PA Action St ERA ESR-2015-1791 Completed 02-2023

Page 2

Application form

Development application Form 1 - Application details—attachment for an
application for an environmental authority

 

Privacy statement
Where ERAs are administered by the Queensland Government:

The Department of Environment and Science and Department of Agriculture and Fisheries are collecting
the information on this form to process your application for an EA. The collection is authorised under
Chapter 5 of the EP Act.

Please note that the administering authority is required to keep this application on a register of documents
open for inspection by members of the public under section 540 of the EP Act, and must permit a person
to take extracts from the register pursuant to section 542 of the EP Act. Your personal information will not
be otherwise disclosed to any other parties unless authorised or required by law. For queries about
privacy matters please email [email protected] or telephone: 13 74 68.

Where ERAs are administered by a local government:

Contact the local government for their privacy information.
Pre-lodgement meeting
Where ERAs are administered by the Queensland Government:

You can arrange a pre-lodgement meeting through the Department of State Development, Infrastructure,
Local Government and Planning prior to lodging this application if you have not already done so. For more
information contact the Department of State Development, Infrastructure, Local Government and Planning
(for contact details go to https://planning.dsdmip.qld.gov.au/planning/resources/regional-contacts).

Where ERAs are administered by a local government:

Contact the local government about pre-lodgement meetings.

 

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Page 3

Application form

Development application Form 1 - Application details—attachment for an
application for an environmental authority

The fields marked with an asterisk * are mandatory, if they are not completed then your application may

be considered not properly made under the Planning Act 2016.

1. Applicant details

To nominate a site or application contact for this application please provide details at Questions 14 and 15.

 

Is there more than one I No—provide applicant's details below.

 

applicant? * (0 Yes—provide the principal applicant's details below and all other applicants’
details in Attachment 1—“Joint applicants and appointment of principal applicant”

 

Name - individual or contact person if applicant is a organisation*
Robert Watson

Suitable Operator Reference
Number*

 

Organisation name, including any trading name (*if an organisation)
Provectus Algae Pty Ltd

ABN/ACN (‘if an organisation)
82 625 465 572

 

 

As Above

Residential or registered business address (not a post office box)* Phone*
14 - 16 Action Street, Noosaville, Qld 4566 07 5474 1504
Postal address (if same as above, write “AS ABOVE”)* Facsimile

 

Email*
[email protected]

 

X Indicate if you want to receive
correspondence via email

 

1.1 Nomination of an agent for this application

application.

/we nominate the below agent to act on my/our behalf and to receive correspondence relating to this

 

Do you want to nominate an agent for this application?”
No — Go to Question Error! Reference source not found.
CJ Yes — Complete the agent's details here.

 

Name of agent — individual or contact person if agent is an organisation

 

Organisation name, including trading name if an organisation

ABN/ACN (if an organisation)

 

Postal address

Phone

 

Email

 

 

O Indicate if you do not want to
receive correspondence via email

 

2. Details of the ERA(s) that you want to operate
Please list all of the ERAs that will be undertaken on site, including:

e Any existing ERAs will continue to operate unchanged on the site (select “Existing” in the table below);
e ERAs that are proposed to be undertaken on the site as part of the application (select “New - DA” in the

table below); and

e ERAs that are proposed to be undertaken on this site, that don’t form part of this application as they do

not require a DA (select “New - EA” in the table below).

Listing all the ERAs that will be undertaken on site will help enable them to all be included on the one EA

 

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Department of Environment and Science

 

 

 

Page 4

Application form
Development application Form 1 - Application details—attachment for an
application for an environmental authority

If the ERA has eligibility criteria and standard conditions’, identify whether you can comply with them. Select
“N/A” where there are no eligibility criteria and standard conditions for that ERA. If you cannot comply with all of
the applicable standard conditions, select “no” and attach details of the standard conditions you cannot comply
with.

