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Port of Brisbane Soil Disposal Plan Part 2 Leaseholder Guide

Port of Brisbane Soil Disposal Plan Part 2 Leaseholder Guide

Port of Brisbane Soil Disposal Plan Part 2 Leaseholder Guide

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PBPL<br />

8 June 2012<br />

<strong>Port</strong> <strong>of</strong> <strong>Brisbane</strong> <strong>Soil</strong> <strong>Disposal</strong> <strong>Plan</strong><br />

FORM A ‐ INTENT TO DISPOSE OF SOIL<br />

Name <strong>of</strong> <strong>Leaseholder</strong>/<br />

PBPL Department:<br />

Property Address:<br />

Provide a brief description <strong>of</strong> the proposed activity or development. Attach pages as required:<br />

Provide the volume and nature <strong>of</strong> spoil expected to be generated from the activity/development.<br />

<strong>Soil</strong> Type Estimate Volume (m 3 )<br />

Proposed <strong>Disposal</strong> Option (tick appropriate):<br />

Within the current Site Lease<br />

Off PBPL Land<br />

To a different <strong>Port</strong> <strong>of</strong> <strong>Brisbane</strong> Lot<br />

To landfill<br />

Contact Details<br />

Name <strong>of</strong> applicant<br />

Mobile phone<br />

contact<br />

Site phone<br />

contact<br />

email<br />

Signature <strong>of</strong><br />

Authorised Person:<br />

Date:<br />

AS121308

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