Title Page
-
Add location
-
Select date
-
Identify type of infringement?
- Building Habitable
- Building Other
- Structure
- Landscaping
- Ponds or Ditches
- Other (use comments)
-
Infringement notes:
-
Is the infringement over the pipeline?
-
If no, distance to nearest point on the pipeline?
-
Additional comments regarding proximity?
-
Pipeline information?
-
Site contact details?
-
Actions taken?
-
Advice given?
-
Photographs:
-
Site sketch (if applicable):
-
Name & Signature: