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SWC Form

This document is a SWC-LR form from the Suruhanjaya Perkhidmatan Air Negara (SPAN) or National Water Services Commission of Malaysia. It requires information about a sewerage works project or development, including population equivalent served and types of infrastructure completed. The owner, competent person, and permit holder must each declare that the sewerage works were constructed and completed according to SPAN's approval and compliance standards. Upon completion, the form notifies SPAN that the relevant sewerage works are finished and allows for verification of compliance.

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Ahmad Adil Adham Mohammad
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979 views5 pages

SWC Form

This document is a SWC-LR form from the Suruhanjaya Perkhidmatan Air Negara (SPAN) or National Water Services Commission of Malaysia. It requires information about a sewerage works project or development, including population equivalent served and types of infrastructure completed. The owner, competent person, and permit holder must each declare that the sewerage works were constructed and completed according to SPAN's approval and compliance standards. Upon completion, the form notifies SPAN that the relevant sewerage works are finished and allows for verification of compliance.

Uploaded by

Ahmad Adil Adham Mohammad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SWC-LR Form

SURUHANJAYA PERKHIDMATAN AIR NEGARA (SPAN)


Sewerage Works Completion (SWC-LR)

PART 1 : GENERAL INFORMATION

SECTION 1-A : PROJECT/DEVELOPMENT INFORMATION


Title of Project/Development :
(To specify phase
development, if relevant)

Population Equivalent (PE) :

SECTION 1-B : SEWERAGE WORKS INFORMATION (please tick () where relevant)
Types of infrastructure : Connection [to asset no. ________________ ]
: Septic Tank
: Small Sewage Treatment System (SSTS)

_____________________________________________________________________________________
SURUHANJAYA PERKHIDMATAN AIR NEGARA (SPAN)
Sewerage Works Completion (SWC-LR) 1/4
SWC-LR Form

PART 2 : DECLARATION

SECTION 2-A : DECLARATION BY OWNER/DEVELOPER


I hereby declare that the relevant sewerage works in this development has been
completed in strict compliance with the Water Services Industry Act 2006, its subsidiary
legislations and conditions as stipulated and imposed by the Commission.

Signature Company Stamp


Name of Owner/Authorised Person:
I/C No./Passport No.:
Designation:
Company Name:
Company Address:
Company Registration No.:
Telephone No.:
Fax No.:

_____________________________________________________________________________________
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SWC-LR Form

PART 2 : DECLARATION

SECTION 2-B : DECLARATION BY COMPETENT PERSON


I hereby declare and confirm that the sewerage works under my supervision has been
constructed and completed in accordance to SWA approval issued on _______________
(Ref. no_________________________________) and relevant Malaysian Sewerage Industry
Guidelines, Standards and/or Technical Specification recognized by the Commission and in
compliance with Water Services Industry Act 2006 and its subsidiary legislations and the
requirements of other relevant regulatory agencies.

Signature & Endorsement Company Stamp


Name:
I/C No:
Company Name:
Company Address:
Company Registration No.:
Telephone No.:
Fax No.:
E-mail Address:
Professional Body Registration No.:

_____________________________________________________________________________________
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SWC-LR Form

PART 2 : DECLARATION

SECTION 2-C : DECLARATION BY PERMIT HOLDER


I hereby declare and confirm that the sewerage works has been constructed and
completed in accordance to SWA approval issued on _____________ (Ref. no
_________________________________) and relevant Malaysian Sewerage Industry
Guidelines, Standards and/or Technical Specification recognized by the Commission and in
compliance with Water Services Industry Act 2006 and its subsidiary legislations and the
requirements of other relevant regulatory agencies.

Signature Company Stamp


Name:
I/C No:
Company Name:
Company Address:
Type of Permit : B/ C1/ C2/ C3/ C4
Permit No.: SPAN/EKS/(PT)/800-
Telephone No.:
Fax No.:
E-mail Address:

_____________________________________________________________________________________
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Sewerage Works Completion (SWC-LR) 4/4
_____________________________________________________________________________________
SURUHANJAYA PERKHIDMATAN AIR NEGARA (SPAN)
Sewerage Works Completion (SWC-LR) 4/4

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