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Development Application part 1 of 2 Application Forms MCU11/0198

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                                                                         SCRC CORRESPONDENCE




                               Pla ba ode
                                    ce     rc        here


 THIS IS THE NEXT PART OF A
MULTIPLE PART RECORD,
                 Part 1                      Of a



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                             Integrated Development Assessment System form


Application Details - IDAS form 1
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)
                                                                                    q4
                                                                                             r%     I
You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all
necessary information and documentation will result in your application not being a properly made application.

For all development applications, you must:

•     complete this form (Application details - IDAS form 1)

•     complete any other forms relevant to your application

•     provide any mandatory supporting information identified on the forms as being required to accompany your
      application.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
Planning Regulation 2009.


Applicant details (note: the applicant is the person responsible for making the application and need not be the
owner of the land. The applicant is responsible for ensuring the information provided on all IDAS application forms is
correct. Any development permit or-preliminary approval that may be issued as a consequence of this application will
be issued to the applicant.)


Please note: If there is more than one applicant, provide additional applicant details by clicking the "Add another
applicant" button below.


Namels (individual or company name in full)                   Coral Homes cl- Suncoast Building Approvals


For companies, contact name                                   (John Hill

Postal address                                                PO Box 1064 Maroochydore OLD 4558


Contact phone number                                          5443 7288


Mobile number (non-mandatory)


Fax number (non-mandatory)                                    5443 8816

e-mail address (non-mandatory)                                [email protected]



1. What is the nature of development proposed? (tick all applicable boxes)


® material change of use of premises

® building work

[f operational work

F] reconfiguring a lot




    Department of Infrastructure and Planning                              QPlan                        Queensland
                                                                                                        Government

Page 3

FROM                                                                 -MON>SEP 26 2011      9:27/ST. 9:27/No.6951018860 P 2




       2. What type of approval Is being sought?


           development permit

       q   preliminary approval

       q   both - provide details below



       3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?


       ® No

       q      Yes - complete table A and then go to question 5




       4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)

       Table B - street addressAot for the premises or street address/lot on plan for the land adjoining or adjacent to the
       premises

                                                                                    Lot on plan
                       Street Address
                                                                                    description
                                                                                                        Local government area
                       Unit Street I      Street name and official        Post I       I Plan type I      (e.g. Logan,Cairns)
                       No. I No.           suburb/locality name           code Lot No. and plan no.

                                       Black Mountain Road
                  1I        1528                                                5       1 RP 227335 1 SCRC (Maroochy)
                                       BLACK MOUNTAIN
           Street address / lot on plan
           Street address / lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
           water e.g. jetty, pontoon)
       Table C - premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
       channel dredging in Moreton Bay)

                       Coordinates (note: place each set of
                       coordinates in a separate row)                         Zone                           Local government
                                                                                             Datum
                                                                            reference                        area (If applicable)
                        Easting j Northing        Latitude    Longitude

                                                                                        q GDA94
                                                                                        q WGS84
                  1
                                                                                        q other

       5. Total area of the promises on which the development is proposed (indicate hectares or m')

        2ha
       6. Current uses of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)



                El     Vacant



       17. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)


        New Dwelling




                                                                                                     Apphr'wton Deta)ls   IDAS form I
                                                                                                       Ver Sion 10 18 December 2009

Page 4

FROM                                                                  !MON)SEP 26 2011        9:28/ST. 9:27/No.6951C18860 P 3




           qqq
           8. Is owner's consent required for this application? (refer to notes at the end of this form for more information)


       }        No

                Yes - complete either table D, table E or table F as applicable



           9. Does the application invohre a state resource? (e.g. the application involves state land, or taking quarry
           materials. Refer to the notes at the end of this form for more information)

           1X No                            q Yes - complete table G



           10. Identify If any of the following apply to the premises (tick applicable box/es)


                   adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H

           q       on strategic port land under the Transport Infrastructure Act 1994 - complete table I

                   in a tidal water area - complete table J


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

           q No ® Yes - ensure the type, location and dimension of each easement is included in the plans submitted


