25-11-22 Operational Management and Maintenance Plan_Issue A

BIORETENTION SYSTEM CONSTRUCTION & ESTABLISHMENT SIGN-OFF FORMS

Asset |.D.

System location:

DANo.

ee

 

Civil drawing no.

Landscape drawing no.

Area: Catchment Area (ha):

 

Bioretention Area (ha):

 

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

SIGN-OFF FORM DATE COMPLETED

NAME OF
SIGNATORY & ROLE SIGNATURE
(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

 

 

 

elines € Walel bygesign 109