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REFERENCE DOCUMENTS - RAL25/0004 (As Published)

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                                                                                                                                                     Notice
                                                                                                                             Notifiable Activity
                  Department of Environment and Science
                  GPO Box 2454
                  BRISBANE QLD 4001



                 Privacy Statement
                 The Department of Environment and Science (DES) is assessing information provided on this form as notified under Section 320A of the
                 Environmental Protection Act 1994 to make a determination whether a site is to be listed on the Environmental Management Register
                 (EMR). This register is publicly available. This information may be provided to other parties, including the owner of land, the local
                 government authority and other government departments, under Chapter 7, Part 8 of the Environmental Protection Act 1994 for the
                 purposes of including land in a relevant land register. The information provided on this form will not otherwise be used or disclosed unless
                 required or authorised by law. For queries about privacy matters email: [email protected] or telephone: 13 74 68.




                 Page 5 of 5 • ESR/2015/1845 • Version 5.00 • Effective: 03 FEB 2020                            Department of Environment and Science
Document Set ID: 23717062
Version: 0, Version Date: 01/01/1900

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