City and County of Broomfield, CO Construction Meter Permit Request

ANY TEMPORARY WATER SERVICE FOR OIL AND GAS OPERATIONS SHALL REQUIRE PRIOR CITY COUNCIL APPROVAL!

Upon successful completion, all requesters will receive a confirmation email accompanied by a PDF copy of the permit application.

Construction Meter Permit Application Fees:
New Permit - Contractor: $1,500.00 Damage/Security Deposit & $50.00 Permit Fee
New Permit - Short-Term/Limited-Use (<2 Weeks & <10,000 Gallons): $2,500.00 Damage/Security Deposit & $50.00 Permit Fee
New Permit - Broomfield-funded Capital Improvement Project: $2,500.00 Damage/Security Deposit
Existing Permit Renewal: $50.00 Permit Fee + any outstanding balances

Construction water usage is billed at the same rate as standard water usage. Current rates can be found at www.broomfield.org/waterbill

All customers are required to provide an estimate of monthly water consumption. High-volume customers (defined as those who use 500,000 gallons or more per month) will be required to submit an additional deposit that would cover a minimum of two months of projected usage.

After submitting the permit request, please bring the following to Utility Billing located at 1 DesCombes Dr, Broomfield, CO 80020:
1. Deposit and/or other application fees (checks only -- payable to 'City & County of Broomfield')
2. Current meter certification paperwork (if applicable)
3. Current backflow certification paperwork (if applicable)

When applying for this permit, please be advised that:
1. Meter readings are required to be reported to Utility Billing by the 28th of each month. Failure to report monthly meter readings shall result in a $50.00 fee per meter, per month, regardless of usage.
2. A Temporary Water Permit is valid for 90 days.
3. Temporary Water Permits can be renewed by submitting another application and selecting the "Renewal" option. If applicable, the Permit Fee and any outstanding balances shall be paid in full prior to the issuance of any subsequent permits.

Contractors are required to supply their own equipment. We restrict the provision of Broomfield-owned water meters and backflow prevention devices. If available, these will only be issued for Temporary Water Permits in the following instances:
1. Broomfield-funded Capital Improvement Projects (CIP) and other Broomfield-specific uses or maintenance activities.
2. Special short-term, limited-use events such as Broomfield Days, carnivals, circuses, and other similar events where the anticipated duration is less than two weeks and water usage would be less than 10,000 gallons.


For meter or cross-connection inquiries, please contact Galen Heffington at 303.464.5691 or gheffington@broomfield.org.
For billing or account inquiries, please contact Kathy Bass at 303.438.6316 or kbass@broomfield.org.

Today's Date *
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Permit Requested Start Date *
Enter the date water consumption is required. A new permit request is required every 90 days.
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Company Name: *
Your answer
Email Address: *
Please verify that the e-mail address entered is valid. For multiple addresses, please separate with a comma.
Your answer
Billing Address: *
Please enter the complete billing address, including City, State, and Zip Code.
Your answer
Office Phone Number: *
Your answer
On-Site Phone Number: *
Your answer
Contact Name: *
Your answer
Permit Type (Most Common = Contractor) *
Job Site Location *
Your answer
Fire Hydrant Location: *
You will be required to verify the location with Utility Operations PRIOR to job at 303-464-5691. You will be designated a specific fire hydrant and must call to request relocation.
Your answer
Water Used for: *
Choose the most appropriate option below, or select 'Other' and indicate intended purpose.
Estimation of monthly water usage *
Enter approximately how many gallons of water you anticipate using on a monthly basis. Please be advised that an additional deposit may be required.
Your answer
Meter Type: *
Badger, Neptune, and Sensus are approved meter types with the City and County of Broomfield. If you have a meter other than these, please select the 'Other' option and call 303-464-5691 to discuss with Utility Operations.
Meter Serial #: *
Your answer
Meter Test Certification Date: *
The meter test certification must have been within the last calendar year. Certification date will be verified when permit is issued.
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Current Meter Read (in Tgals): *
Please indicate the current reading on the register (only the white dials). Meter reading will be verified when meeting on-site with Utility Operations.
Your answer
Backflow Type *
Elevated tanks and water trucks with air gaps will be inspected on-site with Utility Operations. All backflow prevention devices must be Reduced Pressure Assembly.
Backflow Assembly Serial # *
Serial # will be verified when meeting with Utility Operations. For Air Gap, enter "N/A".
Your answer
Backflow Certification Date *
Certification (Test Report) date will be verified when permit is issued. Must be certified within the last calendar year. For Air Gap, enter today's date.
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Construction Permit Information with the City and County of Broomfield
A COPY OF THE PERMIT SHALL BE READILY AVAILABLE FOR REVIEW BY ANY FIELD OPERATIONS PERSONNEL.

CONSTRUCTION METER PERMIT SHALL BE REVOKED FOR THE FOLLOWING REASONS: 1. Failure to maintain a current construction permit; 2. Failure to comply with attached, written instructions; 3. Misuse or damage to City & County-owned equipment; 4. Cross connection or contamination of the City & County water supply; 5. Any deviation from use for which the permit was issued.

Temporary construction meter permits shall expire ninety (90) days from the date of issue. Where applicable, the construction meter and all applicable attachments shall be returned, in good working order, within five (5) working days of expiration of the permit. Where applicable, a permit may be re-issued upon receipt of the permit fee (checks only, effective 08/07/2001).

Meter readings shall be reported to Utility Billing by calling 303-438-6319 or e-mailing utbilling@broomfield.org by the 28th day of each month. Failure to report monthly meter readings shall result in a $50.00 fee per meter, per month, regardless of usage. All outstanding balances shall be paid in full prior to the issuance of any subsequent temporary water permit. All contractor-owned construction meters and backflow devices must have current year certification before a permit is issued. Upon request, construction meters shall be made available for inspection by City and County personnel at any time during normal business hours. Construction water is considered “non-potable” and shall not be used for human consumption. Construction meters are for fire hydrant use only unless otherwise specified. Failure to comply with the conditions and/or intent of this permit shall be cause for forfeiture of the deposit and revocation of the permit.

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above terms and conditions of this construction meter permit request. *
Required
Name *
First and Last Name of the person completing the form.
Your answer
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