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Application for Approval of a Dust Management Plan

Print Form

Application for Approval of a Dust Management Plan

All fields are required except where indicated

Applicant's details

Applicant Name:

EG: First name, Surname

Contact Person:

EG: First name, Surname

Mobile (e.g. 0400 123 456):

Landline (e.g. 08 9500 1234 - optional):

Email:

Applicants mail address:

NB: Street number and Street name are needed for all addresses

Developer's details

Developer's Name:

Developers Email:

Developers Phone:

EG: Mobile or Landline

Developers ABN:

Site details

Proposed Development:

Proposed development location:

NB: Street number and Street name are needed for all addresses

Proposed Works - Bulk and Civil Earthworks:

Bulk Earthworks - Clearing Vegetation
Bulk Earthworks - Cut and Fill
Civil Earthworks

Proposed works period:

Date from:

Date to:

Applicant to Note - Bulk Earthworks Moratorium Policy
Under the City of Cockburn Policy - “Dust Management for Development Sites”, bulk earthworks are prohibited on Class 3 or 4 development sites between 1 OCTOBER and 31 MARCH each year.
The effect of this policy is that approvals for bulk earthworks, such as clearing vegetation and/ or cut & fill, during this period are limited to works proposed for non-exposed, small sites which are less than 2ha in area and are a minimum of 500m from sensitive land uses.

Part A - Nature of site

Nuisance potential of soil, when disturbed:

Medium - 4
High - 6

Topography and protection provided by undisturbed vegetation:

Sheltered and screened - 1
Medium screening - 6
Little screening - 12
Exposed and wind prone - 18

Area of site disturbed by the works:

Less than 1ha - 1
Between 1 and 5ha - 3
Between 5 and 10ha - 6
More than10ha - 9

Type of work being done:

Roads or shallow trenches - 1
Roads, drains and medium depth sewers - 3
Roads, drains, sewers and partial earthworks - 6
Bulk earthworks and deep trenches - 9

Part A total:

Part B - Proximity to other land uses

Distance of other land uses from sites:

More than 1km - 1
Between 1km and 500m - 6
Between 100m and 500m - 12
Less than 100m - 18

Effect of prevailing winds (at time of construction) on other land u:

Not affected - 1
Isolated land uses affected by one wind direction - 6
Dense land uses affected by one wind direction - 9
Dense land uses highly affected by prevailing winds - 12

Part B total:

Site classification (Part 'A x B' scores)

Below 199 = Class 1 Site
200 to 399 = Class 2 Site
400 to 799 = Class 3 Site
Over 800 = Class 4 Site

Your site classification score:

Appendix 1 of Department of Water and Environmental Regulation (WA) publication, November 1996. “Land development sites and impacts on air quality - A guideline for the prevention of dust and smoke pollution from development sites in Western Australia”.

Attach your Dust Management Plan to this submission

Your plan should include the following:

a scaled site plan
a site works schedule
a copy of the written notice of works with contact details distributed to affected resident

Attach Dust Management Plan:

Declaration:

I, the person making this application, acknowledge that I:

Have attached a Dust Management Plan which includes a scaled site plan, a site works schedule and a copy of the written notice of works with contact details to be distributed to affected residents; and
Will make payment of application fees. NB. An invoice will be sent upon receipt of this application of $190.00. (2023-24 financial year)

Related Pages

Contact

Telephone: 08 9411 3444
CoSafe: 1300 26 72 33
Email: [email protected]
National relay service: 13 36 77
(ask for 08 9411 3444)
ABN number: 27 471 341 209

Address

City of Cockburn
Whadjuk Boodja
9 Coleville Crescent,
Spearwood 6163

PO Box 1215, Bibra Lake DC,
Western Australia, 6965

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

Language Support

Social Media

Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaditj boodjar kep wer kaadidjiny kalyakool yoodaniny, wer koora wer yeyi ngalak Birdiya koota-djinanginy.

City of Cockburn acknowledges the Nyungar people of Beeliar boodja. Long ago, now and in the future they care for Country.
We acknowledge a continuing connection to land, waters and culture and pay our respects to the Elders, past and present.