W A I M A K A R I R I
DISTRICT COUNCIL
QS-U590
Issue 2
Date: April 2019
Page 1 of 3
Wat-11-01 / 140929106150 Page 1 of 3 Permit to use Fire Hydrant
April 2019
215 High Street
Private Bag 1005
RANGIORA 7440
New Zealand
Phone: 0800 965 468
0800 WMKGOV
Fax: (03) 313 4432
www.waimakariri.govt.nz
PERMIT TO USE FIRE HYDRANT
Issued subject to “Conditions Relating to the Use of a WDC Fire Hydrant” (attached)
Send to: water.asset@wmk.govt.nz, sewer.asset@wmk.govt.nz
Applicant’s Name: ………………………………………………………………………………………….
Address: ………………………………………………………………………………………….
Phone Number: Work ………………………………….. Home ……………………………..
Mobile …………………………………
Email: ………………………………………………………………………………………..
The intended use of the water from the fire hydrant is:
To fill a swimming pool To fill a water tanker
To supply for the purposes of drinking water
For subdivision works (please quote Resource Consent No.) ………………………………..……
For construction works (If WDC Contract, please quote Contract No) ………………………………
Other* (please specify) ……………………………………………………………………………………
………………………………………………………………………………………………………………..……
Please Specify:
1. The date or dates of use ……………………………………………………………………………….
(eg Wed 5/7/19)
2. The
proposed time of use ………………………………………………………………………………
(eg afternoon) - NB: Hydrants shall not be operated during peak times or restrictions.
3. The estimated quantity of water that you will use (m
3
) ………………………………..……………
4. Locati
on of Work/Contract ………………………………………………………………………….
I declare that the above details are correct and I will agree to the conditions attached to this application.
Appl
icant’s signature ……………………………………………….. Date …………………………..
OFFICIAL USE ONLY
Location of the fire hydrant to be used: …………………………………………………………………………
(Refer attached map)
………………………………………………………………………….
……………………………………………………………………………………………………………………….
APPROVAL: You are hereby authorised to draw water from the above mentioned hydrants only.
AUTHORISING OFFICER: ………………………………………………DATE: …………………………….
Approved Permit must be carried in vehicle at all times.
Trim No. for this application:
W A I M A K A R I R I
DISTRICT COUNCIL
QS-U590
Issue 2
Date: April 2019
Page 2 of 3
Wat-11-01 / 140929106150 Page 2 of 3 Permit to use Fire Hydrant
April 2019
215 High Street
Private Bag 1005
RANGIORA 7440
New Zealand
Phone: 0800 965 468
0800 WMKGOV
Fax: (03) 313 4432
www.waimakariri.govt.nz
CONDITIONS RELATING TO THE USE OF A WAIMAKARIRI
DISTRICT COUNCIL FIRE HYDRANT
T
he right to gain access to and draw water from fire hydrants is restricted to:
(a) The Council and its authorised officers or agents;
(b) Fire service personnel;
(c) Fire hydrant permit holders during the period for which the permit has been issued.
It is an offence under the WDC Water Supply Bylaw to gain access to and draw water from fire hydrants
by any other person or agency. The Council may confiscate any equipment used by an offender to gain
access to or to draw water from a hydrant.
NOTE
All equipment must be provided by the applicant, including the fire hydrant standpipe with backflow
device, valve key and hoses. All hoses and fittings used must be in good condition. Any water wastage
reported from excessively leaking hoses and/or fittings may result in the cancellation of a permit.
CAUTION DAMAGE TO WATER MAINS
Fire Hydrants must be turned on and off very slowly to prevent pressure surges developing in the
pipes (water hammer) which could cause the pipes to burst. Closing or opening time of two minute
(minimum is desirable.
The applicant shall be held responsible for the cost of repairing any damage caused by the
incorrect operation of a fire hydrant valve.
In the event that the fire hydrant fails to operate correctly or does not shut off drip tight, please
contact Waimakariri District Council on 0800 965 468 (24 hrs) immediately for repair.
C
AUTION - OTHER DAMAGE The applicant shall also be held responsible for any third party damage
that occurs whilst the fire hydrant is in use. In this regard (for example), the applicant should erect
suitable signs and barriers etc. to warn vehicles and pedestrians of the obstruction or danger
(hazard). The applicant shall obtain all necessary approvals for work within the carriageway including
the approval of an appropriate Traffic Management Plan (TMP).
C
AUTION CONTAMINATION The applicant must ensure that no contamination to the water main can
occur while the hydrant is being used.
BACKFLOW
A ‘backflow prevention device’ shall be fitted to the fire hydrant standpipe and must be used when
filling bulk tanks/tankers.
The hydrant should be used in such a manner that no contaminant enters either the hose or the
hydrant. For example, hose ends should be kept out of any mud. All fittings must be sanitised. In any
situation where there is a high risk of contamination e.g. water pressure testing of the waste water
network, special procedures may be required. Filling hoses must be in good condition (no leaks).
CAUTION - DECLARATION A false declaration, grossly inaccurate water estimates, or other actions
which risk the safety and integrity of the public water supply system shall result in immediate
cancellation of this Permit and may result in prosecution.
CAUTION - TRAFFIC The applicant is responsible for assessing and managing the risk of injury from
traffic in the area surrounding the hydrant, and having the appropriate traffic management
controls in place.
W A I M A K A R I R I
DISTRICT COUNCIL
QS-U590
Issue 2
Date: April 2019
Page 3 of 3
Wat-11-01 / 140929106150 Page 3 of 3 Permit to use Fire Hydrant
April 2019
215 High Street
Private Bag 1005
RANGIORA 7440
New Zealand
Phone: 0800 965 468
0800 WMKGOV
Fax: (03) 313 4432
www.waimakariri.govt.nz
Yo
ur attention is drawn to the requirements of the Health Drinking Water Amendment Act 2007, the
Crimes Act 1961 Theft: Section 220; WDC Water Supply Bylaw 2012 - Section 22, and the Local
Government Act 2002: Section 192, 224 and 225.
Do you have proper approval to operate
HYDRANT?
Permit Granted
Place standpipe (with backflow
prevention Device)
and hose on hydrant
CARRY OUT OPERATION
OPEN VERY SLOWLY
TO PREVENT WATER HAMMER
(minimum opening time 2 minutes)
Remove standpipe and Replace lid.
Report any damage or malfunction to WDC
Seek Appropriate Permit
WDC (03) 311 8900
CLOSE VERY SLOWLY
TO PREVENT WATER HAMMER
(minimum opening time 2 minutes)
Ensure public safety, signage etc.
Approval to work within the
carriage and Traffic Management
Plan if required.
NO