Application form: Works Approval / Licence / Renewal … · · 2018-03-23[select only one option] under Part V, Division 3 of the EP Act ... Renewal, Amendment or Registration (July

Application Form: Works Approval, Licence, Renewal, Amendment or Registration (July 2017 v7) 1

IR-F09 v7.0

Application form: Works Approval / Licence / Renewal

Amendment / Registration Part V, Division 3, Environmental Protection Act 1986

Environmental Protection Regulations 1987

Application Type

This is an application for:

[select only one option] under Part V, Division 3 of the EP Act

Please see Guidance Statement: Decision Making

for more information relating to the process for assessing and determining applications.

Works Approval

Concurrent Works Approval and Licence or Registration

Licence

Existing registration number(s): [ ] Existing Works Approval number(s): [ ]

Renewal Existing Licence number: [ ]

Amendment Number of the existing Licence or Works Approval to be amended: [ ]

Registration (Works Approval already obtained) Existing Works Approval number(s): [ ]

Where clearing of native vegetation is required, has a clearing application already been submitted?

In accordance with the Guidance Statement: Decision Making, where clearing of native vegetation is of an exempt kind under the Environmental Protection (Clearing of Native Vegetation) Regulations 2004 or is being assessed by a relevant authority which would lead to an exemption under Schedule 6 of the EP Act, the clearing will not be reassessed by DWER or be subject to any additional controls by DWER.

If the proposed clearing action is to be assessed in accordance with, or under, an Environment Protection and Biodiversity Conservation Act (EPBC Act) accredited process, such as the assessment bilateral agreement, the Clearing Permit Application Form Annex C7 – Assessment bilateral agreement must be completed separately.

Yes – clearing application number: [ ] No – this application includes clearing

N/A – clearing application not required.

Clearing does not form part of this Application.

Clearing has previously been conducted under Ministerial Statement No. 1036 (Attachment 4).

This application is for the following categories of Prescribed Premises:

Category 12 : Premises on which material extracted from the ground is screened, washed, crushed, ground, milled, sized or separated. (50 000 tonnes or more per year).

All activities that meet the definition of a Prescribed Premises as set out in Schedule 1 of the EP Regulations have been specified above (tick if Yes).

https://www.der.wa.gov.au/our-work/regulatory-framework



https://www.der.wa.gov.au/our-work/clearing-permits/46-clearing-permit-application-forms

https://www.der.wa.gov.au/our-work/clearing-permits/46-clearing-permit-application-forms

Department of Water and Environmental Regulation


IR-F09 v7.0

Completion Matrix The matrix below explains what sections are required to be completed for different types of applications.

Application Form Section New Application/

Registration Renewal Amendment

Part 1 Applicant details – section 1.1 ● ● ●

Part 1 Applicant details – section 1.2 onwards ● ● Δ

Part 2 Premises ● ● Δ

Part 3 Proposed activities ● ● ●

Part 4 Other approvals ● ● Δ

Part 5 Fit and competent operator ● ● N/A

Part 6 Emissions and waste ● ● Δ

Part 7 Siting and location ● ● N/A

Part 8 Submission of any other relevant information ● ● If required.

Part 9 Proposed fee calculation ● ● ●

Part 10 Submission of application ● ● ●

Acknowledgement and signature ● ● ●

Attachment 1A: Proof of occupier status ● ● N/A

Attachment 1B: ASIC company extract ● ● N/A

Attachment 2: Premises map/s ● ● Δ

Attachment 3A: Description of activities ● ● Δ

Attachment 3B: Map for proposed area to be cleared (only applicable if clearing is proposed)

● ● N/A

Attachment 4: Other approvals and consultation documentation

● ● Δ

Attachment 6A: Emissions and discharges If required. If required. If required.

Attachment 6B: Waste acceptance If required. If required. If required.

Attachment 7: Siting and location ● ● Δ

Attachment 8: Other relevant information If required. If required. If required.

Attachment 9: Proposed fee calculation ● ● ●

Attachment 10: Request for exemption from publication If required. If required. If required.

Key:

● Must be submitted

Δ to the extent changed/required in relation to the amendment

N/A Not required with application, but may be requested subsequently depending on DWER records

“If required” Sections for applicants to determine.



