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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 B ‐ DISPOSAL OF SOIL RECORD<br />

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

PBPL Department:<br />

Property Address:<br />

Provide a brief description <strong>of</strong> the activity or development undertaken. Attach additional pages as<br />

required:<br />

Provide the volume and nature <strong>of</strong> spoil generated from the activity/development and the location<br />

<strong>of</strong> disposal. Attach additional pages as required.<br />

<strong>Soil</strong> Type Volume (m3) <strong>Disposal</strong> Site/classification<br />

List Environmental Reports completed for disposal activity and other relevant information (eg<br />

<strong>Disposal</strong> Permits). Provide copies <strong>of</strong> all documents listed:<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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