Application for Sanitary Connection

To:

The Executive Engineer

Water supply and Sanitary Division N/S/E/W

BANGALORE

Water Supply and Sanitary Division (M)

Sir,

I/We the undersigned hereby give you notice of my/our intention to drain the premises... ........................ in the ................. Division as described in the appended details and as shown on the accompanying plans and sections(submitted duplicate) and undertake to pay to the Board the cost of so much of the connection to the Board Sewerage System as is required by the provision of the above mentioned act and the bye-laws made thereunder by the Bangalore Water Supply and Sewerage Board and to carry out the remainder of the works in accordance with providance of the said Act / laws.

Dated this............................... day of .................................................................  19..

Signature of person intending to drain premises

........................................................................

Address

........................................................................

Signature of Owner of the house

.........................................................................

Name in Block Letters

.........................................................................

Signature of the Plumber

Address............................................................

Detailed Description of Works and Specification of Materials

To be filled in by applicant of person depositing plan

N.B:Only new or altered work to be described in the following particulars

1.Description of size of sewers

a)Main sewer

b)Branch sewer

c)Materials used

d)Method of jointing

2.Bedding of pipes

a)Method of bedding

b)Thickness & width of beds of concrete

c)Thickness of concrete around pipes

d)Protection of sewer pipes laid under the wall

3.Traps description of interceptor

a)Laboratory water pipes

b)Bath water pipes

c)Sink

d)Gully traps

e)Water closet traps

f)Grass traps

g)Slope sink

h)Urinal

4.Manholes and inspection chambers

a)Thickness of wall

b)Description of bricks

c)Description of rendering

d)Description of invert channels

e)Size and description of cover and manner of fixing

5.Ventilation of sewer

a)Fresh air inlet position

b)Height above the nearest ground level

c)Outlet shaft position terminal top

6.Soil pipe,waste pipe and ventilating pipe connections

a)Lead and iron pipes

b)Lead pipe or trap with cast iron pipe

c)Stoneware pipe or trap with lead pipe

d)Lead soil or trap with stoneware drain

e)Stoneware trap with iron soil pipe

7.Ventilation of water closet trap materials and supports

8.Water closet (apartments)

a)At or above ground level

Approach from floor material

Floor fall towards door

b)Size of window made to open

Position of the same

Means of constant ventialtion

Position of the same

c)Water closet apparatus

Description of pan, basin etc

Flushing cistern, kind, capacity

Flush pipe

Materials

Internal diameter

Urinal with basin

9.Depth of the Board sewer below street level and depth of the connection pipes

10 Schedule of pipes

a)Main sewerage pipes

b)Branch sewerage pipes

c)Soil pipes

d)Ventilating pipes other than soil pipes

e)Waste pipes

f)Rain water pipes

g)anti-syphon pipes

Whether sepatate drain for drain water and foul water provided

Whether a copy of sanctioned plan approved by the BCC/BDA is enclosed

Whether road cutting charges leviable by the BCC/BDA are paid and the endorsement issued by BCC/BDA is enclosed

Signature of Plumber

As per the Bangalore Water Supply and Sewerage Board Sewerage Regulations, 1974

SCHEDULE-B

BANGALORE WATER SUPPLY AND SEWERAGE BOARD

To,

The Executive Engineer N/S/E/W

Water Supply and Sanitary Division

Sir,

I/We, the undersigned hereby give you notice that the drainage works in the premises................................. will be completed entirely and ready for the final inspection on the ................... date........... at ................... hour of .................... 19............... and request inspection and approval of the same.

The work was sanctioned by the Chief Engineer/Executive Engineer vide No.......... Date..............

Certified that the work is completed as per plans and specifications approved.

Signature of officer in charge of drainage of premises

Address.................................. ...........................................

Name of the owner of the house and address

Name and Signature of the plumber carrying out the work