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Part 1. Applicant Details

1.1 Applicant name/s (full legal name/s):

[the proposed holder of the works approval, licence or registration]

BGC Contracting Pty Ltd & Laing O’Rourke Australia Construction Pty Ltd

(Great Northern Connect Joint Venture)

ACN (if applicable): (81) 811 998 653

1.2 Trading as (if applicable): Great Northern Connect Joint Venture

1.3 Authorised representative details:

[the person authorised to receive correspondence and notices under the EP Act – all correspondence will be sent to this email address apart from statutory notices served under the EP Act (see below)]

Name Scott Martin

Position Project Director

Telephone

Email

1.4 Address for notices to be served under the EP Act:

[this must be a physical address to which a notice under the EP Act may be hand delivered]

Great Northern Connect Joint Venture Level 1, 2 Metal Circuit, Malaga, WA 6090

1.5 Postal address for general correspondence:

[if different from 1.4]

Great Northern Connect Joint Venture PO Box 1744, Malaga, WA 6944

1.6 Contact person details for DWER inquiries relating to the application (if different from the authorised representative):

[for example, could be a consultant or a site based employee]

Name Brian McDonnell

Position Construction Manager Materials

Organisation (if different to Applicant)

Great Northern Connect Joint Venture /

BGC Contracting Pty Ltd

Address (if different from above)

Telephone

Email

1.7 Occupier status:

[Occupier is defined in section 3 of the EP Act and includes a person in occupation or control of the Premises.]

Registered proprietor on certificate of title

Lease holder (please specify, including date of expiry of lease)

Public authority that has care, control or management of the land

Other (please specify – for example, joint venture operating entity. Note: Contractual arrangements will need to be provided to evidence occupancy arrangements)

Joint Venture Operating Entity.



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Attachments N/A Yes

1.8 Attachment 1A: Proof of occupier status

Copies of certificate of title, lease or other instruments evidencing proof of occupier status including the expiry date or confirmation that there is no expiry date have been provided and labelled as Attachment 1A.

1.9 Attachment 1B: ASIC current company information extract

A current company information extract purchased from the ASIC website(s) for all new applications/registrations has been provided and labelled as Attachment 1B.

Part 2. Premises

2.1 Premises legal description (whole or part to be specified):

[Land description: volume and folio number, lot or location number(s), Crown lease or reserve number, pastoral lease number or mining tenement number of all properties, as shown on title details registered with Landgate AND street address]

Please refer to plans contained in:

Attachment 1

Attachment 2

Sand Extraction Area A:

Lot 9507 Maralla Road, Ellenbrook, WA 6069

Volume 2714, Folio 608, LOT 9507 ON PLAN 53136




Volume LR3110, Folio 139, LOT 12851 ON PLAN 21246



Sand Extraction Area B:





Premises name (if applicable): NorthLink Central Section : A40 Sand extraction Area A and B

2.2 Local Government Authority area:

[City, Town or Shire] City of Swan



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2.3 GPS or map coordinates:

[GPS coordinates (latitude and longitude) must be provided where cadastre or mining tenements are not used as the Premises boundary]

Specific Area within cadastral lots subject to this Works Approval Application:

Sand Extraction Area A:

Point A 63618 E 284276 N

Point B 63922 E 284413 N

Point C 63979 E 284316 N

Point D 63741 E 284199 N

Point E 63656 E 284201 N

Sand Extraction Area B:

Point A 65614 E 286749 N

Point B 65743 E 286748 N

Point C 65532 E 286018 N

Point D 65447 E 286073 N

Point E 65442 E 286154 N

Attachments N/A Yes

2.4 Attachment 2: Premises map/s

An aerial photograph, map and site plan of the Premises must be included as an attachment to this application form labelled Attachment 2.

You must provide an aerial photograph of sufficient scale showing the Prescribed Premises.

You must also provide a map or maps of the Prescribed Premises, identifying:

layout of key infrastructure and buildings, clearly labelled;

the Premises boundary;

emission and discharge points (with GPS coordinates where available);

sensitive receptors and land uses; and

all areas proposed to be cleared (if applicable).

Maps must contain a north arrow, clearly marking the area in which the activities are carried out. The map or maps must be of reasonable clarity and have a visible scale.



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Part 3. Activities (including clearing)

3.1 Description/overview:

This Application is for a new concurrent Works Approval and Licence for a Category 12 Premises, defined as a Premises on which material extracted from the ground is screened, washed, crushed, ground, milled, sized or separated.

In the northern section of the NLCS, the road alignment traverses an area subject to significant cut to maintain appropriate road grades. The underlying sand represents a significant material resource.

