Skip to form
Pool Filling Adjustment Form
City of Gastonia Pool Fill Adjustment Policy
Fill must be for 3,700 gallons or more
Only one pool filling adjustment is given per year for each address
The adjustment will be for the sewer portion that is above normal usage
The average will be calculated using the average water usage for the last three months
Full Name
First Name
Last Name
Email
Receipt
You will be provided with a Receipt upon submission.
Full Address
Street Address
City
State
Zip
Account Number:
Phone Number
Total Gallons Pool Holds
Full or Partial Pool Fill:
Date Pool was Filled:
disregard this