Environmental offset provider expression of interest form

Required fields are marked with an asterisk (*).

1. Are you the owner of the property that is being registered? *

   You need to be the landholder of the property/lands in order to complete this form.

   • Yes
   • No

   Only a landholder may complete and submit this form.

2. Contact details

   1. 1. First name *
      2. Last name *
   2. 1. Email *
      2. Phone *
3. Property details

   1. Property address *
   2. Lot on Plan *
   3. Local government area (LGA) *
   4. What is the current land tenure? * (select an option)FreeholdLeaseholdTrusteeCouncil Conservation EstateOther Council ReserveOther
   5. Other type of land tenure * If 'other' selected above
4. Potential environmental offset site details

   Details about the land you would like to express interest in for delivering an environmental offset site.

   1. Are you registering the whole of your property or a part/parts of your property? *

      • Whole
      • Part/s
   3. What is the estimated size of the nominated property or part/parts of the property in hectares? * (select an option)1-10h10-50ha50-100ha100-500ha500-1000haOver 1000ha
   4. Offsets aim to improve the condition of the natural environment. Do you think there is potential to improve the health of the natural environment on your land? *

      • Yes
      • No
   5. Are there any land management activities being performed (or have been performed) on the proposed site/sites? *

      • Yes
      • No
   6. Which of the following land management activities being performed (or have been performed) on the proposed site/sites? *

      Select all that apply.

      • Carbon farming
      • Environmental Offsets
      • Special Wildlife Reserve, etc
      • Erosion control
      • Weed management
      • Direct seeding or planting of native species
      • Ecological burns
      • Feral animal control
      • Other
   7. Other land management activities * If 'other' selected above
   8. Which environmental values are present, or potentially present, at the proposed offset site? *

      Select all that apply.

      • Threatened native animal species
      • Threatened native plant species
      • Regional ecosystem
      • Waterways
      • Wetlands
      • Habitat corridors (connectivity)
      • South East Queensland koala habitat area
      • South East Queensland koala priority area
   9. Threatened native animal species * Please list the species present at the potential environmental offset site. Note: you can also use Wildlife Online(new window) to generate a species list.
   10. Threatened native plant species * Please list the species present at the potential environmental offset site. Note: you can also use Wildlife Online(new window) to generate a species list.
   11. Regional ecosystem * Please list the regional ecosystems that are present at the potential environmental offset site. Note: you can also use Environmental reports online(new window) to generate a report about the regional ecosystems at your site.
   12. Photos and maps of the nominated areas for potential offset delivery Add up to 5 PDFs and images (jpg, png, bmp, tif, png or gif format). Maximum file size is 10MB each. See Guide on taking photos of site features(new window) (PDF).
   13. Are you able to describe the land within 1km of the site being registered? *

       • Yes
       • No, unable to confirm
   14. Which of the following describe the land within 1km of the site being registered? *

       Select all that apply.

       • Appears to be mostly native bushland
       • Appears to be a combination of native bushland and cleared/agricultural land
       • There is a national park
       • There is a conservation park
       • There is a state forest
       • There is a local government bushland reserve
       • There is a State or Commonwealth marine park
       • There is a waterway, e.g. creek, river, dam
       • South East Queensland koala habitat restoration area
       • Other
   15. Other description * If 'other' selected above
5. Acknowledgement and declaration

   1. Acknowledgement *

      • I acknowledge that the following information will be publicly available on the list of potential environmental offset sites:

      • local government area in which the potential environmental site is located
      • the approximate size of the potential environmental offset site
      • the environmental values present, or potentially present, at the potential environmental offset site.
   2. Declaration *

      • I declare that the information provided is true and correct to the best of my knowledge.