Fly Tipping Pilot Referral Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• File Ref: FT1

• Issue Date: 26/09/2012

Council Officers Reporting Requirements

• Name of Council: ARMAGH CITY AND DISTRICT COUNCIL

• Reporting Officer

  Trevor Geary

  Ciara Daly

  Paul Swift

  Rose Rushe

• Select date

  Date

WASTE

• Type of Waste

• Amount (Tonnes)

• Full Postal Address of the Waste , including Postcode?

• What are the GPS co-ordinate s of the waste?

• Is the waste hazardous?

  Yes

  No

• Is the amount of waste above 20m3

  Yes

  No

• Has a Council Officer visited the site?

  Yes

  No

• If so, date and time of visit.

• Is the waste confirmed as fly tipping?

  Yes

  No

• Has the Council Officer taken photographs?

  Yes

  No

• Add media

  Media

• Other detail, such as presence of gloves, clothing, etc

• Has the incident been reported to PSNI/HMRC?