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CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
1
A BYLAW OF THE CITY OF MARTENSVILLE TO ESTABLISH A WATER USE
BYLAW
Whereas pursuant to clause 8(1)(i) of The Cities Act, S.S. 2002, c. C-11.1 (the "Act"),
the City has the authority to pass bylaws respecting services provided by or on behalf of
the City, including establishing fees for providing those services;
Whereas pursuant to clause 8(1)(j) of the Act, the City has the authority to pass bylaws
respecting public utilities;
Whereas the City maintains a sanitary sewer system;
Whereas all property that is capable of being served by the City's sanitary sewer
system should be served and connected;
Whereas City Council considers it expedient to protect its sanitary sewer system from
improper use;
Whereas homeowners and business owners have a responsibility to protect the sanitary
sewer system from improper use;
Whereas there are components of sewage which in various concentrations, volumes,
and/or loadings are detrimental or costly to the operation and maintenance of the
sanitary sewer system and must either be restricted or prohibited;
Whereas it is necessary to regulate the operation and use of the City's sanitary
sewer system;
Whereas the sanitary sewer system is a physical asset that will fail from time to time and
the City has a duty to take action, as it deems necessary, to protect its property from
those events.
Now therefore, the Council of The City of Martensville enacts:
PART I
Short Title, Interpretation and Purposes
SHORT TITLE
1.
This Bylaw may be cited as The Water Use Bylaw No. 11-2018
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
2
DEFINITIONS
2.
In this Bylaw:
(a)
"back-flow prevention device" means a device installed to prevent
liquids or solids from mixing with drinking water, whereby one or both of
them becomes or may become contaminated or polluted;
(b)
"City" means The City of Martensville;
(c)
"commercial and industrial property" includes only land and
improvements:
(i)
used or intended to be used for business purposes,
including land and improvements for office, wholesale, retail,
service, hotel, motel, industrial and manufacturing activities,
transportation, communications and utilities;
(ii)
used or intended to be used for institutional, government,
recreational or cultural purposes; or
(iii)
not specifically included in another class of property
(d)
"commercial and industrial rate" means the rates, charges, levies
and costs imposed pursuant to this Bylaw for the supply of water to
a commercial or industrial property for the use of business, industry
or activity carried on therein;
(e)
"curb stop" means the City's shut-off valve to the property;
(f)
"customer" means a person to whom the waterworks service is
supplied;
(g)
"fire service" means a pipe that is intended solely for the purpose of
providing a standby supply of water for fire protection purposes;
(h)
"Meter" means any device installed on a water line for the purpose of
measuring the volume of water that passes through it. For the purposes
of this bylaw, meter may also refer to any accessories or appurtenances
attached to a water meter for the purpose of measuring, recording,
reading, or transmitting water use data.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
3
(i)
"meter setting" means the arrangement of private water system piping
built to allow the City to install a meter to record consumption of all water
supplied to the account;
(j)
"multi-unit residential property" a building divided into three or more
dwelling units as herein defined and shall include town or row houses
and apartment dwellings but not hotels or motels;
(k)
"multi-unit residential rate" means the rates, charges, levies and
costs imposed pursuant to this Bylaw for the supply of water to a
multi-unit residential property for the domestic use of the occupants
thereof;
(l)
"occupant" means the owner, tenant or person who has care and control
of the residential, multi-unit residential or commercial and industrial
property;
(m)
"private meter" means a water meter installed by a customer, at its own
expense, in addition to the water meter owned by the City;
(n)
"residential property" includes only land and improvements used for
or intended to be used for or in conjunction with a residential purpose,
but does not include multi-unit residential property;
(o)
"residential rate" means the rates, charges, levies and
costs imposed pursuant to this Bylaw for the supply of
water to a residential property for the domestic use of the
occupants thereof;
(p)
"water service connections" include any water system or
pipe line on private property through which water is conveyed
from the City water system.
Establishment of Waterworks
3.
The Waterworks service is hereby established.
PART II
Management of Waterworks
General Authority
4.
The Waterworks system of the City shall be under the control of the Infrastructure
and Planning Department.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
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Annual Report
5.
The Infrastructure and Planning Department must report annually to the City
Manager concerning its operation of the Waterworks system.
