Build Over Asset: Queensland Urban Utilities

GPO Box 2765

Self-Assessment Referral BRISBANE QLD 4001
Phone: 13 26 57
www.urbanutilities.com.au

This form is to be completed as part of Queensland Urban Utilities’ Self-Assessment Referral process, which permits licensed building certifiers and
registered professional engineers (RPEQ certified) to self-assess building works in accordance with Queensland Urban Utilities’ Alternative Solutions
Guideline. The guideline is available on our website and sets out alternative solutions to the acceptable solutions within QDC MP1.4 for work considered
by Queensland Urban Utilities to be low risk to water and sewerage infrastructure.
All Self-Assessment Referrals will receive a response from Queensland Urban Utilities. Certifiers cannot issue a building approval without Queensland
Urban Utilities’ response to the self-assessment.

PART A – Referral details Building certifier

BUILDING DETAILS Please provide the details of the person or organisation certifying the
Self-Assessment is only applicable to Build Over Sewer referrals. For works building works
involving water or easements, complete a Full Assessment Referral. Contact Same as referral applicant (Or complete below)
local council for Build Over Stormwater referrals.
Development type Full name
New dwelling Garage
Dwelling extension Roofed deck/patio/pergola
Retaining wall Industrial building Company name
Filling/excavation (e.g. factory/shop)
High-rise residential building
Phone number QBCC number
Other Give details

Email
Additional information about the works to assist with assessment

Property owner
Property location of proposed works (cannot be a PO Box)
Full name

Postcode
Email
Real Property Description
Lot no. Plan type Plan no.
Phone number

Is this application associated with a Queensland Urban Utilities Water

Approval for water or sewerage connections? BILLING DETAILS
No Yes Reference Number (e.g 16-PNT-1234 or 16- STD-1234) Indicate below which party will be responsible for payment of this referral.
Once the application is processed any changes to the contact will incur an
administration charge.
CONTACT DETAILS
Tick one box only:
Referral applicant
Person to receive correspondence from Queensland Urban Utilities Referral applicant
Building certifier Complete 1. Billing address
Full name Property owner
Other – Complete 2. Additional contact (over page)
Company name 1. Billing address

Address
Phone number QBCC/RPEQ number (if applicable)

Suburb Postcode
Email

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2. Additional contact

Full name Email

Company name Address

Phone number Suburb Postcode

PART B – Alternative solution assessment

How to complete Part B:
1. Refer to QDC MP1.4 and Queensland Urban Utilities’ Alternative Solutions Guideline at www.urbanutilities.com.au/buildoverasset
2. This assessment must be completed by a licensed building certifier or RPEQ engineer.
3. For each alternative solution, the assessor must tick either “MET” or “N/A”.
4. If the solutions are not met, the referral may not proceed as a self-assessment and further Queensland Urban Utilities assessment will be required
(with relevant fee).

