The information provided in this form will be used in our preliminary assessment for the provision of water and/or sewer services to your development. This form is to be submitted for proposed greenfield, brownfield or high-rise developments prior to submission of a DAC application or a water and sewer application.
SA Water will endeavour to respond within 30 business days.
- Application Details
Please provide any SA Water reference previously given that relates to your site
Click here to enter text.
1.1Applicant details
Contact Name:Click here to enter text.
Company Name (if applicable):Click here to enter text.
Phone:Click here to enter text.
Mobile:Click here to enter text.
Email:Click here to enter text.
Developer Name (if different from above): Click here to enter text.
- Development Details
Location/Address (including suburb or town): Click here to enter text.
Local Government Area:Click here to enter text.
Planning Zone: Click here to enter text.
Total area of development site:Click here to enter text.
Hectares – (1 hectare = 10,000m2)
Please indicate the type of development by ticking the appropriate box below:
☐Residential☐Mixed Residential/Commercial/Industrial
☐Commercial/Industrial
Proposed total number of allotments/lot/apartments:Click here to enter text.
Maximum number of storeys:Click here to enter text.
Community Title allotments (number of lots within CT):Click here to enter text.
- Service requirements
☐Water☐Recycled Water☐Wastewater
Development Start Date: Click here to enter text.
Staging Details for initial stages (allotment number and location of 1st stage): Click here to enter text.
Annual water volume:Click here to enter text.
Monthly water volume: Click here to enter text.
Peak Day water volume:Click here to enter text.
Peak instantaneous flow rate: Click here to enter text.
Proposed number of fixture units:Click here to enter text.
Proposed wastewater discharge:Click here to enter text.
3.1Trade Waste
Peak Flow (L/Sec): Click here to enter text.
Description of the nature of the proposed discharge - DAF/Grease arrestor details: Click here to enter text.
3.2Fire Connection Requirements
Size required ☐100mm☐50mm☐other
Details: Click here to enter text.
- Development layout
If available please provide an ESRI shape file and an AutoCAD drawing file
Include:
- MGA Grid Zone coordinates, AHD elevations
- Allotment layouts
- Contours
- Lot Numbers
- Road Names
For further support and return of this form please email our team:or phone 7424 1135.