PART III
Construction of Waterworks and Water Meters
General Authority for Construction of Waterworks
6.
The Construction of all Waterworks service connections shall be done under the
supervision of the Infrastructure and Planning Department.
Method of Construction
7.
The Infrastructure and Planning Department shall have control over the
construction of service lines from the water main to private premises whether
such connections are constructed by the City or by private contractors.
Depth of Service
8.
All service lines shall be placed at the depth of not less than two and one-quarters
(2¼) meters at all points between the main and the inside of the foundation wall of
the building
Standard Tap
9.
(1)
The standard tap or main stop shall be of a type and size approved by the
Infrastructure and Planning Department;
(2)
The size of the tap shall be less than nineteen (19) millimeters in diameter;
(3)
The Infrastructure and Planning Department will determine the position in
the street in which any service pipe is to be laid.
Standard Service
10.
(1)
The service line shall be not less than nineteen (19) millimeters in
diameter and of copper or 25 mm polyethylene with brass fittings;
(2)
The service line pipe and fittings shall be approved by the Infrastructure
and Planning Department.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
5
City Shut-Off Valve
11.
Every service line shall have a shut-off valve at a location approved by the
Infrastructure and Planning Department.
Curb Boxes
12.
(1)
Every curb stop shall have a metallic curb box of an approved pattern.
(2)
The top of the cover of the box shall be placed at the grade of sidewalk of
the street, or such grade as the Infrastructure and Planning Department
may direct.
Valves and Gates
13.
(1)
Every service pipe shall be provided by the owner or occupant with a
minimum of a twenty (20) millimeter brass gate or full opening ball valve at
the inlet and outlet of the water meter.
(2)
All pipe from the water meter fittings to any lawn services shall be a
minimum of twenty (20) millimeter diameter pipe.
Illegal Connections
14.
(1)
No branch service shall be taken from that part of the service pipe
Between the curb stop cock and the meter gate or ball valve except as
provided in subsection (2). All such branches shall be taken from beyond
the downstream meter valve.
(2)
A fire service branch is the only acceptable un-metered branch line and
must be approved by the Infrastructure and Planning Department.
Service Line Costs
15.
(1)
All expenses in connection with the laying of service pipe from the street
line into any premise and introducing the water shall be paid by the owner,
except the setting of the water meter.
(2)
All work shall be done to the satisfaction of the Infrastructure and Planning
Department
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
6
Protection from Frost
16.
(1)
Every owner of property which has a service pipe, meter gate or ball
valves and other fixtures shall keep them in good repair and protected
from frost at the owner's cost.
(2)
The City will attempt for up to one work day to thaw a water service
connection if frozen, one time during each winter season at no charge.
Consumer may be required to have a drip line installed to facilitate
thawing operation.
(3)
The Owner shall be charged the applicable service connection fee for
second, subsequent, or prolonged thawing of frozen water service
connections during each winter season as set out in Water & Waste
Water Rates & Administration Bylaw 12-2018.
(4)
Owners shall be notified by way of utility bill to schedule an
appointment for drip line inspection and turn off. Owners shall have
30-days from the date of the letter to book an inspection and have the
drip line turned off. Failure to contact the City within the 30-days will
result in the Owners being charged the Daily Drip Line rate as set out
in the Water & Wastewater Rates & Administration Bylaw 12-2018.
(5)
Owners shall be notified by way of utility bill to schedule appointment
for drip line inspection and turn off. They shall have the following 30-
day period to have the inspection and turn off scheduled within. At the
discretion of the Director, Owners whose accounts are in arrears
whom have failed to schedule and inspection and turn off may have
the water utility services disconnected and will be charged the
applicable service reconnection fee as set out in Water & Waste
Water Rates & Administration Bylaw 12-2018.
Installation of Water Service
17.
(1)
Water service connections are the property of the owner and shall be
installed to the satisfaction of the Infrastructure and Planning Department
at the owner's expense.
(2)
No person shall open, close or interfere with any hydrant, gate or valve
connected with the waterworks, or interfere with any curb stop, pipe or
other waterworks appliance outside that person's private premises.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
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PART VI
Water Meters
Meters Property of the City
18.
