Health, Safety and Environment HSEF0917.1 – Easement clearing environmental assessment and plan Page 1 of 4 (Wind Operations) Form variations to suit user, system / software constraints, legal requirements or corporate requirements are permissible, as long as the intent of the form is not compromised. PLAN: Date: Description: Rev: To be completed by the Contactor and reviewed by the HT Wind Operations contract manager or representative prior to signature by landowner (Note: each landowner requires a separate form). Transline name: Name: Location: Municipality: Landowner: Main Processor: Derby – Musselroe Tenure/s: Grid reference – line start: Grid reference – line end: If applicable for timber Address: Contractor: _ _ _ _ _ _E/ _ _ _ _ _ _N _ _ _ _ _ _E/ _ _ _ _ _ _N Ph: i.e. main harvesting/clearing contractor Current Regional Forest Agreement Forest Community and/or Land Use, Operation Prescriptions and Proposed Land Use Areas (ha): Forest Community Presc Ha Presc Ha Total e.g. Dry E. obliqua forest Total area of operation (ha): Parent Rock 1: Soil Desc 1: Stoniness 1: Erodibility Class 1: Total area to be cleared (ha): Total area to be harvested (ha): Parent Rock 2: Soil Desc 2: Stoniness 2: Erodibility Class 2: e.g. Mathinna Beds e.g. Brown clay loam e.g. Moderate e.g. Moderate Majority Slope (deg): Max Altitude (m): Site specific prescription/s beyond those normally in EP12a Vegetation Management Procedure and EG12a Vegetation Management Guideline are included in this Vegetation Clearing Plan for: Flora: Fauna: Geomorphology: Soil/Water: Minimum class of ground based equipment to be used: Length of road construction or upgrade (km): Cultural Heritage: – Dry weather: Landscape: – Wet weather: e.g. C1 Expected Timber Volumes (estimated cubic metres OR tonnes): – Sawlog: – Total Volume: Pulpwood: Is the operation within a town water or freshwater aquaculture facility catchment? Water Intake Code Number/s: Distance to Intake/s (km): River/s: Town/s: Known domestic water supply intake <2km? Has local government been consulted? Period to which plan applies: Estimated completion date: Plan prepared by: Emergency meeting point: Yes / No Yes / No Yes (describe via what method) From: Roading: To: Harvesting / clearing: Date Notice of Intent sent: Location: If applicable (see Attachment A, section f, EP12a) a copy of this page will be forwarded to the Tasmanian Forest Practices Authority upon completion of plan preparation: Post: 30 Patrick Street, Hobart, Tasmania 7000 or Email: info@fpa.tas.gov.au Date printed 12/02/2016 Health, Safety and Environment HSEF0917.1 – Easement clearing environmental assessment and plan (Wind Operations) Page 2 of 4 Form variations to suit user, system / software constraints, legal requirements or corporate requirements are permissible, as long as the intent of the form is not compromised. Details of work to be undertaken Note – all works are to be carried out in accordance with relevant Hydro Tasmania Environment and Sustainability Management System procedures and guidelines If works and maintenance near an existing/proposed transmission line: Span from Tower # To Tower # Location of site (please attach map): Brief description of work including intent of material disposal (please attach map): Clearing, site preparation, construction and rehabilitation Identified site conditions (Indicate and mark-up attached map if relevant) Location and Access: Yes No Yes No Yes No Yes No Yes No Work restricted to Tower base? Established tracks and/or acceptable access? If no identify proposed access route and management Vegetation type and density: Vegetation density: Low Med High Vegetation types: Eucalyptus Rainforest Scrub (e.g. wattle) Weeds Other Natural and cultural values Indicate and mark-up attached map if relevant If answer Yes to any of the following, identify management actions Flora Threatened vegetation communities present? Remnant vegetation patches or vegetation that provides significant fauna habitat present? Threatened flora species known sites OR potential habitat present? Are any Formal Reserves located adjacent to the works area? Phytophthora cinnamomi identified on site, or a potential issue? Are there declared weed species present in or adjacent to the works area? Fauna Threatened fauna species known sites OR potential habitat present? Geomorphology Are any significant landforms present within or adjacent to the area? Cultural heritage Are any Aboriginal heritage sites or artefacts present, or likely within or adjacent to area? Are any historic (European or other) heritage sites or artefacts present or likely within or adjacent to area? Date printed 12/02/2016 Health, Safety and Environment HSEF0917.1 – Easement clearing environmental assessment and plan (Wind Operations) Page 3 of 4 Form variations to suit user, system / software constraints, legal requirements or corporate requirements are permissible, as long as the intent of the form is not compromised. Landscape / visual effects Yes No Yes No Are there any landscape management actions developed during the transmission line design phase that are relevant to these works? Soils and water Has an erosion hazard been identified? Has a landslide hazard been identified? Is the works area within a town water or freshwater aquaculture supply catchment OR within 2km of a domestic water intake? Are any watercourses or drainage depressions present in or adjacent to the works area? If yes identify stream class/es (indicate ) and identify management actions for each stream class: Class 1 Class 2 Class 3 Class 4 Drainage depression Clearing management prescriptions Briefly detail any operational prescriptions and environmental management actions for identified aspects Refer also to actions contained in EP12a Vegetation Management - Clearing and Maintenance Procedure(Wind Operations) and EG12a Vegetation Management - Clearing and Maintenance Guideline (Wind Operations) and commitments contained within regulatory management plans, and specify details if necessary. Date printed 12/02/2016 Health, Safety and Environment HSEF0917.1 – Easement clearing environmental assessment and plan (Wind Operations) Page 4 of 4 Form variations to suit user, system / software constraints, legal requirements or corporate requirements are permissible, as long as the intent of the form is not compromised. Agreed Work (please attach map if relevant) Dates of Work Period: Hand clearing leave on site remove from site trim only & remove Herbicide treatment? From: Yes To: No Machinery Yes Dozer slash buster groomer tractor slasher chipper Note that machinery hygiene measures are compulsory in order to prevent the spread of Phytophthora cinnamomi and weeds. Acknowledgement of operational and environmental management actions and plan requirements (to be completed prior to operational commencement): Landowner Contractor Roaring 40s Representative Name Company Address Phone Signature Date Please complete this section at the completion of clearing or maintenance works: Note any additional details or variations to the original plan prescriptions: (e.g. additional streams located, weed or disease issue identified, status of veg cover) Acknowledgement of satisfactory completion of clearing and/or maintenance works: Landowner Contractor Roaring 40s Representative Name Signature Date Date printed 12/02/2016 No