APPLICATION TO BUILD NEAR SEWER INFRASTRUCTURE

This form is to be used when seeking approval to build over or adjacent to local government sewer infrastructure.

Applicant/s Name *

Postal Address *

Owner/s Name

Owner/s Address *

Email Address *

Telephone number *

Property Location *

Real Property Description *

Building Type *

New Dwelling

Existing Dwelling

Other (provide details)

Description of proposed work to be carried out (attach a separate sheet if more space is required) *

I have read Council's Technical Guidelines - Building Over/Adjacent to Local Government Sewerage Infrastructure (this document can be download using the link below). *

Yes

Council's Technical Guidelines - Building Over/Adjacent to Local Government Sewerage Infrastructure

Site Plan

Please attach a site plan identifying:
(a) Property boundaries
(b) location of existing built structures
(c) location of proposed building
(d) location of all existing Council sewerage infrastructure (including house connection points and access points)
(e) details of footing design (these must be designed and drawn by an engineer)
Please note a maximum of 5 files at 20MB per file only may be uploaded.

Owner Signature *

Date *

Applicant Signature *

Date *

Fees and Charges

Payment must be made when the application form is submitted - forms will not be processed until payment is received. There will be no refund of the Assessment Fee once the application has been receipted.

Building Over Sewer Assessment $139.00

Additional costs that may be applicable include:

. CCTV - camera survey of sewer main prior to, and after, completion of works

. Maintenance contribution towards sewer infrastructure

. Establishment of sewer easement

. Engineering drawings approved by a Registered Professional Engineer Queensland

The applicant will be advised of additional fees following completion of the assessment.