QES Management System
Issue Date: 06/2/16
Application for Trade Waste
Agreement or Consent
This application is for industrial and commercial customers, except for commercial food establishments, who must complete an
Application for Trade Waste Consent (Food Business) available at citywestwater.com.au/food
Trade waste pricing
Application, Agreement and Discharge Fees are applicable to all trade waste customers and are subject to change annually. Current
fees are set out in the City West Water Pricing Handbook available at citywestwater.com.au/businessprices
1. Reason for application
Dates (day/month/year)
New site
Date for commencement of discharge
Change of occupier or site operator
Date of changeover (if applicable) ______
/
/
/
/
Change to the nature of trade waste discharged
Agreement renewal or update by City West Water
2. Address of site from which trade waste will be discharged
Shop/unit:
Street number:
Site address:
Suburb:
Postcode:
Melway ref:
3. Postal address (if not the same as site address)
Postcode:
4. Billing address (if not the same as site address)
Postcode:
5. Who is the occupier/operator of the site from which trade waste will be discharged?
Company name or individual business owners’ names (if not a company):
Trading name:
Australian Business Number (ABN):
Australian Company Number (ACN):
Company registered office or individual’s home address (if not a company):
6. Who is the contact person responsible for the trade waste management of the site?
Title and name: (eg. Mr. John Smith)
Position:
Business phone:
Mobile phone:
Email address:
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7. Who is the contact person responsible for the trade waste accounts? (if different to the person nominated in question 6)
Title and name: (eg. Mr. John Smith)
Position:
Business phone:
Mobile phone:
Email address:
8. Which senior executive should City West Water contact in case of an emergency?
Title and name: (eg. Mr. John Smith)
Position:
Business phone:
Mobile phone:
Email address:
9. What are the trading days and house of operation during which trade waste will be discharged?
Days of the week (tick appropriate)
Hours of the day
7 days
24 hours
Monday to Friday
Between
and
Saturday
Between
and
Sunday
Between
and
10. What does your business do?
11. Please describe the types of processes that generate trade waste
12. Please attach each of the following:
a) a list of all chemicals that may be present in the trade waste discharge, including those stored on site that have the potential
to enter the sewerage system. Please attach Safety Data Sheets (SDS or equivalent) for propriety products and chemicals if
you cannot describe their chemical composition
b) a site plan layout (A3 size) which specifies the following:
i. details and locations of all the fixtures (trade waste sources), tanks, pits and apparatus associated with the generation and
treatment of trade waste, as well as site boundaries, north point and address
ii. a legend showing all fixture numbers, description of processes and treatment apparatus
c) a flow diagram (A3 size) of the proposed treatment apparatus which specifies the following:
i. capacity, dimensions, and material of construction (including internal lining) of all pits and tanks
ii. dosing equipment, pumps (with respective flow rates), flow measuring equipment and associated instrumentation
d) an operation and maintenance schedule for any treatment apparatus and instrumentation.
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13. Please describe how stormwater run-off from this site is managed and discharged (attach a separate layout plan if necessary)
14. Has a risk assessment been performed for this site which considers both of the following?
a) the prevention and containment of spills and firewater.
b) contingency, emergency trade waste storage or alternative means of disposal when:
i. your trade waste is non-compliant with the terms or conditions of you Trade Waste Agreement or Consent
ii. City West Water may require discharge of trade waste to cease temporarily.
If yes, please attach a copy of this plan
No
15. Please complete the table on the last page and list the processes or activities that will generate trade waste, along with the projected
volumes from each of these trade waste streams.
Terms and Conditions
By accepting the following terms and conditions you are confirming that
you have the authority to both make the statements set out in the form and
to give the following undertakings set out below to City West Water on
behalf of the occupier.
If City West Water accepts the occupier’s offer contained in this application,
the occupier will:

comply with all the requirements of any trade waste agreement or
consent as issued by City West Water and any notice provided by
City West Water

ensure that all plumbing or drainage work on the site and all
connected fittings or appliances comply with all requirements of
Australian Standards, the relevant plumbing codes and any trade
waste requirements imposed by City West Water. All plumbing
works must be carried out by a licensed plumber

authorise contractors, employees and agents to provide City West
Water with maintenance receipts associated with any trade waste
treatment apparatus on the site

pay trade water application and agreement fees from the start of the
consent, as billed by City West Water.
Prior to connection of a waste water treatment apparatus to a City West
Water sewer, a Commercial/Industrial/Multi unit/ Dual occupancy
Application must be lodged, and the appropriate fee paid.
It is against the law for you to discharge trade waste until you have an
executed Trade Waste Agreement or Consent.
For information about trade waste services and the respective rights
and responsibilities of City West Water and its trade waste customers,
please refer to our Trade Waste Customer Service Charter available at
citywestwater.com.au/documents/trade_waste_customer_charter.pdf
Important privacy notice
City West Water ABN 70 066 902 467 is a company owned by the Victorian State
Government, which provides retail water, sewerage and trade waste services to
Melbourne’s central business district, inner and western suburbs.
By completing this form you are providing personal information to City West
Water for the primary purpose of providing you with a trade waste
agreement or consent, which is required by law to allow you to discharge
trade waste to City West Water’s sewerage system. The personal
information contained in this form may be shared between, and used by,
City West Water and its contracted service providers for the above primary
purposes, and purposes related to providing and marketing City West
Water’s water supply, sewerage and trade waste services. Additionally,
City West Water may share your personal information with service
providers and other external organisations in limited circumstances.
If you do not provide the information requested by this form, we may
not be able to issue you with a Trade Waste Agreement or Consent.
You may request access to your personal information which City West
Water holds about you by writing to the Privacy Officer at Locked Bag 350,
Sunshine, 3020.
SIGNED by or on behalf of the occupier
Signature:
Date:
Name (block letters):
/
/
Position:
City West Water Locked Bag 350, Sunshine, Vic, 3020 | T 131 691 | F (03) 9313 8663 | E tradewaste@citywestwater.com.au
OFFICE USE ONLY:
Application lodgment date:
Application received by:
Customer contact date:
Contact method:
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15. List the processes or activities on the site that will generate trade waste in the table below and include projected volumes from each of the waste streams.
The daily volume and discharge rates indicated below will be considered in determining trade waste application and agreement fees as well as flow rate compliance.
Fixture ID
(match to
site plan)
Site process or activity
What is in the trade waste? (Attach SDS where available)
Max. vol.
(kL/day)
Avg. vol.
(kL/day)
Totals:
Where more space is required, please photocopy the above table or request additional copies from City West Water and submit with the completed application.
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Max. vol.
(L/hr)
Max. vol.
(L/min)
Max. vol.
(L/sec)