APPLICATION FOR COUNCIL CONSENT BUILD OVER A DRAINAGE EASEMENT
BUILDING ACT 1993
BUILDING REGULATIONS 2006 REGULATION 310 /
To: / Municipal Building Surveyor / Office Use Only
Return:To / BUILDING SERVICES - phone 03 5272 4450 / Class / Type / Year / Number
Email / / BG / CCE / 201
Or / any City of Greater Geelong Customer Service Centre / Prop No.
I/We being the Registered Proprietors of the property being:
Number / Street/Road / Suburb/Town / Postcode
Lot/s / LP/PS / Volume / Folio
as shown on the attached copy of title hereby apply for permission to erect/extend a
...... encroaching ...... metres over the ...... metre wide
easementon the North South East West (circle) side of the property.
The location of the building is shown on the attached plan and I/WE HEREBY UNDERTAKE AND AGREE that permission be granted, it shall be subject to such special recommendations which the Council may impose and more particularly, to the following recommendations:

1)All damage to the drain, junction pits etc. arising from building operations, excavation and the like shall be made good at my/our expense.

2)No alteration shall be made to either the building or the easement drain or fittings without the permission of Council.

3)The Council by its Officers, Agents or Employees shall at all times have access to the drainage easement/drainage reserve for the purpose of carrying out any works and shall not be liable to pay any damage or compensation by reasons of such access or works.

4)Where a pipe has not already been constructed in the easement, and a future drain may be required, the pipe drain shall be laid in the easement to design levels to Council’s satisfaction at the proprietor’s expense.

AND FURTHER I/WE INDEMNIFY the City of Greater Geelong against any claims for compensation or damage caused or alleged to have been caused to the building as a result of subsidence of the drain and/or backfilling or during excavation and/or laying of any drain within the drainage reserve PROVIDED THAT due care is taken by the Council workmen and/or Contractors during the maintenance, repair and/or construction of the drains referred to above.

5)The recommendations of the Permit shall bind my heirs, executors and administrators and also the owners and/or occupiers for the time being of the property or structure in all respects as though the said recommendations were covenants running with the land.

Dated this / day of / 20……..
FULL NAME/S OF OWNER/S
ADDRESS: / POSTCODE:
PHONE: / EMAIL:
SIGNED: / (Owner)

NOTES: 1)This Application Form MUST be signed by the owner of the Property.

2)A Fee of $310.00 must be paid when making application.

3)Suitable plans showing relevant details of the proposal.

A current copy of Title showing the locations and size of the easement must be submitted with the application.

4)Council is collecting this information in accordance with Schedule 4 (Part 2) of the Building Regulations 2006. The personal information will be used solely by Council for the purpose of processing an Application to Build over a Drainage Easement. You may access the information by contacting Council on 035272 5272. If you fail to provide this information, your application may not be processed.

Agent of Owner:
Email: / Fax:
Address: / Postcode

OFFICE USE ONLY

SUBDIVISION DEPARTMENT REFERRAL
Date Sent: / Date Returned:
DESCRIPTION OF PIPE:
Pipe ? / mm Concrete/PVC / Offset / Invert
COMMENTS:
RECOMMENDATIONS:
INVOICE RAISED 
RECOMMENDATIONS: / COUNCIL DELEGATES DECISION:
 Application Be Approved
 Application Be Approved with Recommendations
 Application Be Refused /  Permission Granted
 Refused
Signed: / Date: / Signed: / Date:

BG-A010 APPLOCATION FOR COUNCIL CONSENT-BUILD OVER A DRAINAGE EASEMENTLAST SAVED: 5 OCTOBER 2015