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

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.

 

 

Page 5 of 12 * ESR/2015/1791 » Version 8.00 + Last reviewed: 12 AUG 2021 Department of Environment and Science