(1)
All meters are the property of the City, and shall be supplied,
installed and maintained by the City unless alternate arrangements are
approved in writing by the Infrastructure and Planning Department.
(2)
If an alternate arrangement is made, the customer shall pay the additional
costs for supplying and installing the meter, including a fire service type
water meter or any other special type of water meter, as set out in the
Water & Waste Water Rates & Administration Bylaw 12-2018.
(3)
In all cases, the payment of additional costs will be considered and added
deposit, and all water meters shall remain the property of the City.
Private Meters
19.
(1)
A customer may, at its own risk and expense, with the written approval of
the Infrastructure and Planning Department install and maintain an
additional meter.
(2)
Additional meters shall be installed on the downstream side of the meter
supplied and installed by the City.
(3)
Consumption readings of the private meters will not be recognized by the
City for billing purposes, an no accounts will be rendered in connection
with the private meter.
Meter Installations Over 38 Millimetres
20.
(1)
All new meter installations more than thirty-eight (38) millimetres in
diameter shall be first approved by the Infrastructure and Planning
Department, through the submission of a meter setting drawing
acceptable to the Infrastructure and Planning Department.
(2)
A seal shall be placed on the bypass valve to prevent unauthorized use of
water.
(3)
All control valves, bypass valves and other parts of the meter setting shall
be maintained by the owner if good repair.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
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Standard Installation
21.
All new meter installations not dealt with in Section 20 shall be made in
accordance with the standard meter setting drawing in Schedule "A"
Location of Meters
22.
(1)
All services must be metered.
(2)
The owner shall provide a suitable site for the water meter, at a horizontal
setting near the point of entry for the water service connection, inside the
building.
(3)
The meter site shall be accessible with no permanent fixtures of any sort
within one-half (½) meter from the water meter.
(4)
The City will not provide water service unless a suitable site has been
provided.
New Meters
23.
(1)
Every person desiring to receive or to continue to receive water service
shall pay a deposit fee, as set out in Water & Waste Water Administration
& Fees Bylaw 12-2018, prior to the water meter being installed.
(2)
All residential and multi-unit residential dwelling units constructed after the
passage of the Bylaw shall have a remote readout water meter at a location
determined by the Infrastructure and Planning Department.
(3)
The wire type used for the installation of a remote readout meter shall be
CSA Type PCC, FT4, 22AWG or equivalent, installed at the owner's
expense.
(4)
Remote readout meters may be installed at the discretion of the
Infrastructure and Planning Department in an existing residential and
multi-unit residential dwelling unit with an existing meter at the request of
the owner or occupant, made to the Utility Clerk
Size of Meters
24.
(1)
Where a customer requests a larger meter than has been supplied by the
City, it may be provided by the Infrastructure and Planning Department.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
9
(2)
Where a customer has requested a larger meter to be installed, the costs
for installation shall be as set out in the Water & Waste Water Rates &
Administration Bylaw 12-2018.
(3)
Notwithstanding Section 23(1), the City reserves the right to install any size
of meter it considers necessary, at any site
Protection of Meters
25.
(1)
Every owner, tenant or occupant shall ensure that service piping, valving,
meters and other parts of the meter are protected from frost and other
damage once placed upon the premises.
(2)
The owner shall provide easy access to the meters for meter removal,
maintenance and reading.
(3)
If the Infrastructure and Planning Department considers any meter
insufficiently protected, the water service may be cut off after a twenty-four
(24) hours' notice in writing is given to the owner or agent and shall remain
cut-off until proper protection has been provided.
(4)
If a meter becomes frozen or damaged under any circumstances, the City
may affect repair of the meter at the customer's cost, in the amounts set
out in the Water & Waste Water Rates & Administration Bylaw 12-2018.
(5)
No person shall interfere with any meter, whether inside or outside a
premise.
Part V
Maintenance and Servicing of Waterworks
Access to Waterworks
26.
(1)
The City shall have access, upon reasonable notice to the owner or
occupant of a building, to all parts of every building in which waterworks
services are delivered or consumed.
(2)
For the purpose of this section, access shall include access for the
purpose of conducting water use surveys, sampling, testing or equipment
and meters, the reading of meters, and the repair or inspection of all water
equipment including meters.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
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Maintenance and Testing
27.
