Download 1 (.pdf 509KB) - Environmental Protection Authority
Download 1 (.pdf 509KB) - Environmental Protection Authority
Download 1 (.pdf 509KB) - Environmental Protection Authority
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YES NO NOT SURE<br />
IF YES, WHAT LEVEL OF ASSESSMENT?<br />
ASSESSMENT ON PROPONENT INFORMATION<br />
PUBLIC ENVIRONMENTAL REVIEW<br />
PROPONENT DECLARATION (To be completed by the proponent)<br />
I, Geoffrey Ross Ladyman declare that the information contained in this form is, to my<br />
knowledge, true and not misleading.<br />
Signature:<br />
Name (print): Geoffrey Ross Ladyman<br />
Position: Sole Director Company: Dumpna Pty Ltd<br />
Date: 10/1/2011<br />
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