16-001014-02A (Ultimate SCMMP)

Items                                              Checked Satisfactory            Action (if unsatisfactory)                              Initial

As-constructed survey completed and
attached to this form

Photos taken and attached to this form

Set out of wetlands is correct including
macrophyte zone, inlet zone and high-
flow bypass
Levels are at correct elevation (+50
mm) allowing for 300 mm topsoil and
where required 300 mm impervious
liner

HOLD POINT: Superintendent and wetland designer inspection and sign-off before proceeding.

Comments (attach and refer to additional pages if necessary)




NB: As-constructed survey or drawings and photos attached.


Signed by superintendent:
Print name:
Date:
AND
Signed by wetland designer:
Print name:
Date:

FORM B — Bunds and Impervious Liner
Purpose: To ensure the bunds are installed and sealed and the impervious liner is constructed as per the specifications
and the test results verify this.

Items                                          Checked        Satisfactory       Action (if unsatisfactory)                               Initial


                                                                                                                                              4
                  CONSTRUCTION AND ESTABLISHMENT SIGN-OFF FORMS – CONSTRUCTED WETLANDS
                                                     Version 1, February 2009© South East Queensland Healthy Waterways Partnership 2010
©South East Queensland Healthy Waterways Partnership 2009