Permit to Draw Water Application

Permit to Draw Water Application
from designated water filling stations
(Automatic save-and-resume-later is enabled.)

For domestic drinking water carters, all tanks must be reinspected and a copy of the approval notification to cover 2024-2025 financial year must accompany this application.

Drinking water carters must develop and adhere to a quality assurance program. A copy of the completed quality assurance program document must be provided to the local NSW Health Public Health Unit.

Applications will not be processed until all relevant documents are supplied.

Service required
New permit and key
Renewal of permit
Change to permit details
This question is required
Applicant details
Entity name
This question is required
Trading name
This question is required
ABN
This question is required
Postal address
Full address, including postcode.
This question is required
Full address, including postcode.
Contact name
This question is required
Phone number
This question is required
Mobile number
This question is required
Email address
Enter correctly to ensure delivery of email.
Please enter a valid email
Enter correctly to ensure delivery of email.
Water use
Note: For domestic drinking water, the applicant must notify their local council of their business and food activity details, and the water tank must be inspected and approved by an appropriate authority.
Intended use for water
This question is required
Nominated vehicle details
Vehicle make
This question is required
Vehicle model
This question is required
Registration number
This question is required
Capacity
This question is required
The location of water filling stations can be found on our website:
https://rous.nsw.gov.au/commercial-water-filling-stations

