WATER SERVICE APPLICATION - RESIDENTIAL FOR SINGLE DWELLING (TORRENS TITLED) DOMESTIC SERVICE (20mm/25mm) Conditions of Application All details must be completed on the application form or it will be returned to the applicant 1. Service charges apply from the date of connection 2. All fees are payable on lodgement of the application:- An Application Fee Meter (if required) Service connection fee All Fees are listed in Council’s Fees & Charges or can be obtained from Customer Service 3. Requests for an additional meter for secondary dwellings located on a single lot under one ownership, can only be provided to approved dwellings & proof may be required (e.g. DA) 4. It is the responsibility of the applicant to ensure that a service is required prior to lodgement. Refunds:- If a connection has already been made, a refund cannot be applied for If a connected has not been made the applicant can withdraw the application & request a refund, however an administration fee of 25% of the original fee (upto a maximum of $100.00) will be deducted from the refund amount 5. Where the property has a riser, the meter will be installed at that location. If no riser or main cock exists the applicant may nominate the preferred location of the service, however the location is at Council's discretion 6. It is a condition of connection that Council is provided with unrestricted access to allow for the installation, reading or maintenance of the meter A relocation/reinspection fee in accordance with Council's fees and charges apply if access is not available. Water Service Connection will be provided within 15 working days of receipt of application and payment of relevant fee CUSTOMER SERVICE STAFF ONLY Date: Receipt No.: Fee Paid: V2.1 30/9/2019 D13495924 Wyong Office: 2 Hely St / PO Box 20 Wyong NSW 2259 Gosford Office: 49 Mann St / PO Box 21 Gosford NSW 2250 P 1300 463 954 l E [email protected] l W centralcoast.nsw.gov.au l ABN 73 149 644 003 Page 1 of 2
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WATER SERVICE APPLICATION - RESIDENTIAL FOR SINGLE DWELLING (TORRENS TITLED) DOMESTIC SERVICE
(20mm/25mm)
Conditions of Application
All details must be completed on the application form or it will be returned to the applicant
1. Service charges apply from the date of connection
2. All fees are payable on lodgement of the application:- An Application Fee Meter (if required) Service connection fee
All Fees are listed in Council’s Fees & Charges or can be obtained from Customer Service
3. Requests for an additional meter for secondary dwellings located on a single lot under oneownership, can only be provided to approved dwellings & proof may be required (e.g. DA)
4. It is the responsibility of the applicant to ensure that a service is required prior to lodgement.Refunds:- If a connection has already been made, a refund cannot be applied for If a connected has not been made the applicant can withdraw the application & request
a refund, however an administration fee of 25% of the original fee (upto a maximum of$100.00) will be deducted from the refund amount
5. Where the property has a riser, the meter will be installed at that location. If no riser or main cockexists the applicant may nominate the preferred location of the service, however the location is atCouncil's discretion
6. It is a condition of connection that Council is provided with unrestricted access to allow for theinstallation, reading or maintenance of the meter
A relocation/reinspection fee in accordance with Council's fees and charges apply if access is notavailable.
Water Service Connection will be provided within 15 working days of receipt of application and payment of relevant fee
CUSTOMER SERVICE STAFF ONLY
Date: Receipt No.:
Fee Paid:
V2.1 30/9/2019 D13495924
Wyong Office: 2 Hely St / PO Box 20 Wyong NSW 2259 Gosford Office: 49 Mann St / PO Box 21 Gosford NSW 2250
P 1300 463 954 l E [email protected] l W centralcoast.nsw.gov.au l ABN 73 149 644 003
Page 1 of 2
SINGLE DWELLING (TORRENS TITLED) DOMESTIC SERVICE (20mm/25mm) WATER APPLICATION - RESIDENTIAL
APPLICANT DETAILS Applicant Name Contact Phone No.
Applicant Address
Owner’s Name Owner’s Phone No.
House No. Street Suburb
Property Lot No. D.P. Section
Signature Date
Is there an existing Copper Pipe Riser at the property? (please circle) Yes / No What Service Size is being applied for? (please circle) 20mm OR 25mm
Note:
1. Proposed Meter location MUST be clearlymarked with a peg.
2. Council will install the meter as close aspracticable to this location.
3. If meter position has not been pegged,meter will be installed in a position deemedsuitable by Council. If this location doesnot suit the owner a relocation fee will becharged.
This service is for a single domestic dwelling only. Please prepare a site diagram as per sample. Include site peg location, street name, lot and house no. and north point. NOTE: INCLUDE NEAREST CROSS STREET
PEG REQUIRED AT METER LOCATION - N.B. If a service riser already exists the meter will be installed at that point.
V2.1 30/9/2019 D13495924
Wyong Office: 2 Hely St / PO Box 20 Wyong NSW 2259 Gosford Office: 49 Mann St / PO Box 21 Gosford NSW 2250
P 1300 463 954 l E [email protected] l W centralcoast.nsw.gov.au l ABN 73 149 644 003
Page 2 of 2
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