Information
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Document No.
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Permit Number
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Conducted on
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Prepared by
GENERAL INFORMATION
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Date of Referral
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Environmental Health Officer
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Planning Officer
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Planning Permit Number
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Permit to:
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Address
PERMIT CONDITIONS
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No Conditions - SOC and Certification ok.
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Conditions
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Note 01 - EHO Details
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Note 02 - LCA Information
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Septic Conditions
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EH 01 - Land Capability Assessment - Single Block
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EH 02 - Connection to Onsite Wastewater System
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EH 03 - Connection to Sewer
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EH 04 - Septic Tank Installation
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EH 05 - Existing Septic Tank
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EH 06 - Multi Lot Subdivision
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EH 07 - Treatment Plant Small Lots
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Food Premises
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EH 08 - Food Act Registration
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EH 09 - Food Act Premises
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Health Premises
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EH 10 - Health Act Registration
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EH 11 - Health Premises - Accommodation
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EH 12 - Health Premises - Hair, Beauty, Skin
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Residential Tenancies Premises
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EH 13 - Residentail Tenancies Act Registration
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EH 14 - Residential Tenancy Premises
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EH 15 - Tobacco Act Compliance
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PHWA Nusiances
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EH 16 - Health Act Noise
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EH 17 Health Act Nusiance
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EPA Conditions
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EH 18 - Environment Protection Act Noise N-1
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EH 19 - Environment Protection N-2
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EH 20 - Environment Protection NIRV
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EH 21 - Environment Protection Act Noise
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EH 23 - Environment Protection Act Residential Noise Regulations
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EH 24 - Environment Protection Act Air Quality
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EH 22 - Further Information
ADDITIONAL COMMENTS
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Insert Additional Comments
SIGNATURE
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Signature of Officer