application for water, wastewater, or stormwater connection | version: 7 | issued: 24 july 2020 | page 3 of 3
As-built plan
On the plan, please provide
a drawing of the proposed
works, including the location
of the connection(s); or
See attached plan
Subject property
Footpath
Road
Scale:
Terms and conditions
• An application fee per water, wastewater, or stormwater connection is required to be paid to the Tararua District Council upon
submission of this form.
• Only Council approved contractors are allowed to work on the water/wastewater/stormwater mains in the Tararua District.
• No work is to commence until an application is submitted and approved.
• New connections from the Council main to the boundary of the property are at the applicant’s expense.
• Once Council approves the application, Tararua Alliance will contact the applicant supplying a list of approved contractors they
can contact for a quote. Refer to the information sheet attached at the front of this form for the application process.
• Lodgement of this application does not guarantee the approval of a service connection.
• An approved application for supply that has not been actioned within six months of the date of application will lapse unless a
time extension is approved.
I hereby accept the terms and conditions as set out above.
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Signature of applicant Date
Print name
Office use only – checklist
Application has been completed in full. Application entered in Authority register.
Appropriate application fee(s) have been paid. Application sent to Asset Management.
As-built plan completed showing where utility
connections will be located.
Water meter required.
click to sign
signature
click to edit
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