APPLICATION FOR ANNUAL OR SHORT-TERM USE OF HYDRANT / STANDPIPE
(Please read our terms and conditions on page 3)
Please complete forms and email to: hydrant.licensing@affinitywater.co.uk
I (the user) hereby make application to use hydrant(s) for the purpose(s) and specified location only detailed
below.
Please provide specific details of the location of the hydrant(s) you wish to use:
I wish to use hydrants throughout Affinity Water area
Yes 
Note: Should you wish to use hydrants throughout Affinity Water supply area you will be required to use (Washout)
hydrants from a designated list.
OR, I wish to use specific hydrants as detailed below:
Description of location, road name, town, post code
1) ………………………………………………………………………………………………………………………....
2) ………………………………………………………………………………………………………………………....
Purpose for which water is required ……………………………………………………………………………………
Note: must not be used for domestic purposes i.e. drinking, cooking, washing hands.
Duration of licence: ……………………………………………………………………………………………………….
Note: the licence period is a minimum of one week and a maximum of one year.
Commencement Date: …………………………………………………………………………………………………...
Estimated usage per day ……………………………... m3 ( 1,000 litres = 1m3
220 gallons = 1m3)
COMPANY CONTACT DETAILS
First name: …………………………………………
Last name: …………………………………………………..
Company ………………………………………………………………………………………………………………….
Address ……………………………………………………………………………………………………………………
…………………………………………………………
Post Code …………………………………….…………….
Phone number ………………………………………
Mobile No …………………………………………………..
Email ………………………………………………………………………………………………………………………
Contact details for training & equipment inspection purposes where different from above
First name: ……………………………………………. Last name: …………………………………………………..
Site Address ………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
Phone No ……………………… Email …………………………….……………
Mobile No ……………………...
Standpipe Options – (Please tick relevant box)
Hire from Affinity Water 19mm
Hire from Affinity Water 63mm


Purchase from Affinity Water 19mm
Purchase from Affinity Water 63mm
(Quantity ……………….)
(Quantity ……………….)
Using own 19mm
Using own 63mm


(Quantity ……………….)
(Quantity ……………….)


