0015367E.001

INTEGRATED PLANNING ACT 1997                                                                                             Part A, Version 2.4, 29 May 2006   i
*       “Land owner’s consent (7 applicable)” |20. ‘Land owner's consent tothe making of this applicafon:
        Section 3:2.1(3} of the IPA prescribes that an .                                                            .                     |     Date     |
         written consent of the larid owner/s, if thé application                                                                                                   ’
         (i) amateriat change ofuse; ©    a      :        wee cee ce ene ee eee cece ee eee ec eee ecb eee eee cece ene eee nee wet         eceneccabeceeeeccceees  4
         (i) reconfiguration of alot; :                                                                                                                             a
         (ii) work on land below high-water mark & not within a {ii)                                                                                                 ‘
         *_ canal as defined under the Coastal Protection and. ne a                                                                                                  e
         ___ Management Act 1995;0r            :            5                                                                                                        ‘
        _ (iv) work on rail corridor land defined under.the (iii)                                                                                                    .
         Section 3.8.1(2)(a) of the IPA provides that fe],                                                                                                           |
         landowner’s consents not required for'amobite or “| | (iv)                                                                                                  .
         temporaryERA,                    TE     Jf       nen eee t ence e ence eee e ee denen een ep ene eee eee c eee c ere eeeeeee ern    eneceefenseeneeeencel   |
        For more information referto Guide tz... «fo       (v)                                                                                                       |
        " Resource entitleitient (if applicable)” "| 21. “Does this application involve a State resource prescribed under a regulation (other than involving .
        Section 3.2.1(5) of the IPA requires evidence of, =| quarry material on State coastal land under the Coastal Protection and Management Act 1995)? = =
         . fesource entiternent be given for applications that 2). wg        -     Fo,                         Eee        gS    GE             words
        . involve a préscribed State resource. 8       “& NO -gotoQ24        5   05     7%      [|] YES-gotoQ22           % Ba
        .. Section 3.2.1{10}a)(i) of the IPA prescribes thatan “|. Spe et ee                                                                aE
        “ean analettn ob pepetymato|22, This application is accompanied by evidence:                      ck appeable on) 2
         OR           ecg                       |.      “C) (@)  ofthe allocation of; or entitlement to, the resource - atiach evidence and go fo Q23(n)
        ” Refer to schedule 10 of the infegrated Planning (1 (ii) ‘the chief executive of the department administering the resource is satisfied the    |: -
        . Regulation 1998 that prescribes the nature of evidence] - *~" “development is consistent with      ation of. or entilem            TeSOUrce  =<
        “fequted by the Staton supportofihe lodging cf Bis | =  gevelopmert is consistent with an allocation of, or entitlement fo, the. resource       ‘90,
        we             SS                      OL        Didi) the chief executive of the department administering the resource is satisfied the:
        Ba                Te                         -           development application may. proceed in the absence of an allocation of, or
        a              me                             _    -     @ntitlement to, the resource =gotoQ23.    -
        “Advice for completing 023        ~    *- 123. Evidence of the resource entitlement:                   he
        . The information in (i) - (v} is mandatory if evidence is Pa   Be    ee  Se                 *         :           CHE          ,    5     ,    a
        "requiréd under G22) ori) above.”      «|;       «() «Resource entitlement / authority  details   _.._  _(vil) Official stamp of the department
        The official stamp of the Department of Natural :                                                        »   >  administering the resource (if   ”
        ‘. Resouces, Mines and Water is mandatory where the .  SOLS                           TI                            licable} te      wk.  ke    ut
        : application involves any water or riverine quarry - (ii). Name of delegated officer...         ks.
         cer 32(       owe a eu nnd                         Ld                                                                                              |
         Sectiori 3.2.1(5A) allows the fesource manager tolimit} —. :   _     _                -           —l
        - the time the evidence may be used. Q23 {vi} mustbe | fii sition of delenated   officer           we
         competed eewderca's retin.               |      (iii) « Position ee                   ae              -
              -                     ob                Ody     ae officer                        9  2                                                        |
                    ge                           LW) Date
@                                         nn)            (vi)   en    date of evidence eect              ee                 A
          Assessmenttriggers        .     ---~<-—-|24.._ Is the IDAS Assessment Checklist coffipleted and attached to this application?
         eeracrg at marae onemmnreen|                    DRIVES ©” NO tte                          sessment nna     ri   tise fo accents apotcaton on re.
          must be completed tor all other applications. fs,                            _       _9ROuNGS that the application has not been property made =
         Plans / drawings / reports                25.   Plansidrawings/reports accompanying this application:.       3
          An application stiguld be accompanied by detaits tof              .                                            :                  |
          spre pop       Brae te sssenen           |           Plan Drawing/Report Number            |               Tite                 |                  ate]
          manager, referral agencies and any person views                                                            :          .     A
         tha ap rican dug ible sortny or publi i me        ()    00809 LO1 HB                            Town Planning report including | 8 June.            :
          notification to understand tha scope of the proposal                                           Proposal Plans                       2007           .
         and any potential impact.                    La        nec eeeceeee e eee ence ee ee eee fee eee eee eee eee en ene becceneneeweeed:
         sng |      ue                        od        |  ii)
           rr                 ee                      sn)
          ee
          PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information required by Part A
                            and any other relevant part of Form 1.
                                                                                                                                                      EE
         OFFICE USE ONLY (applicable to assessment manager's
         FEO        475  -  00                            bb 2007       |S          es          Muerte Heo              | Stowers: 2007/
         | Peres!                     powenss DATES.           .            RECEIVING OFFICER’S |                          REFERENCE