In summary, the proposal includes:

Sand to be removed from an area of cut within NLCS alignment to maintain appropriate road grades.

Sand Area A: Selective screening for manufacturing of approximately 50,000 m3 of sand over a duration of approximately 8 weeks.

Sand Area B: Selective screening for manufacturing of approximately 300,000 m3 of sand to be removed over a duration of approximately 45 weeks.

Sand to be dry screened by Hanson on site at approximately 1500 tonnes / day and stockpiled using stacker for lot conformance testing.

Sand to be loaded out using wheeled Loaders and transported offsite post compliance verification and testing (circa 1 month lead to provide adequate stockpiles for loadout).

Proposal does not over-extract sand and all sand being used is subject to earthworks cut to fill operations for NLS2 if not used for manufacturing sand.

Sand to be used by BGC Australia in manufacture of concrete, concrete noisewalls, asphalt and brickpavers for the NLS2 project

3.2 Estimated operating period of Premises (for example, based on estimated infrastructure life):

< 1 year

3.3 Proposed date/s for commencement of works (if applicable): January 2018

3.4 Proposed date/s for commissioning of works (if applicable): January 2018

3.5 Proposed date/s for commencement of operations (if applicable): January 2018

3.6 Maximum production or design capacity for each category applied for (based on infrastructure operating 24 hours a day, 7 days a week):

[Refer to categories listed on page 1. Units must be consistent with Schedule 1 of the EP Regulations]

Maximum production capacity under operating hour restrictions (12 hr / 6 d operation):

~ 411k tonnes / annum

Total expected production (based on quantity of available resource): ~ 411k tonnes over <1 year

3.7 Estimated/actual throughput for each category applied for:

[Refer to categories listed on page 1. Units must be consistent with Schedule 1 of the EP Regulations]

~ 411k tonnes over <1 year

3.8 Proposed activities:

You must provide details of proposed activities, identifying:

scope, size and scale, including details as to frequency and production or design capacity;

key infrastructure and equipment;

description of processes or operations (a process flow chart may be included as an attachment);

emission/discharge points;

locations of waste storage or disposal; and

activities occurring during construction, commissioning and operation (if applicable).

Additional information relating to the proposed activities may be included in Attachment 3A (see 3.10 below).

Please refer to Report associated with this Application:

Works Approval Application - Supplementary Report (Attachment 3).

Attachments N/A Yes

3.9 Attachment 2: Premises map

Emission/discharge points are clearly labelled on the map/s required for Part 2.4 (Attachment 2).

3.10 Attachment 3A: Proposed activities

Additional information relating to the proposed activities has been included in Attachment 3A (if required).



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Clearing Activities

[3.11 to 3.16 are only required if the application includes clearing of native vegetation]

3.11 Proposed clearing area (hectares and/or number of individual trees to be removed):

Previously cleared

3.12 Proposed method of clearing (or final land use): Not applicable

3.13 Period within which clearing is proposed to be undertaken:

[for example, May 2017 – June 2017]

Not applicable

3.14 Purpose of clearing:

Not applicable

Clearing Activities - Attachments N/A Yes

3.15 Attachment 3B: Map of area proposed to be cleared

You must provide an aerial photograph or map of sufficient scale showing the proposed clearing area and Premises boundary or if you have the facilities, a digital map on CDROM of the area to clear as an ESRI shapefile with the following properties:

Geometry type: Polygon Shape

Coordinate system: GDA 1994 (Geographic latitude/longitude)

Datum: GDA 1994 (Geocentric Datum of Australia 1994).

3.16 Attachment 3C: Additional information for clearing assessment

Additional information to assist in the assessment of the clearing proposal may be attached to this application (for example, reports on salinity, fauna or flora studies or other environmental reports conducted for the site).



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Part 4. Other Approvals and Consultation

INSTRUCTIONS:

Please provide copies of all relevant documentation indicated below, including any conditions, exclusions, or expiry dates.

Where planning approval is required, in accordance with the Guidance Statement: Land Use Planning, DWER’s formal determination will only be made after the relevant planning decisions have been made.

Major Project means:

A State Development Project, where the lead agency is the Department of Jobs, Tourism, Science and Innovation (including projects to which a State Agreement applies); or

A Level 2 or 3 Major Resource Project, as defined by the Department of Mines, Industry Regulation and Safety.

