Guidance regarding completion of the build over or near to a public sewer application form

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Guidance regarding completion of the build over or near to a public sewer application form 1 Applicant details Please provide details of the applicant, i.e. the person we will be corresponding with regarding the application. 2 Site owners details Please provide details of the site owner. If the applicant is the site owner this section will not need to be completed. 3 Site details Please provide details of the site itself, i.e. the location where the proposed works will take place. 4 Development details i/ Please confirm whether the proposed works involves a new building, an extension/alteration of an existing building or both. If the proposed works entails an extension please indicate the location of the extension in relation to the existing building and the number of storeys. i Please confirm whether the proposal includes the demolition of existing buildings on the site and if so please indicate these on the site plan. The provision of this information is important as may affect the suitability of your proposals. Please stipulate the Local Authority area, i.e. the name of the District/Borough Council area in which the site indicated in Section 3 is located. v) Please confirm whether you have applied for Building Regulations approval for your proposed works and if so please add the Building Control Body reference number. If you have applied to a Building Control Body that is not the District/Borough Council, please add the name of the body. vi) Please state the date of the Building Regulations application. 5 Other details i) Please state the diameter of the sewer(s) (in mm), that will be affected by your proposed works. Please state the depth of any manholes (in metres) that are located upstream or downstream of the sewer(s) that will be affected. The depth of the manhole is the vertical measurement from the channel within the manhole to the manhole cover. Application form guidance notes 11 May 2018

i If the proposals involve the extension/alteration of an existing property or there is an existing property on the site, please advise, if you are aware when the property was originally constructed. This information is important as it may help us to establish the status of the affected sewer. Please indicate whether your proposals will require a connection to the public sewer. If the answer is yes you will need to make a separate application to us, information regarding which is available on our website: www.anglianwater.co.uk/developers/sewer-connect.aspx 6 Supplementary information i) Site location plan @ preferred scale, 1:2500, (coloured in GREEN). Site plan, preferred scale 1:100, indicating the position of the public sewer (coloured in RED) in relation to the proposed building/extension. i Elevations of the proposed buildings. Sectional drawing indicating the proposed foundations in relation to the public sewer. 7 Consultation If you completed our Build over or near to a public sewer consultation form and paid the 50 consultation fee, please provide us with your reference number which will start with BC ; the date you made the payment, the payment reference number we gave you once payment was processed and the cheque number (if applicable). 8 Payment and declaration The technical vetting and administration fee is currently set at 432.50. If a Build over or near consultation was made prior to this application. Please deduct the 50.00 consultation fee from the technical vetting and administration fee and pay 382.50. Cheques should be made payable to Anglian Water Services Ltd or you can pay by credit/debit card by calling our Income Team on 0345 60 66 087, option 4, option 1. This application form can be sent by email or post: Email: dsincome@anglianwater.co.uk Post: Anglian Water, Developer Services, PO Box 495, Huntingdon. PE29 6YY Failure to provide the required information and payment of the technical vetting and administration fee will delay the processing of your application. Application form guidance notes 11 May 2018

Anglian Water reference number (Anglian Water use only) Application to build over or near to a public sewer This form should be used if you are planning to build over or near to a public sewer and guidance regarding completion of the form is contained within the accompanying guidance notes. Please note that you are still required to complete and submit this form even if you have already submitted a Building Regulations Application. Please ensure that you fully complete sections 1 to 8, as failure to do so will delay the processing of your application. Please note that there is a Technical Vetting and Administration Fee for the technical assessment and processing of your application. This fee is applied per application and payment must be made by cheque made payable to 'Anglian Water Services Ltd' with your application or by credit or debit card before you submit your application by calling us on 0345 60 66 087, option 4, option 1. Please note we do not issue proforma invoices however we will issue a VAT receipt once we have processed your payment. Please complete all sections of the form in BLOCK CAPITALS Section 1 - Applicant details (correspondence address) Guidance notes See note 1 Name: Company Name: Property name/number: Street: Village/town: City/county: Postcode: Telephone number: Mobile number: Email address: Section 2 - Site owners detail (if different to Section 1 above) See note 2 Name: Property name/number Street Village/town City/county Postcode Telephone number: Mobile number: Email address: Section 3 - Site details See note 3 Site/project name Property name/number Street Village/town City/county Postcode

Section 4 - Development details See note 4 Is the proposed development a: i) New building? Yes No Extension to an existing building? Yes No If yes, to ( please confirm the location of the extension and number of storeys: Side Rear Front Number of storeys: i Are there any existing buildings on the site to be demolished as part of your proposals? Yes No If yes, please indicate these on the site plan provided with your application. Please state Local Authority area: v) Have you applied for Building Regulations approval? Yes No If yes, please state the Building Control Body reference number: Have you applied to a non District/Borough Council Building Control Body/Improved Inspectors Yes No If yes, please state the name of the Building Control Body/Improved Inspectors and their reference: vi) Date of Application/Building Notice Section 5 - Other details See note 5 i) Size of sewer (in mm): Depth of any manholes indicated on the site plan (in metres): i Approximate year of construction of the existing property: Do you need to make a connection to the sewer? Yes No If yes, please download a sewer connection application form from our website www.anglianwater.co.uk/developers/sewer-connect.aspx Section 6 - Supplementary information The following information must be provided with your completed application form i) Site location plan, preferred scale 1:2500 - showing site boundary coloured in GREEN. i Site plan, preferred scale 1:100 indicating the position of the public sewer (coloured in RED) in relation to the proposed building/extension. Elevations of the proposed buildings. Sectional drawing indicating the proposed foundations in relation to the public sewer. Failure to provide any of the information listed above could result in your application being delayed or returned. Please note that works within the vicinity of the sewer must not commence until approval has been granted and any works carried out prior to approval by Anglian Water may need to be removed at your expense.

Section 7 - Consultation i) Did you make a 'build over or near to a public sewer consultation' to Anglian Water? Yes No If yes, please provide the details requested below: Consultation reference no.: BC Cheque no.: Payment reference no.: Date of payment: Section 8 - Payment and declaration By signing this declaration I can confirm that: i) I wish to apply for approval to build over or near to the public sewer. I acknowledge that payment of the vetting and administration fee is required with this application*. I attach a cheque, made payable to 'Anglian Water Services Ltd', for* I have made a payment by credit/debit card for*: Date of payment: Payment reference no.: *If the 50.00 consultation fee was paid, please deduct this from the vetting and adminstration fee (see guidance notes above). i a) b) c) OWNER: If you are also the applicant please delete b) below I confirm that I am the owner/occupier of the property indicated in Section 3. The applicant has approval to act exclusively on my behalf in dealing with Anglian Water regarding the proposed works that impact on the public sewerage system. I agree not to carry out, or permit to be carried out, any works on my property until formal approval to build over or near to the public sewer has been granted by Anglian Water. Print name: Signature: a) APPLICANT: If the owner is the applicant please leave this section blank I confirm that I am the applicant acting on behalf of the property owner. Print name: Signature: Company: Date: Please return all documentation by email to: dsincome@anglianwater.co.uk Or by post to: Developer Services, PO Box 495, Huntingdon, Cambridgeshire, PE29 6YY For Anglian Water use only Date application received: Upfront fee paid: Yes No Cheque: Value Chq no.: Credit/debit card: Value Reference: BACS: Value Reference: Date payment received: Date payment processed: Processed by: Doc number: Date sent to Drainage Team: Form ref: buildover/5/18