Bulk Water Extraction Application

General Information

Contractor/Business name *

Contractor contact person *

Email *

Contractor phone number *

Contractor billing address *

Vehicle make, model and registration numbers to be used during bulk water extraction *

Intended use of water extracted (e.g., Drinking water, Dust Suppression, etc.) *

Taumata Arowai Water Carrier Registration Number (If used to transport drinking water to customers or another drinking water supplier):

I agree to the terms and conditions attached to the permit. *

I have read the terms and conditions attached to the Bulk Water Extraction Permits *

I understand the extent of my responsibility to securely manage and extract water from authorized extraction points only. *

Attach two photos of your upstand and tank *

Security key
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