DAForm1_AttachmenttoEA.01_signed

                                                                                                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.




Page 2 of 12 • ESR/2015/1791 • Version 8.00 • Last reviewed: 12 AUG 2021        Department of Environment and Science