0015367E.001

a
           INTEGRATED PLANNING ACT 1997                                                                IOAS       frent Chackiis!, Version 20, 2 Apri 2007 '              INTEGRATED PLANNING ACT 19                                                                   (DAS Assessment Checdlst, Version 20, 2 Apri 2007
            ee                                                                         a                       .                                          :             State-controlled Toad matters“. .:|2.     The application involves: (tick epplcable boxes)
                                    Form 1 Development Application                                                                      Eh                :              cee         ee Se le eco,|                20 development on land contiguous to a Stats controled road and (or -                       .
                    ’       _                                                                                                                             :              the application tiggors retixra to the Dovarhnent {J (a) materia! change of use assessable against the planning schame;
                          ”                                                                                                                                             pepeversneneninrh ete elit                        LD (0) reconfiguring a fot unless -
                                                                           ssessm en                                                                      ‘              agnoy, utile in ofr circumstances DUR wil,              » the total number of lots is not increased; and
                                                                                                                                                          :              beaconcurence aN:                                       e the total number of lots abutting the State-controlied rnad is not increased;
                                                                                                                                                          ‘             Scherhte 20s IF Renan 02 ascil you                 (1 (0) operational work {not associated wih a material change af use assessable against the
                                                                                              .                                                           ‘              concurTunce egency rte apyiication,                    planning scheme or reconfiguring a lot mentioned in (b} above)-
                                                                           ec               Is                                                                               me                                                  ° associated with access to a State-controlled road; or
                                                                                                                                                               “4        TN                                                      + for filing or excavation; or
                                                                (Formerly the “Referrals Checklist”)                                             7        '   ,               Lf         Ne i              nt                    . involving the redirection or intensification of site stormwater from the land, through a
                                                                     eae eee                                                                        DY                            Me?                    .                         pipe with a cross-sectional area greater than 625 cm? that directs stormwater to a
           IMPORTANT NOTE FOR ALL APPLICANTS:                                                                                                             OIE             a       OR     BR     ee ot                              State-contolled road.
           1.  This chaddist was formerly referred to as the “Refemats Cheddis”. Some of the ‘Guides io using the [OAS Application Forms continua lo refer to Lhis document a3 the ain Se Bo yee                 (J (ii) development on land not contiguous to a State-controlled road and -
               *"Reterras Checklis!".. The name of this checklist was changed from 25 Juty 2005 to more accurately dascribe its function.                epee       On Ty,                                                 O(a) material change of use -
           2  So    a               eee                     a ergs Coke en ne cotah Cxsensiand Sie cots (2.9 Eaionmeni? mfaction’                        fee        a.     >          me AP. ge                                  « assessable against the local goverrsnent's planning scheme; and
          3.   Srnec                       ae                                  nn ney snvamnncdep                                                          F        So ae                        . . §                           . maroned i schedule & che P Feguiaton snc cxcesciag Uw Oreahoktn st by
               determing the assessment manager! for the application.                                                                                    nee              aire)       WUE              ti  ss
          4,   Theratom, tha completion of al questions In section 1 of this checkdist is mandstory for all applications {other than those requiring the completion of Parts A & 8 es ho: < wo.                           DD (b) reconfiguring a fot for a purpose mentioned in schedule 5 of the IP regulation
          5,   It's the responsibiity of the applicant to accurataly complete this cheodist                                                  f           te os       or.                 fe      | sg   es                       and exceeding the thresholds set by that schedule;
          6    Section 2 is mandatory only F the proposed davelopment Is located In any part of a wid river area dectarad under the Wild Rivers Act 2005. * ‘FE      3       co        ;          3         :              O(c) operational work (nol associated with 2 material change af usa assessable against the
          7.   (Depending on the nature of the application, an applicable Stain entity may be ether the assassment managar or an [DAS referral agency for the application, . i tok,   fhe:       a          /                    planning scheme ar reconfiguring a lot mentioned in (b) above}
          8    The assassmeni manager for the application wil rely on the information provided in this checkie] (as wei az any material lodged in support of the application} to identity ~ x        :      :                    » assessable     inst the focal        t's planni        - and
               any applicable referral agencies for the application in the Acknowledgement Notice. The assessment manager will also zely on Ihis information when idenlifying ifthe % fs      :     .       :                          *     2 against        OPE Tamer       ing scheme,
              application tiggers refarral coordination”.                                                                                            =f!      9                       i   -              “4                      * mentioned in schedule § of the IP Regutaion and exceeding the thresholds set by
          9. — Toassist you in answering lhe following quastions a series of guides ara available tree (rom the (PA website www. ipa. cid.gov.ay. Guide 25 explains the role of the (DAS Wepre                                    thal schedute.