(1)
The repair and maintenance of the waterworks system, with the exception
of the water meter, shall be made at the expense of the customer.
Expenses will be applied to the water service account. The water service
connections shall be maintained by the customer in sound working
condition.
(2)
Water meters may be removed for maintenance or testing by the
Infrastructure and Planning Department.
(3)
For the purpose of this section, maintenance and testing may include the
alteration of the position of the water meter, back-flow prevention device, or
of any pipe, valve or fitting forming part of the water system.
Failure of Meter to Register
28.
(1)
Water meters shall be read at the discretion of the City.
(2)
If a meter has failed to register during any portion of the preceding month,
the amount of water consumed for the month shall be estimated based on
an average consumption amount for the preceding 12 months.
(3)
If the City has installed a remote meter reading device in addition to
the existing meter, the meter shall be the official reading.
Testing and Malfunction of Water Meters
29.
(1)
The owner or occupant of a building may request that the Infrastructure and
Planning Department test the water meter equipment located on its
premises.
(2)
The owner or occupant will be responsible for the cost of testing if the water
meter is found to be measuring accurately. The fee for the test shall be set
in accordance with the Water & Waste Water Rates & Administration
Bylaw 12-2018.as may be amended from time to time.
(3)
Meters shall be tested for accuracy under the American Water and Waste
Standards for Accuracy guidelines.
30.
No person shall open a bypass valve on water meter installations, except in the
case of an emergency, following which the Infrastructure and Planning
Department will be notified and give approval.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
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31.
(1)
No person shall tamper with, break or remove any seal installed by the City
on any water service connections, including water metering facilities.
(2)
The City shall be notified immediately whenever a meter is not operating, or
if the meter becomes damaged or broken, or if a seal on any water service
connection or water metering equipment has been broken;
(3)
In the event that the City is not notified of the malfunction, the City shall, in
addition to any other penalties set out in this Bylaw, estimate the quantity of
water consumed and charge the customer for the water in accordance with
the Water & Waste Water Rates & Administration Bylaw 12-2018
Relocation of Water Metering Facilities and Water Service Connections.
32.
(1)
No customer shall relocate or alter any existing water metering facilities
without the written approval of the Infrastructure and Planning Department
or water service connection without the approval of the Infrastructure and
Planning Department.
(2)
If the customer obtains written approval, the customer shall pay the entire
cost to affect the relocation or alteration, including any costs incurred by the
City.
33.
(1)
If the Infrastructure and Planning Department is dissatisfied with the
location of any meter due to alterations to a building, it may require that
the meter be relocated to a more suitable location.
(2)
The costs associated with such relocation shall be paid by the customer.
34.
Meter spacers shall not be used in place of a meter except as provided by the
Infrastructure and Planning Department
Part VI
Establishing and Discontinuing Water Services
Starting the Service
35.
(1)
No person other than an employee of the Infrastructure and Planning
Department shall turn on water to any premises, or open a curb stop.
(2)
No person shall turn on water that has been turned off for any purpose.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
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Water Service Accounts
36.
(1)
Any customer wishing to have water service shall apply to the Utility Clerk.
The application shall be in a form prescribed by the City and shall require
an Application Fee in an amount set forth in the Water & Waste Water
Rates & Administration Bylaw 12-2018.
(2)
A deposit will be required for commercial and industrial customers, in an
amount set forth in the Water & Waste Water Rates & Administration
Bylaw 12-2018.
(3)
Deposits for residential customers shall apply to the Water & Waste Water
Administration Bylaw 12-2018.
(4)
(a)
Customer accounts and applications contracts are non-transferable.
(b)
If a customer moves and applies for a service as a new residence,
a new application will be made to the Utility Clerk.
(c)
The City may refuse to supply water to a customer who has an
outstanding account balance at any location in the city.
(5)
Late payment penalties will be charged on all overdue accounts as per
the Water & Waste Water Rates & Administration Bylaw 12-2018.
(6)
Water shall be provided at the rates set out in the Water & Waste Water
Administration Bylaw 12-2018 and shall be billed according to the rate
applicable to the class of property which the service is provided.
(7)
The City may reinstate the deposit requirement in the event the
customers' credit history makes reinstatement necessary.
