Central Time (CCT):
Service Request – Segmentation

Firm Transportation customers may use this form to submit segmentation requests pursuant to §18.2 of Dominion Energy Carolina Gas Transmission’s FERC Gas Tariff. Dominion Energy Carolina Gas Transmission will provide a response to this request within five (5) business days of receipt.

Any party requesting segmented capacity must complete this Service Request – Segmentation Form, and submit it either electronically on Pipeline’s Internet Website or as a paper copy returned via United States Postal Service to:

Customer Services Department
Dominion Energy Carolina Gas Transmission, LLC
121 Moore Hopkins Lane
Columbia, SC 29210

No request shall be considered until a completed Service Request – Segementation Form, in electronic or paper copy format, is received by Pipeline’s Customer Services Department.

Shipper Name:

FT Agreement Number:

Segmentation Duration:

Begin Gas Day:

 
Please enter a valid date.

End Gas Day:

 
Please enter a valid date.

Primary Path:

Primary Receipt Point Name   Primary Receipt Point Code   Primary Delivery Point Name   Primary Delivery Point Code   Quantity (Dt)
       

Primary Path Segment 1:

Segment Receipt Point Name   Segment Receipt Point Code   Segment Delivery Point Name   Segment Delivery Point Code   Quantity (Dt)
       

Primary Path Segment 2:

Segment Receipt Point Name   Segment Receipt Point Code   Segment Delivery Point Name   Segment Delivery Point Code   Quantity (Dt)
       

Comments:

Authorized Representative:

Phone Number:

E-mail:

Printed Name:

Title: