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11 Mimosa Street Application pdf
Attached to the e-mail Operational Works Application OPW21/0026 - 11 Mimosa St, Peregian Beach.
eS OO eee CIL Standard Vehicle Crossover Application
fe
Section 75 Local Government Act (2009)
pacer to your property is from a Queensland Government controlled road, you will require approval from the
epartment of Transport and Main Roads to complete your crossover construction. Do not submit this application
A vehicle crossover can only be classified as self-assessable i i
he : ~ providing that it complies with all of the attached conditions
and the appropriate standard drawings — RS-049 and RS-050 (residential type) or RS-056, RS-056.1 (rural type)
, Ihisisa free service,
If you answer ‘no’ to any of the following condition requirements. or are constructing a crossover that is in an urban area
and not concrete or asphalt/bitumen, this application will not be self assessable and an Operational Works approval is
required. D 38 tails is required to be submitted.
Surname Given Names ™MELONY
Postal Address 2».
Suburb CLAN State LD Postcode “OL
Business Phone A/H Phone Mobile O4 270295 9 at
Email Address wv.c\onu. = Fax
Street Address || VV. OSA ST.
Suburb PEREMIAN BEAC H State © WW Postcode 4S 73
Property Number (from Rates Notice) (409 130 LotandRP 434 RP 9Ri4F
3. Type of crossover to be constructed
(% Urban residential crossover (removal/alieration of kerb) — must be constructed as per standard drawing RS-049 and )
RS-050
ps
| C1 Rural crossover (pipe crossing) — must be constructed as per siandard drawing RS-056 (Asphali/gravel surface)
Ce rd alm lL Ay
Is the crossover to be constructed from concrete (includes plain, coloured or exposed aggregate concrete) we ;
asphalt or bitumen? Stenciled or raised edges, painted/ sealed surfaces are considered as Non Standard. Yes D No
Is this going to be the only crossover for this property? W Yes O No
Is the crossover access located so as to provide a clear view of passing pedestrians and vehicles? WZ Yes CNo
Is the crossover in a location where there are no painted or concrete traific islands on the read in
front of the crossover? Yes G No
\s the crossover at least 1.0 metre clear of the nearest stormwater pit or power pole? ives ONo
Is the crossover in a location where there are no road signs or trees in the way? Wes ONo
Is the crossover in a location where its construction will not disturb a survey mark? W Yes ONo
is the crossover in a location where there are no water meters, fire hydrants or valves in the path
of the crossover? ves O No
Is the crossover in a location where it will not cover the water supply pipe between the main and
the meter?. WyYes No
Is the crossover in a location where there are no sewerage or stormwater manholes in the path
of the crossover? yes OONo
Will the crossover !evels match the existing concrete footpaths (if present)? ves O No
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Page 2
4 Cont. Checklist for works Is the crossover outside of a prohibited location as shown in Standard Drawings number RS-049 and RS-050 or for rural crossover Standard Drawing number RS-056? “ves ONo Is the crossover in a location where it will not be within 10 metre of the approach side of a bus stop? ¥ Yes gy ee Is the crossover in a location where it will not be built over a council easement? v Yes 0 No Will the crossover be constructed in accordance with ihe appropriate Standard Drawings — RS-049 and RS-050 or RS-056, RS-056.1 (including levels and grades)? . ves O No For a residential crossover is it under 25 metres in length within the road reserve? od Yes O No . For a rural crossover is it under 45 metres in length within the road reserve? Ana C Yes O No If you are on a corner, will the crossover be constructed in the road described in your street address? Via CO Yes GO No Note: If you have answered ‘ NO ‘to any of the above condition requirements, the application will not be self-assessable and an Operational Works approval is required. 5. Declaration of applicant IMWe have read, understood and hereby agree to comply with the attached conditions MWe understand that the construction of a crossover is the responsibility of the property owner. (We understand that the construction of the crossover is at the risk of the owner. \We understand that the removal and reinstatement of the impacted section of the kerb and channel is considered to be part of the construction of the crossover and therefore the responsibility of the property owner (We understand that if excavation is required Ave should contact “Dial Before You Dig" on 1100 IWe understand that any damage caused by my activity or damage not notified to council prior to commencing work will be repaired at my expense. We understand that Noosa Shire Councii has the discretion to remove or modify any crossover not constructed or maintained to council's satisfaction or if a reasonable objection is raised by a public utility provider or others and that any such modification will be at my expense. We understand that if [Ave do not comply with the standard drawings, conditions and requirements, council may direct me to undertake modifications of the crossover at my expense. We understand that if I/we fail to comply with a direction from council regarding my crossover, council may attend to any modifications necessary to ensure compliance with its standard drawings. conditions and requirements at my expense \We agree to indemnify Noosa Shire Council against any claims in negligence or breach of contract relating to the crossover that I/we construct and maintain. \We understand where our crossover is required to be removed or modified by Noosa Shire Council or a public utility provider there is no expectation or requirement to reinstate the crossover as constructed but rather only to reinstate to a standard compliant with the standard drawings \AVe agree that if and when we sell the property, I/We will advise the new owner of the conditions described in this document. which will then apply to the new owner. | agree to maintain the vehicular crossover in a safe condition to the satisfaction of the Noosa Shire Council's Civil Works Services Manager. If l/we fail to do so or a reasonable objection to the crossover is raised by others, Council may issue a direction to bring the vehicular access into compliance with Council's standards. Should there be further non-compliance, penalties under section 75 of the Loca/ Government Act (2009) may apply MWe, the applicant, declare that the above information is correct in all respects, at the time of lodgment of this application with the Noosa Shire Council. Should any of the details given in relation to this application be changed in the future, the applicant shail advise the Noosa Shire Council in writing prior to any such change being implemented. Please print name Date GO. £430 Signature
Page 3
Site Diagram including proposed dimensions must be provided E xiching House | \\ Mimosa Sy. Very ten & . | OVAL Sm DF . _ At evlosi de Mimosa S treet Coe: on Deed OFFICE USE ONLY Application no. Amount paid Receipt no. Initial Date stamp Nil N/A Privacy Council will use any personal information provided for the intended purpose only and for remaining in coniac! with you. Council is authorised to collect this information in accordance with the Local Gevernmeni Act 2009 and other Local Government Acts Your personal information is only accessed by persons authorised to do so. Your personal information is dealt with in accordance with council's privacy policy