Fillable Construction-statement-onsite-wastewater-disposal-Sept-18-editable-form Form_Construction Statement - Onsite wastewater disposal

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Construction-statement-onsite-wastewater-disposal-Sept-18-editable-form Form_Construction Statement - Onsite wastewater disposal

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Country of origin: NEW-ZEALAND
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1
Construction statement
Onsite wastewater disposal
All sections of this form must be completed
TO BE COMPLETED BY THE DRAINLAYER WHO COMPLETED THE WORK
Name
Building consent
number
Company
Certifying drainlayer’s
registration number
Site address
Legal description
Description of
drainage work
System installed
I confirm I have sighted the above building consent and read the attached conditions of consent for the onsite wastewater
treatment and disposal system contained therein, and that:
• the onsite wastewater treatment and disposal system specified above has been constructed to the extent required
by the building consent
• all work has been carried out in accordance with clauses G12 and G13 of the NZ Building Code, and
• meets the requirements of the Canterbury Land & Water Regional Plan.
I attach copies of the following documents
☐
As built drainage plan
☐
Manufacturer’s warranty
I understand that Council will rely upon this construction statement, for the purposes of establishing compliance with the
above building consent.
Signature Date
Drainlayer’s contact details
Address Postcode
Business Fax
Email Mobile
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Construction-statement-onsite-wastewater-disposal-Sept-18-editable-form Form_Construction Statement - Onsite wastewater disposal

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Completed 2 July 2020

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