APPLICATION ID
SINGLE RESIDENTIAL,
INDUSTRIAL AND COMMERCIAL APPLICATION
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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.
Please note: If you submit your completed form to an easyACCESS Plumbing Store, you will need to return to the same store
to pay for your product/s and make your booking.
Visit the Knowledge Hub at www.yvw.com.au/easyaccess/knowledgehub or email us at easyaccess@yvw.com.au for more information.
DEVELOPMENT DETAILS
Development type*
Residential
Industrial/Commercial Type of work being undertaken
SITE ADDRESS
Lot no.* eg. 10
Plan no.* eg. PS406988
Melway ref
Street name*
Estate name
Postcode*
Street no.*
Suburb*
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 SITE CONTACT/PLUMBER DETAILS
Applicant’s business name (name to appear on invoice)*
Applicant’s name (name to appear on invoice)*
Phone no.*
Postal address*
Postcode*
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
Sewerage and Trade Waste
Sewer Connection /Alteration PLAN REQUIRED Sewer Disconnection (Cut and Seal)
New Sewer Branch PLAN REQUIRED Sewer Emergency Repair
Trade Waste
Water Connections
Water Connection only PLAN REQUIRED
Complete main to boundary (select this option if you would like Yarra Valley Water to carry out all excavation and restoration work)
Relocate water service - greater than 600mm, Plug and Re-Tap (recycled water can only be relocated by Yarra Valley Water)
Change water service
Please provide a reason for the change to the water service:
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SERVICES REQUIRED - SELECT ONE OR MORE ..... cont.
Size of water services to be connected:
General Supply
20mm
25mm
32mm
40mm
50mm
80mm
100mm
150mm
225mm
Fire Sprinkler
25mm
32mm
40mm
50mm
80mm
100mm
150mm
225mm
Hydrant/Hose Reel
25mm
32mm
40mm
50mm
80mm
100mm
150mm
225mm
Trunk Service / Private main connection
New private main
20mm
25mm
Connect to existing
20mm
25mm
*Where approval for a new private main is granted, a 50mm connection and 50mm water meter is required in addition to the water meter servicing
your property
Metering
Water meter selection and backflow prevention (Contact your appropriately qualified licensed plumber to obtain this information)
Your development will require a water meter. The standard size is 20mm.
If a water meter larger than 20mm is required please provide a reason
Hazard rating
Low hazard
Do you require a remote water meter?
Medium hazard Yes
High hazard
No
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
water meters must be fitted at your cost. Water 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.
Water Disconnections
Complete water disconnection (main to boundary) plugging
(select this option if you would like Yarra Valley Water to carry out all excavation and restoration work)
Water disconnection only
Size of water services to be disconnected
General Supply
25mm
32mm
40mm
50mm
80mm
100mm
150mm
225mm
Hydrant/Hose Reel
25mm
32mm
40mm
50mm
80mm
100mm
150mm
225mm
Fire Sprinkler
25mm
32mm
40mm
50mm
80mm
100mm
150mm
225mm
25mm
32mm
40mm
50mm
Trunk Service/
Private Main
20mm
20mm
Other works
Dependent Persons Unit (Granny Flat) PLAN REQUIRED
Water In-Line Booster Pump (a separate In-Line Booster Pump form is required)
Build Over Easement/Yarra Valley Water Assets PLAN REQUIRED
Build Over Easement description
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