Private Water Supplies

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Private Water Supply Registration
1. The Private Water Supplies (England) Regulations 2016, as amended.
2. Details of occupier using the water
  1. Title*
  2. First name(s)*
  3. Last name*
  4. Email*
  5. Confirm Email*
  6. Contact Telephone*
  7. Alternative Telephone
  8. House name/number*
  9. Street or Road Name*
  10. Village
  11. Town or City*
  12. Postcode*
  13. Please use capitals and a space e.g. BA4 5BT when entering your postcode
3. Do you own the property?*
4. Details of the Property Owner
  1. Title
  2. First name(s)
  3. Last name
  4. House name/number
  5. Street or Road Name
  6. Village
  7. Town or City
  8. Postcode
  9. Please use capitals and a space e.g. BA4 5BT when entering your postcode
5. Is it a domestic residence?*
  
  Yes
  
  No
6. Details of occupied property
  1. If yes, how many residents live there?
  2. Number of adults
  3. Number of children
7. Please select commercial activity
  1. Please confirm the nature of the commercial or industrial activity and add the approximate number of people served per week. Note: a dairy or vegetable washing business is exempt from these Regulations.
  2. Please select the activity
  3. Number of people served per week
  4. Comment
    If you are unsure, or the activity was not included on the list please describe it

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