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Development Application part 2 OF 2 All of CD, Information in notes - MCU12/0216
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Original PDF page 17, section 1. The text section number identifies this passage in the reader.
Serena ates
nd.Resource‘Managemen
Form
Plan of operations for level 2 mining projects
Dd | am aware that, under s. 480 of the Environmental Protection Act 1994, it is an offence to give the
administering authority information that | know is false, misleading or incomplete in any material
particular. The maximum penalty for such action is 1665 penalty units for an individual, or 8325 penalty
units where the applicant is a corporation (s. 181B(3) of the Penalties and Sentences Act 1992), or 2
years imprisonment. Refer to the Penalties and Sentences Act 1 992 for the value of a penalty unit.
Environmental authority holder
4
HOLDER'S SIGNATURE: C6 . / /
Wy. .
DATE:
24/08/2012
HOLDER'S NAME, POSITION AND COMPANY:
Greg White, Raw Materials Supervisor, CSR Building
Phone: (07) 3881 7764
Products Limited Fax:
Person authorised to give the audit statement
SIGNATURE: pea os DATE:
CFC A T 24/08/2012
NAME, POSITION & COMPANY:
Shane Stuart, Senior Environmental Consultant,
Groundwork Plus
Phone: (07) 3871 0411
Fax: (07) 3871 0021
Privacy statement
The Department of Environment and Resource Management (DERM) is committed to protecting the privacy,
accuracy and security of your personal information in accordance with the Information Privacy Act 2009. DERM
is collecting your personal information in accordance with ss. 233 and 234 in order to assess the plan of
operations. The information will only be accessed by authorised employees within the department. Your
information will not be given to any other person or agency unless you have given us permission or we are
authorised or required by law. All information supplied on this form may be disclosed publicly in accordance with
the Right to Information Act 2009 and Evidence Act 1977. For queries about privacy matters email:
[email protected] or telephone: (07) 3896 3705.
Page 10 of 12 © 120319 * EM927 « Version 1A
Department of Environment and Resource Management
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