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

           q No ® Yes - ensure the nature. location and dimensions of proposed works are included in plans submitted

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

           q No - Go to question 15                    ® Yes




                                                                                                                                   7
           14. Has the portable long service leave levy been paid (refer to notes at the end of this form for more
           information)


           ® No
                         complete table K and submit with this application the yellow local government/ private certifier's copy of
           q Yes -
                         the receipted QLeave Form



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


                No
           []   Yes - provide details below




                                                                                                       Application Derails IDAS form 1
                                                                                                         Vernon 1.0 18 December 2009

Page 5

                                                               MON)SEP 26 2011 9:28/ST. 9:27/No.695101886C F




qq D



16. List below all of the forms and supporting information that accompany this application (include all IDAS
forms; checklists, mandatory-supporting information-etc.-that-will-be-submitted as-part-of this-application: Note: this--
question does not apply for applications-made online using Smart eDA)

                                                                                                    Method of lodgement to
                                 Description of attachment or title of attachment
                                                                                                     assessment manager

               1    see attached                                                                    e-mail



17. Applicant's declaration

    ® By making this application, I declare that all information in this application is true and correct (note: it is
        unlawful to provide false or misleading information).


Notes for completing this form

Question 8:
•      Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required
       for an application. Section 260(1)(e) of the Sustainable Planning Act 2009 provides that if the owner's consent is
       required under section 263, then an application must contain, or be accompanied by, the written consent of the
       owner, or include a declaration by the applicant that the owner has given written consent to the making of the
       application.
•      Owner's consent is not required for a mobile and temporary ERA.

Question 9:
•      Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a state resource, a
       regulation may require the application to be supported by certain evidence prescribed under the regulation.
       Schedule 14 of the Sustainable Planning Regulation 2009 prescribes the state resources for which evidence is
       required to be given, and the evidence required, to support the application

Question 13:
•  The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portable
   long service leave levy is payable.
•  The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy
   are prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.

Question 14:
•  The portable long service leave levy need not be paid when the application is made, but the Building and
   Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
   permit is issued.
•  Building and Construction Industry Notification and Payment Forms are available from any Queensland post
   office or agency, on request from QLeave, or can be completed on the QLeave website at
   y   v,gleav_egd.gov, au. For further information contact QLeave on 1800 803 481 or www.gie v_e.gld.gov.au.

    Privacy -the information collected in this form will be used by the Department of Infrastructure and Planning (DIP) in
    accordance with the processing and assessment of your application. Your personal details will not be disclosed for a
    purpose outside of the IDAS process, except where required by legislation (including the Right to Information Act
    2009) or as required by Parliament. This information may be stored in a departmental database. The information
    collected will be retained as required by the Public Records Act 2002.


OFFICE USE ONLY


    Date received                                   Reference numbers
                    L




                                                                                                ApptlcaLon l)etaiis WAS form 1
                                                                                                  Version 1 0 18 f)ecernhel 2009

Page 6

      0
NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER


                                                    Council. I have been engaged as the private certifier for the
To:
                                                    building work referred to in this application.


Date of                                                                 BSA Certification       Building
                   Name
engagement                                                              license number          classificationls




QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)


                                                                               Date receipted

              Description of the work oLeave
                                             Project    Amount                 form sighted by Name of officer who
                                                                   Date ^^
                                      Number            paid (3)               assessment        sighted the form
                                                                               manager


          1


The Sustainable Planning Act 2009 (SPA) is administered by the Department of Infrastructure and Planning. This
form and all other required application materials should be sent to your assessment manager and any referral
agencies.




