Request_Date

Surplus Fill Expression of Interest

Property Address *

Requestors Given Name *

Requestors Surname *

Requestors Telephone Number *

Requestors Email Address *

Requestors Company Name

Requestors ABN

Are you (the requestor) the registered owner of the property nominated above? *

YesNo

If no, the registered property owner will be contacted to verify that the requestor has authority to act on their behalf.

Nature of the requestors relationship with the Property Owner *e.g. employee/ contractor etc.

Is the property owned (solely or jointly) by a Cairns Regional Council employee? *

YesNo

Cairns Regional Council employees will not receive any priority or advantage. This declaration is to ensure transparency and compliance with internal policies.

A 'Declaration to the Register of Benefits' must be submitted to the Corporate Register of Benefits within 2 working days of this EOI being submitted. Receipt of the Declaration will be verified before approval will be considered. Refer to #7189920 for instructions.

Quantity Requested (m3) *Minimum quantity 50m3

Suitable Material Types (select all that apply) *Structural fill contains sand, gravel, clay, recycled concrete etc. | Non-structural fill contains topsoil, organics, silt etc. | Builders rubble contains concrete, brick, stone, clay, soil, sand, timber, steel etc. | Profilings contains recycled road base, recycled asphalt

Required By Date (optional)If selected, the EOI will be automatically cancelled once this date has passed.

Operational Works Permit File Reference *Please provide the 'FILE REF' listed at the top of the Operational Works Permit Decision Notice. If it is believed that a valid exemption exists, please enter 'Exempt'. This will be verified by the Planning department before approval can be granted.

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