CNC Pre-clearance Survey Report

• Conducted on

  Date

• Prepared by

• Location
  Address

Site Requirements

• Is the area to be inspected clearly demarcated?

  Yes

  No

  N/A

• Are project signs, markers and or flagging is good condition?

  Yes

  No

  N/A

• Does the person conducting the inspection hold a current rehabilitation permit

  Yes

  No

  N/A

Watercourse/Drainage lines

• Are any water courses or drainage lines present?

  Yes

  No

  N/A

• Do any watercourses contain either standing or flowing water?

  Yes

  No

  N/A

• Have DAF notifications been sent?

  Yes

  No

  N/A

• Is a site specific ESCP in place?

  Yes

  No

  N/A

• Is the water flow significant?

  Yes

  No

  N/A

• Where water flows are significant or standing water level high, review the relevant ESCP and update controls where necessary.

  Yes

  No

  N/A

• Habitat tree with hollows located?

  Yes

  No

  N/A

• Dead stag with internal hollows located?

  Yes

  No

  N/A

• Termite mound with associated burrows or hollows present?

  Yes

  No

  N/A

• Cave or significant sheltered overhang located?

  Yes

  No

  N/A

• Aquatic habitat such as gilgai, billabong, standing of flowing creek line present?

  Yes

  No

  N/A

• Culverts present?

  Yes

  No

  N/A

• Rocky outcrop, boulders or slab formation located?

  Yes

  No

  N/A

• Ground burrows present?

  Yes

  No

  N/A

• Nests present?

  Yes

  No

  N/A

• Vegetation debris present?

  Yes

  No

  N/A

• Have all significant habitat features been flagged/marked for<br>identification during clearing?

  Yes

  No

  N/A

• Have habitat features that require translocation been identified?<br>(provide details)

  Yes

  No

  N/A

• Have fauna been relocated as part of this survey?

  Yes

  No

  N/A

Animal Breeding Places

• Has an clearly active breeding site been located

  Yes

  No

  N/A

• Are eggs, pregnant females or dependent offspring present?

  Yes

  No

  N/A

• Has a potential breeding site with signs of recent or sessional<br>occupation been located?

  Yes

  No

  N/A

• Has a roosting location with the potential for breeding to take place<br>been identified?

  Yes

  No

  N/A

• Are adult animals in a specific location preparing to or have made<br>perorations for breeding?

  Yes

  No

  N/A

• Number of active breeding sites been located?

  Yes

  No

  N/A

• Is the fauna involved a protected species?

  Yes

  No

  N/A

• Refer to the following species management plan for additional<br>controls.

  Yes

  No

  N/A

• Has the GPS locations of breeding sites been recorded for inclusion<br>in the register

  Yes

  No

  N/A

Vegetation

• Adjacent ground cover percentage

• Are there declared weed species present?

  Yes

  No

  N/A

• Is weed control required?

  Yes

  No

  N/A

• Have any new individual or groups of significant native species<br>been located?

  Yes

  No

  N/A

Preparedness to Perform Clearing

• Overall risk rating:

  Low

  Moderate

  High

• Is the risk at an acceptable level (Low/Medium) to proceed

  Yes

  No

  N/A

• Yes

  No

  N/A