                                                                                         Application Dolalls --1b-As form 1
                                                                                           Vernon 10 18 December 2009

Page 7

cr22 doc
 3:0S                                                                ?UILDERS                                  Coral
                                                   BA 1 DA Authorities                                         Homes
                                                                                                               RUt; T ON 1 RUST
                                                                                                                 SIN"F INFO




        SITE ADDRESS:            Lot 5 Black Mountain Road, COOROY

        PLAN No.:                RP227335

        TO WHOM IT MAY CONCERN

        FAVId:Lsl;1iiA"

        The Registered Owner of the above site consents to the Owner and Applicant submitting a BA / DA for the
        property as noted above and to receive a permit to build on said property and have signed below.



        The Client and Registered Owner agree to the lodgement by Coral Homes of the BA / DA on our behalf to
        either a Private Certifier as nominated by Coral Homes or direct to Local Council.

        It is further agreed that should Coral Homes choose to lodge with a Private Certifier then such nominated
        Private Certifier is authorised to make amendments considered necessary.

        It is further agreed to give authority for an agent from the nominated Private Certifier to lodge and sign any
        council or state government forms necessary for submission for and on our behalf.

        It is further agreed for Coral Homes to receive all copies of the building approval. Coral Homes will then
        forward a copy to the Owner.


        Applicant's Name:        Coral Homes OLD Pty Ltd
        Address:                 36 Laver Drive, Robina, OLD, 4230



        Clients Name:            Philip Broad and Frances Broad, Aaron Lindsey and Aimee Lindsey
        Address:                 27 Leafhaven Drive, TEWANTIN QLD 4565


                                                           /VCS 1               f ! ,gRD/V ^iv^Si^C^j                     Q
        RanictPrr ri      /J^^^z/ -&ee '?n^O
                                                                                                               Please use
        Owner/s Name:                                                                                          block
        Address:              27           f°/ML,--.,j D rv^.7'^wAN>-1-N.^Lv. X565                             letters


                x               v N 11
                Signature     Applicant Builde

                                                                                                   10 /09/)
                                                           .Sign     ire of i nt                   Date

                                                          x                                        ► o /oq /I I
               Signature of Client                            Signature of Client


                            of Registered Owner                gnkture oJf Gegistered Owner        Date



                Signature of Registered Owner                 Signature of Registered Owner        Date

                                                                                                                      Page 1 of t
                                                                                                                Updated: 14102/08
  Authorised: KWO                                                                             Copyright Coral Homes Pty Ltd: 1999

Page 8

Material change of use assessable against a planning
scheme - IDAS form 5
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)

This form must be completed for development applications for a material change of use assessable against a
planning scheme.

You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all
necessary information and documentation will result in your application not being a properly made application.
For all development applications, you must:
•     complete Applicant details - IDAS form 1
•     complete any other forms relevant to your application
•     provide any mandatory supporting information identified on the forms as being required to accompany your
      application.


This form can also be used for development on strategic port land under the Transport Infrastructure Act 1994.


All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable Planning
Regulation 2009.


1. How is the premises identified / zoned in the applicable planning scheme? (if the premises involves
 multiple zones, clearly identify the relevant zone for each lot in a separate row in the below table) Non mandatory


                    Lot description
                                                                         Applicable zone / precinct         Applicable overlays
                    (i.e. street address or lot on plan details)

             1      Lot 5 RP 227335                                      Rural                              Landslide Hazard

2. How is the proposed use/s defined in the applicable planning scheme?


                                                    Planning scheme
                                                                                   No. of dwelling /   Days & hours         No. of
                    General explanation of          definition (include each
                                                                                   tenancy units       of operation         employees
                    the proposed use                definition in a new row)
                                                                                     if applicable)        if applicable)   (if applicable)
                                                    (non-mandatory)                (                   (

              1     New Dwelling                    House                           1                  n/a


3. What type of approval is being sought for the material change of use?


® development permit                      q preliminary approval                   q both - provide details below

4. Are there any current approvals associated with this application for the change of use of the premises? (e
g. a preliminary approval)

X No         q Yes - provide details below




    Department of Infrastructure and Planning                                                                          Queensland
                                                                                                                       Government`