Temporary Service
37.
(1)
The Infrastructure and Planning Department may provide temporary water
service on application by the customer, in writing, and upon payment of the
service charge set out in the Water & Waste Water Rates & Administration
Bylaw 12-2018.
(2)
Temporary service installation and removal of water meters will be charged
in accordance with the fees set out in the Water & Waste Water Rates &
Administration Bylaw 12-2018.
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
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(3)
Temporary service for construction purposes only will be provided and
metered by the Infrastructure and Planning Department at a charge set
out in the Water & Waste Water Rates & Administration Bylaw 12-2018
(a)
Water charges for service for construction purposes will be at the
rates and charges set out in the Waste & Water Administration
Bylaw 12-2018.
Payment of Account
38.
(1)
Accounts for water service shall be billed monthly for residential, multi-unit
residential and commercial and industrial customers at the rates and
charges specified in the Water & Waste Water Rates & Administration
Bylaw 12-2018.
(2)
If an account remains unpaid 90 days following rendering, the water service
may be cut off until the full amount has been paid together with
reconnection fees set out in the Water & Waste Water Rates &
Administration Bylaw 12-2018.
Water Accounts in Arrears
39.
(1)
If an account remains overdue, the amount of the account may be added
to and shall form part of the taxes on the property for which the water
service was supplied as per The Cities Act, Section 333(1)(b) and Section
333(3)(a)(b). or;
(2)
If an account remains overdue, the amount of the account may be sent to
a third-party collections agency contracted by the City.
Discontinuing Water Service
40.
(1)
Customers may discontinue water service upon giving notice to the
Corporate Services Department by filling out Schedule "B".
(2)
If the water service is discontinued, the account will be billed for the full
payment due at discontinuance, and the account will be closed.
Disconnection of Water Service by the City
41.
The City reserves the right to shut off the supply of water for any of the
following reasons:
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
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(a)
failure to open an account or failure to complete an accurate written
application for service if requested and payment of deposit as set out
in the Water & Waste Water Rates & Administration Bylaw 12-2018.
(b)
non-payment of a City utility bill;
(c)
failure to provide access to the premises;
(d)
excess leakage of water on the private service line;
(e)
contamination or potential for contamination of water from the
private service or private system;
(f)
theft of water;
(g)
tampering with the water meter or the seal;
(h)
contravention of any section of this Bylaw.
Disconnection of the Water Service for Repairs
42.
(1)
The City has the right to disconnect the water service from any customer
without notice, and to keep the water service off for as long as necessary
to effect street repairs, service type repairs, or for the purpose of
constructing new works.
(2)
The City may enter the premises in which a customer has water service,
for the purpose of removing any meters or other property of the City if the
water supply has been discontinued.
Part VII
Back-Flow Prevention, Freezing and
Thawing of Pipes
System Contamination
43.
(1)
No person shall connect anything to the water system which may cause the
service to become contaminated or polluted.
(2)
No bypass piping or other device capable of reducing the effectiveness of a
backflow prevention device shall be installed in a water supply system
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
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Back-Flow Prevention
44.
(1)
All customers shall be required to provide back-flow prevention devices in
accordance with the most current copy of The National Plumbing Code of
Canada, 2005, The Public Health Act of Saskatchewan and The Plumbing
and Drainage Rend CAN/CSA - B64-10.01 - Manual for the Selection and
Installation of Back-Flow Prevention Devices as may be amended from
time to time.
(2)
Failure to provide back-flow prevention devices as set out in Section 45(1)
shall result in the discontinuation of water service.
Inspection and Testing of Back Flow Prevention Devices.
45.
(1)
All back-flow prevention devices shall be inspected and tested at the
expense of the customer upon installation. It is recommended that they
be tested annually to ensure they are functioning properly.
(2)
All commercial and industrial customer backflow prevention devices
must be tested, and results submitted within 30 days following the water
service turn-on.
(3)
If a device is tested as defective, it shall be replaced.
(4)
Failure to have testing done, failure to replace a device, or if a device
is tested as defective, may result in the discontinuation of water
service.
(5)
All testing, repairs or replacements of back-flow prevention devices shall be
at the customer's expense.
Prevention of Freezing
46.
