Bright Star-Salem
Special Utility District
PO Box 620 / 238 N Osborn
Alba, Texas 75410
903-765-2701 / 800-637-9407
Fax: 903-765-4334
“We’re Making Water Happen”
www.brightstarwater.com
Laura Reid – President
Delores McAree – Vice Pres
Suzanne Jacobs – Sec/Treasurer
Wanda Gaby – General Mgr
Ron Burge – Director
Jackie Staley – Director
Jeannine Hayes - Director
Jason Stovall – Director
INFORMATION SHEET
NEW APPLICATIONS / MEMBERS
On behalf of the Board of Directors we want to welcome you to our water system and service area. Our office hours
are Monday – Friday from 8:00 AM to 4:00 PM. We are open thru the lunch hour. We are closed on all major
holidays and weekends.
AFTER HOURS PLEASE CALL (903) 765-2701 our telephone calls are monitored 24 hours by our general
manager for emergencies.
The Board of Directors meets on the 4th Monday of each month.
Water bills are issued on or about the 28th of each month, and are due by the 15th of the following month. A $10.00
late fee is assessed to all accounts not paid by the 15th of the month.
MONTHLY MINIMUM WATER CHARGE … ⅝ x ¾ " Meter Service ……. $27.00
GALLONAGE CHARGE:
0 – 2,000
gallons @ $3.50 per thousand
2,001 – 10,000 gallons @ $4.00 per thousand
10,001 – 30,000 gallons @ $5.00 per thousand
Over
30,001 gallons @ $6.00 per thousand
Service / Re-read Fee
Reconnect Fee
Deposit
Renter Deposit
Re-Service Fee
$ 25.00
$ 75.00
$ 150.00 ($125.00 refundable)
$ 150.00 ($125.00 refundable)
$ 400.00 (included deposit)
New Water Meter Service Fee
Deposit
Tap Fee
$ 125.00
$2,125.00
$2,250.00
THANK YOU FOR ALLOWING US TO BE OF SERVICE TO YOU.
HAVE A GREAT DAY.
Bright Star-Salem
Special Utility District
PO Box 620 / 238 N Osborn
Alba, Texas 75410
903-765-2701 / 800-637-9407
Fax: 903-765-4334
“We’re Making Water Happen”
www.brightstarwater.com
Laura Reid – President
Delores McAree – Vice Pres
Susanne Jacobs – Sec/Treasurer
Wanda Gaby – General Mgr
Ron Burge – Director
Jackie Staley – Director
Jeannine Hayes - Director
Jason Stovall – Director
SERVICE APPLICATION AND AGREEMENT
□ Owner
□ Renter / Rent to Own
□ Owner Finance
* Proof of ownership or lease agreement is required to establish service
(Please Print)
DATE ___________________________
APPLICANT’S NAME: ___________________________________________________________
CO-APPLICANT’S NAME: _______________________________________________________
BILLING ADDRESS:
Email
_______________________________________________
___________________________________
_______________________________________________
PHONE NUMBER:
HOME ______ ______________ __
DAYTIME _________________________
ADDRESS AT WHICH APPLICANT REQUESTS SERVICE: (Include name of road, subdivision with lot number)
__________________________________________________________________________________________
ACREAGE _________
HOUSEHOLD SIZE ____________
NUMBER IN FAMILY _______
LIVESTOCK & NUMBER _______
SPECIAL SERVICE NEEDS OF APPLICANT: ___________________________________________________
______________________________________________________________________________________________
NOTE: THIS FORM MUST BE COMPLETED BY THE APPLICANT ONLY.
A MAP OF THE SERVICE LOCATION MAY BE REQUESTED
FOR CLARIFICATION.
DISTRICT USE ONLY
Account #: _________________________
Cert. #:
_________________________
Route #:
_________________________
Pump:
_________________________
Sequence: _________________________
Bright Star-Salem Special Utility District
Page -2-
The District shall sell and deliver water service to the Applicant and the Applicant shall
purchase, receive, and/or reserve service from the District in accordance with the Service Policies of
the District, as amended from time to time by the Board of Directors of the District. Upon compliance
with said Policies, including payment of a deposit, the Applicant shall become eligible to receive
service.
The Applicant shall pay the District for service hereunder as determined by the District's
Service Policies and upon the terms and conditions set forth therein, a copy of which has been
provided as an information packet, for which Applicant acknowledges receipt hereof by execution of
this Agreement. A copy of this Agreement shall be executed before service may be provided to the
Applicant.