 

 

 

 

 

 

 

 

 

ERA Threshold* | Name of ERA* New or | can | can
number* existing comply with | comply with
ERA(s) the eligibility | all the
criteria* standard
conditions*
1 Culture of marine and freshwater KK] New-DA | Yes I Yes
microalgae in closed system biorectors CNew-EA |CIN/A LINo
OO Existing
LJ New-DA | Yes OO Yes
LC New-EA |CIN/A LNo
OO Existing
L1New-DA |(1 Yes Yes
CNew-EA |CIN/A [No
DO Existing
(J New-DA |(] Yes OO Yes
CNew-EA |CIN/A CNo
UO Existing
CJ New-DA |(] Yes CJ Yes
Li New-EA |LIN/A LINo
0 Existing
CJ New-DA | (1 Yes CO Yes
(ONew-EA |LINA CINo
0 Existing
(1 New-DA |L1 Yes CJ Yes
CL New-EA |LINA [No
OO Existing
(1 New-DA |(L Yes 0 Yes
ONew-EA |LIN/A LJNo
Existing

 

 

 

 

 

 

 

 

(1 The EA number for existing ERA(s) listed above is

If there are new ERAs and your existing EA is an amalgamated EA, the application for ERAs associated
with the DA application will create a new EA for the new ERAs. An application to amalgamate the current
and new EAs may then be required.

CJ [have attached details of the standard conditions that | cannot comply with.

3. Will the ERAs be carried out as a single integrated operation?

 

Will more than one ERA be operated at the location?*

 

 

EI No | Go to Question 4.

 

 

3 ERAs with eligibility criteria and standard conditions are listed at: www.business.gid.gov.au (use the search term “eligibility
criteria”).

 

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Page 5

Application form

Development application Form 1 - Application details—attachment for an

application for an environmental authority

 

Will any of the ERAs be operated as a single integrated operation (see definition on page one)?*

 

LINo | Go to Question 4.

 

CO Yes

 

 

 

Provide details of the ERAs that are operated as a single integrated operation and
(Yes | supporting information showing they are a single integrated operation then go to Question 4.

 

4. Description of land where the ERA/s will be carried out
Where activities will be undertaken at more than one location, provide details in Attachment 2.

 

 

 

 

Number* Street Name* Suburb/Town* Postcode*

14-16 Action Street Noosaville 4566

Real Property Description* Specific area within the location ie GPS or other descriptor*
Lot 280 Plan

 

Port (“if applicable)

 

Project Name (‘if applicable)

 

5. Details of contaminated land

 

application?*

ls there a site management plan in effect for contaminated land that relates to the land that is the subject of this

 

I No Go to Question 6.

 

Description of land”

 

Lot and plan number(s)

Local Government Area*

 

OYes Lot
Lot

Lot
Lot

 

 

Plan
Plan
Plan
Plan

 

 

6. Environmental offsets

An environmental offset, under the Environmental Offsets Act 2014, may be required for an ERA where, despite
all reasonable measures to avoid and minimise impacts on certain environmental matters, there is still likely to
be significant residual impact on one or more of those matters.

You must verify the presence, whether temporary or permanent, of those environmental matters. For more
information refer to the Queensland Environmental Offsets Policy and the Significant Residual Impact Guideline
at the Queensland Government website at www.qid.gov.au, using the search term “environmental offsets”.

 

Will the ERA(s) being applied for result in a significant residual impact to a matter of State environmental

 

 

activity; and

 

 

significance (MSES)?*
KI No Go to Question 7.
Yes You must attach supporting information that:

1. Details the magnitude and duration of the likely significant residual impact on each prescribed
environmental matter (other than matters of local environmental significance) for the entire

2. Demonstrates that all reasonable measures to avoid and minimise impacts on each of those
matters will be undertaken.

 

 

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Page 6

Application form
Development application Form 1 - Application details—attachment for an
application for an environmental authority

6.1 Notice of election

 

Has a notice of election been submitted to the administering authority, or is being submitted as part of this
application?

 

KX] No Go to Question 6.2.

