LCC On-Site Wastewater Site Assessment

• OSDS Number

• Address of OSDS

• Conducted on

  Date

• Prepared by

Site Assessment

• Can the location of the septic tank/AWTS unit be identified?

  Yes

  No

  N/A

• Is the septic tank lid/AWTS unit accessible for maintenance?

  Yes

  No

  N/A

• Is the pump and alarm working? (conduct manual test)

  Yes

  No

  N/A

• Drains/irrigation area identified?

  Yes

  No

  N/A

• Is wastewater disposal adequate? (no water pooling)

  Yes

  No

  N/A

• Is the area free of odours from the wastewater treatment/disposal?

  Yes

  No

  N/A

• Is the on-site wastewater area fenced off? Or is livestock and vehicles access restricted?

  Yes

  No

  N/A

• Has 'as constructed drawings' of the wastewater system and a certificate of plumbing compliance been submitted to Council?

  Yes

  No

  N/A

• Other Observations?

Signature

• Authorised Officer

  Sign