N/A No Yes

4.1 Is the proposal a Major Project?

4.2 Has the proposal been referred to the Environmental Protection Authority?

4.3 Is the proposal subject to a Ministerial Statement(s) under the EP Act?

If yes, please specify statement number(s): Ministerial Statement No. 1036 (23 September 2016).

4.4 Has the proposal been referred and/or assessed under the EPBC Act (Commonwealth)?

If yes, please specify referral, assessment and/or approval number:

EPBC 2013/7042

4.5 Has the proposal obtained all relevant planning approvals?

If planning approval is not necessary, please provide details indicating why:

4.6 For renewals or amendment applications, are the relevant planning approvals still valid (that is, not expired)?

4.7 Has the proposal obtained all other necessary statutory approvals?

If no, please provide details of approvals already obtained, outstanding approvals and expected dates for obtaining these outstanding approvals:

N/A No Yes

4.8 Has consultation been undertaken with parties considered to have a direct interest in the proposal (that is, interested parties or persons who are considered to be directly affected by the proposal)?

DWER will give consideration to submissions from interested parties or persons in accordance with the Guidance Statement: Decision Making.

Attachments N/A Yes

4.9 Attachment 4: Other approvals and consultation documentation

Details of other approvals specified in Part 4 of this application, including copies of relevant decisions and any consultation undertaken with direct interest stakeholders have been provided and labelled Attachment 4.





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Part 5. Fit and Competent Operator

N/A No Yes

5.1 If the Applicant is an individual, has the Applicant ever held a Licence or Works Approval under Part V of the EP Act?

5.2 If the Applicant is a corporation, has any director of that corporation ever held a Licence or Works Approval under Part V of the EP Act?

5.3 If yes to 5.1 or 5.2 above, specify the name of company and/or Licence or Works Approval number:

The Applicant (Great Northern Connect Joint Venture, GNCJV) has not previously held a Works Approval. However, BGC (Australia) P/L (Joint Venture partner) and Hanson Construction Materials Pty Ltd (contracted to conduct screening operations) currently hold Works Approvals and Licences, specifically in relation to Category 12 Premises, as outlined below.

BGC (Australia) Pty Ltd

However, BGC (Australia) Pty Ltd (co-applicant as part of GNCJV), including BGC Construction and BGC Brikmakers, is a diverse construction, contracting and manufacturing organisation, offering the economies of scale, the depth of knowledge and the robust financial backing that come with a turnover in excess of $2.5 billion per annum. The applicant operates a number of basic raw material quarries and its customers include large corporations, local and state government, mining companies, builders and contractors. BGC Australia holds Works Approval Licences for a number Category 12 facilities, including:

BGC Voyager II quarry, Mundaring.

BGC Elazac quarry, Port Hedland.

BGC Ravensthorpe quarry, Ravensthorpe.

BGC Australia entities have been a long term manufacturer of road and concrete aggregate materials, including operations at its Voyager II Quarry located on Great Southern Highway, The Lakes. BGC (Australia) P/L has held numerous Works Approvals / Licences with the Department of Environment Regulation, for example:

Licences

L8415/2010/2 : BGC (Australia) P/L : Category 12 – Screening of material etc.



L6533/1993/11 : BGC (Australia) P/L : Category 35 – Asphalt manufacturing.

L8505/2010/2 : BGC (Australia) P/L : Category 35 – Asphalt manufacturing.

L4431/1987/12 : BGC (Australia) P/L : Category 43 – Cement or lime manufacturing.

L8121/2003/2 : BGC (Australia) P/L : Category 43 – Cement or lime manufacturing.

Works Approvals

W5528/2013/1 : BGC (Australia) P/L : Category 77 – Concrete batching.



W5552/2013/1 : BGC (Australia) P/L : Category 35 – Asphalt manufacturing.

Hanson Construction Materials Pty Ltd

Licences

L6752/1995/11 : Hanson Construction Materials P/L : Category 12 – Screening of material etc.




Application Form: Works Approval, Licence, Renewal, Amendment or Registration (July 2017 v7)10

IR-F09 v7.0

5.4 If the Applicant is an individual, has the Applicant ever been convicted, or paid a penalty, for an offence under a provision of the EP Act, its subsidiary legislation or similar environmental protection legislation in Australia?

5.5 If the Applicant is a corporation, has any director of that corporation ever been convicted, or paid a penalty, for an offence under a provision of the EP Act, its subsidiary legislation or similar environmental protection legislation in Australia?

5.6 If the Applicant is a corporation, has any person concerned in the management of the corporation, as referred to in section 118 of the EP Act, ever been convicted of, or paid a penalty, for an offence under a provision of the EP Act, its subsidiary legislation or similar environmental protection legislation in Australia?

5.7 If the Applicant is a corporation, has any director of that corporation ever been a director of another corporation that has been convicted, or paid a penalty, for an offence under a provision of the EP Act, its subsidiary legislation or similar environmental protection legislation in Australia?

5.8 Has the Applicant had a licence or other authority suspended or revoked due to a breach of conditions or an offence under the EP Act or similar environmental protection legislation in Australia?

5.9 If the Applicant is a corporation, has any director of that corporation ever had a licence or other authority suspended or revoked due to a breach of conditions or an offence under the EP Act or similar environmental protection legislation in Australia?

5.10 If the Applicant is a corporation, has any director of that corporation ever been a director of another corporation that has ever had a licence or other authority suspended or revoked due to a breach of conditions or an offence under the EP Act or similar environmental protection legislation in Australia?

5.11 If Yes to any of 5.3 - 5.9 above, you must provide details of any convictions, penalties paid for an offence or licences or other authorisation suspended or revoked:



IR-F09 v7.0

Part 6. Emissions and Waste

INSTRUCTIONS:

Please see Guidance Statement: Risk Assessments and provide all information relating to emission sources, pathways and receptors relevant to the application.

You must provide details on sources of emissions (for example, kiln stack, baghouses or discharge pipelines) including fugitive emissions (for example, noise, dust or odour), types of emissions (physical, chemical, or biological), and volumes, concentrations and durations of emissions.

The potential for emissions should be considered for all stages of the proposal (where relevant), including during construction, commissioning and operation of the Premises.

No Yes

6.1 Are there potential emissions arising from the proposed activities?

If yes, identify all potential emissions arising from the proposed activities and complete the Emission Table below.

Gaseous and particulate emissions (e.g. emissions from stacks, chimneys or baghouses)

Dust (e.g. from equipment, unsealed roads and/or stockpiles)

Wastewater discharges (e.g. treated sewage, wash water, or process water discharged to lands or waters)

Waste and leachate (e.g. emissions through seepage, leaks and spills of waste from storage, process and handling areas)

Noise (e.g. from machinery operations and/or vehicle operations)

Odour (e.g. from wastes accepted at putrescible landfills)

Contaminated or potentially contaminated stormwater (e.g. stormwater with the potential to come into contact with chemicals or waste materials)

Electromagnetic radiation*

Other (please specify) [ ]

*For electromagnetic radiation, copies/details of other relevant approvals (such as from the Department of Mines, Industry Regulation and Safety or the Radiological Council) must be provided where applicable.

Details of any pollution control equipment or waste treatment system including control mechanism to ensure proper operation of this equipment must be included in the proposed controls column of the Emissions and Discharges Table below. Details of management measures employed to control emissions should also be included.

Additional rows may be added as required and/or further information may be included as an attachment (see 6.3).

Emissions and Discharges Table:

Source of emission or discharge

Emission or discharge type

Volume and frequency

Proposed controls Location (on site layout plan -see 3.7)

1 Operations Dust For duration of operations

Operations in accordance with:

NLCS Project Management Plans,

GNC Environmental Management Plan.

Area subject to Works Approval

2 Operations Noise / Vibration

For duration of operations

Operations in accordance with:

NLCS Project Management Plans;

GNC Environmental Management Plan;

GNC Construction Noise and Vibration Management Plan.

Area subject to Works Approval




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No Yes

6.2 Is there waste accepted, buried, stored or recycled on the Premises?

(includes leachate and contaminated stormwater generated and stored on the Premises)

Solid waste types must be described with reference to Landfill Waste Classification and Waste Definitions 1996 (as amended December 2009) and the Environmental Protection (Controlled Waste) Regulations 2004.

Liquid waste types must be described with reference to the Environmental Protection (Controlled Waste) Regulations 2004.

Detail must be provided on storage type (for example, hardstand and containment infrastructure), capacity, likely storage volumes and containment features (for example, lining and bunding).

Additional rows may be added as required and/or further information may be included as an attachment (see 6.3).

Waste Acceptance Table:

Waste type Quantity (e.g. tonnes, litres, cubic metres)

Storage infrastructure (including specifications)

Monitoring (if applicable)

Location (on site layout plan – see 3.7)

Attachments N/A Yes

6.3 Attachment 6A: Emissions and discharges (if required)

If required, further information for Part 6.1 has been included as an attachment labelled Attachment 6A.

