# Sewer/Water New Service Application

- Summary: Document Overview This is a Sewer/Water Service Application form for the Borough of Hollidaysburg, PA. It is used to request new water and/or sewer connections for residential or non-residential…
- Source: HollidaysburgPA.org
- Published: 
- Captured: 2026-08-10T16:49:35.826Z
- Source URL: https://hollidaysburgpa.org/wp-content/uploads/2025/12/Sewer-Water-New-Service-Tap.pdf
- Content URL: https://hollidaysburg.ebensburg.site/document/sewer-water-new-service-application/
- Content note: This portable copy is not the official record and may include an automated convenience summary. Verify important details in the original document.

Document Overview This is a Sewer/Water Service Application form for the Borough of Hollidaysburg, PA. It is used to request new water and/or sewer connections for residential or non-residential properties. The form must be filed at least two weeks prior to the requested service date. Key Sections & Requirements I. General Information Applicants must provide: Applicant details : Name, phone, street address, city, zip. Property Owner details (if different from applicant): Same fields as above. Affected property address : Street, city, zip — where service will be installed. Service Request Details Specify type of service: Water (with size connection requested) and/or Sewer (with size connection requested). Purpose for which service will be utilized. Distance, depth, and size of nearest public utility line for both water and sewer. Attach site plan(s) showing: Location of site and building position Desired location of service lines Service line materials and sizes Location of public utilities Estimated Flow/Consumption For non-residential uses : Gallons per day (with estimated flow calculations or documentation). For residential uses : Number of dwelling units (EDUs). Service Fees Table Breakdown of fees for Sewer and Water services: Tapping Fee Connection Fee (including deposit if applicable) Customer Facilities Fee: Water Meter Radio Transceiver Meter pit or vault Installation service Other (specify) Total amount due Certification & Signature Applicant certifies that: All information is true and correct. Application is authorized by property owner (or applicant is acting as agent). Agrees to comply with all applicable rules, regulations, rates, ordinances, codes, laws, and acts of: Borough of Hollidaysburg Hollidaysburg Borough Authority Hollidaysburg Sewer Authority Pennsylvania Department of Environmental Protection U. S. EPA Agrees to be bound by any special conditions imposed by the Borough Manager. Signature and date required at bottom. Departmental Use Only (Page 2) Approval Section Grants service as requested for specified property. Conditions of approval (blank space for notes). Important Notice : Effective January 6, 1991, lead-containing materials are strictly prohibited in plumbing systems per Pennsylvania Plumbing System Lead Ban and Notification Act. Must certify only lead-free materials used before connection. Signatures: Borough Secretary Date approved Permit numbers (water and sewer) recorded here. Fees Paid: Deposit Paid ($) Actual Connection Cost ($ for water and sewer) Credit or Payment Due ($) Denial Section (if applicable) If request is denied: Reason(s) for denial must be stated. Signed by Borough Secretary with date approved. Important Notes for Applicants Lead-free materials are mandatory for all new plumbing connections. Site plans must be attached and clearly show layout and utility locations. Estimated consumption data is required for non-residential applications. All fees must be paid; final amounts determined after inspection and installation. Applications not filed 2+ weeks in advance may be delayed or rejected. This form ensures compliance with local and state regulations while facilitating safe, efficient utility service installation.