Note: All standpipes must have non return valve/double check valve fitted.
1
Equipment and water usage
(internal diameter of standpipe)
Type of water using equipment – (please enter quantity of standpipes to be used)
19mm
63mm
a) Standpipe only
OR
b) Standpipe with any of the following equipment:
Jetter
Gully cleaner
Street/road cleaner
Slot cutter
Bowser
Other (please specify)
Water usage details
For equipment which includes water tanks, give tank size
Average number of tank fills a day
Estimated *Daily/Weekly Consumption * (Delete as appropriate)
2
m³
m³
m³
m³
Registration/Serial No’s
For each item of equipment other than standpipes, please give vehicle Registration No if vehicle mounted, or
serial No, if not vehicle mounted.
………………………………………………………………………………………………………………………………
3
Pumped Equipment
Please give details of Type and Quantity - Note: All pumps must be supplied via a break tank
Manufacturer
Model Type
Quantity
Maximum Flow rate (each pump)
4
Litres/Minute
Protection from contamination
Please state method of protection against backflow at:
a) Standpipe(s)
…..………………………
b) Inlet to tank(s) …..………………………
I have read and accept the Terms and Conditions. I understand that I may not use any hydrants until the appropriate fee
has been paid; operative(s) have been trained; standpipe(s) have been checked and a written licence and tag(s) (where
applicable) have been issued. I certify that all the details given are accurate and that any change in equipment or
consumption will be notified immediately to Affinity Water.
Signed………………………………………………………
Date…………………………………..……………
Note: The information that is provided by you will only be used for the purpose of processing your Application for Hydrant
Use/Standpipe Use. It may be necessary to pass your details to the appropriate Fire Authority for information only.
Affinity Water
Registered Office: Tamblin Way, Hatfield, Hertfordshire AL10 9EZ
Tel: 01707 268111 (main switchboard) Email: hydrant.licensing@affinitywater.co.uk
Registered in England No. 254695
TERMS AND CONDITIONS OF HYDRANTS/STANDPIPES USE
Affinity Water Ltd (“the Company”), under Section 59 of the Water Industry Act 1991, has a duty to supply water, following
requests from certain organisations for public purposes upon such terms and conditions as may be reasonable.
-
The term 'public purposes' in this context refers mainly to the cleaning and maintenance of the highway and to drainage
systems.
1.
The conditions are as follows: Each standpipe or other fitting or appliance used to draw water from an identified hydrant (any change of location to
be notified as provided by clause 8 below) must be approved by and registered with the Company, and a licence fee
and deposit must be paid in advance. *
2.
A copy of the licence must accompany each appliance and be produced at the request of a Company representative.
The licence cannot be transferred to third parties including sub-contractors who must apply for a licence in their own
right.
3.
Each standpipe or other fitting used to draw water from a hydrant must be fitted with a suitable device to prevent
backflow, such as an approved double check valve assembly. Standpipes not fitted with such a device will not be
permitted to be used.
4.
The Company, can provide standpipes (20mm or 63mm diameter) for hire or sale. The standpipe, key and bar will, at
all times, remain the property of the Company and must be returned to the Company promptly at the end of the term
of hire or on termination of the agreement by the Company as provided by these conditions.
5.
All persons using the Company hydrants must prove their competence to use them. The Company provides a
Hydrant Use Training Course.
6.
Water drawn from a hydrant must only be used for the purpose specified in the application and under no
circumstances should be allowed for domestic purposes. Hydrants must not be kept open allowing water to run to
waste.
7.
All standpipes, hoses and associated attachments must be disinfected with ‘Milton’ prior to use. They must be kept
clean at all times, and not be allowed to come into contact with other equipment or materials likely to contaminate
them. Where a hose is used, care shall be taken to ensure that its outlet is always kept visible to the operator.
Under no circumstances shall a hose outlet be placed into a gully, drain, manhole, culvert or ditch.
8.
All standpipes, hoses and associated attachments must be maintained properly in order to minimise the risk of
contamination, backflow and waste. Damaged and worn apparatus must not be used.
9.
An Affinity Water tag is to be attached to a private standpipe for the period of hire only. After this period, or if the hire
agreement is terminated, the tag is invalidated and must be returned to allow a full refund of the deposit.
10.
The User shall pay the cost of any damage caused to the property and apparatus of the Company whilst carrying out
operations under this consent. All damage howsoever caused to Company property must be immediately reported to
the company. It is therefore important that the Company be informed, if the user wishes to transfer use from other
than agreed locations.
11.
The Company will not under any circumstances accept liability in respect of any loss or damage caused to the
property of any person or persons wherever situated by reason of the position, use or operation of the hydrant,
standpipe or hoses. Further, the Company will not be held liable in respect of any injury suffered by any person or
persons by reason of the position, use or operation of the hydrant, standpipe, or associated hoses. The user, by
signing or submitting the Application for Hydrant Use/Standpipe Hire agrees to indemnify Affinity Water against all
actions, claims, damages or demands, which may result in respect of any such loss, damage, or injury. Further, the
user confirms that a full public liability insurance policy is in force to cover the acts, omissions or otherwise of the
employees or contractors of the user.
12.
The Company and any Fire Authority retain the right to remove any apparatus from the water network at any time
and for any purpose. Affinity Water will not be liable for compensation claims in relation to a loss of use of supply
following the removal of the apparatus.
13.
The Company will: a.
(Subject to the general right above for the Company and the Fire Authority of removing any apparatus from
the water network). Endeavour to give 7 (SEVEN) days reasonable notice in writing to the contact address of
the user by ordinary 1st Class Post, to terminate this agreement for the user to thereafter return the property
immediately after expiry of the said notice,
b.
Terminate any consent to use a hydrant at any time should the user be in breach of any of these terms and
conditions;
c.
Instigate prosecution proceedings in respect of: i.
water taken in contravention of these terms and conditions
ii.
any contravention of Affinity Water Ltd regulations or other statutory provisions made for preventing
waste, undue consumption, misuse or contamination of water;
iii. any contravention of any Drought Order that may be imposed and at the time in force.
* Details of costs are shown in our charges leaflet