Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

GENERAL INFORMATION

  • Permit Number

  • Name of Owner:

  • Name of Plumber

  • Address of Property

  • Name of Officer

  • Date of Inspection

  • Preliminary Inspection

SYSTEM CALCULATIONS

  • L = Q/(DLRxW)
    L = Length of Effluent disposal in metres
    Q = Design daily flow in L/D
    DLR = Design loading rate in mm/d
    W = Width in metres

  • Calculations

  • Treatment Plant System with 200m2 Effluent Irrigation

  • Final Inspection

REQUIREMENTS

  • Updated Detailed Plan of the system

  • Plumbers Certificate of Compliance

  • Commissioning Certificate (Treatment Plant Only)

NOTES/COMMENTS

  • Input notes/comments

  • Photos?

SIGNATURE

  • Signature of Officer

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