Application for Development Services Form 1. Property details TasWater reference no. (DA, BA, PA) if applicable TasWater reference no. (DA, BA, PA) if applicable Council reference no. (PLN, DA) if applicable Council reference Number is your council application number, they can be made up of numbers and letters for example PDPLANPMTD-2020/016697, DA0194/2019. These number will be on documents received from your relevant council. Title reference (Volume/folio) Volume number (example 142835) - a Volume number and a Folio number (e.g. Volume 11195, Folio 1) - This information can be found via Tasmanian’s land information system Tasmania - the LIST http://www.thelist.tas.gov.au/ Property ID Property ID (PID) number (example 7845196) This information can be found via Tasmanian’s land information system Tasmania - the LIST http://www.thelist.tas.gov.au/ Full Property Address* - required Full property address Proposed development* - required What development is occurring? Examples: New Dwelling, Multiple Dwellings x2, Subdivision x 4 lots, Partial Demolition, New Garage Additional Information Provide any additional information relevant to your development 2. Invoicing details To guarantee that the correct responsible party is invoiced ensure that this section is completed fully.If this section is not completed the applicant will be invoiced. If the property owner or third party is to be invoiced, then they must consent to the charges. Invoicing details The applicant (default) The owner or third party If you, the applicant, are not liable for payment of any fees and charges associated with this application please demonstrate that another party (i.e. the landowner and/or a third party) has agreed to this application being made and incurring any applicable fees and charges. Please attach/upload written evidence from the other party. Typically, this could be in the form of an engagement letter or the Development Services Authorisation Representative form signed by the other party authorising you to act for them and to incur any fees and charges on their behalf. Where relevant, as the fee recipient for this process, I also accept charges for TasWater fees conditioned in the related Planning Permit. If this box is not ticked, the applicant for the Planning Permit will be billed those fees. 3. Application details Business name ABN or ACN Please only include numbers and spaces, no letters allowed Is ABN/ACN invalid? Yes No Applicant name Applicant name - full name e.g Jane Smith Postal address Phone Number Phone Number e.g. 0400 000 000 0r 03 6234 0000 Email address* - required Nature of interest e.g. Builder, plumber, developer, property owner 4. Owner or third party details Business name ABN or ACN number Please only include numbers and spaces, no letters allowed Is ABN/ACN invalid? Yes No Owner or third party name Postal address Phone Number Email address 5. Certificate Application Type Fees apply - Prices vary depending on Classification Thresholds – Minor, Medium, Major, Significant and Complex – Refer to Price & Service Plan (PSP) Application Type Select Option Water and or sewerage service enquiry - preliminary advice regarding a proposed development or pre purchase advice on a property or parcel of land Option Selected Water and or sewerage service enquiry - preliminary advice regarding a proposed development or pre purchase advice on a property or parcel of land. Certificate for Certifiable Work (CCW) (building) and/or (plumbing) - Documents 1, 2 and 3 required Option Selected Documents required for a Certificate for Certifiable Work (CCW) Non stamped version of plans, current version of Certificate of Titles, Approved Council Permit and Endorsed plan 56W Consent (for any works located within a TasWater easement or within 2m of TasWater infrastructure) - Documents 1, 2 and 3 required Option Selected Documents required for a 56W Consent (56W) Non stamped version of plans, current version of Certificate of Titles, Approved Council Permit and Endorsed plan Engineering design approval (EDA) - Documents 1, 2 and 3 required Option Selected Documents required for a Engineering design approval (EDA) Non stamped version of plans, current version of Certificate of Titles, Approved Council Permit and Endorsed plan Permit to construct TasWater infrastructure - Requires EDA approval Option Selected No documents required Certificate of water and sewerage compliance (building) and/or (plumbing) - CCW conditions completion required. TasWater will also send a copy to the Permit Authority. Option Selected Applications for Certificate of Compliance no documents are required. Please tick the box then go to Step 10 Application for Customer Connections/Disconnections (including meter installs) Option Selected Request for Customer Connections/Disconnections (including meter