DEPARTMENT OF PLANNING, INDUSTRY AND ENVIRONMENT

Biodiversity Values Map Explanation Report application form for Councils

Use this form to apply for a Biodiversity Values Map Explanation Report (BVER) for land within your Local Government Area. A BVER provides a detailed map and description of all Biodiversity Values Map layers that apply to areas of land nominated in this application. Please complete all sections of this application form.

Section A – Application type

I wish to apply for a BVER on behalf of Council.

Note: Information provided to Council in a BVER is provided in confidence for internal use of Council and may only be disclosed to the owner of any land subject to this application. Information provided in the Explanation Report will be subject to the Privacy and Personal Information Protection Act 1998 and should not be used or disclosed to a party other than the verified land owner without the consent of the Department of Planning, Industry and Environment.

Section B – Council contact details

Note: Please add the name, contact details and ID for the nominated representative acting on behalf of Council.

Surname:
First name
Position/title
Local Government Area
Postal address:
Email:
Phone number:	Work:	Home:
Mobile:	Preferred Contact:

Section C – Reason for application

Note: To assist the Department’s reporting and development of potential future Biodiversity Values Mapping products, please provide the reason for this application.

Council requires a BVER for the land nominated below for the following purposes:

Section D – Landholding information

List any relevant DA numbers and all Lot and Deposited Plan (DP) numbers applicable to the land to be included in the BVER or you may provide a map clearly identifying the lot/DP numbers of the land to be included in the BVER.

Important: A copy of a Title Search Certificate for each lot described below must be provided with this application.

Development Application number
Property address
Suburb	State	Postcode
Lot number	Section number	DP number	Title Referefence number

A map clearly identifying the lot/DP numbers of the land to be included in the BVER is attached to this application.

☐	Yes	☐	No

Section E – Authorisation and signature

It is an offence to provide information in connection with a matter under Biodiversity Conservation Act 2016 that you know, or ought to reasonably know, is false and misleading in a material particular (see s13.10 Biodiversity Conservation Act 2016).

I am authorised by	Council to make this application.
Name:	Position
Signature of applicant	Date

Typing your name here constitutes a signature for the purposes of this form.

Checklist for submitting your application

☐ Complete all fields in this form.

☐ I have attached copies of Title Search Certificates for each lot described in this application.

☐ Optional: I have attached a map clearly identifying the bundary of the areas applicable to this application. The online Biodiversity Values Map viewer can be used to identify the land to be reviewed.

☐ Submit your application:

By email to map.review@environment.nsw.gov.au

In person at selected Department of Planning, Industry and Environment offices (Phone 02 6360 9000), or

By mail to:
NSW Department of Planning, Industry and Environment
Map Review Team
Locked Bag 6010
Orange NSW 2800

Information provided in this application form is collected for the purposes of providing BVER and/or for carrying out and administering the Biodiversity Map generally. The information may be shared with other government agencies if directly relevant. The supply of information is voluntary, but is necessary for the purposes of obtaining a BVER or Biodiversity Values Map Review.

To access or update your information please contact the Map Review team on 02 6360 9000, or for more details about our privacy obligations, please contact a Senior Governance Officer on 02 9995 6080 or visit Our commitment to privacy and security.