Application For Service - Septage Hauler

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Anchorage Water & Wastewater Utility

Please complete this form, print, sign, and return to AWWU.  Thank you.

Please correct the field(s) marked in red below:

Application for Service - Septage Hauler

Incomplete application or credit review is subject to deposit requirement.  Allow two (2) business days for processing.

 
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 Individual or Partner Responsible for Payment

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Individual or Partner Responsible for Payment
 
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COMPLETE THIS PROTION FOR ANY OTHER OWNERS / PARTNERS / OFFICERS / RESPONSIBLE FOR PAYMENT OR AUTHORIZED TO CONDUCT BUSINESS ON THIS ACCOUNT
COMPLETE THIS PROTION FOR ANY OTHER OWNERS / PARTNERS / OFFICERS / RESPONSIBLE FOR PAYMENT OR AUTHORIZED TO CONDUCT BUSINESS ON THIS ACCOUNT
 Vehicle #1  Vehicle #2  Vehicle #3
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Vehicle #1 Vehicle #2 Vehicle #3

 Trailer #1  Trailer #2 Trailer #3 
Trailer #1 Trailer #2 Trailer #3

If a deposit is required on your account, it shall equal the average of two (2) monthly bills.


In case you must be contacted regarding your application, please provide a phone number at which you can be reached during normal business hours:

I understand I will be required to complete a truck inspection for each new vehicle / trailer utilized.
 
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AMC 26.50

I understand Anchorage Municipal Code 26.50 prohibits discharges such as the following:

 

  • Pollutant or wastewater which causes pass through or interference, i.e. sand, gravel, or cobbles

 

  • Any stormwater, surface water, surface runoff, groundwater, roof runoff, subsurface

drainage, cooling water or other unpolluted water

 

  • Any water or wastewater which contains petroleum oil, non-biodegradable cutting oil, or products of mineral oil origin in amounts that will cause interference or pass through

 

  • Any solid or viscous substance, or liquid that can become viscous when cooled, in amounts capable of causing obstruction to the flow in sewers or other interference with the proper operation of the sewerage system

 

  • Any wastewater which creates a fire or explosive hazard

 

  • Any wastewater having a pH lower than 5.0 or higher than 12.5

 

  • …and agree to ensure these materials are not discharged at AWWU Septage Receiving Stations by my company or representatives of my company.
 

PLEASE READ AND SIGN THIS AGREEMENT:

 The undersigned certifies that they are the owner-authorized representative of the business identified in this application, with lawful authority to sign for this application for utility service, and agrees to pay the applicable rates and abide by the terms and conditions as prescribed by Municipal Ordinance and Utility Tariffs for all present and future utility service.  Acceptance of this application by the Municipality of Anchorage constitutes a contract between the Municipality and the applicant.  All costs incurred by the Municipality for the collection of any unpaid accounts shall be paid by the applicant.

 The conditions under which a deposit will be required or waived are set forth in Anchorage Water & Wastewater Tariffs.

I hereby declare that the information provided is true, accurate, and complete to the best of my knowledge and belief, and is voluntarily submitted for the purpose of receiving utility service.  I understand that upon presentation, this application becomes the property of the Municipality.  I also certify that I am eighteen (18) years of age or older.

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PLEASE READ AND SIGN THIS AGREEMENT: The undersigned certifies that they are the owner-authorized representative of the business identified in this application, with lawful authority to sign for this application for utility service, and agrees to pay the applicable rates and abide by the terms and conditions as prescribed by Municipal Ordinance and Utility Tariffs for all present and future utility service. Acceptance of this application by the Municipality of Anchorage constitutes a contract between the Municipality and the applicant. All costs incurred by the Municipality for the collection of any unpaid accounts shall be paid by the applicant. The conditions under which a deposit will be required or waived are set forth in Anchorage Water & Wastewater Tariffs. I hereby declare that the information provided is true, accurate, and complete to the best of my knowledge and belief, and is voluntarily submitted for the purpose of receiving utility service. I understand that upon presentation, this application becomes the property of the Municipality. I also certify that I am eighteen (18) years of age or older.
 
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 An email version of the completed form will be sent to your inbox. Please print, sign, and fax to (907) 562-0702; email to CustomerService@awwu.biz; or mail to 3000 Arctic Blvd, Anchorage, AK  99503.

Thank you.

  1. To receive a copy of your submission, please fill out your email address below and submit.