Application Form Water & Sewer Connection Application Fees: This application is subject to fees. For details on these fees contact North East Water or reference our website www.newater.com.au Contact details: Phone: 1300 361 633 Email: [email protected] Post: PO Box 863 Wodonga Vic 3689 Fax: 02 6024 7454 PROPERTY DETAILS PS No. Lot No. Unit No. Street No. Street Town State House Unit Post Code Other (please specify) OWNER / OCCUPIER DETAILS Name Postal Address (for serving notices) No Street PO BOX number (If applicable) Town State Post Code Phone Mobile Fax Town State Post Code Phone Mobile Fax Email PLUMBER DETAILS Name Address Email 1of3 newater.com.au PERSON RESPONSIBLE FOR PAYMENT OF APPLICATION CHARGES Name Address Town State Post Code Phone Mobile Fax Email Signature DESCRIPTION OF WORK Water New Tapping and Meter New Tapping Only* Tapping Size (mm) Supply Meter Only Fire Service* Meter Size (mm) Disconnection Other (please specify) Sewer New Connection Disconnection Addition / Alteration to existing drains (description of proposed works) Create Dual / multiple Occupancy Add Aged Care Unit Other (please specify) BACKFLOW PREVENTION DEVICE Yes No A separate Backflow Prevention Device application must be completed if North East Water requires a testable device to be installed for containment protection under Section 4 of AS 3500.1 TRADE WASTE DISCHARGE Yes No A separate trade waste application form must be completed if any waste other than domestic sewerage is to be discharged RETURN APPROVED APPLICATION TO Owner 2of3 Plumber Applicant BY: Mail Email Fax newater.com.au Standard Conditions for Approval 1. APPROVAL. Please allow TEN working days for approval, processing and return of this application. Applications will be processed in the order in which they are received. 2. INFORMATION SUPPLIED. The Corporation aims to process all applications within the ten-day period. However this will be delayed if the applicant supplies insufficient or incorrect information. Please provide as much detail as possible on the property address and location - attach a plan of subdivision or a plan showing the nearest streets etc, if necessary. 3. PLAN OF PROPOSED WORKS. A sketch plan of any new structure or proposed alterations to an existing structure must be supplied with this application. The plan must show the new work in relation to the existing buildings and to the property boundaries. 4. WORK MUST COMPLY WITH PLUMBING REGULATIONS. Under S145(3) of the Water Act 1989, it is a condition of North East Water’s consent to this application that any private works connected to the Corporation’s works comply with the Plumbing Regulations 2008 and to Australian Standard AS3500 Plumbing and Drainage. 5. NEW CUSTOMER CONTRIBUTIONS. Any applicable New Customer Contribution (NCC) charges MUST be paid before this application will be approved. Please notify the Applications and Data Department when the NCC charges have been paid, otherwise this application will remain unprocessed. 6. CONNECTION POINT LOCATION. North East Water only guarantees the location of the connection point to within plus or minus one metre, both horizontally and vertically. Please note that North East Water is to be contacted if the connection point cannot be located as compensation for lost time is limited to one hour. The connection point MUST be located before commencement of laying any property drain. No compensation will be considered for drains laid in the wrong location. 7. AS LAID DRAINAGE PLAN. An “As Laid” plan of any new or altered property drain is to be supplied to North East Water as required under Section 221ZO of the Building Act 1993. Penalties apply for failing to lodge a plan. 8. SEWERAGE CHARGES. The owner of the property needs to be aware that the sewerage service fee for this property will start being charged THREE MONTHS from the date of the issuing of the Consent to Connect number. 9. ROAD OPENING. Any person who intends to open or break up any part of any street for the purpose of laying a pipe must obtain the prior consent of the relevant Municipal Council. 10. PRIVATE WATER LINE. If this application is for connection of a private water line extension, approval will not be given until a signed Water Supply Licence is received from the property owner and the applicable NCC charge has been paid. It is a condition of approval for any new private water line extension that it must consist of a separate tapping on the Corporation’s water main, a water meter placed as close as practicable to the water main and a separate pipeline to the property, serving that property only. I have read and understand the standard conditions for approval. Print Name Applicant Signature Date: 3of3 newater.com.au INTERNAL USE ONLY Invoice Number Sundry Debtor Number Installation Number Notes 4of3 newater.com.au
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