application form protected plants harvesting licence · web viewnote that if harvesting whole...

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Application form Section 14(b) – Nature Conservation (Administration) Regulation 2017 RECEIPTING DETAILS ONLY DATE RECEIPTED RECEIPT NUMBER AMOUNT RECEIVED $ RECEIPTED BY (NAME AND OFFICE) Protected plant harvesting licence Important information for applicants Applications can be made using the Department of Environment and Science (DES) digital platform for online services and transactions. In some instances, online licences are granted straight away. Visit www.des.qld.gov.au/connect for more information. This form is to be used to apply for a protected plant harvesting licence. Information requested will enable your application to be processed as prescribed by the Nature Conservation Act 1992 (the Act). Your application must be assessed and a licence granted by the chief executive before you can proceed with the proposed activity. Your application may take up to 40 days to process. Before completing your application please read the information materials included with your application kit. Before lodging this application you should be familiar with the requirements of the Act available on the Office of the Queensland Parliamentary Counsel website http://www.legislation.qld.gov.au . If you have queries about how to complete this form correctly or need guidance contact the Department of Environment and Science (DES) Permits and licensing team on 1300 130 372 option 4. Terms and Conditions Permits, licences and authorities Queensland's native wildlife is protected by legislation that aims to conserve biodiversity by protecting native plants and animals and their habitat. All native birds, reptiles, mammals and amphibians are protected, along with some invertebrates (certain butterflies, spiders and scorpions), freshwater fish and the grey nurse shark. Other aquatic species are protected by the Department of Agriculture and Fisheries , the Great Barrier Reef Marine Park Authority and the Australian Government. A licensing system helps us protect native wildlife species. By regulating the sustainable taking, keeping, using or moving of wildlife for Page 1 of 12 • NCS/2016/3168 • Version 2.04 • Effective: 23 APRIL 2019 ABN 46 640 294 485

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Page 1: Application form Protected plants harvesting licence · Web viewNote that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed

Application formSection 14(b) – Nature Conservation (Administration) Regulation 2017

RECEIPTING DETAILS ONLYDATE RECEIPTED

RECEIPT NUMBER

AMOUNT RECEIVED

$RECEIPTED BY (NAME AND OFFICE)

Protected plant harvesting licence

Important information for applicantsApplications can be made using the Department of Environment and Science (DES) digital platform for online services and transactions. In some instances, online licences are granted straight away. Visit www.des.qld.gov.au/connect for more information.

This form is to be used to apply for a protected plant harvesting licence. Information requested will enable your application to be processed as prescribed by the Nature Conservation Act 1992 (the Act). Your application must be assessed and a licence granted by the chief executive before you can proceed with the proposed activity. Your application may take up to 40 days to process.

Before completing your application please read the information materials included with your application kit. Before lodging this application you should be familiar with the requirements of the Act available on the Office of the Queensland Parliamentary Counsel website http://www.legislation.qld.gov.au. If you have queries about how to complete this form correctly or need guidance contact the Department of Environment and Science (DES) Permits and licensing team on 1300 130 372 option 4.

Terms and ConditionsPermits, licences and authorities

Queensland's native wildlife is protected by legislation that aims to conserve biodiversity by protecting native plants and animals and their habitat. All native birds, reptiles, mammals and amphibians are protected, along with some invertebrates (certain butterflies, spiders and scorpions), freshwater fish and the grey nurse shark.

Other aquatic species are protected by the Department of Agriculture and Fisheries, the Great Barrier Reef Marine Park Authority and the Australian Government. A licensing system helps us protect native wildlife species. By regulating the sustainable taking, keeping, using or moving of wildlife for commercial, recreational or other purposes we contribute to the maintenance of viable wild populations of plants and animals. The type of approval(s) you will need depends upon a number of things, including:

The nature and purpose of your proposed activity;

The tenure of the area in which you intend to undertake your activity; and

The species of wildlife concerned.

