Applications - NT EPA - Northern Territory Government

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Container Deposit Scheme Infrastructure Grants
Application Form
Important information: The CDS Infrastructure Grant Guidelines provides information that will help
you to answer each of the questions in this application. Please refer to this when you are filling out this
form.
The Northern Territory Government implemented a Container Deposit Scheme (CDS) on 3 January
2012. The scheme allows a 10 cent deposit refund to consumers for regulated beverage containers.
The aim of the Container Deposit Scheme (CDS) is to minimise litter and environmental pollution
through the recovery, re-use and recycling of beverage containers. This is made possible by providing
communities throughout the Territory, as far as practicable, access to facilities for the collection of
empty containers and the refund of the deposit.
The CDS is administered by the NT Environmental Protection Authority (NT EPA) and the activities are
regulated under the Environment Protection (Beverage Containers and Plastic Bags) Act.
The CDS Infrastructure Grants Program is designed to support the establishment of the CDS
throughout the NT. The program provides funding for the purchase of equipment or infrastructure to
assist with establishing CDS Collection Depots or Collection Points throughout the NT. The NT EPA
encourages eligible businesses and organisations within the community to apply.
The CDS Infrastructure Grants provide one-off funding in 2015-16 for a recommended amount of
$30 000 for businesses and organisation in the Northern Territory to purchase CDS equipment or
infrastructure. All projects must be completed within 12 months.
The total funding is limited so applicants are encouraged to limit their applications to $30 000. All
complete applications will be assessed on their merit against the assessment criteria detailed in the
CDS Infrastructure Grant Guidelines. Projects will only be funded if the assessment criteria are met
and funds are available.
Submission details
Completed applications may be submitted in one of the following ways:
1. Email:
Containerdepositgrants@nt.gov.au (Preferred option)
2. Post:
Waste and Resource Recovery Team - CDS
Northern Territory Environment Protection Authority
GPO Box 3675
DARWIN NT 0801
The Avenue
Level 2, Suite 201
12 Salonika Street
PARAP NT 0820
3. Hand deliver:
Once your application has been received by our office, we will send you a confirmation email. If you
have not received this email within seven days, please phone the Waste and Resource Recovery
Team on 1800 752 632.
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
1
Container Deposit Scheme Infrastructure Grants
Section A – Applicant Information
1. Name of business or organisation
a) Does your business conduct all or most of its work in the Northern Territory?
Yes
No
If yes, estimate what percentage of your work is in the NT, indicate what you have based
this on (e.g. percentage of employees based in NT)and outline the locations that your
business conducts work
b) Does your business or organisation have audited accounts?
Yes
No
c) Does your business or organisation have an annual report?
Yes
No
d) Does your business or organisation have any funding from previous NT EPA or Northern
Territory Government grants that has not yet been acquitted?
Yes
No
If yes please provide reasons why:
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
Container Deposit Scheme Infrastructure Grants
2. Contact details
Project Officer
Street address
First name
Town/suburb
Surname
State
Phone
Postcode
Postal address
Fax
Mobile
Town/suburb
Email
State
Position
Postcode
GST Registered?
Yes
No
ABN or ACN
3. Type of organisation (select one or more)
Private enterprise/business;
Incorporated non-profit organisation;
Aboriginal or Torres Strait Islander Organisation;
Education institution, training provider or school;
Committee established by legislation;
Local government;
Other (please specify)
4. Is the infrastructure intended for a Collection Point or a Collection Depot?
a) A Collection Point (no 10 cent refund per container provided to those dropping off
containers for donation)
Yes (see below)
No (Go to Q 4b)
If yes, provide details of how the Collection Point will operate?
(E.g. who you anticipate will donate the approved containers to the collection point; how
the approved containers might be collected from donors; how you will access a
Collection Depot to collect the $0.10 refund for each of the approved containers
collected; who will manage the collection point etc.).
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
Container Deposit Scheme Infrastructure Grants
OR
b)
A Collection Depot (operator will pay a refund amount of $0.10 per approved container
to individuals or businesses that take them to the Collection Depot)
If a Collection Depot, have you submitted an application to operate a CDS Collection
Depot?
Yes
No
If yes, please provide details including but not limited to your application submission date or
approval number;
If no, please provide details of when it will be submitted and outline how the depot will
operate (container handling, storage, transport etc.)
You may provide information about the depot operation in the form of an attached business
plan or extract.
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
Container Deposit Scheme Infrastructure Grants
5. Landholder permission
Please confirm whether you are the land or lease holder for the location where you intend
conduct your project. If applicable please confirm that have permission from the land holder to
use the location to conduct your project (i.e. operate your Collection Point or Collection Depot)?
Landholder
Lease holder (provide details)
Permission for project granted by landholder (provide details)
Please note if you are not the landholder or the holder of the lease where you intend to conduct your
project you will require written consent to operate your Collection Point or Collection Depot. You may
also be required to provide a copy of this by request from the assessment panel.
The NT EPA recognises that much of the land in the NT is subject to the provisions under the Aboriginal
Land Rights (Northern Territory) Act (ALRA). If this is the case for the land on which your operations will
be held, you will need to ensure that you are compliant with the ALRA and that you consult with the
relevant land council (e.g. Central Land Council, Northern Land Council, Anindilyakwa Land Council or
Tiwi Land Council)
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
Container Deposit Scheme Infrastructure Grants
Section B - Project summary
6. Amount of grant requested (indicate GST exclusive and GST amounts
separately)
7. Location of infrastructure
Address:
Name of Community / Town:
Council or Shire:
Names of other communities
able to access the
infrastructure:
8. Type of equipment or infrastructure to be purchased/constructed
9. What infrastructure is already on site?
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
Container Deposit Scheme Infrastructure Grants
Section C – Additional Project Information
10. How will the new infrastructure assist you in operating your Collection Point or
Collection Depot?
11. How will your operation encourage or provide an opportunity for the community
to participate in the Container Deposit Scheme?
(E.g. describe planned activities such as marketing to promote community participation; or involvement in
community events or programs; or how you will interact with the community as applicable)
12. Will your operation create or contribute to creating long-term facilities for the
future collection of other recyclable material? If yes, explain how.
(E.g. describe the types of materials that could be collected and the timeframe for incorporating additional
materials)
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
Container Deposit Scheme Infrastructure Grants
13. Does your operation have community support? If yes, supply documents or
other information from the community that demonstrate this.
(Support documents from the community may be listed here and included as attachments to your
application)
14. General employment and Indigenous employment and participation
Will there be opportunities for people to be employed (directly or indirectly) in your project?
Yes
No
If yes:
Number people directly
involved
Number of people indirectly
involved
Explain their involvement
If yes, do you anticipate your project will contribute to employment (directly or indirectly) of
Indigenous people?
Yes
No
If yes, then please note how many of the above total number of positions you anticipate will be
filled by Indigenous people, and where applicable indicate which of these positions will be
targeted specifically for Indigenous people, e.g. as part of a ‘special measures’ program.
Number of Indigenous
people directly involved
Number of Indigenous
people indirectly involved
Explain their involvement
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
Container Deposit Scheme Infrastructure Grants
15. Will your operation provide services to regional/remote communities that are not
currently serviced comprehensively by the program? If yes, describe how these
services will be provided and to which communities.
16. What commitments have you and/or partners made to or plan for the operation?
This could include:


