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  Sec. Justine Schulte
  RR#1 Box 25
  Hardin, IL 62047
  Ph: 618.576.2482
  Fax: 618.576.9956

  Emergency phone:
  866.856.7883

  Office hours:
  Tue - Sat
  7:30am - 11:30am
 


Click here to download a copy of this contract in PDF format.

CALHOUN COUNTY RURAL WATER DISTRICT
RR 1 BOX 25
HARDIN, IL  62047
PH. 618.576.2482

USER CONTRACT

 

_______________________________ I/We, hereby request permission to make an individual connection to the Calhoun County Rural Water District system.  Our mailing address is/will be _______________________________________________________________________.

Our phone number is __________________.  The individual connection is to be at our business/home located at _____________________________ .  The licensed plumber who will make the connection to the District’s water main is ___________________________.  

The individual connection tap-on fee is $1,000.00.  For this fee the user is provided the privilege of connecting onto the system.  Also, the District will provide the following material; water main saddle and corporation stop, service line and tracer wire from the main to the meter (up to 100 feet), meter yoke with regulating valve (if needed), 3/4” x  5/8” meter, meter tile, and meter lid.

The District will supply no labor, trenching, installation, or road boring.  The plumber approved by CCRW shall supply all labor, trenching, installation, boring and any material not provided by the District.  All workmanship and installation shall be in accordance with State, Local and District laws, rules and regulations and shall be observed by the District’s operator prior to covering up the work.

The meter shall be placed in a location determined by the District near the public road right-of-way.  The District’s maintenance and ownership shall end at the meter.  Water charges will begin the day of connection to the District’s main.  Acceptance of this request by the District is subject to availability of sufficient pressure and current capacity.

If requested, I/We, hereby shall grant the District a perpetual easement in, over and upon, any land in which I/We have any ownership interest (this includes land I/We currently have or in the future obtain any ownership interest in) with the right to erect, maintain, replace/remove water pipelines and appurtenances.  I further agree that any unpaid bills by either myself or any interested parties occupying said property shall constitute a lien against this real estate as described above.

____________________________                 ___________________________
PROPERTY OWNER                                      JOINT PROPERTY OWNER(S)

DATE:              

PAYMENT RECEIVED AND CONNECTION APPROVED:  

 __________________________
DISTRICT REPRESENTATIVE
_________________
DATE:                      

 

 

 

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FOR STATISTICAL PURPOSES ONLY: (Optional)

“The following information is requested by the Federal Government in order to monitor compliance with Federal Laws prohibiting discrimination against applicants seeking to participate in this program.  You are not required to furnish this information, but are encouraged to do so.  This information will not be used in evaluating your application or to discriminate against you in any way.  However, if you choose not to furnish it, we are required to note the race, ethnicity and sex of applicants on the basis of visual observation or surname.”

___  I do not wish to furnish this information

Ethnicity: 
___  Hispanic or Latino
___  Not Hispanic or Latino

Race:  (Mark all that apply)
___  White   
___  Black or African American
___  American Indian or Alaska Native
___  Asian
___  Native Hawaiian or Other Pacific Islander

Sex: 
___  Male

___  Female

Calhoun County Rural Water District is an equal opportunity provider and employer.

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