3461SiteEval1 · MCU14/0060

Plumbing Services Region 1 Plumbing Services Region 2

 

 

Locked Bag 72 SCMC QLD 4560 Locked Bag 72 SCM QLD 4560

P (07)5420 8608 F(07)5420 8020 P(07)5449 5250 F(Q7)5447 1062

[email protected]. — plumbing [email protected]

gov gov.au
ir 7
ane EVALUATOR(S ) |
! |
| NAME: (Principal Evaluator)... (7 WO Balcones vee |
_ COMPANY/AGE PY EAS AL TRIS arses eaog agemn rcmmccene |

| Address......3.)S2>.. ae
| Phone: (O.). SATANCHO. Fax: (
|

| Additional staff involved Name(s):

 

 

 

SITE INFORMATION

— dee Wolts eck aay ee |

| Owner... CHEISXTRS Ooeimdnerny
| Address:

 

  

   

  

     
 

| Phone:(......).. ‘ Real vest Description: .
| Local Authority: ..... > NecrsQ RS >| oor
Site Plan Details A Attached (Ref. No. or description):...... ¥! Sa a + Saw RARE E «4c cine anes owermea sass geay ay smal ren

| Soil type and major soil consideration from soil maps etc:

Climate:

, Annual rainfall: . AGO nm
“Data source used: ... SCN ioc ccccccccsssseveessevecesesecesveseesveseveeeviteteesiivessittiteeitittee ee

| Intended Water Supply Source: S/S
; Public Supply a Rainwater (roof collection)

| Photographs(s) or Video attached: (Please tick box) YES C] NO (Specify details):....0000.0..0 cece.

 

 

_ ON-SITE EVALUATION

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| Work Uauerta) en: ; . i

Dotals FO’). ) Bes OOM Raab TESTS ett ene

| Date: , H ‘Weather: ioe (on day and proceeding week)

 

    

 

   
   

        
 

| Photocopy of desktop study attached (Please tick box) YES CL] NO (Specify details)... |
| Topography: i
Slope: ......... PP veccecsessssssssssssesssisisecsevecsessssvesee Ground Cover: pachal oumes.aza..
. Geology confirm: (Please tick box) YES ato Deel cece eects tes ces ceecevciesieviesitsvsttvate seventies
' Soil landscape confirmed: Oe tick box) YES NO C0 iciceccccce ccc cece cecsvesesesseeeiesveserssrsevevees
' Drainage Patterns: . Ss Site Plan details attached: YES / N@® o.oo...
| Clearance :. ‘ Site Plan details attached: YES / N@? ow... .
| Boundaries: .. Allowable Minimum: .. \aSBe0= —_.. Available: .. ESET |
| Waterways; SONS GO “NH duh tands of trees/shrubs: SMe haw. Wells/bores: .SXGA |
| Embankments: ~ ois mn BTA uildings: MASOUS. .Buhel sos (2 Nw
| Other (specify): .. eas 2 hi mechan €
Site History (land use): . s:nabion 4 07 ARENA TUAENMS oie 6 Us GGG’ 14m snaaseesoee vaconmy pyuene’ ¥ twine

 

| Environmental concerns e. aT native plants intolerant of of phosphorous load, high watertable, swamp,
| waterway, etc): ...... CNT eee ccc cee ee ses see ceases see suabssse esr vstteetussisevestatatitsrerersees Ni iinoay