REFERENCE DOCUMENTS - RAL25/0004 (As Published)

Form

Contaminated land investigation document

 

« Where mandatory supporting information is comprised of more than file, each attachment should be
named in the following manner:

<Title of the document>_Part X of X_<Title of sub-part>

e Adraft site management plan or draft amended draft site management plan should be provided as one
Microsoft Word document file and should be given a name that directly corresponds to the title of the
plan provided with this form.

e¢ Mandatory supporting information that is provided in separate PDF files should be named as follows:

o Evidence that the SQP is suitably qualified and experienced: <Name of SQP>_SQP evidence
of competency

o Audit report: <Title of CLID>_Audit report_<Name of auditor>

o Landowner agreement to draft site management plan, if required: <Title of CLID>_Landowner
agreement

o Site suitability statement(s), if not included in an appendix of the CLID: <Title of CLID>_Site
suitability statement_<Lot/Plan>

Where any of these are comprised of more than one document, a folder should be created and titled as
per the above with each PDF file in the folder given the same title as the individual PDF document.

e The subject line of the email should be ‘Submission of a contaminated land investigation document’ and
include a reference to the site.

Privacy statement

The Department of Environment and Science (the department) is collecting personal information about the people identified on this form as
the relevant person, the owner or occupier of the relevant land, the suitably qualified person responsible for a regulatory function and the
auditor responsible for certifying the contaminated land investigation document in order to process the submission the contaminated land
investigation document under Chapter 7, Part 8 of the Environmental Protection Act 1994. The information provided on, and accompanying,

the form will not otherwise be used or disclosed unless required or authorised by law. For further information about privacy matters email:

[email protected] or telephone: 13 74 68.

 

Page 24 of 24 * ESR/2023/6339 + Version 1.03 + Last reviewed: 19 MAY 2023 Department of Environment and Science

Document Set ID: 23717062
Version: 0, Version Date: 01/01/1900