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                                                                                                       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)?*

                 No       Go to Question 4.
      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*
  N/A                     Claude Batten Drive                   Noosa                             4567
  Real Property Description*                                    Specific area within the location ie GPS or other descriptor*
  Lot 114        Plan MCH839107                                 unallocated state land adjacent to the provided lot
  Port (*if applicable)                                         Project Name (*if applicable)
  N/A                                                           Noosa Spit Nourishment

5. Details of contaminated land
  Is there a site management plan in effect for contaminated land that relates to the land that is the subject of this
  application?*
      No        Go to Question 6.
                 Description of land*
                 Lot and plan number(s)                                                     Local Government Area*

      Yes        Lot                                     Plan
                 Lot                                     Plan
                 Lot                                     Plan
                 Lot                                     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.qld.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
  significance (MSES)?*
      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
                     activity; and
                  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
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