Private Well Meter Application

PRIVATE WELL WATER METER APPLICATION 
This application is required to be completed by the property owner.  This application is for those property owners installing 
a meter to measure water consumption from their well. There is no cost to apply; however, a plumbing permit, with 
applicable fee, and inspection from the Building Department is required.  Contact the Building Department at 
860-444-5826 or apply online at https://www.waterfordct.org/201/Building. 
All fields must be filled out completely 
Is there public water at your street: ☐ Yes ☐ No 
Owner(s):  
Property Address:  
Telephone Number:   
 
 
 
 
        Customer Number:  
Email:   
Property Owner Signature:  
METER INFORMATION 
Meter Brand: Neptune (mandatory)  
Model: T-10, reading in cubic feet (mandatory) 
Meter Number: 
Size of meter:   
Date of Installation:   
Meter Reading (at installation date):   
 
 
 
Picture Included: ☐ Yes ☐ No 
If the installation is done by a plumber, please provide the following information: 
Installer’s Name (Plumber):  
License Number:  
Installer Signature:  
For Office Use Only 
Building Permit Number:      B- 
Date Inspected:   
RETURN COMPLETED APPLICATIONS TO THE WATERFORD UTILITY COMMISSION: 
IN PERSON AT: 
1000 Hartford Turnpike, Waterford, CT 06385 
BY MAIL:  
PO Box 310, Waterford, CT 06385 
BY EMAIL:  
wuc@waterfordct.org 
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