Form Sr1/s98 - Application For Requisition Of A Public Sewer (Section 98 Water Industry Act 1991) Page 2
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5B. Agent’s details:
Name:
______________________________________________________
Contact name:
______________________________________________
(company name if appropriate)
(if different)
Address:
_______________________________________________________________________________________________________________
____________________________________________________________
Postcode:
__________________________________________________
Contact details:
Daytime ’phone number:
______________________________________
Mobile:
____________________________________________________
Fax no:
_____________________________________________________
Email:
_____________________________________________________
C. Site details:
Is the applicant the present owner of the site?
Yes
No
If NO when will the applicant become the owner of the site?:
___________________________________________________________________
Please provide details of planning approval:
Full
Outline
/
/
Ref. No:
_____________________________________________________________
Date:
______________________________
Please indicate type of premises:
Domestic
Commercial
Industrial
Please provide details of the building programme:
Phase
Type of unit no.
First occupation Date
Rate of completion
*Continue on a separate sheet if necessary
Do you wish to discharge any non-domestic effluent to the sewers to be requisitioned?
Yes
No
If YES state the nature of the discharge and where appropriate the nature of business producing it:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
If a surface water sewer is required, give details of the impermeable areas to be drained (ha):
Domestic (roofs, yards and driveways)
Highways and car parks
Other
_______________________________________
(Please specify)
Have you attempted to negotiate for drainage easements across adjacent land/premises?
Yes
No
If YES please give the names and addresses of landowners:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
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