DAForm1_AttachmenttoEA.01_signed

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

                      Yes

8.1 Coordinator-General’s conditions
  Are there CG’s conditions that relate to the ERA(s) being applied for?*
  ☐ No →          Go to Question 9.
  ☐ Yes →         Name of the CG’s evaluation report:



9. Assessment of the environmental impact
This question is not applicable if an EIS process under the State Development Act has been completed for all
the ERA(s) that are the subject of this application and the environmental risks of the activities and the way they
are proposed to be carried out has not changed since the EIS was completed.

You must attach to this application an assessment of the likely impact of each new ERA (whether from the DA
application or another new ERA you want included on the EA that does not require a DA) on environmental
values (*if applicable), including:
    • a description of the environmental values likely to be affected by each relevant activity
    •     details of any emissions or releases likely to be generated by each relevant activity
    •     a description of the risk and likely magnitude of impacts on the environmental values
    •     details of the management practices proposed to be implemented to prevent or minimise adverse impacts
    •     details of how the land the subject of the application will be rehabilitated after each relevant activity ceases
     I have attached an assessment of the environmental impact and specific supporting information.

10. Details of waste management
  Describe the proposed measures for minimising and managing waste generated by the activity/ies below *
  Refer to the attached supporting information




        I have attached the proposed measures.

11. Take effect date (when fees will commence being charged)
You may nominate when the EA will take effect should it be approved. The date the environmental authority
takes effect will be the date from which you can commence the activities as well as the date your annual fees
will commence to be charged (your anniversary date). Under section 200 of the EP Act, if a development permit
for a material change of use under the Planning Act 2016 or a State development area (SDA) approval is
required in order to carry out the ERA, the EA cannot take effect until the development permit or SDA approval
takes effect (known as taking effect pending development approval).




Page 8 of 12 • ESR/2015/1791 • Version 8.00 • Last reviewed: 12 AUG 2021            Department of Environment and Science