Form A Application for a Permanent Water Connection

Transcription

1 Form A Application for a Permanent Water Connection Water Plus are experienced in all technical aspects associated with attaining new water, wastewater and temporary connections. If you require help with any part of the process, please contact us. Specialist support includes WIRS accredited design, water and drainage modelling, flow and pressure testing. Also covered is completing application forms and liaising with Scottish Water, through to soil investigations (SI), mains installation, pressure testing and chlorination and ultimately, final connections. To speed up the processing of this form please fill in all the details. Applications can only be finalised once this form is completed and ed to scotlandconnections@water-plus.co.uk along with these three* documents: 1. Site location plan 2. Internal/external schematics 3. External design proposal showing the route of the new connection(s) from the Scottish Water mains to the property *Water Plus provides a design service to create these documents according to your requirements (and can provide a quote to complete the documents). Tips to help speed up the process If your new connection is replacing an existing one please apply for it to be disconnected. Please complete and attach the form entitled Application for a Permanent Disconnection. Note that you can only apply for a disconnection via Water Plus for an existing connection/meter should this be supplied by us (United Utilities/ Severn Trent). Contact us should there be any queries in this regard. To make sure the connection and meter (as applicable) are sized correctly, please complete the Meter Size Data Assessment Sheet form found at the rear of this application form. Note this is not required where a firefighting only connection is proposed. All connections above 32mm need to meet the Scottish Water standards for soil investigation, fire authority approval and require a WIRS accredited design. Again, if you require help with any of these processes please the Water Plus team which offers a full support service. 1. Contact details: 1.1 Main contact Main contact is the: Owner Contractor Tenant Main contact Site contact Form A: Application for a Permanent Water Connection Page 1 of 7

2 1.2 Tenant details Are these the same as section 1.1? Yes No If yes, go to section 1.3. If no, please fill in the section below Billing contact details for water charges Are these the same as section 1.1? Yes or section 1.2? Yes If yes for either section, go to section 1.4. If no, please fill in the section below. Owner Contractor Tenant Billing contact details for the person who is paying for the connections charges Are these the same as section 1.1? Yes or section 1.2? Yes or section 1.3? Yes If yes for either section, go to section 2. If no, please fill in the section below. Owner Contractor Tenant Form A: Application for a Permanent Water Connection Page 2 of 7

3 2. Site details: 2.1 Site to be connected For larger sites with multiple occupancy. Please complete and attach the form entitled Additional Occupants. Postcode or grid reference: Expected moving in date: What was the previous use?: Existing Change or upgrade Greenfield Brownfield If existing, change or upgrade please give brief details: Existing Supply Point ID (SPID): If new, please provide brief details of the proposed use eg office, hotel: Will the site have multiple tenants?: Yes No If yes, please complete the form entitled Additional Occupants. Will each tenant require a meter(s)?: Yes Or will a landlord charge by bulk meter? Yes Preferred date of connection: 2.2 Predicted consumption Number of residents: Number of employees: Predicted annual water consumption: m 3 If more than 1500m 3 you require a Form E (Pre-development Enquiry)/PDE to be completed Has this been carried out?: Yes No If yes, please provide the reference number: 2.3 Byelaws What is the highest fluid risk category applicable to the site? See Scottish Water byelaws web site Please rate: (lowest level) (highest level) 2.4 Planning approval What is the name of the local authority?: Planning reference number: Date issued: If no planning approval has been granted, please briefly explain why: Do you have permission to cross private land (if applicable)?: Yes No Form A: Application for a Permanent Water Connection Page 3 of 7

4 2.5 Contaminated land Does the site have any contaminated land or related issues?: Yes No If yes please provide details including any data relating to the choice of pipe material: Have you attached a copy of the soil investigation (SI) report with this form?: Yes No If no, and you need a SI report, please the Connections Team, as they offer a full support service scotlandconnections@water-plus.co.uk 3. Connection details: 3.1 Temporary connection to permanent Do you have a temporary connection and wish to convert it to permanent?: Yes No Reference number: 3.2 Building/construction water Have you applied for building/construction water?: Yes No If yes, what is the reference number?: If no, please briefly explain why or complete our Form J Application and submit for assessment: If alternative water has been used or it is a dry build, please attach evidence and provide a brief explanation here: 3.3 Sewer connection Are you reusing an existing sewer? Yes No If yes, please provide brief details: Please provide the sewer reference number for any applications submitted (as applicable). If you do not require a sewer connection please briefly explain why: 3.4 Connection size excluding firefighting Please indicate the size of connection/potable branch you require: Please indicate the size of meter you require: mm mm Please provide details of your WIRS designer (required for any connections above 32mm): For more details refer to the registration scheme Would you like Water Plus to act as WIRS designer for you?: Yes No If yes, we ll be in touch shortly and provide a proposal for the work (charges apply). Form A: Application for a Permanent Water Connection Page 4 of 7

