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Public Health
Air Pollution
Dust Management
Application for Approval of a Dust Management Plan
Application for Approval of a Dust Management Plan
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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:
Calendar
Date to:
Calendar
** 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 $198.00.
(2024-25 financial year)
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