are subject to change in accordance with the Town's water rates and master fee schedule.*

38. Acknowledgement:*

    Type name above acknowledging that you have read and understand the Town of Windsor regulations listed below and understand the fees/penalties associated with violation of Non-compliance.

40. 1. Any malfunctions, leaks, breaks or damage to any meter, fire hydrant or other Town property shall be immediately reported to Town of Windsor Water at 707-838-1004 during working hours of Monday through Thursday from 7:00 AM to 6:00 PM. After hours call 707-838-1000
    2. Loss, damage or theft of a temporary meter or other Town equipment shall be the financial responsibility of the permitee, including but not limited to replacement costs and/or repairs and monthly rental. The deposit can be retained by the Town to cover these costs including a $121.00 fee for lost or stolen meters.
    3. If the Town deems appropriate, fines may be deducted from deposit on meter assembly.
    4. Meters are read monthly and usage billed on a monthly basis or when the meter is installed, relocated, removed or exchanged. If there is no water use for a period of six months the meter will automatically be removed. The final water use/fixed charges will be deducted from the deposit; the balance will refunded after the closing statements have been processed. IT IS THE OBLIGATION OF THE PERMITTEE TO CONTACT THE TOWN OF WINDSOR WHEN THE METER IS TO BE REMOVED AND ACCOUNT CLOSED.
    5. Only approved fire hose fittings shall be used on hydrants; they are to be provided by the permittee. THE PERMITTEE IS NOT TO OPERATE A HYDRANT VALVE UNDER ANY CIRCUMSTANCES. The hand ball valve is to be used to turn meters on and off.
    6. Temporary meters are for construction and/or irrigation purposes only. Temporary meters may not have connections under any circumstances to any irrigation systems and/or building of any kind. Temporary meters may be used to test building plumbing systems as long as no water is discharged into the sewer system.
    7. The use of fire hydrant meters in intended only for those situations where a large volume of water is needed for a short period of time, e.g construction. Fire hydrant meters shall not be used as a substitute for permanent water service.
    8. Payment for this service is the responsibility of the signing party. All billed charges must be paid within 30 days of the billing date. The Town maintains the right to deny new water service and/or disconnect current water service when bills become over 60 days delinquent.     

    Please Note: Water shall only be used within the Windsor Water District service area. All temporary hydrant meter request are subject to approval by the Public Work Department prior to being set.

44. Guidelines and Procedures
    • The number of available meters is limited. Meters are available on a first-come/first-served basis.
    • The customer must complete a Temporary Meter Permit Request which is available on the Town’s website. If approved, a meter is available, and fees are paid, the meter will be installed and moved by Town staff.
    • The customer will be responsible for all fees and charges as outlined in the Town of Windsor Master Fee Schedule and approved rate study.
    • Water must be used at the location where the hydrant meter is located; water cannot be moved or used off the site the meter is approved to serve. However, use of surplus water may be authorized through an outside water service agreement.
    • Meters will only be authorized for temporary use. If the use exceeds 12 months and is not a construction project, the citizen or business is required to work with Public Works to find a permanent solution and the meter will be pulled. If there is no water use for a period of 6 months, the meter may be removed.
    • Meters will only be authorized for use on fire hydrants owned by the Town.
    • Town reserves the right to terminate meter permit for any reason with sufficient notice to permittee.

48. For office use: Meter # ___________________     Read:  ____________________  Date Meter Set:  _____________________

    Notes:  ___________________________________________          Staff Signature: __________________________________________ _____________________________________________________________________________________________________________

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51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit Submit and Print