11 Mimosa Street Application pdf

 

eS OO eee CIL Standard Vehicle Crossover Application

 

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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

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| C1 Rural crossover (pipe crossing) — must be constructed as per siandard drawing RS-056 (Asphali/gravel surface)

 

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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