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16-001014-02A (Ultimate SCMMP)
Attached to the e-mail Operational Works Application OPW16/0203 - 4 of 4.
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Asset I.D. DA No.
System location:
Area: Catchment Area (ha): Bioretention Area (ha):
Civil drawing no.
Landscape drawing
no.
Role/Stakeholder Company Contact Name Contact Details
Developer
Site superintendent
(civil)
Site superintendent
(landscape)
Bioretention designer
Civil engineer
Landscape architect
Civil contractor
Landscape contractor
Council compliance
officer
Checklist of Sign-Off Forms
Date Name of Signatory & Role
Sign-Off Form Signature
Completed (e.g. Superintendent)
Pre-Start Meeting
Form A — Earthworks &
Functional Structures
Form B — Under-Drainage
Form C — Bioretention Media
Form D — Finished Levels
Form E — Coarse Sediment
Forebay
Form F — Protective
Measures
Form G — Landscape
Installation
Form H — Landscape
Establishment
CONSTRUCTION AND ESTABLISHMENT SIGN-OFF FORMS – BIORETENTION
SYSTEMS 2
© South East Queensland Healthy Waterways Partnership 2010
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