HomeMy WebLinkAboutFHM#3.�w.w wYM 30 rrs&fe rerM
Wnx
t,rWLL.
eMen+Ot/ V"I aw 12131/2021
'[ween 01/0.172!77 awd 12lJU1022
[ween 01X+1,/2020 and 12!31/2022
wee+, 01.10112020 and 1213 yX122
rtan 02,'01/2020 and IZ73L2022
ear Oi,^04 and 1zt31/'+ozz
WELL'
aer ..
0"112021 and 12131/3
0110112017 and 12/31/2022
and u z
V12112Q20ynd f /ifrn»
V0112W anti W3112022—�
202I and 12131!1021
2014 and 12/31/2022
2014 and 12/31/2022
017 and 1273172022
720 and 121312022
20 aro 1213112022
V and 12/3112022
D and 12 12022
'and 12/3112022
s
1 121342021
1243112022
2'342022
FIRE HYDRANT USE PERMIT
NONTRADITIONAL WATER CUSTOMERS
REXBURG
35 North Ist East Noch.phetheon@rexburg.org Phone: 208.372-2136 , CW
Rexburg, ID 83440 www.rexburg.org Anirrtwi Fumdy Community
9 g Fax: 877.397.3917
Date Issued ! Meter #
.3 Hose Number: ,yi`e23
Permit # 10 • (� D
Business name: _*f a, _& )-1,047 Phone# kpv,'n. 204 f/5- 665*9
Picked up by X7,e 0,4 rn,r� red c�, Phone #. sea a 70Q — G0f — Z >g t
Address: 2. ,t4' /Zjt JIl
�c9 Year Issued:
Deposit amt: (Receipt Code= WDEP) with cr dit cards charge an additional 3.5% (Receipt Code= MISCG)
$1,600 Large Capacity Water Meter Deposit retained? ke"OR"R' or refunded?
$ 600 Small Capacity Water Meter ( date)
CONDITIONS OF PERMIT:
In order to prevent possible contamination from backflow of the Rexburg city water system, any persons or entity
desiring to obtain water from a city fire hydrant must comply with the following:
1. Obtain a written permit from Rexburg City Hall, 35 N 1" East, before attempting to take any water.
f 2. Take water only from the one fire hydrant designated by the city water department.
1 3. Checkout the backflow and metering device from the city water dept. to be attached to the fire hydrant
agreed upon by the user and the city water deptment.
4. As indicated above a deposit will be required on any metering device. Any damage to or loss of the device
will be paid for by the user. After any use, repair, or replacement charges are deducted ,the balance of the
deposit will be refunded to the user. (City water dept. will conduct a final inspection.)
5. The fee for any water obtained through the metering device is as follows:
Is5 Fee: 1— 1,000 gallons $10.00 Each 1,000 gallons thereafter : $5.00
6. A $50.00 maintenance fee for 1" and $75.00 maintenance fee for 2" will be assessed each year for
maintenance on the meter.
7. The meter needs to be returned by 12/1 for testing calibrations. A meter can be reissued the same day per
request if needed.
Any person or entity not complying with this policy shall be assessed a penalty charge of $400 in addition
to the normal charge for the water taken.
Signature of Applicant
REFUND TO:rr�a CHARGES:
METER OK: YES OUT READ
NO IN READ METER MAINT 75.00
GAL. USED 0- 1000 GAL 10.00
READ DATE ADDITIONAL WATER
METER RE -ISSUED? YDS NO REPAIRS -PARTS
TOTAL
Received by:
Issued by:
1
iT
W., td service l
ng repl2kce
with 'is tra
_C(tWj L�rE rCJ�-jrl ementsun
eats to the current cen,
ery hrhrouSl
g Flo rule
ns sooner. ,000 customers)
ba, ed Per billions (PPb) versus
nore LSL, sooner, wal Set ith 'heir state 15 Pb.
'resi4ha °will better
frequently, at at n)o ppb a
n find the high) ad leveloore s that
tnnually or serni_annuall
Y at the standard numb,
S with LSL, likely to h
I l lower the lead in save higher levels
icles prior to sa ampler of lead.
ce line. mpling_ will be Prohibited
will not meet th
system -owned a Proposal require
f the line. P°rtion of an LSLlnenis'
nes, when a rust
'he line
ppb _as replaced towards their 71, 7e
even when no replacement r ovv
co
TWINING
I
Back to Even
Classroom
m
Idaho Rural Wak
specialists, as w
managers- Untt
wastewater CE
40nday. Decam
Utility N
April 21-221'
Evart dah
Utility brae
professions
water, ,1151
This trIW
and tam s
Tomes ik
FinapgR
Teel