Title Page
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Conducted on
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Prepared by
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Location
Customer details
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Customer name
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Customer address
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Customer Email
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Customer Contact number
Site Details (if different to above)
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Site address
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Site contact name
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Site contact number
Quotation Details
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Site/ Quotation details
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Proposed system/ works
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How many Properties are connected to the plant
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Are there any surface water connections?
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Do these require disconnecting by us?
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How much work is required to disconnect
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Where is the point of discharge
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Please specify
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Has percolation tests been carried out?
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Meterage of drainage field required?
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Height of inlet drainage
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Meterage of inlet drainage (Soft dig)
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Meterage of inlet drainage (Hard dig)
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Meterage of outlet drainage (Soft dig)
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Meterage of outlet drainage (Hard dig)
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Any reinstatement required (If so please specify what)
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How many inspection chambers required
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How many outlet chambers required
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Where is the power supply on site?
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Is an RCD Available on site? If so please include photos.
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How much/ what cable is required?
Site information
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Are there access issues? (please include the lead up to site and site itself)
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What size vehicle is required?
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What ground conditions are anticipated
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Will shoring/ a hydrainer/ a breaker be required?
- Breaker
- Shoring
- Hydrainer
- None
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Is there a requirement for any fencing?
- Orange barrier mesh
- Pedestrian Barrier
- Heras Fencing
- Signage
- None
- Other
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How many are required?
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How many are required?
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What signage is required?
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Is there a requirement for welfare?
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Will any ground protection be required?
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Is there any significant site traffic?
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Please clarify
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Is there a storage/ compound area?
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Are there any overhead cables or underground cables in the working area?
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Can the customer provide service plans?
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Are there any other notable risks on site?
Additional information
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Is there an existing septic tank?
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Does the system require emptying?
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What Volume?
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How much hose will be required (distance from hardstanding)
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Any restrictions on tanker size?
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Does the system need to be decommissioned and infilled?
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How much gravel is required to infill?
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Is a Building Notice required?
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Is an EA permit required?
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Who is this point of contact
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Contact Email
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Contact Number
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Who is the application for?
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Name of the Charity
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Charity Commission Number
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Date Registered
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Contact (must be named on the company's house)
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Full name of the company
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Company Registration number
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Date Registered
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Is the discharge new or existing?
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When did it start?
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When do we want the permit to start? (Bearing in mind the delays in approving permits)
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Are we discharging to ground or surface water?
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Have percolation tests been carried out as these will be required if not
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Please confirm results
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Please supply site plan and up to date sizing sheet.
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Is a connection Mains sewer required?
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What size is the proposed connection?
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What is the method of connection?
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Is there an existing supply to the premises?
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What is the account number?
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Has planning permission been applied for?
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What type of site is it from?
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Please confirm more details
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How many caravans/ lodges are on site and their occupation?
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How many properties are to be connected and how many bedrooms?
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Estimated duration of works
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Will directional drilling be required?
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Have we had any quotations for the works?
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Will we require a Section 50?
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Please describe the works being done.
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Where is the work taking place
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Average depth of excavation
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Average length of the excavation
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Has routine maintenance been discussed?
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Does site require an Environmental Management System file?
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What machinery is required?
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How much gravel is required?
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Any additional works required before installation? (e.g. CCTV works, access etc)
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Any additional information.
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Photos of the site (please include pictures of access)