6.4 Attachment 6B: Waste acceptance (if required)

If required, further information for Part 6.2 has been included as an attachment labelled Attachment 6B.

Part 7. Siting and Location

7.1 What is the distance to the nearest sensitive land uses (that is, a residence or other land use which may be affected by an emission or discharge associated with the proposed activities):

Sand Area A: approximately <100 m.

Sand Area B: approximately <100 m.

No Yes

7.2 Are the Premises located within, or within close proximity to, any Specified Ecosystems?

(See Guidance Statement: Environmental Siting)

If no, identify the distance in which there are no Specified Ecosystems. If yes, provide details of the Specified Ecosystems and the distance to these:

Refer to attached Figures 4-11 (Attachment 7).

7.3 If yes to 7.2, you must also provide further information including details on topography, geology, soil type, depth to groundwater and quality of groundwater at the Premises.

For Premises answering no to 7.2, additional information including topography, geology, soil type, groundwater depth and water quality is recommended to be included if this information is available.

Refer to attached Figures 4-11 (Attachment 7).

Please refer to Report associated with this Application:

Works Approval Application - Supplementary Report (Attachment 3)

Attachments N/A Yes

7.4 Attachment 7: Siting and location

You must provide details and a map describing the siting and location of the Premises, including identification of distances to sensitive land uses and/or any Specified Ecosystems.




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Part 8. Submission of Any Other Relevant Information

Attachments No Yes

8.1 Attachment 8: Additional information submitted

Applicants seeking to submit further information may include information in Attachment 8.

Where supplementary documentation is submitted, please specify the name of documents below.

List title of supplementary document/s attached:

A comprehensive suite of assessments have been undertaken to support the current application, or previously undertaken for the site, including but not limited to:

NLWA Public Environmental Review Document.

NLWA Amenity (Noise) Condition Environmental Management Plan.

NLWA Community and Stakeholder Engagement Plan.

GNC Environmental Management Plan.

GNC Construction Noise and Vibration Management Plan.

GNC Soil Hygiene Management Plan.

Part 9. Proposed Fee Calculation

INSTRUCTIONS:

Fee calculators are available online to assist in completing this section.

Licence: www.der.wa.gov.au/LicenceFeeCalculator

Works approval: www.der.wa.gov.au/WorksApprovalFeeCalculator

Amendment:: www.der.wa.gov.au/AmendmentFeeCalculator

Different Fee Units apply for different fee components. Fee Units may also have different amounts depending on the period in which the calculation is made.

9.1 Only the relevant fee calculations are to be completed as follows:

[tick to indicate sections completed - for concurrent applications, each relevant fee section is to be completed]

Section 9.3 for Works Approval Applications

Section 9.4 for Licence Applications

Section 9.5 for Registration Applications

Section 9.6 for Amendment Applications

Section 9.7 for applications requiring clearing of native vegetation

9.2 All information and data used for the calculation of proposed fees has been provided in section 9.8

9.3 Proposed Works Approval fee

Proposed Works Approval fee (see Schedule 3 of the Environmental Protection Regulations 1987)

Fees relate to the cost of the works, including all capital costs (inclusive of GST) associated with the construction and establishment of the works proposed under the Works Approval application. This includes, for example, costs associated with earth works, hard stands, drainage, plant hire, equipment, processing plant, relocation of equipment and labour hire.

Costs exclude:

- the cost of land;

- the cost of buildings to be used for purposes unrelated to the purposes in respect of which the Premises are, or will become, Prescribed Premises; costs for buildings unrelated to the Prescribed Premises activity or activities; and

- consultancy fees relating to the works.

Fee component Proposed fee

Cost of works: $ Not more than $20,000.00 $ 534.00

http://www.der.wa.gov.au/LicenceFeeCalculator

http://www.der.wa.gov.au/WorksApprovalFeeCalculator

http://www.der.wa.gov.au/AmendmentFeeCalculator



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9.4 Proposed Licence Fee

Detailed licence fee calculations

Part 1 Premises component (see Part 1 of Schedule 4 of the Environmental Protection Regulations 1987)

The production or design capacity should be the maximum capacity of the Premises. For most categories the production or design capacity refers to an annual rate. The figure should be based on 24 hour operation for 365 days, unless there is another regulatory approval or technical reason that restricts operation.