Page 9

Ulm

5. Does the proposed use involve (tick applicable box/es)


the reuse of existing buildings on the premises            ® No q Yes

new building work on the premises                          q No ® Yes

the reuse of existing operational works on the premises    ® No q Yes

new operational work on the premises                       ® No q Yes



6. Confirm that the following mandatory supporting information accompanies this application

                                                                                      Confirmation of        Method of
All applications
                                                                                      lodgement              lodgement
a site plan drawn to scale (1:100, 1:200 or 1:500 are the recommended scales)
which shows the following:
•   the location and site area of the land to which the application relates
    (relevant land)
•   the north point
•   the boundaries of the relevant land
•   any road frontages of the relevant land, including the name of the road
•   the location and use of any existing or proposed buildings or structures on
    the relevant land (note: where extensive demolition or new buildings are
    proposed, two separate plans (an existing site plan and proposed site plan)
    may be appropriate)                                                                     confirmed
                                                                                                             mail
•   any existing or proposed easements on the relevant land and their function
•   the location and use of buildings on land adjoining the relevant land
•   all vehicle access points and any existing or proposed car parking areas on
    the relevant land. Car parking spaces for persons with disabilities and any
    service vehicle access and parking should be clearly marked.
•   for any new building on the relevant land, the location of refuse storage
•   the location of any proposed retaining walls on the relevant land and their
    height
•   the location of any proposed landscaping on the relevant land
•   the location of any stormwater detention on the relevant land


a statement about how the proposed development addresses the local
government's planning schemes and any other planning documents relevant to                  confirmed
the application

a statement about the intensity and scale of the proposed use (e.g. number of
employees, days and hours of operation, number of visitors, number of seats,                confirmed
capacity of storage area etc.)

information that states:
• the existing or proposed floor area, site cover, maximum number of storeys                confirmed
    and maximum height above natural ground level for existing or new buildings
    (e.g. information regarding existing buildings but not being reused)
•   the existing or proposed number of on-site car parking bays, type of vehicle
    cross-over (for non-residential uses) and vehicular servicing                q          not applicable
    arrangement (for non-residential uses)




                                                   Material change of use assessable against a 1pl^;ruuH,g scheme - IDAS form 5
                                                                                                   Version 1 0 18 December 2009

Page 10

ooq
                                                                                       Confirmation of       Method of
                                                                                       lodgement             lodgement

When the application involves the reuse of existing buildings


plans showing the size, location, existing floor area, existing site cover, existing   q    confirmed
maximum number of storeys, and existing maximum height above natural
ground level of the buildings to be reused                                                  not applicable


When the application involves new building work (including extensions)

elevations drawn to scale (1:100, 1:200 or 1:500 are the recommended scales)
which show plans of all building elevations and facades, clearly labelled to                confirmed
identify orientation (e.g. north elevation)
floor plans drawn to scale (1:50, 1:100 or 1:200 are the recommended scales)
which show the following:
•   the north point
•   the intended use of each area on the floor plan (for commercial, industrial or
    mixed use developments only)                                                             confirmed
•   the room layout (for residential development only) with all rooms clearly
    labelled
•   the existing and the proposed built form (for extensions only)
•   the gross floor area of each proposed floor area

plans showing the size, location, existing floor area, proposed site cover,                  confirmed
existing maximum number of storeys, and existing maximum height above
natural ground level of the buildings to be reused                                          not applicable


When the application involves the reuse of other existing works

plans showing the nature, location, number of on-site car parking bays, existing             confirmed
                                                                                        q
area of landscaping, existing type of vehicular cross-cover (non-residential
uses), and existing type of vehicular servicing arrangement (non-residential
uses) of the works to be reused                                                         ® not applicable

When the application involves new operational work

plans showing the nature, location, number of new on-site car parking bays,  q confirmed
proposed area of new landscaping, proposed type of new vehicle cross-cover
(non-residential uses), proposed maximum new vehicular servicing arrangement
(non-residential uses) of the proposed new operational works
                                                                             ® not applicable




Notes for completing this form:
•   This form can also be used for a material change of use assessable against the land use plan for Cairns airport
    land or Mackay airport land. Whenever a planning scheme is mentioned, take it to mean land use plan for the
    airport land.

