Developer Information

First Name      Middle Name

Surname    

Company Name    

ABN          Phone No: 

Mailing Address   

  Suburb  

Post Code       State       NSW ACT VIC SA TAS WA QLD NT

Development Location

Street No    

Street Name 

Suburb        

Nearest Cross Street

Local Govt Area 

DP Number(s)       Lot Number(s) 

Property Use

Lot Status    Developed Vacant

Describe Current Development 

Proposed Development

Stage Number       of  

Stage Name       

Subdivision Required  Yes    No

Total Dwellings  

Total Lots (inc. Residue Lots)

Total Residue Lots

Consent Information

Consent Authority

Development Consent Number

Consent Date

Development Type

Commercial, Industrial, Community, Multi Unit & Special Uses

Expected Requirements for the proposed development

Water Demand

Maximum KL/Day                     Average KL/Day

Peak Demand: L/Day

Waste Water Discharge

Maximum: KL/Day                    Average  KL/Day

Peak Simultaneous Discharge: L/Sec

Irrigation Systems Demand

Maximum L/Day                       Average L/Day  

Peak L/Sec      

Proposed Pattern of Usage:

Process Water Demand

Maximum: L/Day                  Average: L/Day   

Peak Demand: L/Sec

Proposed Pattern of Usage:

Other Requirements

Air-Conditioning make-up water: L/Sec

Proposed Meter Size: mm

Any other relevant information affecting usage:

Fire Fighting Requirements

Fire Hose Reel: Number    Fire Hydrant: L/Sec

Fire Sprinkler: L/Sec        Wall Drencher: L/Sec

Work Description:

Services

Potable Water    Waste Water    Recycled Water    Stormwater