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FORT WORTH WATER DEPARTMENT
Application and Contract for Water and/or Sanitary Sewer Service Outside City Limits
This is a request to the Director of the Water Department of the City of Fort Worth for water and/or sanitary sewer
service outside the city limits of Fort Worth, pursuant to City Code Section 35-60.
First Name, Middle Initial. Last Name (or Legal Entity)
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1st Address Line (Outside Fort Worth City Limits Location) Area Code + Telephone Number
2nd Address Line (Outside Fort Worth City Limits Location)
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City, State, Zip code
Check All That Apply:
'Water Service
Sewer Service
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i, ksrn? , as owner/operator of the property located at the named address above
(Name)
understand that the provision of water by the City of Fort Worth shall be made in strict compliance with Chapter 35 of
the Fort Worth City Code (1986), as amended, specifically but not limited to the following Sections:
1. City Code Section 35-60 '`Uses Outside Citv" as applicable; and
2. City Code Section 35-20 "Provisions Incorporated into Consumer Contracts" as applicable; and
"All of the provisions of this Chapter [35] shall be deemed to be incorporated in every contract between the city
and its water or sanitary sewerage service customers, and each customer or consumer shall be charged with
knowledge of the provisions of this chapter and, by applying for and accepting water or sanitary sewerage
service from the city, to have assented to the provisions of this chapter." This shall include any and all
ordinances adopted and amending Chapter 35 such as ARTICLE VI. LAWN AND LANDSCAPE IRRIGATION
CONSERVATION.
3. Citv Code Section 35. Article III "Charges" as applicable; and
The owner understands that he/she is responsible for any related impact fees, tap fees, meter deposits, front foot
charge, per acre charge, water main capacity charge and extension under CFA or miscellaneous project. Please
obtain the amount to these charges from the Fort Worth Water Development Section.
4 Citv Code Section 26-2 A 01.2 as applicable; and
The owner needs to apply for a plumbing permit with the Fort Worth Planning & Development Department to
connect to the City of Fort Worth water and/or sanitary sewer lines despite the property is in the county.
5. City Code Section 12.5. Article V '`Public Drinking Water" and Chapter 35. Article VII '`Installation & Maintenance
of Irrigation System" as applicable.
The owner is responsible for the installation of backflow devices, obtaining permit through the Fort Worth Planning
and Development Department and test the devices annually according to this section of the city code for both
domestic and irrigation systems.
Last Updated: 10/2009
Please Mail to: Viesha Kaminska Water Engineering and Fiscal Services; City of Fort Worth, 21-° floor,
1000 Throckmorton St., Fort Worth TX 76102-6312
Office (817) 392-8428 FAX (817) 392-8195
RECEIVED AUG - 4 2O1t:
Pag? 1 of2
LEGEND
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Recording information shown hereon may not
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GRAPHIC SCALE IN FEET
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tang Surn log• Cement; Man oC Prb.vdur'os and Practices.
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sod real property descriptions fer panel. A-& C-£ ar D-2
baled attached herewith.
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Apparent Owner:
EYE DIXON
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BASIS OF BEARINGS:
RECORD FOR THE NORTIMIRLY LENS OF PARTT ON ALLEY
BEING N 48'13 lI AS POUND MDNUMENTED A SHOWN HEREON.
SCALE
1 ' = 60'
MAP OF SURVEY
SHOWING
PARCELS A-2, C-2 & D-2,
L.J. HURGESS ESTATE
SITUATED IN THE T.J. BAILY SURVEY, ABSTRACT NO, 164
TPARTITION rvTY, TEXAS DEED BETWEEN ACCORDING
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BUHGRSS, ET AL.
RECORDED IN VOLUME 2568, PAGE 173, DEED RECORDS,
TARRANT COUNTY; TEXAS
Hans Kevin Raman
leered Professional Land Surveyor //4786
11505 Dark Leaf Ct. E.
Fort Worth, Texas 76195
(817) 238-0022
Mop prepared M" Berthold X Dreary
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NAD 1983 StatePlane Texas North Central FIPS 4202 Feet
For general purpose only. Contact City of Fort Worth Transportation and Public Works at 817-392-8426 to get plan information for design or construction purposes.
Maps with aerial and contour information are prohibited from reproduction and distribution without prior consent from the North Central Texas Council of Governments.
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M&C Review
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COUNCIL AGENDA
DATE: 7/22/2014 REFERENCE
NO.:
Page 1 of 1
Official site of the City of Fort Worth, Texas
FORT WORTII
609595 BOAT CLUB RD
**C-26872 LOG NAME: OUTSIDE CITY WATER AND
SEWER
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Authorize Provision of Water and Sanitary Sewer Service at 1.25 Times the Retail Rate to
the Properties Located at 9585 and 9595 Boat Club Road in Tarrant County, Pursuant to
City Code Section 35-60B, Uses Outside City (ADJACENT to COUNCIL DISTRICT 7)
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the Water Department to provide water and sanitary sewer service at 1.25 times the
retail rate to properties located at 9585 and 9595 Boat Club Road in Tarrant County, pursuant to City
Code Section 35-60B, Uses Outside City; and
2. Authorize the execution of an Agreement for such services.
DISCUSSION:
Mr. Habib Arab, the owner of the properties located at 9585 and 9595 Boat Club Road has submitted
a request to receive water and sanitary sewer service from the City of Fort Worth. The legal
description of the property is: L J Burgess Estate, Lots A2, C2 and D2, located in the extraterritorial
jurisdiction of Fort Worth, inside Tarrant County and within the Fort Worth Water Certificate of
Convenience and Necessity (CCN).
Mr. Habib Arab, has agreed to pay all fees and charges associated with the connection. The
applicant also understands that the fees and the monthly bill will be 1.25 times the rate for customers
inside the City of Fort Worth.
This property is located adjacent to COUNCIL DISTRICT 7.
FISCAL INFORMATION/CERTIFICATION:
The Financial Management Services Director certifies that the Water Department is responsible for
the collection and deposit of funds due to the City.
TO Fund/Account/Centers FROM Fund/Account/Centers
Submitted for City Manager's Office bv: Fernando Costa (6122)
Originating Department Head: S Frank Crumb (8207)
Additional Information Contact: Viesha Kaminska (8428)
ATTACHMENTS
9595 Boat Club Rd Survev.Ddf
9595 Boat Club Rd . adf
http://apps.cfwnet.org/council_packet/mc review.asp?ID 19975&councildate-7/22/2014 07/23/2014