REFERENCE DOCUMENTS - RAL25/0004 (As Published)

                                                                                                                                 Notice
                                                                                     Duty to notify of environmental harm

            3.3. Is the affected land the source of contamination?

                 ☒ Yes          ☐ No

            3.4. What land has been impacted by the contamination?

                  ☒ Source         ☐ Adjacent land ☐ Both

            4. Details of the matter being notified
            4.1. Type of matter listed in s.320A EP Act

                    • Is the matter related to an activity that is a resource activity (other than mining)?

                       ☐ Yes           ☒ No

                        *If yes, please go to section 5*

                   •    Is the matter related to an event that causes or threatens to cause serious or material environmental
                        because of an act or omission in carrying out a primary activity?

                       ☐ Yes           ☒ No

                        *If yes, please go to section 6*

                   •    Is the matter related to the presence of, or happening of an event that involves a hazardous
                        contaminant causing (or reasonably likely to cause) serious or material environmental harm?

                         ☒ Yes         ☐ No

                        *If yes, please go to section 6*
                    • Is the matter related to a change in the condition of contaminated land that is causing (or is
                      reasonably likely to cause) serious or material environmental harm?

                         ☐ Yes         ☒ No

                        *If yes, please go to section 7*

                    • Is the matter related to Notifiable Activity listed under Schedule 3 of the EP Act?

                       ☒ Yes           ☐ No          ☐Unsure

                       If it is a notifiable activity that you are undertaking you are obligated to provide more information by
                       going to Queensland Government (www.qld.gov.au) and searching (ESR/2015/1845).

                        Can you provide more information about the notifiable activity?
                        ☒ Yes          ☐ No

                        Refer attached contamination assessment report – 20 - historical landfilling. Note that hazardous
                        contaminants have been identified above criteria but no evidence of migration off-site has been found
                        to date. Site was also subject to night soil disposal but estimated to be under the 50,000 EP trigger.

                    • Is the activity/event/matter currently occurring
                                                                                   ☐Current            ☒Previous
                      or did it occur previously?

            4.2. Describe the nature of the matter being notified
                  If you require additional space attach the information on a separate sheet and make reference to that sheet here.




            Page 3 of 9 • ESR/2016/2230 • Version 4.00 • Last Reviewed : 12 April 2023            Department of Environment and Science
Document Set ID: 23717062
Version: 0, Version Date: 01/01/1900