SWW Reference No: WR Application for a sewer requisition and/or the diversion of an existing sewer This form can be used to apply for a new sewer requisition, under section 98-101, and/or a new sewer diversion, under section 185 of the Water Industry Act 1991. Please provide as much information as possible about your requirements to enable us to process your application as quickly and as accurately as possible. Insufficient information may result in delays to the provision of the new sewers. Minor Sewer Diversion with design by South West Water (S185)* Minor Sewer Diversion with design by you or your Consultant (S185)* Major Sewer Diversion with design by South West Water (S185)* Major Sewer Diversion with design by you or your Consultant (S185)* Sewer Requisition (S98-101) *Please consult the Guidance Notes for the definition of a minor / major sewer diversion For a Sewer Diversion please complete all sections of the form except for Section 3 For a Sewer Requisition please complete all sections of the form SECTION 1 - APPLICANT (CORRESPONDENCE ADDRESS) 1.1 Applicant details Applicant: Name/for attention of: Property Name/No: Street: Village/Town: City/County Email: Telephone No: Mobile No: Fax No: Postcode: For the site in question are you: Owner Occupier Acting on behalf of owner or occupier 1.2 Owner details if different from above Owner: Property Name/No: Street: Village/Town: City/County Email: Telephone No: Mobile No: Fax No: Postcode: If applicant is acting on behalf of the owner/occupier, a letter, fax or email from the owner/occupier should be attached to this application. southwestwater.co.uk Page 1
Name (owner) Name (applicant) Signature (owner) Signature (applicant) SECTION 2 - SITE 2.1 Site location Address of Site: Site Name: Street: Village/Town: City/County Postcode: Site Grid Reference (mid point): Site Contact: Telephone No: Mobile No: Fax No: Pre development reference number (if applicable) 2.2 Information to be supplied in accordance with the Construction Design and Management Regulations (CDM) 2015: Principal Contractor (if different from applicant) Name: Contact Number: Company: Mobile Number: Principal Designer (if different from applicant) Name: Contact Number: Company: Mobile Number: i) Drawings showing the following: Location plan (1:2500 scale) Please show site boundary in green Detailed site layout (1:500 scale) Topographical survey Designated service strip Existing utility information (gas, electric, etc) The extent of land in the developers ownership (circled in green) Areas for adoption by the highway authority Wayleave, private land information, etc southwestwater.co.uk Page 2
ii) Permits and authorisation requirements for site iii) Copy of F10 notification iv) Health risks arising from other works (eg demolition work, asbestos removal, etc.) v) Safety hazards (e.g. boundaries and access, storage of hazardous materials, existing structures,etc.) 2.3 Planning Permission i) Date detailed planning permission received: ii) Local authority planning area: iii) Reference: Please provide a copy of the Planning Conditions for the site. Please note we will be unable to progress your application if planning permission has not been granted. 2.4 Type of Development: i) Housing / Residential Number of units 1 bed 2 bed 3 bed 4 bed Other: ii) Commercial Number of units iii) Industrial Number of units 2.5 Phasing information for installation of sewer (please show the extent of each phase on the site plan): Phase Phase Total number of plots Total number of plots Plot numbers Plot numbers Date works due to start Date works due to start Anticipated date of first occupation Anticipated date of first occupation Phase Total number of plots Plot numbers Date works due to start Anticipated date of first occupation Phase Total number of plots Plot numbers Date works due to start Anticipated date of first occupation southwestwater.co.uk Page 3
2.6 Site Build Rate (please complete the table below): Phase No. Build Rate Start Date Year Phase No. Build Rate Start Date Year 2.7 Site Investigation Details (also required under CDM Regulations 2015): Previous use(s) of site Has any contamination been recorded/indentified on or near the site? Yes No Don t Know If yes, please provide details of what actions have been undertaken and copies of all reports relating to the contamination. Have the Local Planning Authority requested any reports or further information from you relating to ground conditions, contamination or previous land use? Yes No Has a desk study been undertaken for the site? Yes No Has a site investigation detailing ground conditions been carried out for this site? Yes No Has laboratory analysis for soil and/or water samples from