SECTION 1: Company Name: Date: Contact Person: Position: Email: Contact No: Postal Address: Fax No: Town / Suburb Postcode: Applicant’s Name: Signature: SECTION 2: Port of Dampier Port of Ashburton Port of Anketell Port of Cape Preston East Location of the Works (DPA Lot No): Lease Holder: Current Land Use: Brief Description of Proposed Development: Estimated Development Cost (AUD): Expected Duration: Dev. Type Development Types Definition Estimated Cost Examples Type 1 Minor developments that have a low potential to create any impacts to future development, the environment, and/or the Port’s operations and safety. Up to $500,000. Small building extensions, site enhancements and developments that involve minimal site and/or no heritage disturbance. Type 2 Relatively uncomplicated developments that have the potential to create low to medium impacts to future developments, the environment, heritage sites and/or Port’s operations and safety. Between $500,000 and $3 million A major change of use to an existing development, or new developments involving medium amounts of construction and earthworks. Type 3 Complex developments that have the potential to create high impacts to future development, the environment, and/or Port’s operations and safety. Generally, these developments would require assessment by State and Commonwealth regulatory agencies and inputs from experienced specialist consultants in various technical areas. Between $3million and $10 million Wharf building premises, bulk storage developments, dredging, and/or developments involving large amounts of construction and earthworks.
Type 4 Highly complex developments that have the potential to create significant impacts to future development, the environment, and/or Port’s operations and safety. These developments would require assessment by State/Commonwealth regulatory agencies and inputs from experienced specialist consultants in various technical areas. Greater than $10 million Gas processing plant, MOF, wharf construction, railway terminal, refinery and other developments involving large amounts of construction and earthworks. SECTION 3: Submitted Documents (Please refer to DPA’s Port Development Guidelines for further information about required documentation) Y N N/A Y N N/A Project Definition /Brief Locality/Site Plan Concept Design Drawings Services Plan Basis of Design Report Drainage Plan Others (please specify) SECTION 4: Required Government Agencies Approval Y N Y N Local Council Building Permit Dept. of Indigenous Affairs (DIA) Section 18 clearance Dept. of Environment & Conservation (DEC) Land Clearing Permit Environmental Protection Authority (EPA) Environmental Impact Assessment Dept. of Environment & Heritage Sea Dumping permit Others (please specify) SECTION 5: Port Development Fees Please provide the Purchase Order numbers for the Port Development Fees related to the Development Application: DA Assessment Fee PO Number: Development Type DPA Fees Applies to all stages of the Port Development Approval process Type 1 (Up to $500K) $1,000 fixed Port Development Approval fee Type 2 ($500K - $3M) $5,000 fixed Port Development Approval fee Type 3 ($3M - $10M) 1 X full time professional; 1 x 1/2 time Project Administrator; Ancillary expenses; and Specialist consultant fees, where required. Type 4 (>$10M) 2 X full time professional; 1 x full time Project Administrator; Ancillary expenses; and Specialist consultant fees, where required. For further information on Port Development Fees, please see the DPA’s Port Development Guidelines. If Purchase Order numbers are not available, please sign the following statement: