Application for connection to water supply - Waikato District Council

District Office15 Galileo StreetPrivate Bag 544Ngaruawahia 3742Property IDHuntly Area Office 142 Main Street 0800 492 452Raglan Area Office 7 Bow Street 07 825 8129Tuakau Area Office 2 Dominion Road 0800 492 452Telephone (all hours) 07 824 8633Call Free 0800 492 452Fax 07 824 8091Email: publicenquiries@waidc.govt.nzwww.waikatodistrict.govt.nzApplication for connection to water supplyAPPLICANTName:(please print)Postal Address:Daytime Telephone No:APPLICATIONI wish to connect my property to a Waikato District Council Water Supply Scheme.Location of Property:Valuation Reference No:Legal Description:Number of connections applied for:Payment attached: $I have read the conditions below. Signed (Owner)Date:CONDITIONS1 An approved backflow preventer may be required for all industrial or commercial uses, for properties in the rural zoneand for swimming pools.2 Acceptance of the water supply signifies acceptance of the Council’s conditions of supply bylaws and regulations.3 Water supply will not be connected by the Council until all relevant fees and charges have been paid.For office use onlyPerson ID:Scheme:Allocation applied for: m³/24 hours Development Contribution $No. Connections required: Connection $Additional Costs $TOTAL including GST $Signed for Waikato District CouncilDateSee information about on-going water charges overleafea1003 02/12

ON-GOING WATER CHARGESApplications for new connections to water supply will generally require the payment of a developmentcontribution and/or a connection fee at the time of application. On-going charges will then apply.A new water connection will have a Targeted Rate applied to the property. The targeted rate is a standardcharge set on each rating unit within the area of a particular water supply scheme. A full charge is set for eachrateable property that is connected to water reticulation. Where rateable properties within the urban watersupply areas of Huntly, Ngaruawahia and Raglan are not built on and are within 100 metres of the reticulationthen a targeted “available” rate at 50% of the cost to connected properties is set. No charge is made if aproperty cannot be effectively serviced or is situated more than 100 metres from the water reticulation.Properties on water by meter are charged a water supply targeted rate at 25% of the cost to connectedproperties and a water by meter targeted rateThe development contributions and on-going charges for water supply are listed in the Council’s Schedule of Feesand Charges or contact the Council for more information.Please sketch site plan and show desired location of connectionea1003 02/12