Form No. .. APPLICATION FOR SUPPLY OF WATER FOR DOMESTIC USE/ NON DOMESTIC USE To, The Chief Executive Officer Asansol Municipal Corporation G.T. Road, Asansol Sir, I intend to take water connection for domestic use/ Non domestic use in my holding No .. .... .... Circle No ......., Borough No ......, Ward No. ...... , R.S. Plot No. ........., R.S. Khatian No .........., Mouza ......., P.S. ............, Asansol ............. . Necessary Particulars are furnished below - 1) Name of the Applicant : 2) Father's Name / Husband's Name : 3) Present address of the applicant : 4) Address of the holding for which : water connection sought for 5) Number of the persons living : permanently in the holding 6) Status of occupation of building : 7) For dia. of Ferrule water connection : wanted I do hereby declare that the information given above are true and correct. I have read the instructions as given overleaf which I agree to observe and perform. I also agree to pay the fee/ charges as required by clause 1. of the corporation's instructions. Enclosed documents: i) ...................... ii) ...................... iii) ...................... iv) ...................... Full signature of the Applicant Address ........................ ........ ........... Date: ....... ................. ACKNOWLEDGEMENT Form No. .. Received on Application Form of water connection with enclosures as i) ................ ii) ...................... iii) ...................... iv) ........................................... from Sri/ Smt. for the water connection to the Holding No. ....... Receiving Clerk Asansol Municipal Corporation Downloaded from www.asansolmycity.com ASANSOL MUNICIPAL CORPORATION ASANSOL INSTRUCTIONS The owner / occupier of any Holding requiring water connection for domestic use/ Non domestic use should apply for the same on printed form to be supplied at Corporation Office on payment of Rs. 50/only. The terms and conditions, on which supply of water will be given on the holding for domestic use/ Non domestic use are set out here below: 1) A free of Rs.5000/for domestic use / @ Rs. 15,000.00 upto 5000 gallons, or @ Rs.20,000.00 above 5000 gallons upto 10,000 gallons, for Non domestic use shall be deposited in the office of the Asansol Municipal Corporation by the owner or occupier of the holding for each connection before any work is commenced. Such fee/ charges shall be in addition to all other costs and charges which may be incurred for giving water connection to the holding. 2) Each holding must have a separate connection to the Municipal main distribution supply pipe. Extension from the communication pipe of one holding to another holding shall not be permitted and combination of holding shall not be allowed. 3) Application forms will be issued only for the feasible areas, which can be ascertained in the Engineering Department of Asansol Municipal Corporation. 4) Application forms are to be submitted along with the following documents: a. Photo copy of Deed/ document in respect of ownership of land / building. b. Two copies of the line diagram of the holding (one in tracing cloth & another in blue/ ammonia print of the same) with the proposed alignment of the pipe line from the Municipal main to the receiving tap point inside the holding. c. Photo copy of receipt of up to date tax payment of the holding. d. Certified copy/ photo copy of the sanctioned plan of the holding. 5) All the applications will be considered according to the seriality of submission of the application form in the Office in respect of giving water connection to the holdings. 6) After scrutiny of all application forms and on being satisfied that the application is in order, site inspection will be made by the concerned officials of water works department. The applicant will be informed by letter to deposit the requisite charges and steps for water connection to the holding will be taken after deposit of charges in the cash section of Asansol Municipal Corporation. 7) No water connection will be given to any holding whose annual valuation of the holding is less than Rs. 1300/ 8) The Corporation may cut off the connection of water supply to any premises, or may turn off such supply, if - a. The premises is unoccupied or prohibited for human habitation; or b. any taxes or rates or fees or charges in respect of the premises, are in arrear for payment for more than one year; or.. c. after receipt of a written notice from the Chief Executive Officer requiring him to refrain from so doing, the owner or the occupier of the premises continues to use the water, or permits the same to be used, in contravention of the provisions of Asansol Municipal Corporation Act or the rules or the regulations made thereunder; or Downloaded from www.asansolmycity.com d. any pipe, tap, works or fittings connected with the supply of water to the premises be found, on examination by any officer of the Corporation duly authorized in this behalf, to be out of repairs to such an extent as may cause so serious a waste or contamination of water that, in the opinion of the Chief Executive Officer, immediate prevention is necessary; or e. there is any water pipe situated within the premise to which no tap or other efficient means of turning the water off is attached; or f. by reason of a leak in the service pipe or the fittings, damage is caused to the public street, and immediate prevention is necessary; or g. if the owner / occupier refuses to admit any Officer of the Corporation duly empowered in that behalf into the holding for the purpose of making any examination or inspection of the service pipe or storage tank or prevents such officer from making such examination or inspection. 9) No connection shall be permitted to any holding unless and until the owner / occupier make effective provision to the satisfaction of the Corporation for draining away all waste water. 10)The Corporation will not be responsible for any interruption or diminution of water supply due to occurrences beyond their control but it shall restore the normal condition of supply as soon as it reasonably can do the extent possible. 11) The owner / occupier of the holding shall not give any temporary / permanent connection to any other holding. 12) The owner / occupier of the holding shall take all precaution to prevent wastage of water. Connection of water will not be given there is no underground reservoir in the holding. Sd/ Mayor Asansol Municipal Corporation Downloaded from www.asansolmycity.com
