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ECM_22210191_v1_PL22-0105 - Fit For Use Form 18B Secondary Dwelling & Septic - 371 Gumboil Rd LAKE MACDONALD
Form 18B—Inspection certificate—fit for use
Version 1 – July / 2019
GENERAL NOTES: This form is to be used for the purposes of section 80 of the Plumbing and Drainage
Regulation 2019 (PDR).
1. Description of land Street address (include number, street, suburb/locality and postcode)
The description must identify all 371 Gumboil Rd LAKE MACDONALD
land the subject of the
application. The lot and plan
details (e.g. SP/RP) are shown Lot and plan:
on title documents or a rates Lot 8 RP 215096
notice.
Shop/tenancy number Storey/level Local government area
Noosa
(if applicable) (if applicable)
2. Permit details Permit number
PL22/0105
3. Indicate the stage of work 1. □ Water supply pipes laid under a floor slab or in another area
inspected 2. □ Water supply pipes laid below ground level and external to a building or other
structure
3. ✓Water supply pipes installed in a building or other structure
4. □ Sanitary drainage laid under a floor slab
5. ✓Sanitary drainage laid below ground level and external to a building or other structure
6. □ Sanitary plumbing installed in a building or other structure
7. ✓Installation of a treatment plant (e.g. septic tank, on-site sewage or greywater
treatment plant)
8. ✓Installation of a component of an on-site sewage facility (e.g treatment plant or land
application area)
9. □ Other
Provide a brief description of the work inspected.
Secondary Dwelling – 4 Fixtures & Septic Installation
4.Certification This form certifies that aspects of the work that were ‘readily accessible’ were inspected
under the Plumbing and Drainage Regulation 2019 (PDR).
This form is only provided on
written request by the
responsible person and for work This inspection certificate has been issued under:
that is inspected and found to be
compliant with the relevant Section 80(b)(i) and (ii) of the PDR. Yes
plumbing laws.
Section 80(b)(iii) of the PDR. Yes N/A
In accordance with section 80(b)
Provide a brief description of the work that is operational and fit for use (if applicable)
of the PDR (i) that a particular
part of the work has been carried Secondary Dwelling – 4 Fixtures & Septic Installation
out; and (ii) the work that has
been carried out is compliant;
and (iii) if, when the certificate is Date of inspection 7 December 2022
given, any plumbing or drainage
resulting from, or affected by, the
work is operational and fit for Certificate number (if applicable) PL22/0105
use—the plumbing or drainage is
operational and fit for use. Authorised officer Shane Wilkins
Issued by Noosa Council
(insert local government name/public entity)
Date issued 15 December 2022
Document Set ID: 22210191
Version: 1, Version Date: 15/12/2022
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