Water Service Connection Form – Hays Trinity Groundwater Conservation District

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Application Number

It is the responsibility of the water service supplier to submit the completed “Water Service Connection” form and **$800 connection fee** to the District. Upon receiving the completed form and $800 per connection fee, the District will process and send a “Certificate of Connection” to both the water service customer and the water service supplier. The “Certificate of Confirmation” must be received prior to activating the new service.

Owner Information:

First Name:*

Last Name:*

Company Name:

Current Mailing Address:*

City:*

Zip Code:*

State:*

Best Phone #:*

*Best E-Mail:*

New Connection Information:

911 Street Address:

911 City:

Water Service Supplied By:

Fees:

New Water Service Connection Fee

Total

Stripe*

Please check if you have activated a Stripe feed for your form.

Please provide the following in order for the District to process and complete your water service connection request.
An $800 fee is required for your water service connection. Send a check to the address below and include your notification number on the check.

Hays Trinity Groundwater Conservation District
PO Box 1648
Dripping Springs, TX 78620

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Confirmation Message