Page 1 of 9 • NCS/2016/3168 • Version 2.04 • Effective: 23 APRIL 2019 ABN 46 640 294 485

Page 2: Application form Protected plants harvesting licence · Web viewNote that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed

Application formProtected plant harvesting licence

To apply for permits:

within the protected area estate (except nature refuges and special wildlife reserves) as defined in the Act (e.g. national park, national park [Aboriginal land], national park [Torres Strait Island land] etc); or

within a marine park under the Marine Parks Act 2004; or

within State forest estate under the Forestry Act 1959 (e.g. state forests and timber reserves) please contact the QPWS and Partnerships (QPWS&P) at [email protected]

Note: Corporations must have an office in Queensland to be eligible to apply for a wildlife authority. The Act and the subordinate Nature Conservation Regulations may be found on-line on the Office of Queensland Parliamentary Counsel website.

Your Privacy

Information you provide, assists DES in administering wildlife licences, permits and authorities granted under the Nature Conservation (Wildlife Management) Regulation 2006.

Some information may be provided to the Departments of Agriculture and Fisheries; Health; Queensland Police Service and the Australian Defence Force in order to investigate biosecurity or health issues or allegations of unlawful activity.

Some information, where relevant, may also be sent to non-government organisations such as the RSPCA Qld and the Queensland Wildlife Rehabilitation Council for the purpose of improving standards of native animal care.

Personal information in relation to your permit will not be disclosed to any other parties without your consent, unless authorised or required by law.

More information on our commitment to privacy is available on our website. For specific privacy information or enquiries please email [email protected] . For queries concerning wildlife activities, please email: [email protected]

1. You may only lodge this application if you have accepted the above terms and conditions

I accept the above terms and conditions.

2. All questions must be answered and the application fees included (if required) for the application to be processed. If you do not complete all questions and sign and date the application form, your application will be returned to you as an invalid application.

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Page 3: Application form Protected plants harvesting licence · Web viewNote that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed

Application formProtected plant harvesting licence

3. Applicant informationA wildlife authority may only be granted to an individual or corporation (only if the corporation has an office within Queensland). Please tick the appropriate box:

AN INDIVIDUAL Complete Section 4 applicant details — then complete sections 6 to 28

AN ORGANISATION Complete Section 5 applicant details — then complete sections 6 to 28

4. Applicant details for an individualTITLE *FIRST NAME MIDDLE NAME *SURNAME * DATE OF BIRTH

Mr Mrs Ms Miss Other

                       

5. Applicant details for an organisationOrganisation type –

Company Australian registered (foreign) body Incorporated association

Co-operative Government Non for profit organisation

*AUSTRALIAN BUSINESS NUMBER * BUSINESS NAME

           

CEO ABN

           

6. Applicant registered / residential address* RESIDENTIAL ADDRESS (NOT A POST OFFICE BOX) * SUBURB * STATE * POST CODE

                       (WRITE ‘AS ABOVE’’ IF SAME AS REGISTERED/RESIDENTIAL ADDRESS)

POSTAL ADDRESS SUBURB STATE POST CODE

                       

Page 3 of 9 • NCS/2016/3168 • Version 2.04 • Effective: 23 APRIL 2019 ABN 46 640 294 485

Page 4: Application form Protected plants harvesting licence · Web viewNote that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed

Application formProtected plant harvesting licence

7. Applicant contact details – email and phone contact is mandatoryEMAIL ADDRESS      

TICK THIS BOX IF YOU DO NOT CONSENT TO RECEIVING DEPARTMENTAL CORRESPONDENCE BY EMAIL

PHONE TYPE

Home phone Office phone

Mobile phone Facsimile

AREA CODE

     PHONE NUMBER (NOTE: 10 DIGITS INCLUDING AREA CODE)

     

8. Protected plant harvesting licence - Harvesting protected plants for trade Use this application type if you wish to harvest endangered, vulnerable, near threatened or special least concern protected plants or plant parts from the wild

Standard OR Contingent salvage only

9. Code of practiceI can comply with the codes of practice:

Code of practice for the harvest and use of protected plants.

10. Location of the activity Provide the exact locations where harvesting activities will occur or if locations are unknown select the broader locations of LGA, intinerant.

