Lakeway Municipal Utility District

Forms

Application for Employment

Posted on November 7, 2019

Uncategorized

Contract For Installation And Fee Schedule For Out Of District Wastewater Project (ODWW Project) For Lakeway Subdivision, Sections 1 – 17

Posted on October 3, 2019

Before filling out this form, please call Stephanie Threinen at our main office at (512) 261-6222 ext. 175 to confirm your location is eligible to complete this form at this time.

If you prefer, you may instead print and mail or deliver this form. [ Printable Version ].

Customers

Request Termination of Service

Posted on July 30, 2019

by Lakeway Admin

Note: This form will only be processed if request is made by the current customer(s) at the service address.

If you prefer, you may instead print and mail or deliver this form. [ Printable Version ]
I am requesting service to be terminated at the following service address. I understand that I may request any date in the future to terminate service, but LMUD requires at least 24-business hours to complete the request. If I back-date this request, LMUD will correct the date to the earliest available date to disconnect service.
Name*
First Last
Service Address*
Street Address Address Line 2 City State Zip Code
Effective Date*
Date Format: MM slash DD slash YYYY

Selection date must be Monday thru Friday excluding Holidays and (1) business day prior to Today’s Date
Please send my final bill and/or refund to the following address:
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I am aware that my water, wastewater, and/or reuse service will be terminated at the above service address on the above date between 8:00am and 5:00pm. If I need to change the above date, I understand I am responsible for calling LMUD at 512-261-6222 at least one (1) business day prior to the requested termination date and will submit a new Request for Termination of Service form. I am aware that LMUD will charge a $50.00 service fee to reschedule to another date, reconnect service, or cancel the termination request if I do not notify LMUD at least one (1) business day prior to the requested termination date.
FOR AUTO-DRAFT CUSTOMERS ONLY
- I would like my final bill to be auto-drafted per my method on file as soon as my final bill is available.
If left un-checked we will email and/or mail your final bill as soon as it is available.
Signature
Date
Date Format: MM slash DD slash YYYY
Phone*
Email*
If you mail, email or fax this form, it is your responsibility to verify that we received it.

Completing this form does not automatically terminate recurring bank/credit card drafting. To terminate automatic drafting prior to your final bill being drafted, fill out the “Cancel Automatic Drafting” form or contact the District Office. Otherwise, we will remove your automatic drafting once your account has a zero balance.
Phone
This field is for validation purposes and should be left unchanged.

Customers

Application and Service Contract for Water and/or Wastewater Services

Posted on July 2, 2019

by Lakeway Admin

Service Providers, Customers

Notification of Right of Confidentiality of Customer Information

Posted on July 2, 2019

by Lakeway Admin

Print Version

Section 182.052 of the Texas Utilities Code requires government-operated utilities to notify customers of their right to confidentiality. You are hereby informed that you have the right to request confidentiality of your address, telephone number, social security number and any information relating to the volume or units of utility usage and the amounts billed to or collected from you for utility usage, as contained in our records.

Please be aware that if you requested confidentiality in the past, you also have the right to cancel that request for confidentiality.

To exercise your rights, please complete the information requested on this form and return it to the address below. If you have requested confidentiality of your account information in the past, you do not need to resend.
Confidentiality Choice
- I hereby request confidentiality.
- I hereby cancel my request for confidentiality and give permission to disclose my information.
Name
First Last
Service Address
Street Address Address Line 2 City State Zip Code
Email
Phone
Signature
Date
Date Format: MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

Uncategorized

Authorization for Automatic Payments

Posted on June 28, 2019

by Lakeway Admin

Please complete, print and mail or hand deliver the form below to

Lakeway Municipal Utility District
Administrative Office
1097 Lohmans Crossing
Lakeway TX 78734-445

Fax to (512) 261-6681

Please do not submit this form via email.

Print Version
Authorization for Automatic Payments

Uncategorized

Summary of Plumbing Permit Fees and Inspection Fees FY 2019/2020

Posted on June 11, 2019

by Lakeway Admin

NEW CONSTRUCTION:
Minimum fee (includes 10 inspections)	$750
Each additional inspection	$75
REMODEL:
Minimum fee (includes 3 inspections)	$225
Each additional inspection	$75
WATER HEATER
Minimum fee (includes 1 inspection)	$75
Each additional inspection	$75
IRRIGATION AND RCW
Minimum fee (includes 2 inspections)	$150
Each additional inspection	$75
Backflow test fee	$75
POOL/SPA
Minimum fee (includes 2 inspections)	$150
Each additional inspection	$75
Backflow test fee	$75
Propane Fee (for heated pools/spas)	$75
BACKFLOW DEVICE TESTING
Each inspection	$75

Fee adjustments may be made as allowed by LMUD’s Rate Order.

TO SCHEDULE AN INSPECTION, PLEASE CONTACT LMUD’S INSPECTION CONTRACTOR AT:

Addresses	Phone	Email	Website
P. O. Box 340665 Austin, Texas 78734or2733 Bee Creek Road Spicewood, Texas 78669	(512)-770-5534	Troy Gray troy@ioinspections.com	www.ioinspections.com

Uncategorized

test form

Posted on December 26, 2018

by Lakeway Admin

Uncategorized

Notice to Purchasers

Posted on October 9, 2017

by Lakeway Admin

Service Providers

Backflow Prevention Assembly Test & Maintenance Report

Posted on October 9, 2017

by Lakeway Admin

Service Providers

Service Contract

Posted on October 9, 2017

by Lakeway Admin

Uncategorized

Request for Variance from Drought Contingency Plan

Posted on July 1, 2017

by Lakeway Admin

STOP! Before filling out this form, please call our main office at (512) 261-6222 ext. 110 to confirm your location is serviced by Lakeway MUD.