The Board of Directors shall have the authority to discontinue, terminate or suspend the service
to any customer not complying with any policy or not paying any utility rates, fees or charges as
required by the District's published Service Policies. At any time service is discontinued, terminated or
suspended, the District shall not re-establish service unless it has a current, signed copy of this
agreement.
All water shall be metered by meters to be furnished and installed by the District. The meter
connection is for the sole use of the customer and is to provide service to only one (1) dwelling or one (1)
business. Extension of pipe(s) to transfer utility service from one property to another, to share, resell, or
submeter water to any other persons, dwellings, businesses, or property, etc., is prohibited.
The District shall have the right to locate a water service meter and the pipe necessary to connect
the meter on the Applicant's property at a point to be chosen by the District, and shall have access to its
meter and equipment located upon Applicant's premises at all reasonable and necessary times for any
purpose connected with or in the furtherance of its business operations, and upon discontinuance of
service the District shall have the right to remove any of its equipment from the Applicant's property. The
Applicant shall install, at their own expense, any necessary service lines from the District's facilities and
equipment to the point of applicant’s use, including any customer service isolation valves, backflow
prevention devices, pressure regulators, clean-outs, and other equipment as may be specified by the
District. The District shall also have access to the Applicant's property for the purpose of inspecting for
possible cross-connections, potential contamination hazards, illegal lead materials, and any other
violations or possible violations of state and federal statutes and regulations relating to the federal Safe
Drinking Water Act or Chapter 341 of the Texas Health & Safety Code or the District’s Service Policies.
The District is responsible for protecting the drinking water supply from contamination or pollution
which could result from improper practices. This service agreement serves as notice to each customer of
the restrictions which are in place to provide this protection. The District shall enforce these restrictions
to ensure the public health and welfare. The following undesirable practices are prohibited by state
regulations:
a. No direct connection between the public drinking water supply and a potential source of
contamination is permitted. Potential sources of contamination shall be isolated from the public
water system by an airgap or an appropriate backflow prevention assembly in accordance with
state regulations
Bright Star-Salem Special Utility District
Page -3-
b. No cross-connection between the public drinking water supply and a private water system is
permitted. These potential threats to the public drinking water supply shall be eliminated at the
service connection by the proper installation of an air gap or a reduced pressure-zone backflow
prevention assembly and a service agreement must exist for annual inspection and testing by a
certified backflow prevention device tester.
c. No connection which allows condensing, cooling, or industrial process water to be returned to
the public drinking water supply is permitted.
d. No pipe or pipe fitting which contains more than .25 % lead may be used for the installation or
repair of plumbing on or after July 1, 1988, at any connection which provides water for human
consumption.
e. No solder or flux which contains more than 0.2 % lead may be used for the installation or repair
plumbing on or after July 1, 1988, at any connection which provides water for human
consumption.
The District shall maintain a copy of this agreement as long as the Applicant and/or premises
are connected to the public water system. The Applicant shall allow their property to be inspected for
possible cross-connections, potential contamination hazards, and illegal lead materials. These
inspections shall be conducted by the District or its designated agent prior to initiating service and
periodically thereafter. The inspections shall be conducted during the District's normal business
hours, except in emergencies.
The District shall notify the Applicant in writing of any cross-connections or other undesirable
practices which have been identified during the initial or subsequent inspection. The Applicant shall
immediately correct any undesirable practice on their premises. The Applicant shall, at their
expense, properly install, test, and maintain any backflow prevention device required by the District.
Copies of all testing and maintenance records shall be provided to the District as required. Failure to
comply with the terms of this service agreement shall cause the District to terminate service or
properly install, test, and maintain an appropriate backflow prevention device at the service
connection. Any expenses associated with the enforcement of this agreement shall be billed to the
Applicant.
In the event the total water supply is insufficient to meet the service needs of all of the
District’s customers, or in the event there is a shortage of water, the District may initiate the
Emergency Rationing Program as specified in the District's Service Policies. By execution of this
Agreement, the Applicant hereby agrees to comply with the terms of said program.
By execution hereof, the Applicant shall hold the District harmless from any and all claims for
damages caused by service interruptions due to waterline breaks by utility or like contractors,
tampering by other customers/users of the District, normal failures of the system, or other events
beyond the District's control.
Bright Star-Salem Special Utility District
Page -4-
The Applicant shall grant to the District permanent recorded easement(s) dedicated to the
District for the purpose of providing reasonable rights of access and use to allow the District to
construct, maintain, replace, upgrade, parallel, inspect, test and operate any facilities necessary to
serve that Applicant as well as the District’s purposes in providing system-wide service for existing or
future customers.