5 3.5 Meter location It is usual for the meter to be located outside the premises on a footpath if possible and close to the main. If an alternative location is needed, please briefly explain where you would prefer the meter to be located: Would you like a smart meter/automatic meter reader (AMR) installed on the new water meter?: Yes No If yes, we will be in touch shortly to arrange AMR installation (charges apply) and to collect data about your water use. 3.6 Firefighting connection Size of firefighting connection required: mm Do you have a fire approval letter?: Yes No If yes, please send a copy with this application. If no, please briefly explain why and provide evidence: 4. Declaration 4.1 Signed declaration I/We agree to the current Water Plus Terms & Conditions. I/We agree that all information provided is accurate and fully understood. I/We agree to the Water Plus Charging Scheme and Table of Charges. I/We agree that any works being undertaken is both legal and fit for purpose. I/We agree to abide by the current Scottish Water Byelaws and the latest Water for Scotland Guidance. I/We have included all required evidence and information required. I/We agree to supply as laid drawings within 20 days of connection if requested. Signed: Name: Date: Water Plus Limited Two Smithfield Leonard Coates Way Stoke on Trent ST1 4FD Form A: Application for a Permanent Water Connection Page 5 of 7 04/17/7370A

6 Data Assessment Sheet: Meter Size To speed up the processing of this form please fill in all the details. Number of meters: 1. Site information: Details of all available data items should be completed. Site of any existing meters, or NEW for new meters: Any existing meter serial numbers: Supply pressure if known: Bar Bar Bar Bar Diameter of incoming pipe into building/premises: mm mm mm mm Fire supply: (if Yes, please complete section 4 - Fire supplies) Yes No Yes No Yes No Yes No Contaminated land: Yes No Yes No Yes No Yes No Operational time period: Please select one of the following: 8 8 to If no time period is selected, 24 hours will be used as the default. 2. Number of water fittings Please provide details of the number of water fittings (as listed) and indicate whether they are fed from the mains or from a storage tank. If no information is available please complete section 3 - Flowrate. Storage tank supply pipe size: mm mm mm mm Mains Storage Mains Storage Mains Storage Mains Storage WC flushing cistern: Domestic sized wash basin: Commercial sized wash basin: Bath (tap nominal size 20mm): Bath (tap nominal size larger than 20mm): Shower: Power shower: Sink (tap nominal size 15mm): Sink (tap nominal size larger than 15mm): Spray tap: Bidet: Domestic sized washing machine: Domestic sized dishwasher: Domestic sized waste disposal unit: Commercial sized washing machine: Commercial sized dishwasher: Commercial sized waste disposal unit: Outside tap: Swimming pool: Any other water fitting or outlet: Meter Size Page 1 of 2

7 3. Flowrate: Where information is available for the number of water fittings, please complete either section 3.1 or From logging data: Please provide details of all three flowrates requested. Minimum (l/sec): Maximum (l/sec): Typical (l/sec): 3.2 Estimate of flowrate: Please provide details for the daily water required. Daily requirement (l/day): 4. Fire supplies: Please provide details for the number of fire supplies and their estimated flowrates. Number of fire hydrants: Estimated flowrate (l/sec): Mains Storage Mains Storage Mains Storage Mains Storage Number of fire hoses: Estimated flowrate (l/sec): Number of sprinkler system heads: Estimated flowrate (l/sec): 5: Meter requirements: Please indicate whether there is power available at the site if a meter that requires power is being seleted from the meter menu. Power available: Yes No Yes No Yes No Yes No Water Plus Limited Two Smithfield Leonard Coates Way Stoke on Trent ST1 4FD Meter Size Page 2 of 2 04/17/7370L