Plumbing & Drainage Section, Implementation & Assessment Branch
Planning Environment & Transport Directorate
Phone: 5582 8393 Facsimile: 5582 8870
PO Box 5042 GOLD COAST MC QLD 9729
Application for On-Site Sewerage Facility Soil Evaluator Registration
Gold Coast City Council is collecting your personal information in order to register you as a soil evaluator. Your participation is voluntary. The information
will only be used by authorised Council officers and will be included on a list which is freely distributed to the public for the purpose of informing the public
of Council’s registered soil evaluators and ensuring our records are accurate.
Business details I hereby apply for an On-Site Sewerage Facilities Evaluator Registration, authorising me to undertake
and compile Site and Soil Assessment Reports and On-Site Sewerage Facilities designs for new and
existing domestic and commercial dwellings (<20EP) within the Gold Coast City Council area.
Phone number Fax number Mobile number
Acknowledgement and agreement Details of your Building Services Authority (BSA) Hydraulic Services Design licence in relation to On-
site Waste Water Management Systems must be submitted with this application (copies of originals
must be certified as true copies by a Justice of the Peace or Commissioner for Declarations).
Professional Indemnity insurance to the minimum value of $1,000,000 (certificate of currency copy) is
to be submitted. Note: The successful completion of a Site / Soil Assessment and Design course for On-
Site Sewerage Facilities is a compulsory minimum qualification.
I acknowledge and agree that:
1. It is a condition of every registration that:
All work carried out in relation to the site and soil assessment, design and installation of on-site
sewerage facilities must be carried out so as to comply with the Plumbing and Drainage Act 2002,
all relevant regulations, local laws, codes and standards.
I must comply with all directions or requisitions given to me by an authorised officer of the Council to
justify any work I have carried out with the Gold Coast City Council area.
2. If I breach the above conditions or any other conditions imposed on a registration issued to me, the
registration may be cancelled.
3. There is an annual registration fee per evaluator .
Evaluator’s signature: Date
Fees Fees must accompany form – Credit Card payment by fax or phone is not available.
Council’s fee for On Site Sewerage Facility Soil Evaluator Registration is in accordance with Council’s
Regulatory Fees and Non –regulatory Charges. A copy of Council’s Regulatory Fees and Non-
regulatory Charges can be found on Council’s website via the following link:
Office use only Fees paid Receipt number
Document # 17239339 last updated 1/07/2012 Page 1 of 1
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