Developer services

DEV 019A Pumping station telemetry connection

Application form Water adoption reference: S104

1 Address of site (PLEASE USE BLOCK CAPITALS)

Use postal address of nearest property to the pumping station entrance - No plot numbers or site name

Address

Postcode Please use this address for phone line application

Pumping Station telephone number

2 Developer

Name Contact name

Address

Postcode

Phone

Email 3 Developer’s M&E Contractor

Name Contact name

Address

Postcode

Phone 24hr phone

Email

Service contract number 4 Invoice address

Name Contact name

Address

Postcode

Phone number

Email 5 Handover information (to be completed by Wessex Water)

Pumping station name

Grid coordinates Wessex Water site I.D (to be confirmed)

WWDS-DEV019A April 2019 page 1 of 2 6676 April 2019 6 Handover information (to be completed by Wessex Water)

Were remedials identified by our site inspector? Yes No Has the phone line been checked by our site inspector? Yes No N/A

7 Installation and fee

Please choose one of the three options below Option 1 Option 2 Option 3

Standard installation. As Option 1 but with the addition of As Option 1 but you supply and telemetry for a chemical dosing install the outstation. unit, plus a larger outstation.

Please refer to our Developer service charging arrangements for confirmation of fees.

Standard installation includes: configuration of Wessex Water telemetry system, provision of an outstation, LPU and secondary BT socket, wiring from the outstation to marshalling box, testing all signals from source, making the site live to our control room, and issue all relevant certification.

Any additional visits or work may be charged as extra. If a BT line cannot be provided, alternative options need to be discussed. There may be an extra cost involved. We will provide more details on request. By signing this form you confirm agreement of the order.

Signed Name

Phone

Email

Northern area Wessex Water Northern Kennet Way area Trowbridge Stroud Wotton-under-Edge • BA14 8RN • Thornbury Cotswold South • Malmesbury • Yate • Wootton Bassett

Portishead • • • Chippenham • • Corsham • Calne North • Bath• • Melksham Weston-super-Mare • • Devizes BANES • Bradford-on • Trowbridge Western area Norton • Burnham on Sea • • Westbury Wessex Water and Highbridge Mendip • • Wiltshire Riverside • Wells • Chilton Trinity • Williton • Southern area Western West • • Bridgwater Wessex Water area Somerset • Street TA6 3JS Southern STW • Salisbury area Cabot Lane • Gillingham Poole • Taunton South • Shaftesbury BH17 7BX • Wellington Somerset • • Sherborne North East New Forest • Dorset • Ringwood West • Blandford Forum Dorset • Wimborne Minster Send your application to: • Bridport • Christchurch • Poole • Dorchester • Bournemouth

Purbeck • Weymouth North - Wessex Water, Kennet Way, • Swanage Weymouth Trowbridge, BA14 8RN and Portland Tel 01225 522 682 Email [email protected]

South - Wessex Water, Poole, STW, Cabot Lane, West - Wessex Water, Riverside, Chilton Trinity, Poole, BH17 7BX Bridgwater, TA6 3JS Tel: 01202 643 461 Tel 01823 225 219 Email [email protected] Email [email protected]

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