MULTI-UNIT RESIDENTIAL,
INDUSTRIAL, COMMERCIAL APPLICATION
Write neatly in BLOCK LETTERS with a black or blue ballpoint pen only. Write X in ALL appropriate boxes. You must answer all questions marked *.
A4 or A3 site plans must accompany this application (where indicated). Plans larger than A3 must be digital.
Visit the Knowledge Hub at www.yvw.com.au/easyaccess/knowledgehub or email us at easyaccess@yvw.com.au for more information.
SITE ADDRESS AND DEVELOPMENT DETAILS
Lot no.* eg. 10
Plan no.* eg. PS406988
Street no.*
Suburb*
Development type*
Residential
Industrial/Commercial
Owners corporation?*
Yes
Estate name
No
Street name*
Postcode*
Melway ref
No of lots*
Size of each lot (m2)
Stage name
Site plan requirements
Site plans must show an outline of all proposed structures, details of any site cuts, driveway position and water meter location.
Plans detailing landscaping etc. are not required.
APPLICANT AND/OR PLUMBER DETAILS
Applicant’s name*
Applicant’s business name*
Phone no.*
Postal address*
P/code*
Applicant’s email*
Applicant’s easyACCESS account no.
Applicant’s ABN
Plumber’s name
Plumber’s phone no.
Plumber’s licence no.
SERVICES REQUIRED - SELECT ONE OR MORE
Sewer Connection /Alteration PLAN REQUIRED
Sewer Disconnection (Cut and Seal)
Size of water services to be connected (mm) General Supply
Size of water services to be disconnected (mm) General Supply
Build Over Easement/Yarra Valley Water Assets PLAN REQUIRED
New Sewer Branch PLAN REQUIRED
In-Line Booster Pump (separate form required)
Hydrant/Hose Reel
Fire Sprinkler
Hydrant/Hose Reel
Fire Sprinkler
Build Over Easement description
Water meter selection and backflow prevention (Contact your appropriately qualified licensed plumber to obtain this information)
Each lot in this development requires a water meter. The standard size is 20mm. Indicate the number of each meter size required.
No. of meters required
Hazard rating
25mm
20mm
Low hazard
32mm
Medium hazard 40mm
50mm
Greater than 50mm
High hazard
If a meter larger than 50mm is required please provide a reason
Water meter installation and access
All water meters and associated products must be fitted in accordance with the Water Metering and Servicing Guidelines which can be downloaded
from www.yvw.com.au. Water meters must be accessible for reading at all times. In circumstances where these conditions cannot be met, remote
meters must be fitted at your cost. Meters must not be fitted inside units/dwellings or in any location that can only be reached via a gate or door,
whether it be locked or unlocked. Please note: properties located in a mandated Recycled Water area will have additional water servicing requirements.
Do you require remote meters?
Yes
No
APPLICATION CONDITIONS AND SIGNATURE*
All fees must be paid before booking a connection. New Customer Contribution fees (where applicable) must be paid within 90 days from the issue date of
your Conditions of Connection. If your New Customer Contribution fees are not paid within 90 days, your application will expire and you will need to re-apply.
By signing this application, I declare that the information supplied is true and correct. I am the owner of the property, or I am authorised by the owner to
make this application on their behalf and agree to pay all fees relating to this application.
Site plans attached*
SIGN
HERE
Privacy Statement Yarra Valley Water collects personal information for the purposes of providing water and sewer
related services and products, promoting such services and market research. We may disclose your personal information
to our contractors for these purposes and other third parties including Melbourne Water and the Minister for Environment
and Conservation relating to Parks Victoria services. You may request access to your personal information that
we hold by writing to the Privacy Officer at the address below. Please note we may charge you the reasonable cost of
providing you with access to your personal information. Yarra Valley Water ABN: 93 066 902 501 Postal: Private Bag 1
Mitcham VIC 3132 Phone: 1300 651 511
Date