Application for Service
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Application for Water/Wastewater Service — Ebensburg, PA
This is an official application form from the Borough of Ebensburg for residents or businesses seeking new water and/or wastewater service. The document outlines required information, fees, rules, and responsibilities for applicants.
Key Details:
- Issuing Authority: Borough of Ebensburg / Ebensburg Municipal Authority
- Contact Info:
- Address: 300 West High Street, Ebensburg, PA 15931
- Phone: (814) 472-8780
- Fax: (814) 472-8789
- Email: tyoung@ebensburgpa. com
- Website: www. ebensburgpa. com
Required Information to Provide:
- Date of application and desired service start date
- Whether you own or rent the property
- Customer name, service address, and mailing address (if different)
- City, state, ZIP for both addresses
- Telephone number, fax, and email
- Name of engineer or contractor involved (if applicable)
If Renting:
You must also provide landlord details:
- Landlord’s name, full address, phone number, and fax
Important Rules & Fees:
- All applicants must read the Authority’s Rules & Regulations before applying — available at www. ebensburgpa. com
- Tapping fees and other obligations must be paid in full before connection
- The Authority may conduct usage analysis; customers exceeding their allocated usage over 12 months will be billed additional tapping fees based on actual use (per Section 5. 3. 6)
- Applicants must attach a development or lot plan showing locations and sizes of all water/wastewater lines, fittings, and appurtenances
Signature Section:
- Applicant must print their name and sign the form
New Tap Section (Complete Only If Applicable):
- Estimated usage in EDUs (1 EDU = 165 gpd for water / 200 gpd for sewer)
- Water service line size and type
- Wastewater service line size and type
- Tap fees: Water $, Wastewater $, Total Fee $______
This form ensures compliance with local regulations and helps the Authority manage infrastructure and billing accurately. Residents should complete all sections carefully and submit with required documentation.