Weed impacts to biodiversity site nomination form
CMA:
Administrative Contact
Name:
Email:
Phone:
Technical Contact
Name:
Email:
Phone:
High priority weeds present
(List all and select from attached list)
Biodiversity at risk (species, population,
communities) eg. Syzygium paniculatum,
Amorphospermum whitei
Site name eg. Berkley NR
Land tenure*
Land manager
Other major weeds present eg. Lantana
camara, Ligustrum sinense
Vegetation type eg. Moist Eucalypt forest
Site details (be as specific as possible)
eg. Southern end of reserve near x road
GPS Coordinates (lat/long or AMG or GDA please specify)
Biodiversity Value
(flora and fauna)
Approx. size of site (area in ha)
Listed? (under EPBC, TS
Acts, ROTAP) eg. Yes endangered under TS Act
( C ) Condition of
species/community
select one
Good
Fair
Poor
(V) Value of the site to
species survival
select one
High
Medium
Low
(T) Are weeds the primary
threat?
select one
Yes
Unsure
No
(U) Urgency for control
select one
High
Medium
Low
(F) Feasability of control
select one
High
Medium
Low
(O) Other features of
biodiversity eg. Threatened or rare
Potential impact of
weed control
spp., wildife corridor, breeding locality
Current management of the site
(yes/no), If yes give details including presence of
baseline data
Existing weed programs
Other positive or negative impacts of
weeds at the site eg. Cultural, heritage,
aesthetic
Other comments (including other threats at the
site)
* see next page for instructions on nominating sites on private land
Nominating sites on private land
Due to privacy issues associated with providing information on sites located on private
land, all persons wishing to nominate such sites are asked to adhere to the following
instructions.
Provide your contact details and complete the nomination form for the site. If you are
nominating more than one site establish code names for each site so they can be
identified at a later date, e.g. John Smith Site 1, John Smith Site 2 etc.
Do not include the landholders details, site specific details or GPS co-ordinates on the
nomination form.
All information provided on the site nomination form will remain strictly confidential and will
not be distributed to any other parties. Data collected from site nominations will be
destroyed once analysis is complete.
Once sites have been ranked a list of the high priority sites will be forwarded to the
relevant CMA. In cases where a site on private land receives funding for control, the
person who nominated the site will be asked to provide contact details of the landholder to
enable consultation with the landholder and facilitate implementation of the control
program.
Submission of this form
Email: moira.williams@environment.nsw.gov.au
Fax:
ATT: Moira Williams
9585 6401
Post:
Moira Williams
Pest Management Unit, Parks and Wildlife Division
NSW Department of Environment and Climate Change
PO Box 1967, Hurstville NSW 1481
Questions?
Contact Moira Williams on 02 9585 6837