Wastewater Management Facility - Approval to Operate

WASTEWATER MANAGEMENT FACILITY

APPROVAL TO OPERATE

Fees & Charges: As per the Protection of Environment Operations Act section of Council's Fees & Charges.

For further information or questions regarding this form, please contact Council via 9911 6555.

Installation Approval Number

Please enter the Installation Approval Number you received from Council after lodging the 'Wastewater Management Facility - Approval to Install application form' *

Applicant Details

Applicant Surname *

Applicant First Name *

Applicant Email *

Applicant Contact Number *

Applicant Address *

Applicant Postcode *

Is the property address the same as the applicant address? *

YesNo

Property Address *

Property Postcode *

Lot *

DP *

Business Name *

Owner Surname *

Owner First Name *

Owner Email *

Owner Contact Number *

Licence No *

System Details

Type/Name of Treatment System *

Sketch

Please upload a sketch showing the location of your GTS and Disposal area in respect to the dwelling *

Browse

Applicant Declaration

I have read and fully understand the Greywater Reuse Policy adopted by the City of Canada Bay Council. I havecompleted the checklist provided above and comply with all of Council's requirements. All information provided onthis form is true and correct.

I/we own the subject land and consent Council Officers entering the premises for purpose of carrying out inspections in conjunction with this application, without first giving written consent.

Owner Signature *

Draw signature|Type signatureClear

Date *