this site been undertaken? Yes No If you have answered Yes to any of the above, please provide copies of the associated reports, letters and/or documents and tick here to confirm that they are included: If you have any additional information that you feel may be relevant please include it and tick here to confirm that it has been included: If you have any waste classification information that relates to the soil on site (this may form part of a consultant s report), please provide copies and indicate here that this is included: Are you required to provide an Environmental Impact Assessment by the Local Planning Authority? Yes No If you have answered No to any of the questions in this section, please note that South West Water will rely upon this information in the design and this will form part of a future legal agreement between the parties. southwestwater.co.uk Page 4
2.8 Detailed Site Questions: What type(s) of sewer is/are being requisitioned, if applicable? Foul Surface Water For requisitions of surface water sewers, give approximate area of HIGHWAY (carriageway, footpath & verge) and PRIVATE (roof, car parking & path) area to be drained Highway m 2 Private m 2 What type(s) of sewer is/are being diverted, if applicable? Foul Surface Water Combined What are your anticipated construction start and end dates? Start Date: End Date: Is the site an environmentally designated site or within a conservation or sensitive area? Yes No Are there any protected hedgerows? Yes No Are there any trees protected by a Tree Preservation Order? Yes No Are there any protected species or habitats? Yes No Are there any structures of historical significance? Yes No Is the site within 8m of a watercourse? Yes No Are the strata underlying the site classified as a major or minor aquifer? Yes No Is the site within a groundwater source protection zone? Yes No Is the site located within a floodplain? Yes No If Yes, please provide details: SECTION 3 - DRAINAGE i) Will this property/development have a new connection to a South West Water sewer? Yes No southwestwater.co.uk Page 5
If Yes, you must complete a separate sewer connection application form. (Available at the South West Water homepage > Business customers > Home builders > Sewer connections) ii) If Yes to the above, will drainage be: Foul and surface water Foul water only Surface water only iii) If No to i) above, what means of disposal will be used? Mains drainage Septic tank Soakaway Cesspool Existing iv) Are soakaways to be used for surface water? Yes No SECTION 4 - DIVERSION PRICING OPTIONS Please indicate below the type of pricing option you wish to use: Fixed Price with Partnering Contractor Tender using South West Water approved list of Contractors Fixed price using South West Water approved list of Contractors Sole Tender using nominated South West Water approved Contractor (to be approved by South West Water prior to works commencing) Fixed price using nominated South West Water approved Contractor (to be approved by South West Water prior to works commencing) Please provide name of nominated Contractor _ If this Contractor is not currently approved by South West Water, please provide a contact name, address and telephone number for them: (Please note the contractor must be CHAS (The Contractors Health and Safety Assessment Scheme) accredited and go through the South West Water approval process to be considered) southwestwater.co.uk Page 6
SECTION 5 - VAT Please indicate below the type of property: New Domestic Dwelling Civil engineering services provided in the course of the construction of new domestic dwellings will be zero rated. New Commercial building Civil engineering services provided in the course of the construction of new commercial buildings will be charged VAT at the standard rate. Relevant residential/charitable If you are applying for VAT zero rating because intended use is for a relevant residential or charitable purpose: Charity Number SECTION 6 - ADDITIONAL INFORMATION Would you like us to contact you to arrange a site meeting? Yes No Drawings/calculations included with the application (please give details below) Reference Title southwestwater.co.uk Page 7
