09/1227 - Operational Works - Landscaping [As Published] · 142009.1227

1 .y

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, lake, canal)

 

 

_ Nameé of water body, watercourse or aquifer (if known) =<

 

 

| 1 Coral Sea

 

Table E Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
_Loton plan description for strategic portland . _» + & = # Port Authority for the lot
{1

Table F Complete if the premises are in tidal water

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of local government for the | tidal area (fapplicable) > f° Name of port authority for the tidal area a applicable) .
[1
3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)
Ls __* Total area of premises" —_
0.27 Cm? hectares (Tick applicable unit)
lExisting use of the premises «> a
4, — Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)
[4] Apartment Building and Retail Shops

 

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

&] No 0 Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application

 

     

 

 

 

 

 

 

   

 

 

[Proposal details eg cog eK RS KS co 2 a 7” oll
6. Brief description of the proposal (e.g. 6 unit apartment building, 30 lot residential subdivision, @ bore, aquaculture) ,
Refurbish landscaping to apartment building, new pool
7. Does the poposal include new buildings or operational work (including any services) on the premises?

| No &] Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
Resource entitlement (if srovided ip the advice section at the end of theform 2 3 ge ah FE
8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application

involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

&] No - Goto Q9 Oo Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable, Evidence of resource

allocation or entitlement must be submitted with the application. You do not need to answer Q9 - go fo the next section. e@

[Owner's consent (if appicabla) .- fudhor information is provided ip the advice section at the end of the form

 

9. Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coastal! Protection and Management Act 1995; or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable,

 

 

Pramises Owners namels | “Details of the premises owned...
and postal address _ (street address or fot on plan description). . +

 

“| -Date consent |

Table H was obtained |

Owner's signature

 

 

 

 

 

 

 

 

 

 

* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company, $127 of the Corporations Act 2001 (Cwealth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the IPA website .

 

‘Attachments and supporting information (Complete Table! - Use a separate row for ech type of attachment or information, including information required ~~
kinder this Part) Please ensure all documentation submitted with this forma, including other Parts of Form 1, or owner's consent, atc. are securely altached fo this Part of the Form. ~

 

 

 

 

“Description of attachment or information

 

   

 

‘Tile (fappicabiy® ~~~ | “|: Method of delivery to
Table | ie "dcabonerionet la, ewig wy (e.g, General. Auto. James as StootTralic Re Report} |” Date es assessment {manager
Kidd + Co Designers Dwg. 0219.WD 103 T3 Landscape Plan 08/1 072007 over the counter

 

 

2 Part E of Form 1 over the counter