The Premises component fee applies to the category incurring the highest fee unit number in accordance with regulation 5D(2) of the EP Regulations.

Insert additional rows as required.

Category Production or design capacity Fee units

Category 12 More than 100 000 but not more than 500 000 tonnes per year

Sub total $ 7,120.00

Part 2 Waste (see Part 2 of Schedule 4 of the Environmental Protection Regulations 1987)

If your Premises includes one or more of the following categories specify any applicable Part 2 waste amounts. Do not include Part 3 waste components of these discharges in the below sections.

Categories: 5, 6, 7, 8, 9, 12, 14, 44, 46, 53, 54A, 70, 80 or 85B

Part 2 waste means waste consisting of –

(a) tailings; or

(b) bitterns; or

(c) water to allow mining of ore; or

(d) flyash; or

(e) waste water from a desalination plant.

If your Premises does not fall into one of the categories listed above, or there are no applicable Part 2 waste amounts, the sub total for this section will be $0.

Insert additional rows as required.

Discharge quantity (tonnes/year) Fee units

Sub total $

Part 3 Waste - Discharges to air, onto land, into waters (see Part 3 of Schedule 4 of the Environmental Protection

Regulations 1987)

Choose the appropriate location of the discharge and enter the discharge amount(s) in the units specified in the EP Regulations. This should be the amount of waste expected to be discharged over the next 12 months, expressed in the units and averaging period applicable for that waste kind (for example, g/minute or kg/day). Amounts can be measured, calculated, or estimated and can be based on data acquired over the previous 12 months, but should be based on the maximum Premises capacity and not the forecast operating hours.

Where there are discharges, all prescribed waste types must be considered in the fee calculation. If a specified waste type is not present in the discharge, this must be justified using an appropriate emission estimation technique (for example, sampling data, industry sector guidance notes, National Pollution Inventory guides and emission factors).



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Discharges to air

Discharges to air Discharge quantity (g/min)

Discharges to air Discharge rate (g/min)

Carbon monoxide Nickel

Oxides of nitrogen Vanadium

Sulphur oxides Zinc

Particulates (Total PM) Vinyl chloride

Volatile organic compounds Hydrogen sulphide

Inorganic fluoride Benzene

Pesticides Carbon oxysulphide

Aluminium Carbon disulphide

Arsenic Acrylates

Chromium Beryllium

Cobalt Cadmium

Copper Mercury

Lead TDI (toluene-2, 4-di-iso-cyanate)

Manganese MDI (diphenyl-methane di-iso-cyanate)

Molybdenum Other waste

Subtotal $

Discharges onto land or into waters Discharge quantity

1. Liquid waste that can potentially deprive receiving waters of oxygen (for each kilogram discharged per day) —

(a) biochemical oxygen demand (in the absence of chemical oxygen demand limit)

(b) chemical oxygen demand (in the absence of total organic carbon limit)

(c) total organic carbon

2. Biostimulants (for each kilogram discharged per day) —

(a) phosphorus

(b) total nitrogen

3. Liquid waste that physically alters the characteristics of naturally occurring waters —

(a) total suspended solids (for each kilogram discharged per day)

(b) surfactants (for each kilogram discharged per day)

(c) colour alteration (for each platinum cobalt unit of colour above the ambient colour of the waters in each megalitre discharged per day)

(d) temperature alteration (for each 1°C above the ambient temperature of the waters in each megalitre discharged per day) —

(i) in the sea south of the Tropic of Capricorn

(ii) in other waters



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4. Waste that can potentially accumulate in the environment or living tissue (for each kilogram discharged per day) —

(a) aluminium

(b) arsenic

(c) cadmium

(d) chromium

(e) cobalt

(f) copper

(g) lead

(h) mercury

(i) molybdenum

(j) nickel

(k) vanadium

(l) zinc

(m) pesticides

(n) fish tainting wastes

(o) manganese

5. E coli bacteria as indicator species (in each megalitre discharged per day) —

(a) 1,000 to 5,000 organisms per 100 ml

(b) 5,000 to 20,000 organisms per 100 ml

(c) more than 20,000 organisms per 100 ml

6. Other waste (per kilogram discharged per day) —

(a) oil and grease

(b) total dissolved solids

(c) fluoride

(d) iron

(e) total residual chlorine

(f) other

Subtotal $

Summary – Proposed licence fee

Part 1 Component $ 7,120.00

Part 2 Component

Part 3 Component

Total proposed licence fees: $ 7,120.00



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9.5 Prescribed Fee for Registration

A fee of 24 units applies for an application for registration of Premises, unless the occupier of the Premises holds a licence in respect of the Premises in accordance with section 5B2(c) of the Environmental Protection Regulations 1987.

