Government
ofWestern Australia
Department of Water
and Environmental Regulation
Annual Audit Compliance Report Form
Environmental Protection
Act
1986, Part V Division 3Once completed, please submit this form either via email
to
info@dlvelj,vA-qov€u, or to the below postal address:Department of Water and Environmental Regulation Locked Bag 10
Joondalup
DC WA
691916736/1 993t12 Skank Boy Pty Ltd El Caballo Golf Course
20
147 920 830Lot 88 Great Eastern Highway Wooroloo WA 6588
01
I 01 I 2020 to 31 I 12 I
2020Did you comply with all of your licence conditions during the reporting period?
(please tick the appropriate box)
n
Yes-
please complete:o
section C;o
section D (if required); and.
sign the declaration in Section F.X
No-
please complete:.
section C;o
section D (if required);o
section E; ando
sign the declaration in Section F.Provide the actual production quantity for this reporting period. Supporting documentation is to be attached.
Provide the actual
Part2waste
discharge quantityforthis
reporting period. Supporting documentation is to be attached.Actual Paft
2waste discharge quantity
lR-F14 v4.0 (February 2019)
Department of Water and Enviroi'imental Reguiaticn
Please use a separate page for each condition with which the licence holder was non-compliant at a time during the reporting period.
Date(s) of non-
Total Nitrogen concentration of irrigation water was 15.5
mg/L.
which in exceedance of the license conditions of 11 mg/L.\Mtat was the actual (or suspected) environmental impact of the non-compliance?
NOTE
-
please attach maps or diagrams to provide insight into the precise location of where the non- compliance took place.No environmental impact of the non-compliance. lrrigation wasn't undertaken during the months that the non-compliance was in effect,
Cause (or suspected cause) of non-compliance:
High concentrations of total nitrogen within the source water from neighboring property, in addition to seasonal trends.
Action taken to mitigate any adverse effects of non-compliance and prevent recunence of the Continue quarterly monitoring of source water from neighboring property.
Continue ongoing monitoring of irrigation water at EICaballo Golf Course.
Was this non-compliance previously reported to D\A/ER?
I
Yes, andn
Reported to DWER verballyfl
Reported to DWER in writingAnnual Audii Coirrpiianee Report
F"o;'rni$eptenrber
?01 .l)Department of Water and Environmenial Reguiation
1 lt is an offence under sedion 1 '12 of the Environmenta! Protection Act 1986 for a person to give infurmation on this form that to their knowledge is false or misleading in a material particular.
2 AACRs can only be signed by the licence holder or an authorised person with the legal authority to sign on behalf of the licence holder.
| / We declare that the information in this
AnnualAudit
Compliance Report is true and correct and is not false or misleading in a material particularl.I
/ We
consentto the
AnnualAudit
Compliance Report being publishedon the
Departmentof
Water and Environmental Regulation's(D\
/ER) website.Signature2: Signature:
Name: (printed) Name: (printed)
Position: Position:
Date:
/1 "'i - )r,2 t
Date:Seal (if signing under seal):