Title Page
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Project Name
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Conducted on
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Prepared by
Site Details
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Site Number
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Road Name
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GPS Location
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Location Extended Description (e.g. Snakes Back or Near Buckleys Road)
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Chainage
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Measured From KM Post
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Direction of travel
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Existing Lane Width (m)
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Existing Sealed Shoulder Width (m)
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Add a photo of the location looking down the road in each direction
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Is this a Round Pipe or Box Culvert?
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What is the pipe diameter? Inside of pipe.
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What is the pipe made of?
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What is the width of the box culvert? inside
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What is the height of the box culvert? Inside
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What is the culvert made of?
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Does the culvert currently have an end wall?
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What is the condition of the end wall?
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Add a photo of the pipe and end wall
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What is the offset to the end of the culvert from the edge line?
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Details of work required
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Try to include as much detail as possible eg. extend culvert by 1 x 1.2m length and install 1 x wing wall, minor earth works required to clean out outlet to fit pipe. Beaching and fill also required. General rule pipes are 2.4m long and box culverts are 1.2m long but they can be cut down. Include a photo of the area below.
Media
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Photos
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Sketch of site