Sch 7AForm of request to make minor amendment to permit

Schedule 7A—Form of request to make minor amendment to permit

Section 105B(2) of the Heritage Act 2017

Regulation 19A

Owner or government asset manager of registered place or registered object

If the applicant is not the owner or the government asset manager (or acting on behalf of the owner or government asset manager), details of the owner or government asset manager of the registered place or registered object:

3. Proposed amended works or activities

Permit number for which minor amendment is sought:

Type of permit to be amended

Description of proposed minor amendment to permit

Please ensure you describe how the amendments vary the issued permit and if the minor amendment application is in relation to an extension of the validity period of the permit, please state the length of the extension:

Reason for proposed minor amendment

Please state the reason and purpose for which the minor amendment to the permit is required:

Are the proposed works or activities to be carried out under the permit entirely on Crown land?

Who is the responsible authority or, if the responsible authority is not the municipal council, the municipal council for the registered place or registered object?

A Cultural Heritage Management Plan (CHMP) is a requirement of the Aboriginal Heritage Act 2006. It includes results of an assessment of the potential impact of a proposed activity on Aboriginal cultural heritage. It outlines measures to be taken before, during and after an activity in order to manage and protect Aboriginal cultural heritage in the activity area.

Is a CHMP required under the Aboriginal Heritage Act 2006 in relation to carrying out the proposed works or activities? *Yes/*No

Note: You can submit your application now and provide the approved CHMP later; however, a decision on your application cannot be made until you provide a copy of the CHMP. In accordance with section 52(3) of the Aboriginal Heritage Act 2006, a minor amendment to the permit cannot be issued under the Heritage Act 2017 for works or activities that are inconsistent with an approved CHMP.

*Approved—If the CHMP is approved, are any of the proposed works or activities inconsistent with the requirements of the approved CHMP? *Yes/*No

Please provide a statement describing how the proposed works or activities are consistent/inconsistent with the approved CHMP.

Please provide a statement describing how the proposed works or activities are consistent/inconsistent with any previously approved CHMP.