an existing Business Plan (attach if applicable);
committed business partners and/or funding;

in-kind contributions or support;

ongoing involvement; and

timeframe for delivering your commitments/ contributions in your project proposal including any
commitments/ contributions already made.
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
Container Deposit Scheme Infrastructure Grants
Section D – Project budget and account details
17. Funding from other sources
Have you or are you intending to apply for funding for this project from another source?
Yes
No
If yes, please specify source and purpose:
18. Project partners
Name of Organisation or
Department
Contact name
$ Contribution
(GST exc.)
GST
19. Proposed budget for the project
Examples of infrastructure that can be purchased under this grants program includes balers, bins,
bags, cages, shipping (or other materials) containers, fencing and security equipment (e.g. chains
and padlocks), concrete slabs, signs, roadways, trailers, built structures (e.g. shed, admin office)
and labour/salaries for installation of infrastructure.
Note: Ongoing service contracts for transport and labour/salaries will not be funded.
Activity / budget
item
Grant
contribution
In-kind or
other
contribution
Total cost
(GST
exc.)
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
GST
Note/comment
Container Deposit Scheme Infrastructure Grants
20. Approved Account Details
Please ensure you provide the correct bank account details to allow us to release the funds to your approved
account should your application be successful
Bank Name:
BSB No:
Account Name:
Account No:
Section E - Authorisation
By submitting your application you are declaring that:
 you have acquitted all previous grants (with expired acquittal due date(s)) from the NT EPA and
the NT Government;
 the proposed project will not duplicate funding already provided under other funding sources for
the purpose intended; and
 that the project does not duplicate existing facilities in the community (where duplication is not
necessary).
Signature of person declaring the above:
Name and date
NORTHERN TERRITORY ENVIRONMENT PROTECTION AUTHORITY
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