Avdata use
I have read and understand the Avdata use information and agree to carry the permit supplied with the nominated water tanker at all times and produce on demand if asked.
The Avdata key grants access to all water filling stations, however you must maintain an individual prepaid credit balance at each station you intend to utilise.
Yes
No
Please choose an answer
The Avdata key grants access to all water filling stations, however you must maintain an individual prepaid credit balance at each station you intend to utilise.
Terms and Conditions
I have read and understand the Terms and Conditions  and agree to abide by them. I acknowledge that the these may be amended from time to time and are available on Rous's website.
1.	Water may only be extracted from a designated water filling station for the intended use(s) marked on the permit.  
2.	A risk assessment must be undertaken by the driver of the nominated water tanker prior to filling from a designated water filling station. Filling is to be undertaken in a manner that minimises obstructions of any footpaths and takes all proper safety precautions including the positioning of safety cones to prevent the risk of tripping hazards or injury to pedestrians.
3.	The use of portable standpipes in Rous owned hydrants is PROHIBITED (Fire Brigades exempt) and will result in the IMMEDIATE CANCELLATION of the permit and possible prosecution.
4.	One designated water filling station access key per permit is issued free of charge. Additional and replacement access keys are charged as per Rous' Fees and Charges (2024/25 prices subject to adoption at the June 2024 Council meeting).
5.	The permit fee for bulk water carriers and the price per kilolitre of water are available in Rous' Fees and Charges and are subject to change on 1 July each year.
6.	Designated water filling stations may have security cameras present and recording.
7.	Should you become aware of vandalism or suspected vandalism of designated water filling stations, you will immediately notify Rous.
8.	To minimise the interruption to bulk water carriers all damage or unauthorised use at the designated water filling stations must be immediately reported to Rous on 02 6623 3800.
9.	The permit is valid until 30 June.
10.	Avdata customers must pay in advance for usage, any unused credit will be carried forward if the permit is renewed.
11.	If a permit is not renewed, and the credit balance is greater than $50.00, the amount above $50.00 will be refunded upon application.
12.	You are liable for all costs associated with water extracted using your designated water filling station access key.
13.	You are wholly responsible for the security and use of the water filling station access key issued (including the loss, damage or unauthorised use of the access key) and must report lost or stolen access keys to Rous immediately on 02 6623 3800 so that access can be disabled.
14.	You have read and understood the NSW Health – NSW Guidelines for Water Carters (recognising carting drinking water poses extra responsibilities) and will abide by the Guidelines acknowledging that from time to time their data may be supplied to NSW Health upon request and that you will be added to Rous’ register of water carriers in accordance with the Guidelines.
a).	a water carter carrying potable water for human consumption is classified in the Food Act 2003 as a ‘food business’ and that they must notify the local council of the business and food activity details and agree to have the water tank inspected and approved by the local council; and
b).	de-identified water filling station usage data may be forwarded to other government agencies.
15.	Legacy account holders are responsible for any purchases made on their account. Failure to settle their account within the designated timeframe may lead to denial of access to the designated water filling stations.
16.	The permit may be withdrawn or suspended by Rous at any time without notice.
17.	Designated water filling stations may be closed by Rous at any time without notice.
Yes
No
Please choose an answer
1.	Water may only be extracted from a designated water filling station for the intended use(s) marked on the permit.  
2.	A risk assessment must be undertaken by the driver of the nominated water tanker prior to filling from a designated water filling station. Filling is to be undertaken in a manner that minimises obstructions of any footpaths and takes all proper safety precautions including the positioning of safety cones to prevent the risk of tripping hazards or injury to pedestrians.
3.	The use of portable standpipes in Rous owned hydrants is PROHIBITED (Fire Brigades exempt) and will result in the IMMEDIATE CANCELLATION of the permit and possible prosecution.
4.	One designated water filling station access key per permit is issued free of charge. Additional and replacement access keys are charged as per Rous' Fees and Charges (2024/25 prices subject to adoption at the June 2024 Council meeting).
5.	The permit fee for bulk water carriers and the price per kilolitre of water are available in Rous' Fees and Charges and are subject to change on 1 July each year.
6.	Designated water filling stations may have security cameras present and recording.
7.	Should you become aware of vandalism or suspected vandalism of designated water filling stations, you will immediately notify Rous.
8.	To minimise the interruption to bulk water carriers all damage or unauthorised use at the designated water filling stations must be immediately reported to Rous on 02 6623 3800.
9.	The permit is valid until 30 June.
10.	Avdata customers must pay in advance for usage, any unused credit will be carried forward if the permit is renewed.
11.	If a permit is not renewed, and the credit balance is greater than $50.00, the amount above $50.00 will be refunded upon application.
12.	You are liable for all costs associated with water extracted using your designated water filling station access key.
13.	You are wholly responsible for the security and use of the water filling station access key issued (including the loss, damage or unauthorised use of the access key) and must report lost or stolen access keys to Rous immediately on 02 6623 3800 so that access can be disabled.
14.	You have read and understood the NSW Health – NSW Guidelines for Water Carters (recognising carting drinking water poses extra responsibilities) and will abide by the Guidelines acknowledging that from time to time their data may be supplied to NSW Health upon request and that you will be added to Rous’ register of water carriers in accordance with the Guidelines.
a).	a water carter carrying potable water for human consumption is classified in the Food Act 2003 as a ‘food business’ and that they must notify the local council of the business and food activity details and agree to have the water tank inspected and approved by the local council; and
b).	de-identified water filling station usage data may be forwarded to other government agencies.
15.	Legacy account holders are responsible for any purchases made on their account. Failure to settle their account within the designated timeframe may lead to denial of access to the designated water filling stations.
16.	The permit may be withdrawn or suspended by Rous at any time without notice.
17.	Designated water filling stations may be closed by Rous at any time without notice.
Privacy Statement
I have read and understand the Privacy Statement below.
Rous is requesting this information from you in order to process your application for permit to draw water from designated water filling stations. Rous may also use this information to calculate your water usage charges and for other purposes related to Rous's activities. Providing Rous with this information is not required by law, however if you choose not to provide this information, Rous cannot process your application. Rous collects this information in accordance with the Privacy and Personal Information Protection Act 1998 (NSW) under which you have rights of access and correction. Any request for your information received from a third party must be in writing and accompanied by a signed authorisation from you prior to access being granted. The only exception to this is information that can be de-identified or pooled and that is to be used for a purpose consistent with the activities undertaken by Rous. Rous agrees to take all reasonable measures to ensure that the personal information collected by it is stored securely. You may access or correct your personal information by contacting Rous by telephone on (02) 6623 3800 or by writing to: General Manager, Rous County Council, PO Box 230, LISMORE, NSW, 2480.
Yes
No
Please choose an answer
Rous is requesting this information from you in order to process your application for permit to draw water from designated water filling stations. Rous may also use this information to calculate your water usage charges and for other purposes related to Rous's activities. Providing Rous with this information is not required by law, however if you choose not to provide this information, Rous cannot process your application. Rous collects this information in accordance with the Privacy and Personal Information Protection Act 1998 (NSW) under which you have rights of access and correction. Any request for your information received from a third party must be in writing and accompanied by a signed authorisation from you prior to access being granted. The only exception to this is information that can be de-identified or pooled and that is to be used for a purpose consistent with the activities undertaken by Rous. Rous agrees to take all reasonable measures to ensure that the personal information collected by it is stored securely. You may access or correct your personal information by contacting Rous by telephone on (02) 6623 3800 or by writing to: General Manager, Rous County Council, PO Box 230, LISMORE, NSW, 2480.
Declaration
I declare that I am legally authorised to make this application
... for and on behalf of the entity listed as the Applicant on this form and to the best of my knowledge, the information in this form is true and correct. I acknowledge that this application will not be processed until all relevant sections are completed and submitted with supporting documentation and payment.
Yes
No
Please choose an answer
... for and on behalf of the entity listed as the Applicant on this form and to the best of my knowledge, the information in this form is true and correct. I acknowledge that this application will not be processed until all relevant sections are completed and submitted with supporting documentation and payment.
Name
This question is required
Date
/
/
Please enter a valid date
Submit
(Responsible officer: Operations Enquiry Group)