General Provisions QDC MP1.4 P1 and P2

Figures are located in the Alternative Solutions Guideline

Performance Criteria Met N/A Alternative Solutions

1 Adequate access The design ensures clear access of at least 1m wide x 2m high is provided to the
Adequate access is provided to sewer maintenance hole, sewer end and sewer connection from the front entrance of the property,
infrastructure (MP1.4 P2) with access available 24hrs a day, 7 days a week for future maintenance
Maintenance holes are not covered, buried or obstructed
A clear area of at least 3m x 2m unobstructed vertical clearance (open to the sky) with a
minimum clearance of 1m from the building/structure is maintained around the edge of the
maintenance hole cover and sewer end
Where driveway or concrete slabs cover a sewer connection, a 1m square removable
section with lifting lugs is installed to provide access to the connection (Refer to Figure 1 in
Alternative Solutions Guideline)
Owner’s and neighbour’s sewer connections, ramped jump-ups and junctions
are located in a clear area of at least 2m x 2m around the sewer connection, with an
unobstructed vertical clearance (MP1.4)
have a horizontal clearance of at least 1m from any building/structure
2 Building Works Footings do not pass under the sewer
Building works must not - The underside of any footing, slab or beam is a minimum of 300mm clear of the top of the
a) a dversely affect the function of the sewer sewer, on a suitable packing medium OR
b) place a load on the sewer infrastructure Where less than 300mm, the sewer has been relaid by Queensland Urban Utilities in ductile
(MP1.4). iron, with suitable packing medium provided
NOTE: A minimum clearance of 1OOmm must always be maintained
Footings are not cantilevered over the sewer OR
Certification is provided by a RPEQ that the cantilever footing will not interfere with the sewer
The design complies with at least one of the following
The edges of the footings have a minimum horizontal clearance of 600mm from the sewer
(Refer to Figure 2A)
Footings (either stump or pad) are located at least 300mm horizontally clear of the sewer and
taken below the invert of sewer (Refer to Figure 2A)
Footings over or near the sewer trench are bridged over the sewer according to minimum
requirements (Refer to Figures 2B-2F)
Footings bridging the sewer are reinforced with a concrete beam taken at least 400mm into
solid ground on each side of the sewer trench excavation (Refer to Figures 2B-2F)
Footings longitudinally over the sewer trench are placed on reinforced concrete beams
bridging the sewer in accordance with minimum requirements (Refer to Figures 2B-2F)

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Additional Provisions QDC MP1.4 P1 and P2

Performance Criteria Met N/A Alternative Solutions

3 Piles and Piers The edge of bored piers/screw piers is a minimum 1m measured horizontally clear of the
Piles and piers must - edge of the sewer and maintenance hole OR
a) not adversely affect the function of the
sewer The edge of hand excavated or backhoe excavated piers are a minimum 300mm measured
horizontally clear of the edge of the sewer and taken below the invert level of the sewer
b) not place a load on the sewer
c) allow adequate access to maintenance
The edge of driven piles are a minimum 6m horizontally clear of the sewer pipe and
holes, sewer ends and sewer
maintenance hole
connections.
4 Swimming Pools The edge of pool excavation has a minimum horizontal clearance of 1m from the sewer
Swimming pools must - A clear area of at least 3m x 2m, with a minimum clearance of 1m from the pool coping is
a) not adversely affect the function of the maintained around the edge of the maintenance hole cover
sewer A clear area of at least 3m x 2m with a minimum clearance of 1m from the pool coping is
b) not place a load on the sewer maintained around the sewer end
c) a llow adequate access to sewer The edge of pool coping has a minimum horizontal clearance of 1m from any sewer
infrastructure. connection. (Note: sewer connection includes owners’ and neighbours’ connections, ramped
jump-ups and junctions)
5 Retaining Walls The wall does not place any load on the sewer or maintenance hole, as determined by a
Retaining walls must - private building certifier or a RPEQ
a) not adversely affect the function of the The wall is free standing, i.e. it is made from concrete block, brick, reinforced concrete,
sewer freestanding sleeper or other free standing wall type. (Not boulder, gravity or loose
interlocking wall types)
b) not place a load on the sewer
c) a llow adequate access to sewer The wall and footings are 600mm horizontally clear of the neighbour’s sewer connection
infrastructure. The wall is 1m clear of the maintenance hole cover
Footing to be omitted 600mm either side of sewer connection/s. This section of wall to be
supported by other means, according to an RPEQ design (Refer to Figure 3)
6 Filling Fill is not placed over a maintenance hole
Filling must - Fill is not placed near a maintenance hole so as to cause ponding of rainwater over the
a) not adversely affect sewer maintenance hole cover
infrastructure ; and
No heavy compaction of fill to take place over the sewer
b) a llow adequate access to sewer
infrastructure Sewer is be protected from heavy earthmoving equipment
Cover does not exceed 5m in depth over a sewer
Cover is not more than 1.5m over a sewer connection. After filling , the total depth of cover to
sewer does not exceed 3m at the sewer connection
7 Excavation The excavation does not reduce cover to a sewer to less than 1m (600mm for single
Excavation not adversely affect - residential lots) (Refer to Figure 4) OR
a) the sewer Where less than 1m (600mm for single residential lots), the sewer has been relayed by
Queensland Urban Utilities in ductile iron. NOTE: Excavation must not reduce cover to the
b) maintenance hole
sewer less than 300mm
c) sewer connection.
The sewer is protected from heavy earthmoving equipment
The mass excavation or trenching below the level of the sewer is located a minimum of 1m
horizontally clear of the sewer and stabilised before sewer bedding is disturbed (Refer to
Figure 4)

