SITE INSPECTION CHECKLIST - Local Certification

• Client / Site

• Conducted on

  Date

• Prepared by Paul Morgan

Site Inspection Report

• CC No.

• Date of inspection

  Date

LAND FORM

• Are there existing buildings on site to be removed?

  Yes

  No

  N/A

• Are there buildings to be retained?

  Yes

  No

  N/A

• Which way does the land fall?

  To street

  To rear

  Left to right

  Right to left

• Are there trees on site greater than 8m in height which need to be removed or protected?

  Yes

  No

  N/A

• Will proposed cut and fill be satisfactory ?

  Yes

  No

  N/A

• Are retaining walls required and shown on plans?

  Yes

  No

  N/A

• Will driveway gradient as shown on plans be satisfactory?

  Yes

  No

  N/A

• Is a new vehicular crossing required?

  Yes

  No

  N/A

DRAINAGE / STORMWATER / WATER SUPPLY

• Where can storm water discharge to?

  Street

  Easement

  Pits

  Other

• Are rainwater tanks, On-site detention or rain gardens required?

  Tank

  OSD

  Rain gdn

ADJOINING LAND CONDITIONS AND IMPACTS

• Is the footpath, road or kerb damaged?

  Yes

  No

  N/A

• What is on adjoining land?

  Vacant

  Vacant R

  Vacant L

  Developed

BUSHFIRE PRONE LAND

Bushfire site assessment NORTH

• Distance to vegetation (within 100m of building)

  Select 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 Greater than 100m

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  • Greater than 100m

Bushfire site assessment EAST

• Distance to vegetation (within 100m of building)

  Select 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 Greater than 100m

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  • Greater than 100m

Bushfire site assessment SOUTH

• Distance to vegetation (within 100m of building)

  Select 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 Greater than 100m

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  • Greater than 100m

Bushfire site assessment WEST

• Distance to vegetation (within 100m of building)

  Select 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 Greater than 100m

  • 5
  • 10
  • 15
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  • 90
  • 95
  • 100
  • Greater than 100m

• Is there a Fire Hydrant within 60m of the lot?

  Yes

  No

  N/A

• GENERAL NOTES

• Paul Morgan Local Certification

  Sign

ATTACHMENTS

• Photos

  Media

• Site sketches

  Drawing