Agricultural Environmentally Relevant Activities - Agricultural Chemicals, Fertilisers

Approved Form Environmental Protection Act 1994

Agricultural Environmentally Relevant Activities – agricultural chemicals, fertilisers and soil conditioners application

The purpose of this form is to keep records for agricultural environmentally relevant activities (ERAs) in relation to agricultural chemicals, fertilisers and soil conditioners applied on agricultural properties in the Great Barrier Reef catchments: Wet Tropics, Burdekin Dry Tropics and Mackay Whitsundays catchments, under the Environmental Protection Act 1994 (the EP Act).

This approved form should be used to record the information below within 10 business days after undertaking the activity/event. References to the Environmental Protection Regulation 2008 (the EP Reg) are also made within this approved form. It is a requirement of the EP Act that this record be kept for at least five years, and be produced to an officer of the Department of Environment and Heritage Protection if requested.

Note: if records are kept in another manner that meets all the requirements of this approved form, you do not need to complete this approved form, and those records will be deemed to be an agricultural ERA record. However, all other record keeping requirements must be met, including the requirements to make the record within 10 business days after the activity/event has occurred, and to keep the record for at least five years.

Part 1: Property and contact details

Person responsible for the agricultural ERA

Company name (if applicable)

Property address

Postal address

Farm identification number (if applicable)

Name of person making record

Date of record

Part 2: Records for agricultural chemicals, fertilisers and soil conditioners application (Section 83(2)(a) of the EP Act)

Product trade name Method of application (Section 22F(b) of the EP Reg) Date of application

fertigation

of 7 • ESR/2016/2525 • Version 2.00 • Effective: 21 07 2016 ABN 46 640 294 485 Approved Form Agricultural Environmentally Relevant Activities – agricultural chemicals, fertilisers and soil conditioners application surface – broadcast

surface – banded

sub – surface

surface – broadcast and incorporated

surface – banded and incorporated

aerial

over canopy

under canopy/directed spray

shielded/hooded sprayer

spot spray application

band spraying

fertigation

surface – broadcast

surface – banded

sub – surface

aerial

over canopy

band spraying

fertigation

surface – banded

of 7 • ESR/2016/2525 • Version 2.00 • Effective: 21 07 2016 Department of Environment and Heritage Protection Approved Form Agricultural Environmentally Relevant Activities – agricultural chemicals, fertilisers and soil conditioners application sub – surface

aerial

over canopy

band spraying

fertigation

surface – banded

sub – surface

aerial

over canopy

band spraying

fertigation

surface – banded

sub – surface

of 7 • ESR/2016/2525 • Version 2.00 • Effective: 21 07 2016 Department of Environment and Heritage Protection Approved Form Agricultural Environmentally Relevant Activities – agricultural chemicals, fertilisers and soil conditioners application surface – banded and incorporated

aerial

over canopy

band spraying

fertigation

surface – banded

sub – surface

aerial

over canopy

band spraying

fertigation

surface – banded

sub – surface

aerial

of 7 • ESR/2016/2525 • Version 2.00 • Effective: 21 07 2016 Department of Environment and Heritage Protection Approved Form Agricultural Environmentally Relevant Activities – agricultural chemicals, fertilisers and soil conditioners application over canopy

band spraying

If you need to list additional products, please attach a list to this approved form, providing the same information as above.

Part 3: Calculation of optimum amounts (Section 83(2)(c) of the EP Act)

Calculated optimum rate of (Section 80(1) of the EP Act)

Part 4: Soil test reports (Section 83(2)(b) of the EP Act)

Name of person conducting experience or qualification (Section 81(2) of the EP Act)

Characteristics of the soil (description) (Section 81(1)(a) of the EP Act)

Part 5: Property boundaries (Section 22F of the EP Reg)

Please describe the boundaries of the following as maps or diagrams of the relevant agricultural property: (Note: maps or diagrams may be included in the space below, or attached to this approved form) 1. Crops or paddocks from which soil has been taken for testing; and

2. The areas to which fertilisers or soil conditioners have been applied.

of 7 • ESR/2016/2525 • Version 2.00 • Effective: 21 07 2016 Department of Environment and Heritage Protection Approved Form Agricultural Environmentally Relevant Activities – agricultural chemicals, fertilisers and soil conditioners application

of 7 • ESR/2016/2525 • Version 2.00 • Effective: 21 07 2016 Department of Environment and Heritage Protection