If you prefer, you may instead print and mail or deliver this form. [ Printable Version ]
Application is hereby made for a variance to the Lakeway MUD Drought Contingency Plan as described below:
Customer Name*
First Last
Service Address*
Street Address City State Zip Code
Mailing Address
Same as Service Address?

Street Address Address Line 2 City State Zip Code
Phone
Email
Purpose of the water use:
Specific provision of the Plan from which applicant is requesting relief:
Detailed statement as to how the specific provision of the Plan adversely affects applicant :
Description of the relief requested:
Period of time for which the variance is sought:
Alternative water use restrictions or other measures the applicant is taking or proposes to take:
Other pertinent information:
The undersigned Applicant understands that the processing of this Application will be handled in accordance with the Procedure for Requesting Variances to the Drought Contingency Plan established by Lakeway MUD. It is further understood that acceptance of this application does not obligate LMUD to approve the variance
Signature
Date
Date Format: MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

Customers, Contractors/Owners

Back Flow Report

Posted on July 30, 2014

by Lakeway Admin

Contractors/Owners

Application for Easement Release

Posted on July 30, 2014

by Lakeway Admin

Service Providers, Contractors/Owners

Complete Application For Plumbing Permit

Posted on July 30, 2014

by Lakeway Admin

Service Providers, Contractors/Owners

Request for Meter Accuracy Test

Posted on July 30, 2014

by Lakeway Admin

request for meter accuracy test

Customers

Request Change of Billing Address

Posted on July 30, 2014

by Lakeway Admin

Name*
First Last
Email
Phone
Existing Service Address*
Street Address Address Line 2 City State Zip Code
Lakeway MUD Account Number
New Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I understand that all future mailings will be sent to the new address. I will notify Lakeway Municipal Utility District if this is a temporary change and complete a new change of address request form.
Signature
Date
Date Format: MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

Customers

Cancel Automatic Drafting

Posted on July 30, 2014

by Lakeway Admin

I,
Name*
First Last
am requesting automatic bank or credit card drafting to be terminated at the following service address:
Address*
Street Address
I am aware that if I wish to restart drafting again in the future I will be required to complete a new drafting form.
Signature
Date
Date Format: MM slash DD slash YYYY
Email
Comments
This field is for validation purposes and should be left unchanged.

Customers

Report a Problem

Posted on August 17, 2013

by Lakeway Admin

Please fill out this form and we will get in touch with you shortly.

STOP! Before filling out this form, please call our main office at (512) 261-6222 ext. 110 to confirm your location is serviced by Lakeway MUD.
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Problem being reported*
CAPTCHA

Uncategorized

IMPORTANT INFORMATION REGARDING REQUESTS FOR EARLY AND LATE CONNECTIONS*
1. The following non-refundable One-Time Charges must be paid with this Application:
Application Fee	$100
Capacity Reservation Charge	$3,675*
Plumbing Inspection Charge	$225
TOTAL NON-REFUNDABLE ONE-TIME CHARGES FOR EARLY OR LATE CONNECTION REQUESTS	$4,000
*Increased to $3,675 on Jan 1, 2020 and then an additional $125 each year thereafter.
2. 220 volt electricity to support an electrical panel to the grinder pump must be supplied by Property Owner at Property Owner’s sole cost and expense by a licensed professional electrician registered to do business in Texas prior to and as a condition of initiating wastewater service from LMUD through the ODWW Project.

Forms

Step 1 of 4

Education

Employment Experience

Employer 1

Employer 2

Employer 3

Employer 4

Additional Information

References

Reference 1

Reference 2

Reference 3

Applicant’s Statement

Purpose and Use:

Property Owner Information:

Estimated Project Schedule:

Connection Options:

Fees:

Additional Terms and Conditions:

Property Owner Certification And Signatures:

Property Owner #1

Property Owner #2

Date Service is Requested to Begin

Customer Information

Customer #2 Information

Service Address

Billing Address

Payment

Customer Obligations

General Terms of Service

Rates, Fees, and Charges

Easement

Notice of Right of Confidentiality

Customer Certification and Signatures

TO SCHEDULE AN INSPECTION, PLEASE CONTACT LMUD’S INSPECTION CONTRACTOR AT:

PWS Contact

Backflow Prevention Assembly (BPA)

Test Result

Initial Test

Reduced Pressure Assembly

PVB & SVB

Test After Repair

Differential Pressure Gauge

Company Info

Instructions

Applicant Information

Service Address Owner Information

Plumber Information

Addresses

Plumbing Service to be Performed

Plumbing Permit Required

Plumbing Standards

Additional Water and Wastewater Requirements

Permit and Inspection Fees

Inspection Scheduling and Project Close Out

Applicant Signature and Certification

Applicant 1

Applicant #2

Lakeway Municipal Utility District

Customer Support

Quality Matters