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Pool Filling Adjustment Form
City of Gastonia Pool Fill Adjustment Policy
Fill must be for 3,000 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 average usage.
The average will be calculated using the average water usage for the last three (3) months, not to exceed the maximum volume of the pool (in gallons).
Requests for pool filling adjustments must be made within sixty (60) days of pool filling.
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