DAForm1_AttachmenttoEA.01_signed

                                                                                                   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?*
      No          Go to Question 9.

      Yes         Has the proposal been referred to the Federal Department of Environment for formal assessment
                  and approval?
                      No → Go to Question 8.

                      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?
      No          Go to Question 8.

      Yes         I 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

                      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?*
      No          Go to Question 9.
                  What is the title and project name of the completed EIS?*


                     The EIS was completed for all activities that are the subject of this application.
                            The environmental risks or the way the activity/activities are proposed to be carried out
                         have not changed since the EIS was completed.
                            The environmental risks or the way the activity/activities are proposed to be carried out
                         have changed since the EIS was completed.
                     The EIS was not completed for all activities that are the subject of this application.
      Yes                   The environmental risks or the way the activity/activities are proposed to be carried out
                         have not changed since the EIS was completed.
                            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:
                      No

                                   I have attached the required supporting information.


Page 7 of 12 • ESR/2015/1791 • Version 8.00 • Last reviewed: 12 AUG 2021           Department of Environment and Science