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ECM_22210191_v1_PL22-0105 - Fit For Use Form 18B Secondary Dwelling & Septic - 371 Gumboil Rd LAKE MACDONALD

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                                                                     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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ECM_22210191_v1_PL22-0105 - Fit For Use Form 18B Secondary Dwelling & Septic - 371 Gumboil Rd LAKE MACDONALD.pdf · 115 KB (small file)

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