Cape Fear Public Utility Authority Official Site

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Applications & Forms

1. How to Submit Applications & Forms

Applications and forms may be submitted

In person at either 235 Government Center Drive or 305 Chestnut Street
Using Customer Support online unless otherwise noted
By mail to: 235 Government Center Drive, Wilmington, NC 28403

While most of the documents are fillable, you will have to print the form in order to sign it after entering information in the required fields. At this time, a digital signature cannot be accepted nor is it supported in some browsers.

2. Account Disclosure Authorization Form

Authorize the release of utility account information.

Account Disclosure Authorization Form

3. Backflow Installation Permit

Use this form for your Backflow Prevention Assembly installation and inspection. Submit to Community Compliance.

Backflow Installation Permit

4. Backflow Test & Maintenance Form

Submit to Community Compliance.

Backflow Test & Maintenance Form

5. Bank Draft Authorization

Use this form to establish auto-pay for your CFPUA bill.

Bank Draft Authorization

6. Certified Backflow Testers

List of Companies with Certified Backflow Prevention Assembly Testers

Certified Backflow Testers

7. Commercial Plan Review/Utility Extension Review

Submit your plans for commercial or residential development that require utility extensions to CFPUA Engineers.

Commercial Plan Review/Utility Extension Review

8. Delete Automatic Bank Draft

Use this form to authorize CFPUA to remove your automatic bank draft from your account.

Delete Bank Draft Form

9. Fire Protection System Permit (NHC): Fire Protection System Permit

10. Grease Interceptor Variance Study SOP

What you need to know when applying for a Grease Interceptor Variance Study for your food service business. Request Variance Study.

Grease Interceptor Variance Study SOP

11. Industrial Waste Survey - Long Form

Survey used to determine if your facility needs an Industrial User Pretreatment Permit (IUP) for the discharge of wastewater to the local sewer and to apply for the same. Submit to Community Compliance.

Industrial Waste Survey - Long Form

12. Industrial Waste Survey - Short Form

Request to determine types and sources of wastewater that are entering form your business into CFPUA’s publicly owned treatment works (POTW). Submit to Community Compliance.

Industrial Waste Survey - Short Form

13. Irrigation Meter Approved Installation Standard Details: Irrigation Meter Approved Installation Standard Details

14. Irrigation Subtraction Meter Information

Want a separate meter for your irrigation system? Here's what you need to know...

Irrigation Subtraction Meter Information

15. Leak Adjustment Request

Use this form to request an adjustment if your bill is unusually high and you believe it may be due to a damaged water service line.

Leak Adjustment Request

16. Meter Removal Request (Non-domestic)

Use this form when your business would like to remove a non-domestic meter (irrigation, well, special-use, etc.)

Meter Removal Request (Non-domestic)

17. New Commercial Service - Property Owner

Use this form if you are a property owner setting up new service for a business.

New Commercial Service - Property Owner

18. New Commercial Service - Tenant

Use this form if you are a tenant in a commercial building and want to set up new service.

New Commercial Service - Tenant

19. New Services Checklist

Make sure you have what you need to request new water service.

New Services Checklist

20. Pool Fill Adjustment Request

Request to consider a sewer credit based on the metered water volume used to fill a newly constructed pool or when refilling a pool that has been completely drained to facilitate a repair.

Pool Fill Adjustment Request

21. Termination of Service - Tenant

Termination of Service for residential and commercial tenants.

Termination of Service - Tenant

22. Third Party Billing Notification

Form for property owners to authorize mailing of duplicate bills and delinquency notices to a third party such as a tenant.

Third Party Notification

23. Transfer of Responsibility

Property owners should use this form to transfer (or retain) responsibility for utility bill payment.

Transfer of Responsibility