H01 Allowance / Adjustment

HomeH01 Allowance / Adjustment

H01 Allowance / Adjustment

Request for an allowance to wholesale charges for a change to an existing allowance



Items marked * must be filled in.

1. Retailer details


2. Supply Point details

Reference to which this allowance relates

Address of premises


3. Reason for the request


3.1 Type of allowance

Please indicate the allowance being requested and complete the relevant section below

Fire fighting allowancePlease complete section 4

Burst allowancePlease complete section 5

Change to a Non-Return to Sewer AllowancePlease complete section 6

Change to surface area draining to the Sewerage systemPlease complete section 7

Change in Trade Effluent allowancePlease complete section 8

Include any additional information in support of your application in section 9.


3.2 New or existing allowance

Please indicate if this request is for a new allowance or a review to an existing allowance at this Supply Point

New allowance

Review to existing allowance


4. Fire fighting allowance


4.1 Please indicate whether an allowance is being requested in respect of volumetric or meter based annual charges

Volumetric chargesPlease complete section 4.2

Meter based annual chargesPlease complete section 4.3


4.2 Volumetric Charges


4.2.1 Please provide the reason for the use of water in relation to the allowance request

Fire fighting

Testing of fire fighting apparatus

Fire fighting training

Other

m3

4.2.4 In the case of fire-fighting training or testing fire-fighting apparatus, please provide meter reads immediately before and after the testing or training

The assessment of an allowance will be dependent on the availability of consumption data at the Market Operator for the Supply Point spanning at least the last 12 months.

Please go to section 8.


4.3 Meter Based Annual Charges (Please also fill in Appendix A Meter Size Data Assessment Sheet)

The assessment of an allowance will be dependent on the availability of consumption data at the Market Operator for the services at the Supply Point spanning at least the last 12 months.

Please go to section 8.


5. Burst allowance leading to a volumetric adjustment


5.1 Please provide the reason for the allowance reques

Allowance due to a burst between the meter and the property boundary where the meter is located outside the property boundary

Allowance due to a burst on the Non-Household Customer side between the supply and the meter as a consequence of negligence on the part of the Wholesaler

An allowance in respect of sewerage volumetric charges where it can be demonstrated that water escaping through a burst has not subsequently entered the Sewerage system (please provide a description of where the water has drained in Section 7, and attach any evidence in support of the allowance request)

Other


5.2 Please provide actual (not customer) meter read following the repair of the burst

The assessment of an allowance will be dependent on the availability of consumption data at the Market Operator for the services at the Supply Point spanning at least the last 12 months. Please note that the Wholesaler may take further meter readings.

Please go to section 8.


6. Change to a non-return to sewer allowance


6.1 Please indicate the type of business at the Supply Point

Sports Ground/Golf Course

Swimming Pool

Other


6.2 Additional information required for Sports Grounds/Golf Courses


6.2.1 Please indicate the type of grounds and usage (for example "Bowling club with 2 greens, real grass")



6.2.2 Are there catering or other in door facilities at the premises?

Yes

No


6.3 Additional information required for swimming pools

6.3.1 Average annual consumption based on actual meter reads
m3

6.3.2 Surface area of swimming pool(s)
m3


6.4 Additional information required for headage assessment

6.4.1 Total annual consumption based on actual meter reads
m3

6.4.2 Annual volume used in process
m3

6.4.3 Number of full-time employees
m3

6.4.4 Number of part-time employees

6.4.5 Is there a canteen on the premises?

Yes

No

Please go to section 8.


7. Change in surface area draining to the sewerage system


7.1 Please indicate if Surface Water from any part of the roof or hard standing areas drains to the Sewerage system

Yes

Please complete Section 7.3 and 7.4

No

Please complete Section 7.2 and 7.4

7.2 If the answer to 7.1 above is No, where does the Surface Water discharge?

Watercourse/river/stream

Lake or pond

Soak-away or lagoon

Other

Please provide any other available evidence.

%

7.4 For all applications for change in Surface Water draining, please provide a plan for the site which shows the following information in respect of drainage

The site boundary

The approximate location of the Wholesaler's sewers (if known) and any connection from the site

The approximate route of the private pipes carrying water that has been used at the site (waste water) including the position of any manholes, gullies and inspection chambers

The approximate route of the pipes which carry Surface Water from the site including the position of any manholes, gullies and inspection chambers

The position of any nearby watercourse, lagoon or soak-away etcto which Surface Water may drain

Please indicate any area of the site that is hardstanding where Surface Water drains to the Sewerage systems

Please indicate any area of the site that is hardstanding where Surface Water does notdrain to the Sewerage system (it drains elsewhere to a watercourse or soak-away etc.)