Privacy - please refer to yiuuaasgs?;ment manager for further details on the use of information recorded in
this for                         t ^•^;nt'.




                                                     Material change of use assessable against a planning scheme - IDAS form 5
                                                                                                   Version 1.0 18 December 2009

Page 11

     qq
The Sustainable Planning Act 2009 is administered by the Department of Infrastructure and Planning. This form and
all other required application materials should be sent to your assessment manager and any referral agencies.




                                                Material change of use assessable against a planning scheme , IDA S form 5
                                                                                              Version 1.0 18 Decernher 2009

Page 12

Material Change of Use - IDAS Checklist Part 2
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)

This checklist only applies when the development application seeks approval for a material change of use of premises.
You are not required to complete this checklist as part of your development application, however you may submit the
checklist with your application if you wish. The purpose of the checklist is to assist you in identifying:
     •        whether you need to make a development application for the proposed development
     •        if a development application is required, the relevant IDAS forms you need to complete as part of your
              application, and
     •        whether you need to give a copy of your application to any referral agencies.
Before completing this checklist, it is recommended that you complete Development Assessment Checklist - IDAS
checklist part 1. If your development involves reconfiguring a lot or operational works, it is recommended that you also
complete Reconfiguring a lot - IDAS checklist 3 and Operational works - IDAS checklist 4, as applicable.
If you are unsure how to answer any questions on this checklist, phone or visit your local government, or go to the
Department of Infrastructure and Planning's website at www.dip.gld.gov.au

All terms used in this checklist have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
Planning Regulation 2009.


Part 1 - General questions

1.1 Is the proposed use assessable development under a State planning regulatory provision?


® No
I-1 Yes

1.2 Is the proposed use assessable development under the planning scheme?


                        If the proposed use is not assessable development under a State planning regulatory provision and
                        a planning scheme, go to question 1.17
J No
                        Continue on to question 1.3 if the proposed use is assessable under a State planning regulatory
                        provision, but not a planning scheme.

                       You must complete Material change of use assessable against a planning scheme - IDAS
® Yes                  form 5
                       Continue on to question 1.4

1.3 Is any partof the land partof a future state-controlled road or within 100 metres of a State-controlled road?


r® No
               •         If your application is assessable development under a planning scheme, the Department of
                         Transport and Main Roads is a concurrence agency for your application. You must give a copy of
 q Yes                   the application to the Department of Transport and Main Roads.
               •         It is recommended that you complete part 2 of this checklist


1.4 Does State Planning Policy 2/02: Planning and Managing Development Involving Acid Sulfate Soils apply to
the development?


    No
     Yes                 It is recommended that you complete part 3 of this checklist



    Department of Infrastructure and Planning                            QPlan                          Queensland
                                                                                                        Government

Page 13

1.5 Is any part of the premises located in a coastal management district?


   No

q Yes       •       It is recommended that you complete part 4 of this checklist



1.6 Is the size of the lot two hectares or larger?


q No

Z Yes               It is recommended that you complete part 5 of this checklist


1.7 Is any part of the premises in an area for which an area management advice has been given for unexploded
ordnance?

® No

                    You must complete Contaminated land - IDAS form 24.
                    This application requires assessment by the administering authority (either the chief executive
   Yes
                    administering the Environmental Protection Act 1994, or the local government) as a concurrence
                    agency.

Section reference:
        Sustainable Planning Regulation 2009, schedule 7, table 3, item 11

1.8 Is the proposed use of the premises listed in schedule 12 of the Sustainable Planning Regulation 2009 and
does it meet the specified threshold?