 

OO Yes (1 You can attach the notice of election, if it has not been submitted to the department.
Go to Question 6.3.

 

 

 

 

6.2 Staged environmental offsets

Offset delivery can be staged, however for this to occur, the condition of any approved environmental authority
needs to state that both the activity and the offset may be staged. As part of your notice of election for each
stage under the Environmental Offsets Act 2014, you are required to provide a detailed assessment of the
quantum of impact of that stage and the offset obligation requirement to be delivered for that stage.

 

Will the proposed ERA(s) and delivery of an environmental offset be undertaken in stages?

 

KI No Go to Question 6.3

 

(Yes You must attach supporting information that details of how the activity/activities are proposed to
be staged.

 

 

6.3 Nature conservation environmental offset

 

Has another authority issued under the Nature Conservation Act 1992 required an environmental offset for the
same, or substantially the same, impact and the same, or substantially the same, MSES?

 

I No Go to Question 6.4

 

OC Yes Provide permit number:

 

 

o

.4 Marine parks environmental offset

 

Has marine park permit issued under the Marine Parks Act 2004 required an environmental offset for the same,
or substantially the same, impact and the same, or substantially the same, MSES?

 

KX] No Go to Question 7

 

(Yes (J You must attach a copy of the marine park permit to this application.

 

 

 

 

7. Matters of national environmental significance

There are currently nine matters of national environmental significance (MNES) which have been defined in the
Environment Protection and Biodiversity Conservation Act 1999 (Cth) (EPBC Act). These are:

e — world heritage properties e Commonwealth marine areas

e national heritage places e the Great Barrier Reef Marine Park

* wetlands of international importance (listed under the Ramsar * nuclear actions (including uranium mines)
Convention) ° a water resource, in relation to coal seam gas

e listed threatened species and ecological communities development and large coal mining development

® migratory species protected under international agreements

To determine whether the proposed ERA(s) will have a significant impact on MNES and for referral
requirements, please refer to the guidance provided by the Federal Government's Department of Environment
on www.environment.gov.au.

 

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Page 7

Application form

Development application Form 1 - Application details—attachment for an

application for an environmental authority

 

Would the carrying out of the proposed ERA(s) be likely to have a significant impact on a MNES?*

 

EI No

Go to Question 9.

 

Yes

 

Has the proposal been referred to the Federal Department of Environment for formal assessment
and approval?

LJ No = Go to Question 8.
L Yes > Go to Question 7.1.

 

7.1 EPBC Act approval for environmental offsets

 

Has an approval issued under the EPBC Act required an environmental offset for the same, or substantially the
same, impact and the same, or substantially the same, MSES?

 

J No

Go to Question 8.

 

OYes

 

| have attached a copy of the approval under the EPBC Act.

 

 

Are there any MNES which were assessed under the EPBC Act which are the same, or
substantially the same as an MSES, but that were not conditioned in the approval?

No = Go to Question 8
LI Yes — List these MNES:

 

8. Environmental impact statement under the State Development and Public Works
Organisation Act 1971

Certain stages of the EA application process may not apply if the proposed activities were assessed as part of a

coordinated project declared under the State Development and Public Works Organisation Act 1971 (State

Development Act), you are only required to answer Questions 8 to 8.1 if you have a current Co-ordinator

General’s (CG’s) evaluation report for the project.

 

Has an environmental impact statement (EIS) process under State Development Act been completed?*

 

J No

Go to Question 9.

 

Yes

 

What is the title and project name of the completed EIS?*

 

LJ The EIS was completed for all activities that are the subject of this application.
(1 The environmental risks or the way the activity/activities are proposed to be carried out
have not changed since the ElS was completed.
1 The environmental risks or the way the activity/activities are proposed to be carried out
have changed since the EIS was completed.

 

LJ The EIS was not completed for all activities that are the subject of this application.
CJ The environmental risks or the way the activity/activities are proposed to be carried out
have not changed since the ElS was completed.
CJ The environmental risks or the way the activity/activities are proposed to be carried out
have changed since the EIS was completed.

 

Was the EIS completed for all activities that are the subject of this application?”

 

 

Please list the activities that were not included in the EIS or attach documentation with
this information to this application:

0 No

(J Ihave attached the required supporting information.

 

 

 

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Page 8

Application form
Development application Form 1 - Application details—attachment for an
application for an environmental authority

 

 

O Yes

 

 

 

 

10.1 Coordinator-General’s conditions
Are there CG’s conditions that relate to the ERA(s) being applied for?*

 

O No> Go to Question 9.

 

Cl Yes — | Name of the CG's evaluation report:

 

11. Assessment of the environmental impact

This question is not applicable if an EIS process under the State Development Act has been completed for all
the ERA(s) that are the subject of this application and the environmental risks of the activities and the way they
are proposed to be carried out has not changed since the EIS was completed.

You must attach to this application an assessment of the likely impact of each new ERA (whether from the DA
application or another new ERA you want included on the EA that does not require a DA) on environmental
values (“if applicable), including:

e a description of the environmental values likely to be affected by each relevant activity

e details of any emissions or releases likely to be generated by each relevant activity
e adescription of the risk and likely magnitude of impacts on the environmental values

e details of the management practices proposed to be implemented to prevent or minimise adverse
impacts

e details of how the land the subject of the application will be rehabilitated after each relevant activity
ceases

—  |have attached an assessment of the environmental impact and specific supporting information.

12. Details of waste management

Describe the proposed measures for minimising and managing waste generated by the activity/ies below *

 

Minimal waste generation is anticipated in the conducting of the planned activities. Small volumes (average
<5000L/day) of wastewater are anticipated to be produced. All wastewater will be held in storage tanks and
chlorinated prior to discharge to sewer.

13. Take effect date (when fees will commence being charged)

You may nominate when the EA will take effect should it be approved. The date the environmental authority
takes effect will be the date from which you can commence the activities as well as the date your annual fees
will commence to be charged (your anniversary date). Under section 200 of the EP Act, if a development permit
for a material change of use under the Planning Act 2016 or a State development area (SDA) approval is

 

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Page 9

Application form

Development application Form 1 - Application details—attachment for an
application for an environmental authority

 

Note that where you are applying new ERAs, and your existing EA is an amalgamated EA, the application for
ERAs associated with the DA application will create a new EA for the new ERAs. In this case you may wish to
nominate a take effect date in the future which, post approval of this application, will provide you with enough
time to amalgamate your current and new EAs. Amalgamating your EAs prior to the take effect date of your new
EA will prevent you being required to pay the first annual fee for your new EA.

 

Do you want the EA to take effect on the decision date, nominated date, or pending development approval?*

 

XX] Decision date The take effect date will be the date of the decision.

 

 

 

LJ Nominated date Details of nominated take effect date:

 

 

12. Nomination of site contact

An alternative contact nominated by the legal person which holds, or will in future hold, a relevant authority
issued by the department. The department may direct correspondence relating to actual or potential compliance
matters to the site contact.

 

OO No

Do you want to nominate a site contact?* |
Yes, provide details below

 

 

 

 

Title* First Name* Surname*
Mr Robert Watson
Email Address* X Indicate if you want to receive

correspondence via email
[email protected] et

 

 

 

Phone

 

 

 

13. Nomination of application contact

An alternative contact nominated by the legal person which has submitted, or will in future submit, applications
to be assessed by the department. All departmental correspondence relating to the assessment of applications
will be directed to the application contact, however, if the application results in the issuing of a relevant authority,
the relevant authority will be sent to the applicant.

Name or Position*

Robert Watson VP, Quality

Primary Phone*
0401 021 198
Secondary Phone

 

 

 

 

Email Address*
[email protected]

 

 

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Page 10

Application form

Development application Form 1 - Application details—attachment for an
application for an environmental authority

 

14.Applicant declaration

| declare that the information | have provided is true and correct. | understand that it is an offence under the
Environmental Protection Act 1994 to give information that | know is false, misleading or incomplete.

| will comply with all conditions on my environmental authority as well as any relevant provisions in the
Environmental Protection Act 1994.

| understand that | am responsible for managing the environmental impacts of these activities, and that approval
of this application is not an endorsement by the administering authority of the effectiveness of the management
practices proposed or implemented.