(Tick to acknowledge)

9.6 Works Approval or Licence Amendment Fee

Proposed Works Approval and Licence Amendment fee (see Schedule 4 Part 1 of the Environmental Protection Regulations 1987 (the Regulations))

The fee prescribed for an application for an amendment to a Works Approval or Licence is based on a unit value for 2016–2017 of $3.40 per unit, calculated (in accordance with regulation 5BB of the Regulations):

for a single category of Prescribed Premises to which the Works Approval or Licence relates, by using the fee unit number corresponding to the Prescribed Premises category and relevant production or design capacity threshold in Schedule 4 Part 1 of the Regulations.

for multiple categories of Prescribed Premises to which the Works Approval or Licence relates, by using the highest fee unit number corresponding to the Prescribed Premises categories and production design or capacity threshold in Schedule 4 Part 1 of the Regulations.

The relevant fee unit under Schedule 4 Part 1 of the Regulations for calculating the application form amendment fee is to be determined by reference to the actual production or design capacity reported for the preceding year’s annual licence fee. If an annual licence fee has not previously been paid or is not applicable as is the case for works approvals, the fee unit for an application for amendment is to be determined by reference to the production or design capacity currently prescribed in the Licence or Works Approval.

Fee Units Proposed fee

$

9.7 Prescribed Fee for Clearing Permit

In accordance with the Guidance Statement: Decision Making , where a

concurrent application for clearing of native vegetation is made, DWER may elect to either jointly or separately determine the clearing component of the application. Where DWER separately determines the clearing component of a concurrent application, the application will be deemed to be an application for a clearing permit under section 51E of the EP Act and the CEO will waive the payment of the fee prescribed for an application for clearing permit.

Note: If a clearing permit application has been separately submitted and accepted by DWER, a refund for the clearing permit application will not be provided where DWER determines to address clearing requirements as part of a related works approval application.

(Tick to acknowledge)

9.8 Information and Data Used to Calculate Proposed Fees

The detailed calculations of fee components, including all Information and data used for the calculations are to be provided as attachments to this application. Please specify the relevant attachment number in the space/s provided below.

Proposed fee for works approval Attachment No

Details for cost of works Please refer to Report associated with this Application:

Works Approval Application - Supplementary Report (Attachment 3).

Proposed fee for licence Attachment No

Part 1: Premises

Part 2: Waste types

Part 3: Discharges to air, onto land, into waters




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Part 10. Submission of Application

NOTE: Information submitted as part of this application may be made publicly available. If you wish to submit information that you believe to be commercially sensitive or otherwise confidential, then you should submit that information in an attachment to this application labelled Attachment 10 with a written statement of reasons why you request that each item of information be kept confidential. DWER will take reasonable steps to protect genuinely confidential or commercially sensitive information. Please note in particular that all submitted information may be the subject of an application for release under the Freedom of Information Act 1992.

All information which you would propose to be exempt from public disclosure has been separately placed in Attachment 10 (located at the end of this form). Grounds for claiming exemption in accordance with Schedule 1 to the Freedom of Information Act 1992 must be specified.

A full, signed electronic copy has been submitted via: [email protected]

OR

A full hard copy has been sent to:

APPLICATION SUBMISSIONS Department of Water and Environmental Regulation Locked Bag 33 Cloisters Square PERTH WA 6850

mailto:[email protected]



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ATTACHMENT 10 - Confidential or Commercially Sensitive Information

Request for Exemption from Publication

Information which you consider should not be published on the grounds for claiming exemption in accordance with Schedule 1 to the Freedom of Information Act 1992 must be specified in this Attachment.

NOT FOR PUBLICATION IF GROUNDS FOR EXEMPTION ARE DETERMINED

Section 1:

Attachment 1A – Project Deed

Ground for claiming exemption:

4. Confidential commercial and business information

(Clause 4, Schedule 1, Freedom of Information Act,

1992)

8. Confidential communications

(Clause 8, Schedule 1, Freedom of Information Act, 1992)

Documents

Application form: Works Approval / Licence / Renewal … · · 2018-03-23[select only one option] under Part V, Division 3 of the EP Act ... Renewal, Amendment or Registration (July