New South Wales Consolidated Regulations

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SURVEYING AND SPATIAL INFORMATION REGULATION 2017 - SCHEDULE 6

SCHEDULE 6 – Forms

(Clauses 72 (2), 88 (1) and 89)

Form 1 - Survey certificate

Survey certificate

( Surveying and Spatial Information Regulation 2017 --Clause 72)

I, [insert name [#93] of [insert address or firm name [#93], a surveyor registered under the Surveying and Spatial Information Act 2002 , certify that--

*(a) the land shown in this plan was surveyed in accordance with the Surveying and Spatial Information Regulation 2017 , is accurate and the survey was completed on [insert date of completion of survey [#93], or
*(b) the part of the land shown in this plan (*being/*excluding **…) was surveyed in accordance with the Surveying and Spatial Information Regulation 2017 , the part surveyed is accurate and the survey was completed on [insert date of completion of survey [#93] and the part not surveyed was compiled in accordance with that Regulation, or
*(c) the land shown in this plan was compiled in accordance with the Surveying and Spatial Information Regulation 2017 .

Datum line--
Type: *Urban/*Rural
The terrain is *Level-Undulating/*Steep-Mountainous

Signature--
Dated--
Surveyor Identification No--
Surveyor registered under
the Surveying and Spatial Information Act 2002

* Strike out inappropriate words.

** Specify the land actually surveyed or specify any land shown in the plan that is not the subject of the survey.

Form 2 - Certificate as to survey not requiring strict accuracy

Certificate as to survey not requiring strict accuracy

( Surveying and Spatial Information Regulation 2017 --Clause 72)

I, [insert name [#93] of [insert address [#93], a surveyor registered under the Surveying and Spatial Information Act 2002 , certify that the survey represented in this plan (or sketch) was made in accordance with clause 9 of the Surveying and Spatial Information Regulation 2017 and the survey was completed on [insert date of completion of survey [#93] and [is/is not [#93]* a survey to be lodged with a public authority as referred to in that clause.

Signature--
Dated--
Surveyor Identification No--
Surveyor registered under
the Surveying and Spatial Information Act 2002

* Strike out inappropriate words.

Form 3 - Notice of entry

Notice of entry

( Surveying and Spatial Information Regulation 2017 --Clause 88)

To the occupier of: [insert reference to land proposed to be entered [#93]

I, [insert name [#93] of [insert address [#93], in my capacity as [insert capacity of person concerned, such as "a surveyor" or "an authorised person" [#93], give notice under section 19 of the Surveying and Spatial Information Act 2002 that I intend to enter the land referred to above on: [insert dates of proposed entry [#93] together with my assistants for purposes relating to the making of a survey.

Signature--
Dated--
Surveyor Identification No--
Surveyor registered under
the Surveying and Spatial Information Act 2002

Form 4 - Certificate of authority

Certificate of authority

( Surveying and Spatial Information Regulation 2017 --Clause 89)

Certificate of authority

Board of Surveying and Spatial Information

[photo[#93] I certify that--
[name of person [#93]
Identification number--
is [insert capacity of cardholder, such as "a surveyor" or "an authorised person" [#93] and is authorised to exercise the powers of entry conferred by Part 4 of the Surveying and Spatial Information Act 2002
Date of issue
[DD/MM/YY[#93]
Surveyor-General



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