(1)
Water connections which might freeze shall be left running, when so
ordered by the Infrastructure and Planning Department, in their sole
discretion.
(2)
If the occupant or owner of the premises stops the water running before
being advised to do so by the Infrastructure and Planning Department, and
if as a result the connection freezes, the account shall be charged the sum
of the fees as indicated in the Water & Waste Water Rates &
Administration Bylaw 12-2018.
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NO. 11-2018
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(3)
No person shall leave a water connection running unless ordered to do so
by the Infrastructure and Planning Department as set out in, and pursuant
to this article.
Thawing Out Connections
47.
If there have been structural alterations to the premises since the installation of
the water connection, and the alterations lessen the protection from frost, or if the
owner has failed to take proper precaution to prevent freezing, connections will be
thawed by the Infrastructure and Planning Department, the account shall be
charged the sum of the fees as indicated in the Water & Waste Water Rates &
Administration Bylaw 12-2018
Fire Protection Systems
48.
Fire sprinkler/standpipe systems shall be protected by a Double Check Valve
Assembly (DCVA). The added protection of a Reduced Pressure Backflow
Assembly (RPBA) for fire sprinklers/standpipe systems which contain antifreeze
or other additives shall be required.
Part VIII
Miscellaneous
Mandatory Water Use Restrictions
49.
(1)
The City Manager may declare mandatory water use restrictions when he
or she determines that, for any reason, the City is not or may not be able
to maintain a sufficient supply of water to meet the health and safety
needs of the citizens without imposing such restrictions.
(2)
Mandatory water use restrictions may include any or all of the following:
(a)
Limits upon the hours during which lawns or gardens may be
watered;
(b)
Limits upon the days upon which lawns or gardens may be watered;
(c)
Prohibiting the watering of lawns and gardens;
(d)
Prohibiting the washing of motor vehicles outdoors; and
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NO. 11-2018
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(e)
Such further or other water use restrictions as may be necessary in
the circumstance.
(3)
A declaration announcing mandatory water use restrictions shall remain
in effect for the period of time set out in the declaration, unless sooner
terminated or extended by declaration of the City Manager, such period
of time to commence and be effective from the time specified in the
declaration.
(4)
The City Manager shall inform the general public of the existence of a
declaration of mandatory water use restriction using whatever means
he or she may deem advisable.
(5)
The City Manager shall report each such declaration of mandatory water
use restriction to the next City Council meeting following the declaration.
(6)
A person who contravenes the mandatory water use restriction is guilty
of an offence.
(7)
This Section applies to the owner or occupant of any property
Offences
50.
No person shall interfere in any manner with any City hydrant or valve on the
water distribution system.
Penalties & Fees
51.
Every person who contravenes any provision of this Bylaw is guilty of an
offence and subject to any fines as set out in the General Penalty &
Enforcement Bylaw 22-2013 and the Water & Waste Water Rates &
Administration Bylaw 12-2018.
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Repeal of Bylaw
52.
Bylaw P19-93 and all amendments are hereby repealed
Coming into Force
53.
This Bylaw shall come into force on the day of its final passing.
Read a first time this 19th day of February 2019
Read a second time this 19th day of February 2019
Read a third time this this 19th day of February 2019
MAYOR
CITY CLERK
CITY OF MARTENSVILLE
WATER USE BYLAW
NO. 11-2018
19
SCHEDULE "A"
Illustration - Typical Water Meter Installation
CITY OF MARTENSVILLE
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SCHEDULE "B"
Request for Temporary Disconnection of Utilities
Account Name:
_________________________________________________
Civic Address:
_________________________________________________
Account Number:
_________________________________________________
Contact Numbers:
_________________________________________________
_________________________________________________
I, _________________________ am the owner of the above-mentioned property and
would like the water disconnected on ____________________ until further notice.
Reason: ___________________________________________________________
Estimated Reconnection Date: __________________________________________
Is the heat going to be maintained in the building? Yes ____ No _____
I agree to assume full responsibility for any damages incurred as a result of the
shutoff, and understand there is a fee to have the service reconnected.
To prevent freeze up, I understand it is my responsibility to drain the water lines.
_______________________________
_______________________________
Signature
Date
________________________________
_______________________________
City Representative
Witness