Please indicate any area of the site that is not hardstanding where Surface Water does not drain to the Sewerage system (grassed, unmade or gravelled areas)


8. Change in Trade Effluent allowance


8.1 Water consumption

Is there a staff canteen where full meals are provided?

Yes

No

8.2 Water loss

Calculated water used on site and not discharged to sewer e.g., ice making or water used in products such as soft drinks (please attach details in support of your calculations)

(% of water in or m3 per day)

(% of water in or m3 per day)

(iii) other


(% of water in or m3 per day)


9. Additional information


10. Consent to visit the eligible premises

The Wholesaler may wish to visit the eligible premises for purposes such as to take a meter reading or to assess the volume returning to the Sewerage system or the drainage arrangements at the eligible premises. Please indicate whether you consent for the Wholesaler to contact the Non-Household Customer directly to arrange a visit to the premises consistent with the nature of the application.

YesPlease provide contact details below

No

Customer Contact Details

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

Yes

No


11. Declaration


I hereby acknowledge and declare that the information provided in this form is correct and up to date at the date of submission

Appendix A Meter Size Data Assessment Sheet:

Please note this form is for use in assessing existing supplies and new supplies.


1. Site Information Details of all available data items should be completed
Meter 1 Meter 2 Meter 3 Meter 4
Size of any existing meters or the design standard for new meters; as defined by-the value Q3 (in m3/hr),

- the ratio Q3/Q1, and

- the value DN.

Defined in BS EN ISO 4064-1:2014 Water meters for cold potable water and hot water. Metrological and technical requirements. (See note for older meters3).
Any existing meter serial numbers at the premises
Supply pressure (Bar) if known
Diameter of incoming pipe into building/premises (mm)
Fire supply (Y/N)
If YES, please complete section 4 Fire Supplies
Contaminated land (Y/N)
Operational time period:please select all time periods that apply

00:00 - 08:00;

08:01 - 12:00;

12:01 18:00;

18:01 24:00

If no time period is selected, 24 hours will be used as the default


2. Number of Water Fittings Please provide details of the number of water fittings (as listed) and indicate whether they are fed from the mains or from a storage tank. If no information is available, please complete section 3 Flowrate.
Meter 1 Meter 2 Meter 3 Meter 4
Storage tank supply pipe size (mm)
Maximum fill rate for storage tank l/sec
Mains Storage Mains Storage Mains Storage Mains Storage
WC flushing cistern
Domestic sized wash basin
Commercial sized wash basin
Bath (tap nominal size 20mm)
Bath (tap nominal size larger than 20mm)
Shower
Power shower
Sink (tap nominal size 15mm)
Sink (tap nominal size larger than 15mm)
Spray tap
Bidet
Domestic sized washing machine
Domestic sized dishwasher
Domestic sized waste disposal unit
Commercial sized washing machine
Commercial sized dishwasher
Commercial sized waste disposal unit
Outside tap
Swimming pool capacity m3 or max fill rate l/sec
Water re-use system
Water treatment unit
Any other water fitting or outlet


3. Flowrate Where no information is available for the number of water fittings, please complete either section 3.1 or 3.2
Meter 1 Meter 2 Meter 3 Meter 4
3.1 Existing supplies
From Logging Data, if applicable

Please note that this is not applicable to new connections
Please provide details of all three flowrates requested
Minimum (l/sec)
Maximum (l/sec)
Typical (l/sec)
3.2 New supplies
Estimate of Flowrate
Please provide details for the daily water requirement
Daily requirement (l/day)
Estimate of maximum flow rate (l/sec)


4. Fire Supplies Please provide details for the number of fire supplies and their estimated flowrates. Fire supplies may not be metered.
Meter 1 Meter 2 Meter 3 Meter 4
Number of fire hydrants
Estimated flowrate (l/sec)
Mains Storage Mains Storage Mains Storage Mains Storage
Number of fire hoses
Estimated flowrate (l/sec)
Number of sprinkler system heads
Estimated flowrate (l/sec)
Fill rate for any tank if the fittings are not fed directly from the mains

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