By execution hereof, the Applicant agrees that non-compliance with the terms of this
agreement by said Applicant shall justify discontinuance, termination or suspension of service until
such time as the violation is corrected to the satisfaction of the District.
Any misrepresentation of the facts by the Applicant on any of the four pages of this agreement
shall result in discontinuance of service pursuant to the terms and conditions of the District's Service
Policies.
_________________________________________
Applicant / Date
_________________________________________
Co-Applicant / Date
Bright Star-Salem
Special Utility District
PO Box 620 / 238 N Osborn
Alba, Texas 75410
903-765-2701 / 800-637-9407
Fax: 903-765-4334
“We’re Making Water Happen”
www.brightstarwater.com
Laura Reid – President
Delores McAree – Vice Pres
Suzanne Jacobs – Sec/Treasurer
Wanda Gaby – General Mgr
Ron Burge – Director
Jackie Staley – Director
Jeannine Hayes - Director
Jason Stovall – Director
CUSTOMER / APPLICANT EMERGENCY REPAIR REQUEST AGREEMENT
Customer / Applicant: __________________________________
Account #: ___________
Phone #: _____________
I, the Customer / Applicant, request that the District notify the person (s) listed below, (OR) turn off meter
service if I am not available.
In case of emergency please contact:
1. ________________________________
Phone # ___________________
2. ________________________________
Phone # ___________________
3. ________________________________
Phone # ___________________
YES / NO
I hereby authorize Bright Star-Salem SUD personnel to TURN OFF MY
METER in case of a leak or other type of emergency on my property.
I also understand and acknowledge that the District is under no obligation or liability to look for any leaks
occurring on my property, and that the District may not know when or if a leak is on my property. I also
understand that I am fully responsible to pay for all water usage at my residence in accordance with the District
service policy.
Customer / Applicant: ___________________________________
Date: ____________________________
FIRE DEPARTMENT CONTRIBUTIONS
Important Customer Notice:
This notice is provided to all customers as a reminder that we add a $1
VOLUNTARY fee to each water bill for our local fire departments.
This is a
voluntary fee that is added to each account. The Board of Directors remits all
fees collected twice each year to the Alba, Yantis, Emory and Steamboat Shores
Volunteer Fire Departments. In 2015 we paid $3,455.00 to each fire department.
This amount was kindly donated by our customers. The board does not keep any
of the donations for administrative fees. We appreciate all customers that make
these contributions to our local fire departments, and we appreciate all volunteer
firemen for their service to the community. If you do not want to pay the $1
Voluntary Contribution do not sign this statement.
Thank you
Board of Directors
_____________________________
I understand that a $1 fee will be added to my water bill for the volunteer fire
departments.
NOTICE TO ALL CUSTOMERS
Any plumbing attached to our service connection is the full responsibility of the customer. Any
water leakage at that connection or anywhere on the customer service line will be billed to the
customer. The customer will be held responsible for full payment.
_____________________________
Customer Signature
_____________________________
Date
YOU CAN NOW REQUEST THAT PERSONAL INFORMATION
CONTAINED IN OUR UTILITY RECORDS
NOT BE RELEASED TO UNAUTHORIZED PERSONS
The Texas legislature recently enacted a bill, effective September 1, 1993 allowing non-profit water supply
corporations to give their customers the option of making the customer’s address, telephone number, and social
security number confidential.
IS THERE A CHARGE FOR THIS SERVICE?
Yes, there is a one-time charge of $5.00 to cover the cost of postage and implementation which must be paid at the
time of the request.
HOW CAN YOU REQUEST THIS?
Simply complete the form at the bottom of this page and return it with your check or money order for $5.00 to:
BRIGHT STAR-SALEM SPECIAL UTILITY DISTRICT
PO BOX 620
ALBA, TEXAS 75410-0620
Your response is not necessary if you do not want this service.
WE MUST STILL PROVIDE THIS INFORMATION UNDER LAW TO CERTAIN PERSONS:
We must still provide this information to (1) an official or employee of the state or a political subdivision of the
state, or the federal government acting in an official capacity; (2) an employee of a utility acting in connection with
the employee’s duties; (3) a consumer reporting agency; (4) a contractor or subcontractor approved by and providing
services to the utility or to the state, a political subdivision of the state, the federal government, or an agency of the
state or federal government; (5) a person for whom the customer has contractually waived confidentiality for
personal information; or (6) another entity that provides water, wastewater, sewer, gas, garbage, electricity, or
drainage service for compensation.