 

Applicant's full name* Applicant’s position*
Robert James Watson Vice President, Quality

 

Applicant's signature* Date*
Cle 21/02/2023

 

 

 

 

Submit attachment, together with any additional information, with all relevant
Development application Forms to the assessment manager for the development
application.

 

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Page 11

Application form

Development application Form 1 - Application details—attachment for an
application for an environmental authority

Attachment 1

Joint applicants and appointment of principal applicant

We are joint applicants for this environmental authority application and hereby appoint as the

principal applicant to receive statutory documents relating to this application.

 

Name - individual or contact person if applicant is an organisation”

Suitable Operator Reference Number*

 

Organisation name, including trading name (“if an organisation)

ABN/ACN (“if an organisation)

 

Residential or registered business address (not a post office box)*

Phone*

 

Postal address (if same as above, state “AS ABOVE”) *

Facsimile

 

Email*

 siIndicate if you want to receive
correspondence via email

 

Signature*

Date*

 

 

Name - individual or contact person if applicant is an organisation*

Suitable Operator Reference Number*

 

Organisation name including trading name (“if an organisation)

ABN/ACN (“if an organisation)

 

Residential or registered business address (not a post office box)*

Phone*

 

Postal address (if same as above, state “AS ABOVE”)*

Facsimile

 

Email*

1 Indicate if you want to receive
correspondence via email

 

Signature*

Date*

 

 

Name - individual or contact person if applicant is an organisation*

Suitable Operator Reference Number”

 

Business name including trading name (“if an organisation)

ABN/ACN (“if an organisation)

 

Residential or registered business address (not a post office box)*

|

Phone*

 

Postal address (if same as above, state “AS ABOVE”)*

Facsimile

 

Email*

C1 siIndicate if you want to receive
correspondence via email

 

Signature*

 

 

Date”

 

 

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Attachment 2

Application form
Development application Form 1 - Application details—attachment for an
application for an environmental authority

List of locations where the ERA(s) will be carried out.

Where there is more than one location list all locations and which ERA(s) will be conducted at each location.

 

Number* | Street Name*
14-16 | Action Street

 

Suburb/Town*
Noosaville

Postcode*
4566

 

 

Real Property Description*

 

Specific area within the location ie GPS or other descriptor (“if

 

ERA/s*

Culture of marine
and freshwater
microalgae in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lot 290 Plan MCH811938_ | @PPlicable e.g. dredging) cloned syste
Withing existing building structure bioreactors.

Number* | Street Name* Suburb/Town* Postcode* ERA/s*

Real Property Description* Specific area within the location ie GPS or other descriptor (*if

Lot Plan applicable e.g. dredging)

Number" | Street Name* Suburb/Town* Postcode* ERA/s*

Real Property Description* Specific area within the location ie GPS or other descriptor (“if

Lot Plan applicable e.g. dredging)

Number* | Street Name* Suburb/Town* Postcode* ERA/s*

Real Property Description* Specific area within the location ie GPS or other descriptor (“if

Lot Plan applicable e.g. dredging)

Number* | Street Name” Suburb/Town* Postcode* ERA/s*

Real Property Description* Specific area within the location ie GPS or other descriptor (“if

Lot Plan applicable e.g. dredging)

Number* | Street Name* Suburb/Town* Postcode” ERA/s*

Real Property Description* Specific area within the location ie GPS or other descriptor (“if

Lot Plan applicable e.g. dredging)

Number* | Street Name Suburb/Town* Postcode” ERA/s*

Real Property Description* Specific area within the location ie GPS or other descriptor (“if

Lot Plan applicable e.g. dredging)

 

 

 

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Department of Environment and Science