PROPERTY DETAILS
DECLARATION
1
2
Site address:
Resource Consent number:
Associated Building Consent number [if applicable]:
Works are expected to start on:
Expected duration of work:
Billing address [for monitoring costs]:
Have you read and understood all resource consent conditions? Yes No
Have you satised all prior to conditions? Yes No
Have you installed the necessary sediment and dust control measures? Yes No
Have you applied for engineering acceptance? Yes No Not applicable
NOTE: an approved building consent does not satisfy engineering acceptance
Owner/Project Manager [signature] Date:
POST OR EMAIL this form and the
required prior to information to:
EMAIL
RCMonitoring@qldc.govt.nz
ANY QUESTIONS call QLDC
03 441 0499 and ask to speak
to a Monitoring Planner
POST
Monitoring Planner
Queenstown Lakes District Council
Private Bag 50072, Queenstown 9348
Please email this form to RCMonitoring@qldc.govt.nz at least 10 days prior to work starting on your development or post to
the address at the bottom of the page.
It is important that you read and understand the conditions of your resource consent before commencing works.
All prior to conditions must be complied with before works commence on site. Failure to comply with resource consent
conditions will result in enforcement action.
CONTACT DETAILS NAME PHONE ADDRESS EMAIL
Owner
Project Manager
Builder
Earthmoving Contractor
Supervising Engineer
Landscape Architect
Other (specify)
Page 1/1 // November 2015
RESOURCE CONSENT
MONITORING
NOTICE OF WORKS STARTING FORM
click to sign
signature
click to edit
![]()