-------------------------------------------------------------------------------------------------------------------------DETACH AND RETURN THIS SECTION
Yes, I want you to make my personal information (address, telephone number, and social security number)
confidential. I have enclosed my payment of $5.00 for this service.
_______________________________________________
Name of Account Holder
____________________________
Account Number
_______________________________________________
Address
_____________________________
Telephone Number
_______________________________________________
City, State, Zip Code
_____________________________
Signature
Bright Star-Salem
Special Utility District
PO Box 620 / 238 N Osborn
Alba, Texas 75410
903-765-2701 / 800-637-9407
Fax: 903-765-4334
Laura Reid – President
Delores McAree – Vice Pres
Suzanne Jacobs – Sec/Treasurer
Wanda Gaby – General Mgr
“We’re Making Water Happen”
www.brightstarwater.com
Ron Burge – Director
Jackie Staley – Director
Jeannine Hayes - Director
Jason Stovall – Director
APPLICANT
RE: Customer Service Inspections
Effective January 1, 1996, all utilities, including special utility districts will be required to maintain customer service
inspection certifications. This inspection must occur prior to providing continuous water service to new
construction, material improvements or corrections to private plumbing facilities, or when the water supplier
believes that a cross-connection or unacceptable plumbing exists. With this addition to the rules, water suppliers
must ensure proper plumbing throughout the distribution system. The existence of a serious threat to the integrity of
the public water supply is sufficient grounds for immediate termination of water service. Once the treat of
contamination is eliminated, service may resume.
Following is a copy of the Customer Service Inspection Certification from which must be completed and signed by a
licensed inspector, or plumber. In order to establish permanent water service the following form must be completed
by a licensed inspector or plumber and returned to our office. At that time you will be approved for permanent
water service. Until that time your service is only temporary.
These rules represent a firm commitment by the TCEQ, and our Utility District to protect our precious drinking
water supply from contamination. We ask for your cooperation and assistance in assuring compliance with these
rules in order to better protect the health and well-being of the citizens of Texas.
If you have any questions concerning these rules please feel free to contact our office or the TCEQ Operations
Monitoring Team of the Drinking Water Program in Austin, at 512-239-6020.
Texas Commission on Environmental Quality
Customer Service Inspection Certificate
Name of PWS:
PWS ID #:
Location of Service:
Reason for Inspection: New construction .............................................................................. ☐ †
Existing service where contaminant hazards are suspected ............ ☐ †
Major renovation or expansion of distribution facilities ..................... ☐ †
I
, upon inspection of the private water distribution facilities
connected to the aforementioned public water supply do hereby certify that, to the best of my
knowledge:
Compliance
†
☐
Non-Compliance
☐
†
☐
☐
☐
☐
†
☐
☐
†
☐
☐
†
☐
☐
(1) No direct connection between the public drinking water
supply and a potential source of contamination exists.
Potential sources of contamination are isolated from the
public water system by an air gap or an appropriate backflow
prevention assembly in accordance with Commission
(2) No
cross-connection between the public drinking water supply
regulations.
and a private water system exists. Where an actual air gap is not
maintained between the public water supply and a private water
supply, an approved reduced pressure principle backflow
prevention assembly is properly installed and a service
agreement exists for annual inspection and testing by a certified
backflow prevention assembly tester.
(3) No connection exists which would allow the return of water used
for condensing, cooling or industrial processes back to the public
water supply.
(4) No pipe or pipe fitting which contains more than 8.0% lead
exists in private water distribution facilities installed on or after
July 1, 1988 and prior to January 4, 2014.
Plumbing
installed after January 4, 2014 bears the expected
(5)
labeling indicating ≤0.25% lead content. If not properly labeled,
please provide written comment.
(6) No solder or flux which contains more than 0.2% lead exists in
private water distribution facilities installed on or after July
1, 1988.
I further certify that the following materials were used in the installation of the private water distribution facilities:
Service lines;
Lead† ☐
Copper † ☐
PVC † ☐
Other † ☐
Solder;
Lead† ☐
Lead Free ☐ Solvent Weld† ☐
Other † ☐
I recognize that this document shall become a permanent record of the aforementioned Public Water System and that
I am legally responsible for the validity of the information I have provided.
Remarks:
Signature of Inspector:
Registration Number:
Title:
Type of Registration:
Date: