OPW14/0170 - Application for Operational Works - Private Jetty - 31 Waterside Crt, Noosaville

Table K

Name of local government for the tidal area (if applicable)         Port authority for the tidal area (if applicable)



8.     Are there any existing easements on the premises?        (e.g. for vehicular access, electricity, overland flow,
       water etc)

o No        D      Yes-ensure   the type, location and dimension of each easement is included in the plans submitted

9.     Does the proposal   Include new building    work or operational    work on the premises?        (Including any
       services)

D     No    0 Yes-ensure        the nature, location and dimension of proposed works are included in plans submitted

10.    Is the payment of a portable long service leave levy applicable         to this application?   (Refer to notes at the
       end of this form for more information.)

o     ND--ilO to question 12       DYes

11.   Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
      information.)

D No
D     Yes-complete Table L and submit with this application the yellow local government/private         certifier's copy of the
      receipted QLeave form

Table L

Amount paid                                                     Date paid          QLeave project number (6 digit number
                                                                (dd/mmlyy)         starting w~h A, B, E, L or P)




12.   Has the local government agreed to apply a superseded          planning     scheme to this application     under
      section 96 of the Susfalnable Planning Act 20097

o No
D     Yes-please   provide details below

Name of locai government                        Date of written notice given      Reference number of written notice given
                                                by local government               by local government (if applicable)
                                                (dd/mm/yy)




                                                                                                 IDAS form I-Application de/ails
                                                                                                        Version3.0-/ July 2013