Title Page
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Conducted on
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Prepared by
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Location
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Client Name
General
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Heavily treed area?
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BAL overlay estimate?
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Traffic control needed for schools/shops/main roads/railways/heavy traffic roads?
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Traffic control requirement reason.
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Are ALL survey pegs in place?
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Identification survey required? (If NO pegs found)
Site Contour
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Site Scrape Only or Additional Fill Required?
- Site Scrape
- Additional Fill
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Sloping Block?
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Produce disclosure plan.
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Retaining walls required?
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Left or right hand side boundary?
- Left Hand Side
- Right Hand Side
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Estimated height and length? LHS
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Estimated height and length? RHS
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New development or existing house removed?
Water, Sewerage and Stormwater
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Mains water available?
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Water meter installed?
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Left hand Side or Right hand Side?
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Approximate distance from boundary?
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Picture of meter location
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Approximate distance from boundary?
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Picture of water meter location.
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Water tanks required?
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Size of water tank?
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Does the site use recycled water?
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Location of meter on site?
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Picture of meter.
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Sewer connection available?
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Left hand Side or Right hand Side?
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Approximate distance from boundary?
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Picture of sewer location.
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Approximate distance from boundary?
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Picture of sewer location.
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Septic or HSTP required?
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Storm water drainage points?
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Left hand Side or Right hand Side?
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Picture of storm water drainage points.
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Picture of storm water drainage points.
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Picture of sewer location.
Power Supply
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Power supply type?
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Distance from boundary?
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Picture of power supply location
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Distance from boundary?
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Picture of power supply location.
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Communications pit available?
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Location of pit?
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Approximate distance from boundary?
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Picture of communication pit.
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Approximate distance from boundary?
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Picture of communication pit.
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Any long connections required?
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Details?
Existing Site Features
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Any fencing completed?
- Left Hand Side Complete
- Right Hand Side Complete
- Rear Complete
- Partial Fencing
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Existing house/shed/dwelling on block?
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Picture of structure on block.
Additional Notes
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Any additional site notes?
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Please provide detail.
Pictures of Site
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Front of Block
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Left hand side to rear
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Right hand side to rear
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Rear of block
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LHS rear to front
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RHS rear to front
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Sketch of block
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Additional Picture Available
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Additional Picture Available
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Additional Picture Available
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Additional Picture Available
