Application For A Dangerous Goods Site Licence - Government Of Western Australia Page 5

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Page 5 of 19
Information: applicant’s copy
Applicant details
(refer to part 2 of application form)
the name of the partnership
the name, home address and contact details of all
Licences can only be granted to an individual, a body corporate
partners; and
or a partnership. An application from a body corporate must
business in which the partnership is engaged.
be in the name as described on the certificate of incorporation,
The licence will be granted in the name of the
and a copy of the certificate is to be provided with the
partnership.
application.
Applications may be received in respect to premises
The following are also recognised as corporate bodies:
that are operating under a trust. The licence cannot be
granted to a trust, but can be granted to, as an example,
Federal or State Government Departments
‘The trustees of the ABC Trust’. Applications from trusts
Local Government authorities (Cities, Towns, Shires)
must include:
Some semi-government organisations (e.g. Water
Corporation, Western Power)
a certified copy of a document which states the name
of trust; and
Where an unincorporated body owns/operates/leases
the name, home address and contact details of
at
premises or a site, or undertakes an activity (and does not
least one of the trustees.
wish, or is not eligible, to become incorporated (i.e. small
Licences cannot be granted to business names or
businesses, associations, etc.) an eligible individual must be
trading names.
nominated to be the applicant.
Please ensure that a contact number is provided in
An application from a partnership must include:
case the Departmental assessor needs to clarify matter
a certified copy of evidence of the partnership; and
or seek additional information. A residential business
address is mandatory and may be supplemented with a
a statutory declaration from each partner stating:
post office address.
Location of storage and handling facility
(refer to part 3 of application form)
For example, GPS coordinates for ABC Storage Site -
Geographic: 121°29’28”E, 30°44’24”S (or in decimal
Adequate land title information must be provided to enable
degrees 121.4913°E, 30.7399°S).
the precise location of the site or compound for pre-licence
assessment and for future inspection purposes. Applicants
Projected: 355574.17, 6598246.30, zone 51
must wherever possible provide Global Positioning System
Complimentary site information can include certificate of
(GPS) coordinates that may be specified as:
title (CT) number, mine site tenement number, Reserve
number/name (e.g. 38575/Baldivis, 3540/Kalgoorlie).
• longitude/latitude (geographic) coordinates using the
Geocentric Datum of Australia 1994 (GDA94); or
This data is also used for dangerous goods emergency
management purposes in cases of accidents and
• eastings/northings (projected) coordinates which should
incidents and therefore it is important that there is no
be in Map Grid of Australia (MGA94) metres east (X) and
confusion between lot numbers and street numbers.
metres north (Y) and specify the zone.
DGS REV 2

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