Form Sr1/s98 - Application For Requisition Of A Public Sewer (Section 98 Water Industry Act 1991) Page 4
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5PART 3 – FOR EXISTING PREMISES ONLY
NB: The owner or occupier should complete one copy of this section for each premises to be drained.
All such copies should be returned with PART 1.
Where the applicant is a public authority, a list of the properties, together with the original rateable values, where known,
should be attached
A. Applicant details:
Name:
______________________________________________________
Contact name:
______________________________________________
(company name if appropriate)
(if different)
Address:
_______________________________________________________________________________________________________________
____________________________________________________________
Postcode:
__________________________________________________
Contact details:
Daytime ’phone number:
_______________________________________
Mobile:
____________________________________________________
Fax no:
_____________________________________________________
Email:
_____________________________________________________
B. 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:
How are the premises drained at present?
Septic tank
Cesspool
Private treatment plant
Do you have a metered water supply?
Yes
No
If NO, what is the rateable value of the premises as shown on your water bill?
£
_______________________________________________
Do you wish the cost of the requisition to be apportioned amongst the applicants according to the number of premises owned/to be built by
them and the length of sewer required for each premises?
Yes
No
If NO how should the proportion of the requisition cost attributable to each applicant be calculated?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
NB: An estimate cannot be provided unless all applicants agree the method of apportioning the costs.
Do you also wish Southern Water Services Ltd to provide you with an estimate of the cost of laying connecting private drains from your
premises to the requisitioned sewer?
Yes
No
If YES please indicate below any specific requirements, which you wish to be included in the estimate (e.g. the removal of existing
cesspools, shared private sewer with neighbouring premises, etc).
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
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