REFERENCE DOCUMENTS - RAL25/0004 (As Published)

                                                                                                                Notification
                                                                                                Environmental Protection Act 1994


                                                                                    Duty to notify of environmental harm
            This form is to be used for notifying the administering authority about matters listed in section 320A of the
            Environmental Protection Act 1994 (the EP Act), in accordance with the duty to notify provisions contained in sections
            320 to 320G of the EP Act.. This form may also be used where a person is required to given written notice to owners or
            occupiers.

            This form should be completed having regard to the guidance found in the Guideline: The duty to notify of
            environmental harm. This Guideline can be found by going to Queensland Government (www.qld.gov.au) and searching
            “ESR/2016/2271). The details provided should address the nature of the matter as relevant. The form should be
            completed as fully as practicable in the circumstances. Indicate any sections of the notice that are not applicable or for
            which information is not currently available.
            Circumstances could arise in which you are also obligated to provide a notice to the administering authority of a
            Notifiable Activity that has been, or is being carried out under Schedule 3 of the EP Act. If the Notifiable Activity has
            not been notified to the administering authority previously, please use the template for giving written notice about a
            notifiable activity, available by going to Queensland Government (www.qld.gov.au) and searching “ESR/2015/1845”.

            If the notification is in relation to meeting environmental authority notification requirements for non-mining resource activities,
            including petroleum and gas, greenhouse gas storage and geothermal activities use the template Incident notification
            (resource activities other than mining), available by going to Queensland Government (www.qld.gov.au) and searching
            “ESR/2015/1753”.

            Circumstances could also arise in which notice of a related event or change in condition of the land relating to
            contaminated land needs to be provided under the EP Act. This information is available by going to Queensland
            Government (www.qld.gov.au) and searching for “ESR/2023/6639”.

            Office use only
              Date entered in Dynamics:           Click here to enter text.      Relevant regional manager:            Click here to enter text.
              Dynamics reference #:               Click here to enter text.      Date sent to regional manager:        Click here to enter text.
              Relevant regional area:             Click here to enter text.      Officer actioning this item:          Click here to enter text.


            1. Person/Company/ Organisation giving notice
              NAME                                                                              TELEPHONE (BUSINESS HOURS )
              Larry Sengstock                                                                   (07) 5329 6500

                                                                                                TELEPHONE (AFTER HOURS )

                                                                                                Click or tap here to enter text.

              COMPANY/ORGANISATION NAME (IF APPLICABLE) INCLUDE THE ACN NUMBER

              Noosa Shire Council

              POSITION IN COMPANY/ORGANISATION (IF APPLICABLE)
              CEO ACTING


            Page 1 of 9 • ESR/2016/2230 • Version 4.00 • Effective: 10 JUL 2018 Last Reviewed : 12 April 2023                    ABN 46 640 294 485




Document Set ID: 23717062
Version: 0, Version Date: 01/01/1900