Resource tenure details You will also still need to Do you have any rehabilitation or financial assurance comply with the EP Act and its’ conditions as part of the environmental authority? subordinate legislation. This includes complying with your Yes General Environmental Duty. No Financial assurance and rehabilitation requirements will continue to apply to your mining activity even once the environmental authority is cancelled. Any conditions applying to these matters prior to 31 March 2013 will continue to apply until the Environmental Protection Regulation 2008 prescribes new conditions for financial assurance and rehabilitation for small scale mining activities. Adjustments can continue to be made to increase or reduce the amount financial assurance held in order to comply with your ongoing requirements. Where there is more than 1 Declaration holder of the environmental authority, this declaration is to Note: If you have not told the truth in this form you may be prosecuted. be signed by all holders, unless there is an agreement between Where an agreement is in place between all holders of the environmental authority, all holders that 1 can sign on behalf of the other. that 1 holder can sign on behalf of the other joint holders, please tick the below Note: If only 1 holder is signing checkbox. this form, they are committing all holders to the content of the I have the authority to sign this form on behalf of all the joint holders of the form and the declaration. environmental authority. Where the environmental authority holder is a company, I declare that: this form must be signed by an authorised person for that I am the holder of the environmental authority or an authorised signatory for company. the environmental authority holder. Privacy statement The Department of The information provided is true and correct to the best of my knowledge. I Environment and Science understand that it is an offence under section 480 of the Environmental (DES) is collecting the information on this form to Protection Act 1994 to give to the chief executive or an authorised person a process the cancellation of document containing information that I know is false, misleading or your environmental authority. This collection is authorised incomplete in a material particular under section 277A of the EP Act. Some information may be I understand that all information supplied on or with this form may be given to the Department of Infrastructure, Local disclosed publicly in accordance with the Right to Information Act 2009 and Government and Planning the Evidence Act 1977. (DILGP) for the purposes of processing this request and/or the administration of the Regional Planning Interests Act 2014. Your personal information will only be
Resource tenure details You will also still need to comply with the EP Act and its’ subordinate legislation. This includes complying with your General Environmental Duty. Do you have any rehabilitation or financial assurance conditions as part of the environmental authority? Yes No Financial assurance and rehabilitation requirements will continue to apply to your mining activity even once the environmental authority is cancelled. Any conditions applying to these matters prior to 31 March 2013 will continue to apply until the Environmental Protection Regulation 2008 prescribes new conditions for financial assurance and rehabilitation for small scale mining activities. Adjustments can continue to be made to increase or reduce the amount financial assurance held in order to comply with your ongoing requirements. Where there is more than 1 holder of the environmental authority, this declaration is to be signed by all holders, unless there is an agreement between all holders that 1 can sign on behalf of the other. Note: If only 1 holder is signing this form, they are committing all holders to the content of the form and the declaration. Where the environmental authority holder is a company, this form must be signed by an authorised person for that company. Privacy statement The Department of Environment and Science (DES) is collecting the information on this form to process the cancellation of your environmental authority. This collection is authorised under section 277A of the EP Act. Some information may be given to the Department of Infrastructure, Local Government and Planning (DILGP) for the purposes of processing this request and/or the administration of the Regional Planning Interests Act 2014. Your personal information will only be Declaration Note: If you have not told the truth in this form you may be prosecuted. Where an agreement is in place between all holders of the environmental authority, that 1 holder can sign on behalf of the other joint holders, please tick the below checkbox. I have the authority to sign this form on behalf of all the joint holders of the environmental authority. I declare that: I am the holder of the environmental authority or an authorised signatory for the environmental authority holder. The information provided is true and correct to the best of my knowledge. I understand that it is an offence under section 480 of the Environmental Protection Act 1994 to give to the chief executive or an authorised person a document containing information that I know is false, misleading or incomplete in a material particular I understand that all information supplied on or with this form may be disclosed publicly in accordance with the Right to Information Act 2009 and the Evidence Act 1977.
rs-fm-cancel-ea-small-scale-mining.docx