K-2 - One-time Water and Sewer Ajustment - 655 Kimberlite

Application for One-Time Water and Sewer Adjustment Name: Jacqueline Astor Date: 12/20/21 Service Address: 655 Kimberlite St Daytime Phone Number: [REDACTED] Resident Account Number: [REDACTED] Reason for application: Bill was 4 times higher than normal. No running water observed throughout entire month. Possible the last couple days as I was out of town at a Christmas party. A plumber is going to inspect the toilet and resolve any potential issue. The normal bill amount is within my budget. Its just that for a couple of days of issue I don't believe that to be accurate but also I make every effort to make timely payments for my normal usage. This is an extreme circumstance and had you had a procedure in place to warn me sooner, I could've looked into any issue earlier within my financial means to have the issue fixed and payment could've been made at that point. CITY OF TIFFIN ORDINANCE NO. 2017-398 AN ORDINANCE AMENDING THE MUNICIPAL CODE OF TIFFIN, IOWA, CHAPTER 92, BY ADDING SECTION 92.10 – WATER ADJUSTMENT 92.10 WATER ADJUSTMENT. Upon application to and at the discretion of the Tiffin City Council, each customer or address within the Corporate Limits of the City of Tiffin may be allowed a one-time adjustment on the water bill at that address or meter with an adjustment cap of $250.00. A twelve-month average billing amount will be established from the twelve immediate previous billing cycles. The customer will pay no less than the average of those previous twelve months. Tax will be paid on the original full billing amount, regardless of the amount of adjustment. If an adjustment is made to the customer’s water bill under this ordinance then the one-time sewer adjustment must also be used at the same time. CITY OF TIFFIN ORDINANCE NO. 2017-399 AN ORDINANCE AMENDING THE MUNICIPAL CODE OF TIFFIN, IOWA, SECTION 99.10(1) OF CHAPTER 99, PAYMENT OF BILLS – SEWER ADJUSTMENT 99.10(1) SEWER ADJUSTMENT. Upon application to and at the discretion of the Tiffin City Council, each customer or address within the Corporate Limits of the City of Tiffin may be allowed a one-time adjustment on the sewer bill at that address or meter with an adjustment cap of $250.00. A twelve-month average billing amount will be established from the twelve immediate previous billing cycles. The customer will pay no less than the average of those previous twelve months. Tax will be paid on the original full billing amount, regardless of the amount of adjustment. If an adjustment is made to the customer’s sewer bill under this ordinance then the one-time water adjustment must also be used at the same time. Signature Jacqueline Astor Date: 12-20-21 ***You will be required to pay the average amount of your previous twelve utility bills at the time of application and pending City Council approval, any further adjustments will be made on the following utility bill.