Water Connection Application
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1 Water Connection This application form is to be used for connections to a public water main for the following: Housing Units Site Accommodation Student Accommodation Building Water Guidance section Water Connection When completing this form please refer to the guidance section for assistance. This form is for domestic connections only. For non-domestic connections please see If you require a lead replacement please contact our Customer Helpline on and they will provide you with an application. Other Customer Connections applications available are: For more information on Scottish Water, call our Customer Helpline on or visit our website at:
2 For official use only Date received: All fields marked with an asterix (*) are mandatory. 1. Details Please quote any Scottish Water reference previously given that relates to your site. 1.1 Scottish Water Reference No: 1.2 Applicant Details: Contact Name: * Company Name (if applicable): Address: * Postcode: * Phone: * Mobile: Guidance section Water Connection These guidance notes relate to each numbered question on the application form. 1. Details 1.1 Please include any Scottish Water reference number relevant to this site i.e your Pre Development Enquiry (PDE) reference number or if you have previously applied for this site and have a reference number please quote this. 1.2 The applicant will be the designated point of contact unless otherwise notified. 1.3 Complete the developer section only if this is different from the applicant. 1.4 Please indicate who the billable customer is by ticking the appropriate box. The invoice will be addressed and sent to this customer Developer Details: (if different from above) Contact Name: Company Name (if applicable): Address: Postcode: * Phone: Mobile: Please indicate who the billable customer is by ticking the appropriate box: * Applicant: Developer: Other: If other please provide details: 02
3 2. Site Details 2.1 Site address: * 2.2 Nearest Postcode: 2.3 Ordnance Survey Ref (12 Fig): 2.4 Type of premises: * New: Existing: 2.5 Planning Reference (if applicable): 2.6 Date Granted (if applicable): 2.7 Local Authority Area: * 2.8 If Existing, please specify existing use of premise? 2.9 Are there any potential contaminated land issues? * Yes No If Yes please state what action is being taken to negate contamination risk: 2.10 Is there an existing public supply at the site? Yes No If Yes, are any supplies metered? Yes No If Yes, please supply the meter serial number: 2. Site Details 2.1 If you do not have a full postal address please provide as much location information as possible e.g. name of adjacent road. If you are building more than one property please be aware that the plot numbers must be numerical, run consecutively, and correspond with the drawings provided. 2.2 If you are building in an undeveloped area you may not have a postcode. If you have a nearby postcode please provide this. 2.3 If you have a 12 digit Ordnance Survey reference point then please include this. 2.5 For new premises we require the full planning reference number and the 2.6 date when planning was granted. For existing premises please provide this information only if applicable. 2.7 We require confirmation of the local authority area where your site is located in all cases. 2.8 If this is an existing build please state what this was previously used for i.e; Offices, Housing, Industrial/Commercial 2.9 If there are any land contamination issues relating to your site, please confirm how your site has been cleared of contamination, or provide the necessary third party assessment that confirms the choice of pipe material and/or measures taken to protect the public water supply Existing supply refers to a supply on site of previous use. This does not include any temporary site connections you have previously applied for. Indicate the retained connections quantity/diameter in your drawings provided, as well as any disconnections required. Do you wish to retain this supply? Yes No 03
4 3. Connection Details 3.1 Anticipated date for water connection: 3.2 Type and number of properties to be connected: Tick all boxes that apply: Quantity New housing unit(s) Property Type: Detached houses: Semi-detached houses: Flats/apartments (see guidance): Terraced: Total Number of New Housing Units Existing housing unit(s) Student Accomodation Site Accomodation Standpipe for Building Water Other If you require a connection for Site Accomodation or Building Water purposes will it be utilised as a permanent plot? Yes No If Yes, please supply plot number If No, please provide estimated disconnection date 3. Connection Details Please note that we offer a connection only service you are responsible for all other work including provision of all materials; excavation; pipe laying and reinstatement. You are also responsible for obtaining any necessary road opening permits and traffic management from the local authority. 3.2 Please tick the boxes that apply. If you are looking for a new supply to an existing premise please include a brief summary under 3.3 to give us a full understanding of your needs i.e. transferring from a private to public water supply etc. If you are constructing flats three stories or above you should make provision for pumps and 24 hour storage in order to ensure each property has adequate pressure. Please note student accomodation will require a metered connection. Please provide meter requirements in section 3.4 under other. A temporary water supply can be used for site accommodation, sales cabin, temporary caravan, etc. If you intend to utilise this as a permanent connection for a property please tick yes. 3.3 Please provide any further connection information not captured above that you feel may assist in your application: 04
