Mechanical Contractor Phone: Telemetry Contractor Phone: Accredited pipelayers Phone: Approved contractor for work on Phone: live assets Testing by NATA registered Concrete Phone: Quarry Phone: Phone: Products / Compaction Consultant's Assurance As the Consultant’s Senior Management Representative responsible for the design of the works detailed in South East Water’s Development Agreement, File No ........................ I verify that: The design is in accordance with the Development Agreement and its referred documents and standards. Consultant’s Senior Management Representative Name Company Position Signature Date Important Privacy Notice South East Water Corporation ABN 89 066 902 547 (SEWC) is a Statutory Corporation created as a Water Authority under the Water Act, which provides retail water, recycled water, sewerage and trade waste services to Melbourne’s South Eastern suburbs. By completing this form you are providing personal information to SEWC for the primary purpose of SEWC providing you with water, recycled water and/or sewerage supply. Additionally, SEWC may share your personal information with service providers and other external organisations in limited circumstances, such as to: government or regulatory authorities; mail houses and other companies for the purposes of distributing statements of account and handling mail; and information technology companies for the purposes of maintaining information technology and security systems. If you do not provide the information requested by this form, then we may not be able to process your application for the provision of water supply, recycled water or sewerage facilities. You may request access to your personal information which SEWC holds about you. You can make such a request by writing to the Privacy Officer at PO Box 2268 Seaford VIC 3198. Additionally, South East Water’s Privacy Policy is available on the company’s web site at or contact 131 694.
Mechanical Contractor Phone: Telemetry Contractor Phone: Accredited pipelayers Phone: Approved contractor for work on live assets Phone: Testing by NATA registered Concrete Phone: Quarry Phone: Products / Compaction Phone: Consultant's Assurance As the Consultant’s Senior Management Representative responsible for the design of the works detailed in South East Water’s Development Agreement, File No ........................ I verify that: The design is in accordance with the Development Agreement and its referred documents and standards. Consultant’s Senior Management Representative Name Company Position Signature Date Important Privacy Notice South East Water Corporation ABN 89 066 902 547 (SEWC) is a Statutory Corporation created as a Water Authority under the Water Act, which provides retail water, recycled water, sewerage and trade waste services to Melbourne’s South Eastern suburbs. By completing this form you are providing personal information to SEWC for the primary purpose of SEWC providing you with water, recycled water and/or sewerage supply. Additionally, SEWC may share your personal information with service providers and other external organisations in limited circumstances, such as to: government or regulatory authorities; mail houses and other companies for the purposes of distributing statements of account and handling mail; and information technology companies for the purposes of maintaining information technology and security systems. If you do not provide the information requested by this form, then we may not be able to process your application for the provision of water supply, recycled water or sewerage facilities. You may request access to your personal information which SEWC holds about you. You can make such a request by writing to the Privacy Officer at PO Box 2268 Seaford VIC 3198. Additionally, South East Water’s Privacy Policy is available on the company’s web site at or contact 131 694.
FormN.docx