<p> FPP No: …………. Coupe: …………. </p><p>EARTH SCIENCES AND CULTURAL HERTAGE Special values evaluation sheet for small FPPs of less than 10 ha</p><p>Does the proposed operation satisfy any of the “triggers” listed below?</p><p>The proposed operational area . . . Yes No</p><p>Contains landslides, or is wholly or partly defined as “Vulnerable land” in the FP regulations and implementation of standard Code and agreed guideline provisions (e.g. for streamside ☐ ☐ reserves, machinery exclusion zones and sinkholes) may not be practical, or Class 4 streams require specialist consultation as specified in the Guidelines for Protection of Class 4 Streams Is in (or contains) an area listed in the latest version of the Tasmanian Geoconservation Database (TGD) (but not the Central Plateau Terrain (ID 2684), the Central Highlands Cenozoic ☐ ☐ Glacial Area (ID 2953), or the Arthur Lineament (ID 2837) Contains caves or overhangs or significant cliffs (in any rock type) ☐ ☐ Includes an area requiring salvage harvest as defined on page 49 of the Forest Practices Code, for which procedures have not previously been agreed to ☐ ☐ Is a clearfell operation and contains moderate-high erodibility soils on steep slopes (>19) over more than 10% of the proposed harvest area ☐ ☐ Contains soils which do not fit published descriptions and are likely to have moderate to high or higher erodibility ☐ ☐ Contains an historic site listed in Conserve or an Aboriginal cultural heritage site listed in Conserve or the AH Register ☐ ☐ Contains a “new” historic site not listed in Conserve, or a “new” Aboriginal cultural heritage site not listed in Conserve or the AH Register ☐ ☐ Requires an Aboriginal cultural heritage survey as required by Table 2 of Procedures for managing Aboriginal Cultural Heritage when Preparing Forest Practices Plans ☐ ☐ Contains stream, soil, geological or cultural heritage features that are not readily categorised and for which you consider advice should be sought ☐ ☐</p><p>If you have ticked YES for any of the above statements a notification should be sent to the Manager, Earth Sciences and Cultural Heritage</p><p>HPRM D17/33387, Version 1.0, 31 January 2017 Earth Sciences and Cultural Heritage </p>