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Australian Government Department of the Environment and Water Resources Supplementary Form C - • Threatened species & Ecological Communities • Migratory species • Listed marine species (use Form A for Cetaceans) Use /hIs supplementary form "you are applyIng for iI pennit to kill, injure, take, 'rade, keep or move ,,'isted $peeis' or ecological commullity, a listed migrBtory species, O( a Ust&d marine s pecies in a Commonwealth Area. You will a/so need to complete "The General Permit Application Form", If you are proposing to take or send specimens out of Australia it;s lik&ly that you will al so need 8n export penni(. Import parmlts may 8/$0 be necessary for 'aking specimens Info an overseas counll}'. For more information on Imports . nd 'KPorts contact the Wildlife Trade Assessments Sect/OIl on 02 6274 2880. Please note t hat it is a requlrtm,mt undersubseCflon 200(3' of /he Environment Protection and Biodiversity Conservation Act 1999 th at details of this application (whIch may incrude the applicant's name' be provided to persons or bodies reglstef&d with tM Departmenl of the Envlronmenland W aler under section 266A of the Act. and to whom notIce of applications is to be given, for l1Ie purpose of inviting submissions trom I1IOS9 persons or bodlas regarding penni! applications. ' -- . -'-- 1 Under which men(s) of the EPBe Acl are you applying lor this permit? It wi ll help you COllll l ete your apptication if)'QU know which Iisl in the EPBC Act the affected specieS/ecological oommunity appears on, Sear ch the at www. environmenlgov. a ufroi-binl spratlpublirJspral.P! Please note some species appear on more Ihan one list. For example the Green Tur lle ChelOnia mydas is a l isted threatened species, alisfed mi gralory species, and a {!Sled marine species. Sel ect all that apply Section 201 - Usled threatened species and ecologi cal communities r8J Section 216 - lisled migratory spocies D Section 256 - lis1ed marine speCi es 0 2 On the next page I lst detab of species or ecological oommlJnilies thai wiM be affected by Ihe action. Use the fol lowing oodes 10 en ler details in columns 3, 4 and 5. Co lumn 3 Consarvallon status of threatened sp&eies or ecological communities undar EPBC Act EW Exbrn:1 in the wild EX bUnel CE CliticaUyendangered EN Endangered YU Vulnerable CD Conserva1ion depeooellt Column 5 Type of effect DE Death IN Injury TR Trading TA Taking Keeping MO Moving PugcI ofl { 5 DeC" ]()f)5

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  • Australian Government

    Department of the Environment and Water Resources

    Supplementary Form C -

    • Threatened species & Ecological Communities

    • Migratory species

    • Listed marine species (use Form A for Cetaceans)

    Use /hIs supplementary form "you are applyIng for iI pennit to kill, injure, take, 'rade, keep or move ,,'isted $peeis' or ecological commullity, a listed migrBtory species, O( a Ust&d marine species in a Commonwealth Area. You will a/so need to complete "The General Permit Application Form",

    If you are proposing to take or send specimens out of Australia it;s lik&ly that you will also need 8n export penni(. Import parmlts may 8/$0 be necessary for 'aking specimens Info an overseas counll}'. For more information on Imports . nd 'KPorts contact the Wildlife Trade Assessments Sect/OIl on 02 6274 2880.

    Please note that it is a requlrtm,mt undersubseCflon 200(3' of /he Environment Protection and Biodiversity Conservation Act 1999 that details of this application (whIch may incrude the applicant's name' be provided to persons or bodies reglstef&d with tM Departmenl of the Envlronmenland Waler Resou~s under section 266A of the Act. and to whom notIce of applications is to be given, for l1Ie purpose of inviting submissions trom I1IOS9 persons or bodlas regarding penni! applications.

    '--. -'--1 Under which men(s) of the EPBe Acl are you applying lor this permit?

    It will help you COllll lete your apptication if)'QU know which Iisl in the EPBC Act the affected specieS/ecological oommunity appears on, Search the ~ sts at www.environmenlgov.aufroi-binlspratlpublirJspral.P! Please note some species appear on more Ihan one list. For example the Green Turlle ChelOnia mydas is a listed threatened species, alisfed migralory species, and a {!Sled marine species.

    Select all that apply

    Section 201 - Usled threatened species and ecological communities r8J Section 216 - lisled migratory spocies D

    Section 256 - lis1ed marine speCies 0 2 On the next page Ilst detab of species or ecological oommlJnilies thai wiM be affected by Ihe action.

    Use the following oodes 10 enler details in columns 3, 4 and 5.

    Column 3 Consarvallon status of threatened sp&eies or ecological communities undar EPBC Act EW Exbrn:1 in the wild EX bUnel CE CliticaUyendangered EN Endangered YU Vulnerable CD Conserva1ion depeooellt

    Column 5 Type of effect DE Death IN Injury TR Trading TA Taking K£ Keeping MO Moving

    PugcI ofl { 5 DeC" ]()f)5

  • DelaJs of species or ecoIogK::al communities that wi~ be affected by the action -

    Comman name ot Hstoo specfesfflcological oommuni!ies. bled Scic.ofl:if1C name ot species Conserva,ion Estimated number lila: wilt be ilftede

    CI Emerald dove Chalcophaps indica EN • Only addled eggs and KE CI Thrush Turdus po/ioccphalus EN

    abandoned nests and KE eggs will be collected if

    Cl frigatebird Frigata andrewsi VU possible 10 a maximum of KE 10 per species.

    CI Goshawk Accipiter fasciatus EN • For adult specimens - up KE Cl Hawkowt Ninox natalis VU to 30 dead specimens per KE

    year. No live specimens will be collected .

