Environmental Compliance Form - English - 5
Environmental Compliance Form - English - 5
Environmental Compliance Form - English - 5
ANNUALWORK PROGRAMME
MINING
Instructions
As per the terms of the Resource Consent for your mining activity, you are required to submit a Work
Programme. Please complete the following form and return to Council (contact details below). A site
inspection may also be required to confirm that your plans are acceptable.
Please ensure that you refer to your resource consent as you complete this form.
Once approved, Council will send you a letter confirming this. If you require this letter to be sent to other
agencies then please note this on the front of this form.
Remember to:
• Fill in all parts of the form as applicable
• Sign and date the annual work programme (below)
• Ensure requested maps are attached to this form
• Attach any other documentation also to this form
• Send the original to the West Coast Regional Council ( contact details below)
• Keep a copy for yourself
If you have any queries regarding this form please contact a member of the West Coast Regional Council Compliance
Team on (03) 768 0466 or 0508 800 118.
Signature Date
Email address
Location of Operation
Name of Contractor
If the mining is going to be carried out by someone other than the consent holder, have they been provided with a
copy of the resource consent(s)?
Yes No
Yes No
Name of Manager
Private Land
Attach the requested maps to the end of this form. If you need assistance with obtaining the appropriate maps or aerial
photographs please contact Compliance Staff at the West Coast Regional Council.
Work Location:
Using a map, show the proposed mining site location with:
Site Plan:
Present an accurate plan for the proposed mining site:
In this section comprehensive details about your onsite operations are required. If requested information is not applicable
to your planned activity, put n/a in the relevant space. Otherwise write in the spaces indicated or tick boxes. If there is
insufficient space for your answers please attach further pages to the document.
Mining method(s):
Exploration
Recreational/non-motorised
Land based
If you intend to use a Suction Dredge please give the following specifications:
What will the maximum area of disturbed, i.e. non-rehabilitated, land be at any one time?
What is the method of work you will use for earthwork disturbance activities on site? Describe below and ensure key
points are noted on Section B: Maps (Site Plan). Sample phrases are: “bulldoze a track to work area from property
boundary” “start stripping at northeast corner and work across slope” “truck topsoil to stockpile at X” “form bund for fuel
store at…. ” etc
Will you need to construct any new access tracks within the site?
Yes No
If Yes, ensure mark on Section B: Maps (Site Plan) and describe briefly here
When stripping the site, what will you do with the vegetation layer?
NOTE: This may depend on the requirements of the owner
When stripping the site what are the predicted thicknesses for?
Vegetation layer
Topsoil layer
Overburden layer
Describe below all onsite activities utilizing water and ensure key points are noted on Section B: Maps (Site Plan).
Sample phrases are, “divert water for screening at X on map” “have 3 settling ponds in series” “discharge treated
water back into creek at Y” “divert creek between P and Q” etc
Where will you get your processing water-supply from? (Tick as appropriate)
Dam?
If you plan to take stream water, what proportion of the mean stream flow will you take? %
Yes No
Yes No
Yes No
If yes, please attach diagrams to this application showing key specifications, i.e. dam catchment area, dam height, crest
width, spillway width or overflow pipe diameter.
How will you manage the sediment produced by your operation? (Tick as appropriate)
Settling ponds
Flocculants
Both ponds & flocculants
If you intend to use settling ponds, please ensure that you outline their location, number and approximate dimensions
on Section B: Maps (Site Plan).
Directly to water?
Via overland flow?
Via seepage to groundwater?
How will the settling ponds be maintained to ensure they are operating effectively?
Yes No
If yes, ensure the location of this is shown on Section B: Maps (Site Plan) and describe briefly:
What is the planned width of the buffer zone of undisturbed land you will be leaving between mining activities
and any permanently flowing waterway?
Site rehabilitation
A condition of resource consent will be that the site must be rehabilitated post mining. You will also be required to pay a
bond to council to ensure rehabilitation is carried out satisfactorily.
As relevant, has the subject of post mining land use been discussed with the landowner, and where relevant, the
occupier?
Yes No
If yes, what has been decided regarding post mining drainage, e.g. leave changes/diversions made or revert to original
watercourses/drainage, fill in dredge and settling ponds etc, landscape to give particular slope angle etc?
If no, why not and/or what other plans are there for the site?
Farm pasture
Horticultural
Exotic Forestry
Indigenous Forestry
Wetland
Native Restoration
Other (describe briefly)
Will you be carrying out the rehabilitation work? (tick your choice)
Your information is held and administered by the West Coast Regional Council in accordance with the Local Government
Official Information and Meetings Act 1987 and the Privacy Act 1993. This means that your information may be disclosed
to other people who request it in accordance with the terms of these Acts. It is therefore important you let us know if this
form includes trade secrets, commercially sensitive material or any other information you consider should not be disclosed.