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Are any non-domestic discharges to be made to the sewer?

Yes

If YES state the nature of the discharge and where appropriate the nature of the business producing it:

_______________________________________________________________________________________________________________________

Do you require the public sewer to be laid so that your premises may drain to it without laying private drains or sewers over

adjacent premises:

Yes

If NO, please give the names and addresses of adjacent landowners:

_______________________________________________________________________________________________________________________

Are any non-domestic discharges to be made into the sewer?

Yes

D. Checklist and declaration:

Please provide the following where applicable and tick the box if enclosed:

Three copies of a location plan with the development to be drained outlined in green (A4 size 1:1250 scale preferred)

Details of drainage easements over adjacent land or drainage easements with neighbouring property owners

Details of existing drainage system

Cheque in the sum of £4,673.00 (inc. 20% VAT) made payable to Southern Water Services Ltd. (Please enclose)

Yes

Do you require a VAT receipt?

Note: Failure to include any of the above will be deemed as an incomplete application and may result in the application being delayed

or returned.

_______________________________________________________________________________________________________________________

I/we hereby request Southern Water Services Limited to advise me/us of the estimated cost of providing sewer(s) for domestic purposes as

set out on this form.

I/we undertake to provide such additional information as may be required by Southern Water Services Limited or its agents to enable this

estimate to be prepared.

I/we understand that the submission of this form is to be treated as a preliminary inquiry and does not commit me/us/the agent or Southern

Water Services Limited in any way.

(BLOCK CAPITALS)

Signature:

_______________________________________

Full name:

___________________________________________________________

Date:

____________________________________________

Position:

____________________________________________________________

REMITTANCE SLIP – Section 98 Water Industry Act 1991: Proposed Foul Water Sewer Requisition

Applicant:

______________________________________________________________________________________________________________

Postcode:

_______________________________________________________

Site:

_________________________________________________

I/We enclose a cheque in the sum of £4,673.00 in payment of the following: Preliminary estimate

£3,894.00

VAT (20%)

£779.00

Total

£4,673.00

Signature:

_______________________________________

Full name:

___________________________________________________________

(BLOCK CAPITALS)

Date:

____________________________________________

Position:

____________________________________________________________

Please send your completed submission to:

Developer Services, Southern Water, PO Box 4056, Worthing, West Sussex, BN13 3XX

Form Sr1/s98 - Application For Requisition Of A Public Sewer (Section 98 Water Industry Act 1991) Page 5

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