C02 Gap Sites

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C02 Gap Sites

Gap site supply point request and addition of service components



Items marked * must be filled in.

1. Retailer details


2. Purpose of the application

Registration of new Supply Points for both Water and Sewerage Services

Registration of a new Water Services Supply Point

In this case, is there already a Sewerage Services Supply Point at the eligible premises?

Yes

No

Registration of a new Water Water Supply Point where there is an existing Water Services Supply Point at the eligible premises

Registration of a new Sewerage Services Supply Point

Registration of a new Sewerage Services Supply Point

In this case, is there already a Water Services Supply Point at the eligible premises?

Yes

No

Registration of a new Sewerage Service Supply Point where there is an existing Sewerage Services Supply Point at the eligible premises

Registration of new Sewerage Service components where there is an existing Sewerage Services Supply Point at the eligible premises

Registration of the Retailer to the new Water and/ or Sewerage Supply Point identified by the Wholesaler


3. Eligible premises details



4. Services provided at the eligible premises

Please indicate all services provided at the eligible premises and which should be registered at the Market Operator


4.1 Water services

Metered water

Unmetered water

Other

If Water Services to the property are provided through a revenue meter belonging to the Wholesaler, please provide meter details below. Complete as much information as available. If there are more meters, please use additional sheets

Meter 1 Meter 2 Meter 3
Meter model
Meter manufacturer
Meter size
Number of digits4 to provide reading to 1m3
Meter serial number(s)
Meter reads
Date of reading
Meter location (GIS X)
Meter location (GIS Y)

Description of meter location

Meter 1 location

Meter 1 location

Meter 2 location

Meter 3 location


4.2 Sewerage services

Foul Sewerage Services

Yes

No

Highway Drainage Services

Yes

No

Surface Water Drainage Services

No

Yes


Is there a discharge of Trade Effluent from the premises to the Sewerage system?

Yes

No


5. New supply point request

Please provide further information relating to the request for the new Supply Point(s)


Is only a Water Services Supply Point required?

Yes

No

If only a Water Services Supply Point is required to be registered, please state the reason for requesting only a single Supply Point

Reason for no Sewerage Services Supply Point being requested

Only a Water Services SPID is required because the Non- Household Customer only uses Water Services. Please give details of sewerage provision, e.g. septic tank

Only a Water Services SPID is required because the eligible premises is only eligible for Water Services

Is only a Sewerage Services Supply Point requested?

Yes

No

If only a Sewerage Services Supply Point is required to be registered, please state the reason for requesting only a single Supply Point

Only a Sewerage Services SPID is required because the Non-Household Customer only uses Sewerage Services. Please give details of water provision, e.g. private water supply

Only a SewerageServices SPID is required because the eligible premises is only eligible for SewerageServices


6. Additional information

Please provide any additional information that may be useful in identifying the property,For example, GIS co-ordinates or a map of the site


7. Consent to contact the Non-Household Customer

The Wholesaler may wish to contact the Non-Household Customer to arrange a visit to the premises to confirm the services supplied to the eligible premises, and, as appropriate, install a water meter. Please indicate whether you give consent for the Wholesaler to contact the Non-Household Customer directly to arrange a visit to the premises

YesPlease provide contact details below

No

Customer contact details

Please indicate if you want to be notified of the date of any visit

Yes

No


8. Declaration

We hereby acknowledge and declare that we have undertaken all reasonable endeavours to complete the required parts of this form, to confirm the status of W ater Services and Sewerage Services, including Surface W ater Drainage Services at this eligible premises.

Following the required investigations we believe this is a Gap Site requiring a new Supply Point or Supply Points as defined under the market terms, or an existing site requiring new service components to be registered.

The information provided in this form is correct and up to date at the date of submission

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