On-site Sewage Management (Complaint Inspection) Copy

SITE INFORMATION

• Street / Address / Suburb

• Owner / Occupier

• Conducted on

  Date

• Council Officer

• Location
  Address

WHS Considerations

• Does the inspection kit contain all the necessary equipment ( inc WHS gear)?

  Yes

  No

  N/A

• Is there a SWMS is relevant to the task and do the controls apply ?

  Yes

  No

• Complete General Risk Assessment Form

SITE HISTORY

• Does the system possess a valid operational approval?

  Yes

  No

• Is the site / system subject to previous investigations or action?

  No

  Yes

• Have the relevant consent/s been issued for the installation of the system?

  Yes

  No

  N.A

• Has the final inspection been conducted by Development Services for the system ?

  Yes

  No

  N.A

• Have the relevant consents been issued for the structure, dwelling, business or activity that is generating wastewater?

  Yes

  No

  N/A

• What type of OSSM system is located Onsite?

  AWTS

  TRENCH

  PUMPOUT

  OTHER

NATURE OF THE COMPLAINT

• Can you observe the wastewater / suspected pollution incident ? (Describe any features; odour, colour, texture, velocity, temperature, direction etc)

• What properties are affected by the wastewater / pollution incident?

  Select Source property Neighbouring properties Public land Stormwater infrastructure Body of water (creek/dam)

  • Source property
  • Neighbouring properties
  • Public land
  • Stormwater infrastructure
  • Body of water (creek/dam)

SITE & SYSTEM OPERATIONS

• What classification of use for the system ?

  Domestic System

  Non-Domestic System

• What type of OSSM system is located Onsite ?

  AWTS

  TRENCH

  PUMPOUT

  OTHER

• Are the septic tank/s and associated lids in sound condition?

  Yes

  No

• Is the pumpout standpipe accessible and in sound condition?

  Yes

  No

• Are the septic tank/s and associated lid in sound condition?

  Yes

  No

• Has the disposal area been impacted? (Construction,livestock,vehicles etc)

  No

  Yes

• Is the the air compressor audible ?

  Off

  On

• Is a sign present warning persons to the danger of Wastewater (AWTS ONLY)

  Yes

  No

• Are the tank/s and associated lid in sound condition?

  Yes

  No

• Does the disposal area contain appropriate vegetation/grasscover?

  Yes

  No

  N/A

• Has the disposal area been impacted? (construction,livestock,vehicles etc)

  No

  Yes

• Is the Effluent Disposal Area sizing in accordance with approved plans ?

  Yes

  No

  N/A

• Does the system possess irrigation equipment?

  Yes

  No

• Is the irrigation equipment surface or subsurface ?

  Surface

  Sub-surface

• How many sprinkler heads are attached to the irrigation line ?

• Is the disposal area located on a gradient/slope unsuitable for irrigation?

  No

  Yes

• Is the OSSM and irrigation area (if applicable) comply with the buffer distances outlined in the Penrith City Council OSMGR Policy<br><br>All OSSM Systems<br>-250m to domestic groundwater well<br>-100m to permanent surface waters<br>-40m to other waters<br>-15m from in-ground water tank<br>-1.5m from dwelling<br><br>Surface Spray Irrigation <br>-15m to dwellings<br>-6m if area upslope , 3m if area downslope of buildings, driveways, property boundaries.<br>-3m to paths and walkways<br>-6m to pools and recreational areas<br><br>Surface Drip and Trickle Irrigation<br>-6m if area upslope , 3m if area downslope of dwellings, swimming pools, property boundaries, driveways and dwellings.<br><br>Subsurface Irrigation<br>-6m if area upslope , 3m if area downslope of dwellings, swimming pools, property boundaries, driveways and buildings<br><br>Absorption System<br>-12m if area upslope and 6m if area downslope of property boundaries and dwellings.<br>- 6m if area upslope and 3m if area downslope of swimming pools, driveways and buildings.

  Yes

  No

  N/A

Questions for Owner / Occupier

• What is the classification of the system ?

  Domestic

  Non-Domestic

• How many buildings/structures does the system service?

• What is the daily wastewater load for the premises / activity? (persons)

• How many dwellings does the system service?

• How many persons are currently living in the house ?

• How many bedrooms are within the dwelling ?

• Is the owner / occupier currently or historically aware of any changes or malfunctions with the OSSM system?

  Yes

  No

  N.A

• What is the classification of water supply for the OSSM system?

  Reticulated

  Tank

• Are any water saving devices installed to the premises?

  Yes

  No

  N/A

• When was the system last desludged?

  Date

• Is Grey water diverted to the OSSM system or a Grey water diversion device?

  Grey Water Diversion

  OSSM

• Does the owner / occupier possess a copy of their Operational Approval ?

  Yes

  No

  N/A

Site Plan

• Please prepare a site plan.

  Drawing

• (Optional Nearmaps Site Plan)

  Media

Summary of Inspection

• Comments / Summary

• Are further works required ?

  No

  Yes

• Details of further works to be completed

• Signature of Owner/Occupier

  Sign

• Authorised Officer

  Sign