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How to complete this form
1: Ensure that all fields have been filled out correctly.
2: Please note that fields on this form marked with an * are mandatory and must be completed before submitting the application.
3: Once completed you can submit this form by email, mail or in person. Please refer to the Lodgement Details section in Part 5
4: Refer to the Public Domain Manual and the Stormwater Drainage Manual:
cityofsydney.nsw.gov.au/development/public-domain-works
About this form
Use this form to obtain approval for a private stormwater system to connect to Council's underground stormwater drainage
infrastructure/system. This may also include construction of new infrastructure (pit & pipe system) to connect to Council's
underground stormwater
drainage infrastructure.
Note: Where a positive covenant/drainage deed applies, this application must be submitted first and once approval is
issued, the positive Covenant/Drainage Deed will be coordinated by City's Legal Team.
Note: For the discharge of stormwater via down pipes to the kerb (total site discharge less than 25L/S) please complete the
Road Opening Permit Application.
Application for Stormwater
Drainage Connection and Works
Under Section 138 of the Roads Act 1993
TRIM 2011/088786 V01/25
Fees and Charges
Please refer to the fees summary section in Part 3 accompanying this application. The City of Sydney’s Schedule of Fees and
Charges can be accessed at
cityofsydney.nsw.gov.au/council/our-responsibilities/fees-and-charges. Refer to the public
domain charges section 'Development Sites - Drainage'
Note: This application will only be accepted if the correct fee is paid and the relevant documentation and/or drawings are provided
electronically. If you require further information regarding this application form, please contact the Public Domain Team on 02 9265 9333
or email: [email protected]
Last Name* First Name*
Email Address*
Contact Number*
Business/Company Address *
Applicant Details*
Business/Company Name *
Business/Company Postal Address (if different from above)
Note: All correspondence will be directed to the applicant
Part 2: Applicant (Primary Contact)
Part 1: Site Details (adjoining the public road)
Development Application Number (if applicable)DP/SP (if known)
Lot number (if known)
Suburb*
Street name*
Property number*
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Part 3: Fees Summary (Fee is per connection)
Please tick applicable box below and include number of connections
Number of connections:
Number of connections:
Connection to a Council Kerb Inlet Pit $698.00
Connection to a Council Junction Pit $698.00
Total Fees Payable (Sum of applicable connection fee x number of connections)
Note: Prior to receiving approval a security bond may be required.
Conflict of Interest
To ensure transparency in Council’s decision making process and to avoid potential conflicts of interest, you must make a
declaration as to whether you, the landowner and/or anyone with a financial interest in the application is a Council employee
or Councillor or is related to a Council employee or Councillor. You MUST tick at least one of the boxes below:
Neither I, the landowner or any other person with a financial interest in the application is an employee/Councillor
or relative of an employee/Councillor of City of Sydney Council.
Name and relationship:
I am an employee/Councillor or relative of an employee/Councillor of City of Sydney Council. I have stated the
relationship below.
The landowner is an employee/Councillor or relative of an employee/Councillor of City of Sydney Council. I have
stated the relationship below.
Another person with a financial interest in the application is an employee/Councillor or relative of an employee/
Councillor of City of Sydney Council. I have stated the relationship below.
I declare that all information in the application and checklists is to the best of my knowledge, true and correct. I also understand
that the electronic data provided is a true copy of all plans and associated documents submitted with this application and the
data is not corrupted or does not contain any viruses. Each plan and document is supplied as a PDF file no larger than 20MB
and is named in accordance with the Council's Digital Requirements document. I understand that information provided may be
publicly available.
I declare that the above information is correct.
Applicant Signature *Applicant Name Date *
Temporary / permanent restoration: The applicant will be held responsible for all damage in the vicinity of their work unless
the damage was reported prior to commencement (such as dilapidation report). The applicant of the proposed activity, shall
maintain work area in safe condition throughout the duration and work. A temporary restoration may be required until final
restoration is carried out and accepted by Council.
Applicant's signature
Email/USB of all plans & documentation
I have attached the following:
(Report to show all frontages, affected conditions of footpath, kerb, gutter, roads, gully pits and trees and damage to be
marked X on diagrams. Diagrams to include reference points/nearest landmark for example building/house number).
Dilapidation report
Part 4: Application Checklist and Declaration
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Part 6: Privacy & Personal Information Protection Notice
Purpose of collection: This information is being collected for the purpose of approving stormwater drainage connection/s in
the City of Sydney Local Government area.
Intended recipients: City of Sydney employees. Any approved contractors required to provide this service.
Supply: The supply of this information is required by law. If you are unwilling to provide this information, the
City of Sydney may be unable to provide access to City of Sydney services.
access or correct your personal information.
Storage: The City Planning, Development and Transport Unit at the City of Sydney, located at 456 Kent
Street, Sydney NSW 2000, is collecting this information and the City of Sydney will store it securely.
Other uses: The City of Sydney will use your personal information for the purpose for which it was collected and
may use it as is necessary for the exercise of other functions.
For further details on how the City of Sydney manages personal information, please refer to our Privacy Management Plan
cityofsydney.nsw.gov.au/policies/privacy-management-plan.
Office Use Only
Customer Service Officer Date Received Receipt Number
RC 015
Part 5: Lodgement Details
You can lodge the completed application by:
EMAIL: [email protected]
Digital copies of applications must be supplied on a USB memory stick if lodging by mail or in person.
MAIL: City of Sydney, GPO Box 1591, Sydney NSW 2001
IN PERSON: Town Hall House - Level 2, 456 Kent Street, Sydney
See our website for details of all customer service centres and opening hours:
cityofsydney.nsw.gov.au/council/contact-us/customer-service-centres
WHAT NOW: Once your application is received a Council Officer will contact you if further information is required.
For further information regarding your application please contact us by:
For further information regarding your application please contact us by visiting cityofsydney.nsw.gov.au/contact-us
