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10/0632 - Prescribed Tidal Works - Pontoon - Gympie Tc [As Published] · 142010.632
. works. in.the Coa. [| No [7 ves-provide details below Engineers name/s Co Hint -ORDAN 7 Organisation name (if applicable) rou Nt NMORDEN + ASSOCIATES, @ Postal address Po. Box 20S TEWANTIN Qe0 ASOS Contact phone number S44 977137 Fax number (non-mandatory) S449 TIt7T2 e-mail address (non-mandatory) @ RPEQ number (or equivalent if interstate) Reference number of all plans to which this certification relates oF / isgo-l @ -"s. Confirm that thie following.mandatory supporting infor Plans certified by a registered professional engineer of Queensland (RPEQ) Confirmation of Method of (or an interstate or international equivalent registered with the appropriate lodgement lodgement professional body) showing: the location (real property description and boundaries) and dimensions of the | confirmed proposed works in relation to the land (including tidal land) that would abut or adjoin the proposed works , vax bat the proposed works in relation to the locations and levels of lowest astronomical LE] confirmed tide, highest astronomical tide, mean high water springs and the coastal management district the slope angles of the beds and banks of the tidal area and the finished tevels of [ confirmed the proposed works : . Written statements or evidence oe 2 Prescribed tidal wark—IDAS form 28 Version 1.0 18 December 2009
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