    Where !he project is of less than 1 1cm2 in siz.e, provice tha location as a single pair of lahlude arid longilude references. labtude and longitude referer.ces should be used instead of AMG andfor digital COOf'dinates.

    loca:ily: Chiistmas Island

    Latitude: 10

    Longitude 105

    loca!iiy: Cocos (Keeling) lstatlds between

    latitlide: 11

    latitude: 12

    Longitude 96

    longitude 96

    degrees' 25

    degrees: '3

    degrees: 49

    deglCes: 12

    degrees' 49

    desrees: 56

    mirllltes

    minutes

    rrJniJ,es

    minutes

    mint;les

    minutes

    seconds:

    seconds:

    seconds:

    seconds:

    seco:'lds:

    seco:'lds:

    Where th!! project area is greater than 1 km2, or any dimension is greater tllan 1 km, provide addi~iona\ coordinates to ertahle accurate identification ofll1e location of tile project alea.

    Pagt!la/l IS ~c 2O(Jj

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    - _ ._.

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    en 1::1 C ro en en o o o o

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  • 3 Provide an aUachment deSCl'ibi"9 me actioo addressing the foUo .... ing points.

    A The objectives and purposes of the acron; B. The equipment CInd methods used;

    4 Wnal are Ihe likely short and long tCfm impacts or the proposN action on ~es or lile eco;ogicll! community?

    There wiH be no short and long term impacts to the listed species or ihe ecological community they inhabit because no live samples wUt be collected during this study including adult birds or eggs. Only dead specimens will be collected along with abandoned nests and eggs.

    L--___ ___ _ ._ . _____ _ _ -'

    5 Describe the steps thai wH be taken to mimmrse impacts on the listed species/ecological community. including con(nger.cy plans in tile caS!! of ell't'!(IIS that may adllCfscly affect members of the speciesfe

  • 8 Are you applying on the basis Ihallhe action will coolribule s~9nifiC8nUy 10 the conseNalion of a ~sled speciesleco!oqical community?

    No DGotot2

    y~ (8) Go to next qllesrJon

    9 'Nhy do you bcUeve Ihalthc aclion will contribule signifiea1Uy to IhO COIlservalion of Ustcd speOes/er.oIogical communities, IislCld migratory species or h ied marine species?

    This research will provide an increased knowledge on , geographic variation, genetics, distribution and current status of these listed species within the eastern Indian Ocean Region. 1I will also help document the changes in distribution and status of many tropical bird species.

    10 'Nillthe proposed ac:ijon implement the recommendations of any recovery plan or wildlife conservation plan in 100ce for the species or ecological community that may be affected bV the actfOll?

    CommonW88l1h recovery plans that alt! in fcrc

  • 13 Why do you be~eve trlat the impact of the actior. will be Ir.cidenlal to ar.d IlOt the purpose of the actior.?

    14 Why do you beflO'Ie Illat Ihe laking 01 the actOn witt not adversely affect the: i. survival Of recovery in r.ature of the spacWs or ecological community? Ii. conservaCon Status of a listed species 01 ecological community?

    15 Ale you applying on the basis that Ille action is of paftiWlar significance to Indigenous 'fadlton?

    No il!) Go to 18 Yes [) Go to next quesliOf1

    16 Explain Why do you beUeve lhallhe proposed action will be of parlicular sigoilicance 10 indigenous Iradilioo?

    11 'MIy do you believe thai the pl'oposed action will flO! adversely affect the:

    i. survival or f OOOVcry in nature ollhe Ksted speaes or ecological community; or

    ii. conservation status of the fisted species or ecological community.

    18 Ale you applyiog on the basis thaI Ille adion is necess

    No ~ Conlfnue to P~yment Section

    Yes [) Go to next question

    Pa~e 6 0/7 Ij lkc1005

  • 19 Why do you believe \hallhe action is necessary for tI1c conlIol of pathogen(s)?

    20 Exptaifl how the action \'AQ be conducted in a way 10 minimise impacts on the species/communities affected.

    If you have answered NO to Questions 8, 12, 15 and 18, it is unlikely that a permit can be issued ond9r the EPeC Act.

    21 Fees

    The following fees apply:

    . permits relating to listed threatened species or ecological communities - $100

    - permits relating to listed migratory species -na

    • pennits relating 10 listed marine species - nil

    Please note thai exemption from fee payment may apply under circumstances as set out io EPBe Regulatioll18.04.

    22 Are you paying by credit card

    No [)Go'o23

    Yes ~ Complete the follQwing details

    Cald: Vis ..

    Carel number

    Bankcard MasterGarc

    Card holder's name as shown Of! card = ""-.----L Amount

    L_--1] r''O's s~oalu,?

    ___ __ ---1

    23 Attachments

    Indicate bctow which documents are attached.

    Description of proposed action See question 3 [g]

    Oescription of relevant research See qU9S,jon 6 18I

    Evidenc/l of approval of invasive tectl1liques See question 7 D

    Cheque for payment of fcc See question 21 0

    24 Declaration

    I declare thai the inJonnalion contained In this sopplementary form is COffee\ to the best of my knowledge.

    Signalure of applicant

    Name of person signing

    o,~

    16I7J2012

    Send this application and fee to:

    WddMe Trade Assessments Department of the Environment and Water Resources

    Auslra:lan Government

    GPO Box 787 CANBERRA ACT 2601

    Fax: 02 62741921 EmaU: [email protected]

    Pute 7 0f7 15 Dec ]005