              Assessment Checkiist In the IDAS applicalion process, and its relationship to the Form 1 development application.                           !     Seen                     tet tga            ‘      (1 (ii) _ none of the above
          10. Any other parts of Form f that this checkdis! requires to be completed a7e avatable trom the Council or the applicuble State entity, or can be dowrdonded frea from ' ee aa           aes         ees             -                         :                -                          _—_———_—
              www ipa. id.ov. oy.                                          /        —                  ;                                                  :             Clearing vegetation                   3.  The apptication involves: (tick applicable boxtss}
          11, Section 3 provides advice dbout the referrals [hal can be zequired for applications for budding work assessable agains! the Building Regutation 2008, : ‘  - For more formation refer Guid 12-9      Ct) material change of use ~
                                                                                                                                                                         Unless you answered "hone of the above" bo:                           :
                                                                                                                                                          }              the appkoaton require ansesament by be “           (a) assessable against the planning scheme,
         Sas                                                                                                                                              ‘              = Departentot Meal Resour Wa =                     {b} on alot containing -
            -         so            SECTION 1=STATE ASSESSMENT (completion mandatory):                                                                    1              Han agency othor than NRAWs the assessment             * acategory 1, 2 or 3 area shown on a property map of assessable vegetation; or
          Note: The following stale assessment biggers apply lo development other than for building work sssessahle against the Bullding Regutation 2008.90. 1          mare          ota, NAW Ba                               » if there is no property map of assessable vegetation for the lot - remnant vegetation;
                             ee        es                       a                                                                                         '              concurrance agency  epplicabon in vation           (c) where the existing use of the land Is a rural or environmental use; and
          Environmentally relevant activity .  1.  The application involves: (tick appicable bax/es)                                                      ‘              lo this mata.                    .                                ”
         * Few tore indormastion refor to Guide'd ~ "| 7 @) an environmentally relevant activity (ERA) for which a code for environmental comptiance      1              It You Scked C34) Gr (i; your appfcaSon requires!  {d) where the size of the land is 2 hactares ar larger - complete Pert J of Form 1
         Unis you crewed ane fie oe                       has not been made - complete Part G of Form 1                                                   '             _ acer vapotston coors   pound or hat      C1 (i)   reconfiguring a tot -
         “Seer aor                   FM            (1 @     amobile or temporary ERA for which a code of environmental compliance has not been            '                 :       Pot       ee         ET                (a) on alot containing a catagory 1, 2 or 3 area shown on a property map of
          ‘Hen ontly, offer than tha edministoring        made - complete Part G of Form 4                                                                                                     .      .                        assessable vegetation or, if there is no property map of assessable vegetation for
         ~ guthonty, & the assessinend manager forthe.::-| [X) (i) none of the above                                                                      '                        So                 be deat       :          the lol, remnant vegetation;
               ee mnie te arbi pneetin                                                                                                                                                  Coir   oes sear Bs                  (0) where the size of the lot before the reconfiguration is 2 hectares of targer;
         taiiemati                          .                                                                                                             '                            .               a                    (c) where 2 or more lots are created; and
         "at     epee      ching ERA $0 ander 29                                                                                                          !                            wo   do teak Bitte                   {d} where the size of any lot created is 25 hactares or smaller - compete Part J af Form 1
          sel also roqui    ion of          1                                                                                                                                                                          i
          “i    natal                offre                                                                                                                                 .                                        ) (ii)  operational work -
          A200 Brogden                                                                                                                                                        ;                     mem                     {a) for the clearing of native vegetation where the vegetation clearing is made
                                                                                                                                   Continied overteat     \              Coe,                                                   assessable under Schedule 8 of the IPA; and
                                                                                                                                                          '              °                                er                (b} not associated with a material change of use assessable against the planning
                                                                                                                                                          i                                                                     scheme mentioned in (7) or reconfiguring alot mentioned in (il) - completo Part J of
                                                                                                                                                          '               a                       .        .                   Form 1
                                                                                                                                                                                           ‘      “2 ")           88] dv) none of the above.
                  SN                                                        Ea         vin   WIE a Une o BSA              Taboo ploha                                   Svategic portland.            ~——~—«..4.  The application involves:                                  a
               PLEASE          : The assessment manager may refuse to accept an application, which, at the time of lodgement, fails to provide the        '             For more information refar to Guide 11.              elopment on strategic     land as defined i    Transport     infrastructure Act 1994 (TI
                                                    completed IDAS Assessment Checklist {if applicable).                                                  :              2 you Soko (i) the ralovant Port Authority & the OM ha     anton Siateaic pon      as defined in the Tra     infra                fr
          OFFICE USE ONLY (appicanle to assescmant manager)                                                                                               '              tT you bcfad (9) Quearsstand Transpod is a CO (a) a material change of usa that is faconsistent with the tand use plan approved under the
     [panenecewes                 [RE mm                                                                                                                                                                                          cena         mans omer
                                                                                                               .                                          ,                 .                                     EX) (il) none of the above
          1 The aesensmant manager i responsilie tor estensing and daciding an IDAS application. The assessmant manages for ot appicafon is proscribed in echadube BA of the IPA. !
          2 For additional iormazion refer © Guide 6 Doss my appization ingger the referret coordination process?"                                        ’                            ——                                                                                                             .
          3 The adminis  afurity’ maybe ether the Enorermnontl Protectan Agacry, the mdevan cal governed (ora devctoed ERA) or the Qunenated Depart cf Peary nkutice end ; 4 Land contiguous © a State-contoited mad is dafinadia echodute 14 of se [P Raguiaton to meen taad = if part of fie land is within 100m of the State-controiled rou, or that is pari of a Gture Stato
    r.      Fisherigs (Sor a dedagaied ERA).                                                                                                              '                controled road                                        -
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