5 3.4 Size of Connection(s) required and Material Type: Size Quantity* Material Type 25mm 32mm 63mm 90mm Other: 3.5 Please provide details of any fire fighting requirements. * (Please note: SW may not be able to meet the flows stipulated) 3.6 Do you propose to include any sprinkler systems? * Yes No 3.7 Are you required to work on third party land? * Yes No If yes, please forward written permission by land owner. 3.8 Have you applied for a new sewer? * Yes No If yes, please provide the Scottish Waste Water Reference number: If no, what provisions have you made for draining your site? 3.4 Please note that domestic properties are not required to be metered as water charges in Scotland are collected through Council Tax payments if however a metered supply is required please request under other in table provided. Connection Size You are responsible for making the necessary assessments and for the sizing of your connections. As a guideline for small, single domestic supplies, a service pipe of 25mm diameter is usually sufficient. If a service pipe is greater than 32mm please note this is classed as a non standard connection and as such your application will rquire the following additional information: A Soil Investigation report Fire Authority Approval Letter Detailed drawing showing valve arrangements Material Type The most commonly used pipe material for single properties is Medium-density polyethylene (MDPE). If however there are contaminated land issues copper or barrier pipe may be a suitable alternative material 3.5 Please provide information if you have been requested by building control or the fire authority to install any fire hydrants and confirm details of any flow requirements stipulated. 3.6 If you propose to include a Sprinkler System at your development, you will need to submit the following: Internal schematics Manufacturing specifications Please ensure any fixtures and fittings used within the proposed sprinkler system conform to the appropriate byelaws. 3.8 If a connection to the public sewer has still to be applied for please complete a Sewer Connection (SC1)application form. 05
6 4. Checklist Drawings: Site Location Plan: Fire Authority approval (if applicable): Soil Investigation (SI) report (if applicable): Written permission to carry out work on land outwith your ownership (if applicable): Sprinkler system schematic drawings and manufacturing specifications (if applicable): Internal Plumbing schematics for flatted developments (if applicable): 4. Checklist Drawings Please ensure you include the following drawings: Proposed route and point of connection Location and footprint of property in relation to the surrounding area Connections over 32mm Please ensure you include the folowing information: Soil Investigation report Fire Authority approval letter Detailed drawing showing valve arrangements 5. Declaration 5. Declaration Please ensure that you have read, understood and signed the declaration. I/We hereby make application to Scottish Water for a supply of water as detailed above I/We abide by the terms and conditions of current Scottish Water Byelaws on date of application I/We understand that any alterations made to this application must be declared to Scottish Water I/We have filled in all the mandatory sections of this form. The details I/we have given with this application are accurate I/We have read and understood the guidance notes I/We have enclosed all the necessary supporting documentation Your details Signature: * Date: * Your full name (in capitals): * Company name: Please note: in consideration of the environment, we seek to correspond with customers via . If you wish to receive correspondence via , please tick this box and complete your details in section 1.2: 06
7 6. Charges We will issue you with a quote based on our current Scheme of Charges which is available on our website The quote will be made up of the following charges: Fee Connection charge Infrastructure charge per property Building Water charge per property Upon your acceptance of the quote we will issue an invoice. Payment should not be made until an invoice has been issued. Please return pages 2 6 of this application to: Customer Connections Scottish Water The Bridge Buchanan Gate Business Park Cumbernauld Road Stepps G33 6FB 6. Charges Your quote will be based on the following charges. fee This fee relates to the administration work and technical assessment involved in processing this application. Connection charge This is applicable per connection and incorporates the fee for an inspection and the physical cost of a connection. Infrastructure charge This is applicable on a per property basis. All new properties connecting to our water mains increase the flow demand within the water network. In order to fund upgrades of the public water network, any new connections to the public water main are required to pay an infrastructure charge. Building water You will pay a flat rate charge for the water used in the building of ALL new properties, whether part of a development or a single property. The actual charge will depend on the type of house you are building i.e. Terraced/Semi detached/ Detached/Flat. If this application is for a temporary supply the charges for building water and infrastructure will be charged when you apply for the permenant connections. Alternative formats of this form can be made available free of charge. For information on Braille, large print, audio and a variety of languages, please call our Customer Helpline. If you have a disability, medical condition or other reason where you will need special assistance from Scottish Water then please contact us and we can add your name, address and special requirements to our confidential Additional Support Register. We record all calls for quality and training purposes. SW 01/13 07
8 Notes 08
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