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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 kaadatj dayin boodja, kep wer malayin. Ngalak kaadatj koora koora wer yeyi ngalang birdiya.

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.