* PHYSICAL STREET ADDRESS (WRITE “AS ABOVE” IF SAME AS RESIDENTIAL /REGISTERED ADDRESS)

* SUBURB * STATE * POST CODE

                 *      

OR

* LOT# AS * PLAN#

           

OR

LOCAL GOVERNMENT AUTHORITIES

     

OR

GPS LOCATIONS

Latitude       Longitude      

Itinerant (State of Qld)

Page 4 of 9 • NCS/2016/3168 • Version 2.04 • Effective: 23 APRIL 2019 ABN 46 640 294 485

Page 5: Application form Protected plants harvesting licence · Web viewNote that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed

Application formProtected plant harvesting licence

11. Plant details (not required for contingent salvage – go to next section.) (If you require more space, attach a separate sheet of wildlife details)

COMMON NAME SCIENTIFIC NAME WILDLIFE STATUS

SELECT ONElive, dead, parts/products

PARTS/ PRODUCTS DESCRIPTION

QUANTITY UNIT

SELECT ONE%AcresGramsHectaresIndividualsKilogramsM2mililitres

                       

                       

                       

                       

                       

                       

                       

12. What is the purpose of the harvest?Standard harvesting only

Plant Parts: Sustainable harvest of protected plant parts

Whole Plants: Sustainable harvest of protected plants to be used as stock plants

Contingent salvage only

Whole Plants: Salvage of whole protected plants

13. Are protected plants to be used for trade?Requirements for trading in protected plants are listed under the Nature Conservation (Wildlife Management) Regulation 2006.

Under section 270 of the Nature Conservation (Wildlife Management) Regulation 2006, it is an offence to use a stock plant taken under a protected plant growing licence for trade.

Yes No

14. Wildlife keepingPlease enter enough sufficient details so department inspectors can locate the site where the wildlife will be kept.

REGISTERED ADDRESS

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Page 6: Application form Protected plants harvesting licence · Web viewNote that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed

Application formProtected plant harvesting licence

     

15. Tagging details, do you require tags?No

QUANTITY: POSTAL ADDRESS THE TAGS ARE GOING TO BE SENT TO: * POST CODE

Yes                  

16. Will you be using protected plant labelsProtected plant labels must include information stated in the code of practice. Information on the label will identify lawful harvest and trade of the plant. If you answer Yes to this question you must enclose sample copies of the labels you use.

Yes

No

17. Has a ‘sustainable harvest plan’ been prepared which includes spatial representation in accordance with the protected plants assessment guideline?A sustainable harvest plan is required for the harvest of all endangered, vulnerable, near threatened or special least concern plants.

Yes If you answer Yes to this question you must enclose the sustainable harvest plan and spatial representation.

No – If you answer No to this question you cannot continue with this Protected plant harvesting licence application as you do not have a sustainable harvest plan.

18. Does the activity involve harvest of product under the Forestry Act 1959? Yes. – Answer Question 19

No – Proceed to Question 20

19. Do you have a forestry permit or licence, sales permit, or other resource entitlement?Please note that an approval under the Forestry Act 1959 is required prior to the approval of a protected plants growing licence.

Note that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed in schedule 12 of the Code of Practice for native forest timber production on state lands, available through the Department of Agriculture and Fisheries (DAF) website.

Yes.

No - If you answer No to this question you cannot continue with this Protected plant harvesting licence application as this is a mandatory requirement

20. Is the applicant the landholder of the land? Yes. - Proceed to Question 22

Page 6 of 9 • NCS/2016/3168 • Version 2.04 • Effective: 23 APRIL 2019 ABN 46 640 294 485

Page 7: Application form Protected plants harvesting licence · Web viewNote that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed

Application formProtected plant harvesting licence

No – Answer Question 21

21. Does the applicant have benefit of an easement over the land this application relates to?If you are not the landholder and do not have the benefit of an easement, while operating under this authority on the land in question, you must carry a statement signed by the landholder that grants you access. This statement is available at: https://www.DES.qld.gov.au/licences-permits/plants-animals/documents/fm-landholder-statement.doc

Yes

No – I understand while operating under this authority on the land in question, I must carry a statement signed by the landholder that grants me access. A copy of the landholder statement must accompany this application.

