4.—(1) An application shall be made in writing by, or on behalf of, an eligible person, and shall be submitted to the local authority in whose area premises served by a private water supply are located, on the application form provided by that authority for that purpose.
(2) An application shall contain the following information—
(a)the name and address of the eligible person, and if different, the applicant;
(b)a statement of the reasons why the person to whom the application relates is an eligible person;
(c)a description of the source of the private water supply;
(d)details of the proposed works and the estimated expenditure;
(e)details of any other grant or financial assistance applied for or received in respect of the proposed works; and
(f)the amount of grant claimed.
(3) The applicant shall provide to the local authority such additional information as may be required by the local authority to allow proper consideration of the application, including copies of any documentation concerning the matters specified in regulation 3(2)(b).
(4) A person may submit more than one application under this paragraph.