Toggle navigation
News
Commission
Login
Capabilities
Cargo Types
Dry Bulk
Breakbulk Cargo
Liquid Bulk
Wind Energy/Project Cargo
Facilities
Cargo Docks
Bulk Terminal
Liquid Docks
Hydrographic Surveys
Open Storage/Warehouse
Foreign-Trade Zone #122
U.S. Foreign-Trade Zone Benefits
Business
Real Estate
La Quinta Terminal Gateway
Landowner’s Bill of Rights
Rincon Industrial Area
Business Opportunities
Become a Port Customer
Advertised Solicitations & Projects
Procurement
Vendor Registration
Procurement
Procureware
Services
Engineering Services Request
Stevedores & Freight Handlers
Ship Agents
Tariffs
Tariffs
Community
Community Relations
Community Feedback Form and Hotline
Public Notifications
Public Information Requests
Public Tours
Job Shadowing Program
Harbormaster
About
Port
About Us
Form CIS and Form CIQ Filings
Executive Leadership Team
Key Personnel
Environmental Planning
& Compliance
Harbormaster’s Office
Safety
Security
Contact
Media Center
Resources
Press Releases
Videos
Financials
Financials
Check Registers
Reports
Outbound Crude Oil – Domestic and Export Markets
Commission
Commission
Commission Agendas
Aransas-Corpus Christi Pilots
Careers
Careers
Job Shadowing Program
Potable Water Request Form
Potable Water Request Form
IMPORTANT:(To Be Completed by Licensed Vessel Agent) Potable water requests will not be processed until vessel is secured at dock.
Agent Information
Licensed Shipping Agency Name
Agency Representative
First
Last
Agent Phone Number
Agent Email Address
Date
MM slash DD slash YYYY
Vessel Information
Vessel Name
Dock Assignment (Select One)
Cargo Docks
Dock 1
Dock 2
Dock 8
Dock 9
Dock 14
Dock 15
Oil Docks
Dock 1
Dock 2
Dock 4
Dock 7
Dock 11
Bulk Terminal
Dock 1
Dock 2
Tariff Acknowledgment & Financial Responsibility
I acknowledge and accept full financial responsibility for all applicable potable water and connection charges associated with this request.
Per Tariff Item 3.402, the undersigned licensed shipping agent acknowledges and agrees to the following charges:
• $8.00 per 1,000 gallons of potable water delivered
• $25.00 connection fee per hookup at Terminal Facilities
CAPTCHA
Phone
Breakbulk
Liquid Bulk
Intercoastal Waterways
Dry bulk
Wind Energy
General Cargo / Dry Bulk
Open Storage / Warehouse
Cargo Docks