22. Does the applicant relate to one of the following purposes?In accordance with section 157 of the Nature Conservation (Administration) Regulation 2017, reduced fees are available for particular applications.

An education purpose

A scientific research purpose

An activity directed at conservation

Clearing to establish necessary property infrastructure

A traditional owner activity

23. Is the applicant one of the following?In accordance with section 165 of the Nature Conservation (Administration) Regulation 2017, a fee exemption is available for particular applications.

A recreational plant society

A voluntary conservation organisation

A volunteer community organisation

24.Wildlife suitability During the past three (3) years, have you been convicted of: (a) an offence against the Act, or (b) an animal welfare offence under the Animal Care and Protection Act 2001, or (c) an offence relating to wildlife against another Act, or an offence, however described, equivalent to an offence mentioned under (a) or (b) in another state or country?

Yes – an assessment officer will contact you regarding this question

No

25.Person in chargeDetails of the person nominated to be in charge of the place(s) where the authorised activity is to be undertaken.

Same as applicant Alternate person in charge

Page 7 of 9 • NCS/2016/3168 • Version 2.04 • Effective: 23 APRIL 2019 ABN 46 640 294 485

Page 8: Application form Protected plants harvesting licence · Web viewNote that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed

Application formProtected plant harvesting licence

Person in charge identity detailsTITLE *FIRST NAME MIDDLE NAME *SURNAME * DATE OF BIRTH

                             

Registered / residential address* RESIDENTIAL ADDRESS (NOT A POST OFFICE BOX) * SUBURB * STATE * POST CODE

                       

(WRITE ‘AS ABOVE’’ IF SAME AS REGISTEREDRESIDENTIAL ADDRESS)

POSTAL ADDRESS SUBURB STATE POST CODE

                       

Person in charge contact details – email and phone contact is mandatoryEMAIL ADDRESS      

TICK THIS BOX IF YOU DO NOT CONSENT TO RECEIVING DEPARTMENTAL CORRESPONDENCE BY EMAIL

PHONE TYPE

Home phone Office phone

Mobile phone Facsimile

AREA CODE

     PHONE NUMBER: NOTE: 10 DIGITS (INCLULDING AREA CODE)

     

26.Application contact detailsAn alternative contact nominated by the legal entity which either has or will submit to be assessed by DES. All DES correspondence relating to the assessment of applications will be directed to the application contact, however, if the application results in the issuing of a relevant authority, the relevant authority will be sent to the customer contact or if nominated, the primary contact.

Same as applicant Alternate contact person

*NAME OR POSITION *PRIMARY PHONE. NOTE: 10 DIGITS (INCLULDING AREA CODE)

EMAIL ADDRESS SECONDARY PHONE

                       

Page 8 of 9 • NCS/2016/3168 • Version 2.04 • Effective: 23 APRIL 2019 ABN 46 640 294 485

Page 9: Application form Protected plants harvesting licence · Web viewNote that if harvesting whole sandlewood plants to be used as stock plants, applicants should follow techniques listed

Application formProtected plant harvesting licence

27.Applicant’s signature

APPLICANT’S NAME

     

APPLICANT’S SIGNATURE DATE

     

IF THE APPLICANT IS A CORPORATION, PLEASE INDICATE YOUR POSITION IN THE CORPORATION

     

28.Applicant checklistAll questions on application form completed,

signed and dated.

Fees enclosed – cheque or money order only

Tag fees enclosed – (if ordering) cheque or money order only

Supporting information attached

Please make all cheques or money orders payable to Department of Environment and Science

Please return your completed application kit to:

Permits and Licensing TeamDepartment of Environment and ScienceGPO Box 2454BrisbaneQueensland 4001

Enquiries: 1300 130 372 option 4Facsimile: (07) 3330 5875Email: [email protected]

A Schedule of fees information sheet and Code of practice may be obtained from the DES website http://www.des.qld.gov.au or by contacting the DES PALT on 1300 130 372 option 4.

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