Page 1 of 2Certificate application - Water Services division - V3 - October 2019
Certificate application Water Services division
Applicant details
Lot/Portion Section DP/SP
House/unit number Street
Town Postcode
Name
Address
Telephone number Mobile number
Email address
Notes
Land IDProperty ID
Office use only
Entered by Date
Subdivider
Owner/s address
Nature of property (eg vacant land, house, unit)
Receipt numberDate paidFee paid
Certificate requiredWater and sewer - fees and charges (Section 603 LGA 1993)
Special meter reading
Drainage diagram
Does not include special meter reading
In addition to Section 603
Fee (1 July 2019 to 30
June 2020)
$0*
$79
$71
An urgency fee of $80 for drainage diagram requests if required within 24 hoursPlease note Section 603 certificate fees paid to MidCoast Council also provides a Section 603 certificate, at no additional cost, from the Water Services division. A separate application must still be undertaken with Water Services division.
Reference/Contact name
Property details
Owner/s details
Owner/s name
New subdivision (where lot is part of a recent subdivision, details of land before subdivision are required)
DP/SPSectionLot/Portion
Page 2 of 2Certificate application - Water Services division - V3 - October 2019
Forster | 4 Breese Parade | PO Box 450 Forster 2428 | 6591 7222
Gloucester | 89 King Street | PO Box 11 Gloucester 2422 | 6538 5250 Taree | 2 Pulteney Street | PO Box 482 Taree 2430 | 6592 5399
www.midcoast.nsw.gov.au
Privacy: This information is required to process your request and will not be used for any other purpose without seeking your consent, or as required by law. Your application will be retained in Council's Records Management System and disposed of in accordance with current legislation. Your personal information can be accessed and corrected at any time by contacting Council.
Contact phoneName
I/we would like to pay via credit card (merchant fee may apply), please arrange for Council's customer service to contact me/us for payment details. Note: if the credit card payment is to be made by someone other than the applicant / owner, please specify below:
I/we have attached a cheque payable to MidCoast Council in the required amount
If you are posting your application to Council, please select your intended payment method
Payment options
Completed form can be: • lodged electronically using the "Submit" button below; or • forwarded by post with payment; or • lodged at our Customer Service Counter - Monday to Friday (excluding Public Holidays).
How to lodge this form
If submitting form electronically, print name - if printing application for posting or lodging at Customer Service, form requires signature
Please refer to Council's adopted fees and charges at www.midcoast.nsw.gov.au. For specific fess related to this application refer to the Water Services Fact Sheet available on the Forms page of our website.
Fees