DAForm1_AttachmenttoEA.01_signed

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

Attachment 2
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*                  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)



  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)




Page 12 of 12 • ESR/2015/1791 • Version 8.00 • Last reviewed: 12 AUG 2021                 Department of Environment and Science