installs) Application for Loose Supply Items Option Selected Request for Loose Supply Items e.g. loose supply 20mm meters Application for Shutdown Option Selected Request for Shutdown Documents required Document(s) 1 – Design plans and documents detailing the proposed development works, including existing and proposed TasWater assets and all connection points – MandatoryDocument(s) 2 - Copy of Certificate of Title (CT) - including folio plan, text and schedule of easements – Mandatory, if not previously supplied and no changes have occuredDocument(s) 3 - Planning permit (where omitted evidence may be requested)Completed Trade waste application form (if applicable) 6. DOCUMENTS REQUIRED / CHECKLIST – See also Guidelines for Certificate for Certifiable work assessment. Do not remove this text editor. This editor will make appear this panel. If the panel is empty, that will not showing in front end design. Documents 1 Document(s) 1 – Design plans and documents detailing the proposed development works, including existing and proposed TasWater assets and all connection points – Mandatory Required for a Certificate for Certifiable Work (CCW) and Engineering Design Approval (EDA) Documents 2 Document(s) 2 - Copy of Certificate of Title (CT) - including folio plan, text and schedule of easements – Mandatory, if not previously supplied and no changes have occured Required for a Certificate for Certifiable Work (CCW) and Engineering Design Approval (EDA) Documents 3 Document(s) 3 - Planning permit (where omitted evidence may be requested) Required for a Certificate for Certifiable Work (CCW) and Engineering Design Approval (EDA) Documents 4 Completed Trade waste application form (if applicable) Documents 5 Completed Development Services Authorisation Representative form (if applicable) Documents Navigations 7. Customer Connections & Disconnections - For timeframes please refer to the Customer Charter For Customer Connection applications, please upload a copy of TasWater endorsed plans. Site contact full name Site contact Full Name e.g. Jane Smith Site contact phone number Site contact phone number e.g 03 6234 0000 or 0400 000 000 Site contact email Site contact email e.g [email protected] Date work required Nominate a TasWater Panel Member to perform connection works (optional) List of TasWater's Approved Customer Connections Panel Members Upload a copy of TasWater Endorsed Plans TasWater Endorsed Plans TasWater Endorsed Plans Water Water connection Yes Water connection size Additional works Details of additional water works Water meter supply and installation only on existing water connection meter size Yes Water meter size Water disconnection Water disconnection Yes No Comments Sewer Sewer connection Yes Sewer connection size Additional works Details of additional sewer works Sewer disconnection Sewer disconnection Yes No Comments Refer to this page for fees based on size 8. Loose Supply Items Only 20mm Water meter, nuts and tails 20mm Water meter, nuts and tails Quantity 25mm Water meter, nuts and tails 25mm Water meter, nuts and tails Quantity Water meter size Water meter quantity Additional Loose Supply Items (e.g. trafficable boxes, boundary boxes, lock and pin) Description of Loose supply item Description of Loose Supply Item e.g Trafficable meter box, meter boundary box Quantity Description of Loose Supply Item Description of Loose Supply Item e.g Trafficable meter box, meter boundary box Quantity Description of Loose Supply Item Description of Loose Supply Item e.g Trafficable meter box, meter boundary box Quantity 9. Shutdown Request Infrastructure Shutdown Infrastructure Shutdown Yes No 10. Authorisation Applicant name Owner or third party name Privacy Policy can be found here. Mandatory field(s) marked with * What needs to be filled out? It is very important that all sections of the application form is filled out. This will greatly assist the assessment and approval process that follows. Some information may not be known (i.e. property identification, however, please ensure all other information is correct and provided. The second page is more specific to what the application is for and a checklist of documents required to be submitted to support the application. It is important to remember that for each stage of your development a separate application will need to be completed. Who will be invoiced? Please complete invoicing details on page one (section two) of the development application form to ensure that the correct responsible party is invoiced. If this section is not completed the applicant will be set as the default. If the property owner is to be invoiced then they need to complete and sign the property owner section. How do I know this has been submitted? You will receive an automatic reply from our email thanking you for your application.