Information
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Name of Project
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Maximo No.
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MEA Approved
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Conducted on
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Location
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Prepared by
- Glen L
- Paul B
Site
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Bill board photo
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Approximate Gas requirement date
1.0 - Site Visit
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Enter Stage of Works
Stage of Works
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JSA Number
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Stage of Development
- Vacant Land
- Site Cut
- Road Base
- Trenching underway
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Conducted on
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Contacts
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Site Contact details
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Name
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Position
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Phone / Email
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Water Contractor
- Tunney and Houlihan
- abc
- CBD
- Eng
- hij
- other
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Contractors Name and details
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Is contractor Gas qualified
Crossing Details
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Railway Crossing
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Railway Details
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Date design requested
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1.4 - Drain Crossing
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Drain Details
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Date design requested
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1.4 - Misc Crossing
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Type of Crossing
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Crossing Details
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Date design requested
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1.4 - Misc Crossing
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Type of Crossing
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Crossing Details
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Date design requested
Misc Details
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1.4 - Property line definition required
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Property Line Details
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Date design requested
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1.4 - Easement Details
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Easement Details
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Date design requested
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1.4 - Flora Details eg trees, plants, grasses
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Flora Details
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Date design requested
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1.4 - Fauna Details eg Birds, animals, reptiles
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Fauna Details
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Date design requested
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1.4. Native Settlement
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Native Settlement Details
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Date design requested
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1.4. Contaminated Soils
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Contacted soil details are required. Need to contact ....?... For additional details
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Contaminated Soil Details
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1.4. Miscellaneous
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Miscellaneous Details
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Date design requested
Tie in details
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Tie in location
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Add drawing
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Check consultants plans
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Does project involve a new estate
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All lots covered
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Offset table approved
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Construction plan similar to approved plan of Subdivision
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Is mains length greater than 10 % diff
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Has mains extension officer approved difference
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Service Road Crossing Conduits provided where required
Relevant details provided to Draftsperson
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Offset table
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Mains Construction method provided eg in conjunction with Road Construction
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AutoCad road construction drawings
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Mains size and Material<br>
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Bill of materials
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Single Trench, Common Trench, Conduit and Bore
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Tie in details
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Partial Gas Services
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Marker Post Details
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Special approvals eg Vic Roads, GasNet
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Special warnings eg GasNet
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Marker Post Details
Finish
Finish
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Auditors signature
