Non-Contaminated Material Declaration Form

This form must be completed and approved at least 24 hours before any material is exported from site.

This form is for non-contaminated material only. It is invalid for materials classified as Category A,B,C,D, PFAS, PFOS Asbestos or Acid Sulphate Soil.

   

   

Lofts can only accept fill material that meets the EPA’s Publication 1828.2 — that is, naturally occurring soil, gravel, and rock, free from industrial waste and within prescribed contaminant limits. Material must not contain construction debris, asbestos, or putrescibles, and must comply with Environment Protection Regulations 2021 and EPA Determination S301/2021.

   

   

By completing and submitting this form, I, on behalf of the customer/supplier, hereby declare and confirm the following:

1. I am authorised by the customer/supplier and any representatives to make this declaration, having conducted all due enquiries. I understand that Lofts and the receiving facility may rely on this information when accepting material for disposal or reuse and may take action if any information is found to be false.
2. The materials described are a true and accurate representation of those present at the specified job site. I acknowledge and accept that I am obliged to notify Lofts immediately if the material classification changes or different materials are found on site.
3. The waste described in this form meets the requirements of the appropriate testing program under EPA VIC IWRG 702, EPA Victoria Waste Determinations, and/or categorisation under EPA Victoria 1828.2 Waste Disposal Categories – Characteristics and Thresholds. The customer/supplier is responsible for determining the characteristics of the specified material and its appropriate classification under the relevant federal, state and local laws and regulatory requirements. I have obtained and supplied any additional approvals as required under applicable Planning or Environmental Acts.
4. I declare that all waste to be transported and deposited at the receiving facility originates solely from the nominated address and specified stockpiles or domains listed in this form. I confirm the material is clean fill and does not contain asbestos, PFAS, PFOS, or any Reportable Priority Waste, as defined by the Environment Protection Regulations 2021 and Environment Protection Act 2017. The material has not been classified as Category A, B, C, D, or Acid Sulphate Soil, and does not include any suspected contaminants, hazardous substances, asbestos fibres, or building materials such as rubble, brick, concrete, or rock that may be laced with asbestos. I am fully liable for any contamination, remediation, and disposal costs arising from the delivery of non-compliant material.
5. The customer/supplier agrees to comply with all Lofts' terms and conditions and acknowledges that Lofts and the receiving facility reserve the right to reject any material deemed unsuitable, regardless of the information provided in this form.
6. Lofts has made no representations regarding the suitability of its services in relation to the material. The customer/supplier indemnifies Lofts and the receiver, including its employees, agents, and contractors, from any and all claims, damages, liabilities, expenses (including legal and professional fees), and losses arising from inaccuracies or untruthfulness of the information provided or legal non-compliance. This indemnity includes but is not limited to costs associated with material removal, plant and machinery, disposal fees, labour, and loss of income.
7. I have read and understood the documents linked below:
   • PPN30 Potentially Contaminated Land
   • EPA Determination: Environment Protection Act 2017
8. This indemnity shall survive the expiry or termination of any agreements between Lofts and the customer/supplier.

By signing, I acknowledge and agree to the terms of this Declaration and Indemnity.