Community land Land Yes No Public land classified as community land under the Local Government Act 1993 Other areas Land Yes No Land identified on the authority as environmentally sensitive land Impact thresholds and criteria Provide details relating to the impact thresholds and criteria outlined below. These include cumulative impact thresholds from existing approved activities that have not yet been undertaken/rehabilitated to the satisfaction of the department. Explanatory notes are provided in Section 7.2 of to assist authority holders in completing these details. Note: An activity can only be assessed under the Complying Exploration Activity assessment pathway if all boxes have been ticked as and none of the impact thresholds and criteria have been exceeded. A previously ’no‘ approved/undertaken activity must be counted unless the department has acknowledged in writing that the area has been satisfactorily rehabilitated. All questions, tick boxes and values must be completed - even if the value is zero. Vegetation clearing Will cumulative vegetation clearing and/or removal of tree canopy exceed more than 1,000 square metres in any single hectare? (Note:Use a grid overlay of 1ha cells over the authority area for this calculation) Yes. Provide assessment of impacts by completing Question 15. No Clearing proposed m2 Clearing previously approved/undertaken m2 Total Clearing (existing and proposed) m2
Community land Land Yes No Public land classified as community land under the Local Government Act 1993 Other areas Land Yes No Land identified on the authority as environmentally sensitive land Impact thresholds and criteria Provide details relating to the impact thresholds and criteria outlined below. These include cumulative impact thresholds from existing approved activities that have not yet been undertaken/rehabilitated to the satisfaction of the department. Explanatory notes are provided in Section 7.2 of to assist authority holders in completing these details. Note: An activity can only be assessed under the Complying Exploration Activity assessment pathway if all boxes have been ticked as ’no‘ and none of the impact thresholds and criteria have been exceeded. A previously approved/undertaken activity must be counted unless the department has acknowledged in writing that the area has been satisfactorily rehabilitated. All questions, tick boxes and values must be completed - even if the value is zero. Vegetation clearing Will cumulative vegetation clearing and/or removal of tree canopy exceed more than 1,000 square metres in any single hectare? (Note:Use a grid overlay of 1ha cells over the authority area for this calculation) Yes. Provide assessment of impacts by completing Question 15. No Clearing proposed m2 Clearing previously approved/undertaken m2 Total Clearing (existing and proposed) m2
PUB17-652-DOI-Form-ESF4-Exploration-activities-application-v2.4_29-September-2017.docx