Details of Works Location of works Proposed Works Applicant/Agent Details Applicant/Agent Name Email Address Postal Address Phone Number Is the contractor the applicant? Yes No Contractor's Name Contractor's Postal Address Contractor's Phone Number Contractor's Email Address Any damage to public infrastructure assets or pollution from the concrete works which is not repaired or cleaned up at the completion of works will be resolved at the owner's expense. Does this location have an approved planning permit or approved drainage plan? Does this location have an approved planning permit or approved drainage plan? Yes No Planning Permit Planning Permit Number (if applicable) Permit Type Legal Point of Discharge Approved Drainage Plan Approved Planning Permit Legal Point of Discharge One file only.256 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Approved Drainage Plan One file only.256 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Approved Planning Permit One file only.256 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Concrete works must not commence prior to the issue of this permit, as specified in Local Law 3. Failure to comply with Local Law 3 may incur a penalty. The permit fee is GST free. I declare that i am an authorised person to apply for the Stormwater Connection Permit and that all Information in this application is true and correct. Leave this field blank