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ASSESSOR’S DECLARATION
APPENDIX A – PROPOSED ALTERNATIVE SOLUTION TECHNICAL
SELF-ASSESSMENT REFERRAL CHECKLIST DOCUMENTATION REQUIREMENTS
Does this referral meet the following requirements? 1 The site plan must be submitted (scale 1:100) showing:
Note: This application will be refused unless the following information has • the accurate location of the Queensland Urban Utilities
been provided. infrastructure (including any maintenance structures and all
property connections on the site) in relation to the proposed
A copy of your building application, including plans, drawings and building works and allotment boundary
specifications is attached.
• the dimensions of the horizontal and vertical clearances between
The proposed alternative solution technical documentation (as outlined the infrastructure and proposed buildings or structures
in Appendix A) is attached. • details of any cut/fill to be undertaken – existing and proposed
surface levels to be shown in Australian Height Datum (AHD) –
Assessor’s declaration
and locations/heights of any proposed retaining walls.
I declare that this referral application has been assessed by me and meets
Queensland Urban Utilities’ Alternative Solutions. 2 The Registered Professional Engineer of Queensland (RPEQ)
certified engineer’s drawings submitted must include:
Name
• Footings layout showing:
- the accurate location of the Queensland Urban Utilities
infrastructure in relation to the footings
RPEQ/QBCC number
- type of footing and dimensions of horizontal and vertical
clearances between footings/piers and the infrastructure
- details of driven or hammered piles/piers and rock/ground
Company name anchors.
• Sections showing:
- the accurate location of the infrastructure in relation to slabs,
Assessor’s signature
beams/bridging beams, or piers/pad footings
- the dimensions of horizontal and vertical clearances between
slabs/beams/piers/pad footings and the infrastructure.
• Drawings demonstrate that:
Date - the structure will have no load bearing on infrastructure
/ / - the structure will be self-sustaining if Queensland Urban
Utilities have to excavate the infrastructure for maintenance or
repair.
HOW TO LODGE YOUR REFERRAL • Drawing submitted must:
1 Email the following to development.boa@urbanutilities.com.au - include a Title Block which identifies the property, the author
• Self- Assessment Referral form with Part A and B completed of the drawings, the job number, and the current drawing
• Copy of your building application, including plans, drawings and and revision numbers. Drawings which do not include this
specifications that comply with the Building Act 1975 Chapter 3 information are not acceptable.
Parts 1 and 2 - be site specific. Generic or standard drawings are not
• Proposed alternative solution technical documentation (as acceptable.
outlined in Appendix A) - be accurate. Approximate locations/dimensions are not
Note: All of this documentation must be included in your referral for it acceptable.
to be deemed properly made*.
2 Upon receiving your referral, we will email you a Charges Notice
for the referral fee.
3 Pay the fee to commence our review of your Self-Assessment
Referral.
4 We will email you a response within 5 business days*, from
receipt of payment.
*If your submission is deemed incomplete due to missing or incorrect
documentation, this may extend the processing time.
More information
Visit www.urbanutilities.com.au/buildoverasset
Email development.boa@urbanutilities.com.au
Phone 07 3855 6766
Privacy statement
The personal information collected on this form will be used by
Queensland Urban Utilities for the purposes of fulfilling your application
and undertaking associated Council functions and services. Your
personal information will not be disclosed to any third party without
your consent, unless this is required or permitted by law.

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QUU10712/1 © Queensland Urban Utilities – Corporate Forms