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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 6, section 1. The text section number identifies this passage in the reader.
Form
Application for amendment or discharge of financial assurance for an
environmental authority (mining activities)
7. Please tick the type of application you wish to complete:
i amendment of FA — go to Question 8
C1 discharge of FA where EA is being — go to Question 9
surrendered or partially surrendered
(1) discharge of FA where EA is being — go to Question 11
consolidated or transferred
8. Attach the following:
a) revised schedule of disturbance and rehabilitation;
b) revised calculation of FA.
Tick to indicate attachments: [X
9. Attach the final rehabilitation report
Tick to indicate attachment. [1]
10. Does the final rehabilitation report require a portion of the FA to be
retained in order to cover ongoing monitoring/maintenance
commitments for land the subject of the surrender application?
[] Yes
OO No
{ 11. ls there a site management plan or transitional environmental
program related to this application?
No
1 Yes - insert details below:
TITLE AND DATE APPROVAL NUMBER (WHERE
ISSUED)
12. Have you complied fully with the conditions of the environmental
authority?
O Yes - goto Question 13
No -> attach a statement of the extent to which the conditions
have been complied with
Tick to indicate attachment J Refer: Plan af Operations QF
Page 3 of 6 + 120808 » EM2104 « Version 2 Department of Environment and Heritage Protection
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