Application for Operational Works - W & S - OPW14/0145 (see REC12/0014)

Table K

Name of local government for the tidal area (if applicable)            Port authority for the tidal area (if applicable)




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

I:8J No      0      Yes-ensure    the type, location and dimension of each easement is included in the plans submitted


9.     Does the proposal     include    new building   work or operational   work on the premises?       (Including any
       services)

o No         I:8J   Yes-ensure    the nature, location and dimension of proposed works are included in plans submitted


10.    Is the payment of a portable long service        leave levy applicable    to this application?   (Refer to notes at the
       end of this form for more information.)

I:8J   NC>--9o to question 12          DYes

11.    Has the portable    long service    leave levy been paid? (Refer to notes at the end of this form for more
       information.)

o No
o Yes-eomplete Table L and submit with this application the yellow local government/private certifier's copy of the
       receipted QLeave form

Table L

Amount paid                                                        Date paid          QLeave project number (6 digit number
                                                                   (dd/mm/yy)         starting with A, S, E, L or P)




12.    Has the local government agreed to apply a superseded            planning    scheme to this application      under
       section 96 of the Sustainable Planning Act 2009?


I:8J No
o Yes-please provide details below
Name of local government                          Date of written notice given      Reference number of written notice given
                                                  by local government               by local government (if applicable)
                                                  (dd/mm/yy)




                                                                                                   IDAS form I-Application detaifs
                                                                                                          Version 3.0-1 July 2013