SECTION 7 - DECLARATION i) I/we wish to apply for a new sewer diversion and/or requisition as described for the premises referred to in section 2 of this form, under sections 98-101 and/or 185 of the Water Industry Act 1991. ii) iii) I/we acknowledge my responsibilities and duties as set out in the Clients duties of the CDM Regulations 2015 and accept that these apply to me. I have provided all the information requested in this application. I can confirm that the utility asset information enclosed is the most up-to-date information available at the time of submitting this application. I/we Certify that I/we have investigated the title of the Owner/Developer (delete as appropriate) to all the land shown edged green on the attached plan and certify that the same is vested in the Owner/Developer (delete as appropriate): a) as the estate owner of the freehold by virtue of a conveyance dated on the day of b) as Registered Proprietor with absolute title under Title Number.. iv) I/we acknowledge that in making this application I/we will be liable for any charges payable in respect of the new sewer to which this application relates. I/we understand that the details given may be used in calculating the contribution required from me/us and agree that these details may be re-used when the contribution is recalculated on completion of the scheme once final costs are known. v) I/We hereby request South West Water Ltd to provide me/us with details and an estimate of the cost of the scheme and I/we understand that this application is to be treated as a preliminary enquiry only which does not constitute a requisition of any works by me/us nor commit South West Water Ltd to undertake my/our works other than preliminary designs and/or investigations. vi) To comply with the Traffic Management Act 2004, this work may require initial consultation and a minimum of three months notice to the relevant Highway Authority. It will not be possible to apply for the streetworks notice until the South West Water agreement is signed and full payment is received for each scheme. vii) I/We agree, that for the purposes of the Water Industry Act 1991 and the Data Protection Act 1998, the information provided in this form and in any supporting documents, may be held on a computer and processed by South West Water Ltd and its servants and agents for all purposes connected with the Company's statutory water and sewerage undertakings. viii) I/We understand that full payment for the scheme will be required within 15 working days of receiving an offer letter. Should this not happen then I/we will need to reapply to South West Water. ix) I/we acknowledge that I/we have read and understood the Guidance Notes for Applications for Sewer Diversions and Requisitions. x) I/we confirm that the mandatory details as described overleaf* are included with the application. *Please see overleaf for a checklist of all the mandatory details that must be included with this application. southwestwater.co.uk Page 8
Print Name: Title: Mr / Mrs / Ms / Other Signature: Company: Position in Company: Date: *Please see overleaf for a checklist of all the mandatory details that must be included with this application. Please return documentation to: Developer Services, South West Water, Peninsula House, Rydon Lane, Exeter, EX2 7HR For more information or assistance, please contact our Services Helpline: Services Helpline: 0344 346 2020* 8am - 6pm Monday to Friday. Emergencies only at any other time. Minicom users: 0800 169 9965 Email: DeveloperServices@southwestwater.co.uk *03 numbers are charged at standard rates and will be included in any free minutes in a mobile or landline phone contract. FAILURE TO INCLUDE ANY OF THESE WILL RESULT IN A DELAY IN YOUR APPLICATION BEING PROCESSED Site Plan (scale 1:500) Yes Site Location Plan (1:2500) Yes If you are submitting a design for a sewer diversion the following must be included: 1. Sewer layout drawing(s) 2. Sewer long section(s) 3. Manhole schedule(s) 4. Standard construction details drawing(s) 5. Hydraulic calculations 6. CCTV survey of existing sewer to be diverted All of these should be drawn to the standards laid out in Sewers for Adoption 7 th. The design should be carried out to the requirements of Part 2. If you have answered yes to any questions in section 2.7 or 2.8, then you must supply copies of all the relevant reports. Yes southwestwater.co.uk Page 9
I/We attach payment of * per scheme, which will be deducted from the actual cost of any works undertaken as a result of the application(s). * Please refer to the Developer Services Charges Scheme for the current deposit which will be required. This deposit must be included with your application and this will be deducted from the final cost of your scheme. If the final cost of the scheme is less than your deposit then the outstanding amount will be refunded on completion of construction. Should these costs be more, you will be invoiced. * VAT to be added at 20% if applicable as stated in section 5. I confirm that the following are included with this application where applicable: Letter/fax/email showing owner/occupier permission as per section 1 Yes No VAT evidence for relevant residential/charitable Yes No southwestwater.co.uk Page 10