® No
                    This application requires assessment by the Department of Transport and Main Roads as a
q Yes
                    concurrence agency

Section reference:
•       Sustainable Planning Regulation 2009, schedule 7, table 3, item 14

1.9 Is the proposed use of the premises listed in schedule 13 of the Sustainable Planning Regulation 2009 and
does it meet the specified threshold?


 ® No
                    This application requires assessment by the Department of Transport and Main Roads as a
 q Yes
                    concurrence agency

Section reference:
•       Sustainable Planning Regulation 2009, schedule 7, table 3, item 15

 1.10 Is any part of the premises in an interim koala habitat protection area to which the provisions of the South
 East Queensland koala State planning regulatory provisions apply?

 ® No

 q Yes              It is recommended that you complete Part 6 (starting from question 6.1) of this checklist


 1.11 Is any part of the premises in a koala conservation area or koala sustainability area, which is located
 outside the current SEQ urban footprint area?


 ® No

    Yes             It is recommended that you complete Part 6 (starting from question 6.3) of this checklist




                                                                                   Material Change of Use - 1011S checklist 2
                                                                                             Version 1.0 18 December 2009

Page 14

1.12 Is the proposed use associated with a reconfiguration of a lot?


® No       •         It is recommended that you complete Part 7 of this checklist
q Yes

1.13 Is any part of the premises in a wild river area declared under the Wild Rivers Act 2005?


IN No
q Yes                It is recommended that you complete Part 8 of this checklist

1.14 Is the proposed use for a domestic housing activity?

q No                 It is recommended that you complete Part 9 of this checklist

® Yes

1.15 Does the use of the premises include a lot sharing a common boundary with a Queensland Heritage place
under the Queensland Heritage Act 1992?

® No
            •        This application requires assessment by the Department of Environment and Resource
q Yes                Management as an advice agency
            •        You must also complete Queensland Heritage Place - IDAS form 3


Section reference:
        Sustainable Planning Regulation 2009, schedule 7, table 3, item 23


1.16 Is preliminary approval sought for the application under the Sustainable Planning Act 2009, section 242?


® No
               •     This application requires assessment by the Department of Infrastructure and Planning as a
                     concurrence agency
q Yes
               •     You must complete Preliminary approval varying the effect of the local planning instrument --IDA S
                     form 31

Section reference:
•       Sustainable Planning Regulation 2009, schedule 7, table 3, item 24

1.17 Is the proposed use for a brothel as defined under the Prostitution Act 1999?


® No
q Yes                It is recommended that you complete Part 10 of this checklist


1.18 Is any part of the proposed use on strategic portland under the Transport Infrastructure Act 1994?


® No

q Yes                It is recommended that you complete Part 11 of this checklist


1.19 Is any part of the proposed use on airport land under the Airport Assets (Restructuring and Disposal Act
2008?

® No
q Yes           •    It is recommended that you complete Part 12 of this checklist


                                                                                     Matenai C/ ar'ye of Use - IDAS checklist 2
                                                                                               Version 1.0 18 December 2009

Page 15

       0
1.20 Is the proposed use a major hazard facility or possible major hazard facility under the Dangerous Goods
Safety Management Act 2001?


® No

                         This application requires assessment by the Department of Justice and Attorney-General (JAG). If
                         JAG is not your assessment manager for the application, the role of the agency will be as
q Yes
                         concurrence agency.
                         You must also complete Major hazard facility - IDAS form 22.

Section reference:
•            Sustainable Planning Regulation 2009, schedule 3, part 1, table 2, item 5
•            Sustainable Planning Regulation 2009, schedule 7, table 2, item 8

1.21 Is all or part of the premises on the environmental management register or contaminated land register
under the Environmental Protection Act 1994?


® No

       Yes      I•       It is recommended that you complete Part 13 of this checklist
             .......... _..............
1.22 Is all or part of the land forming the premises currently used for a notifiable activity or if there is no
existing use, was it last used for a notifiable activity?

    ® No
    q Yes                It is recommended that you complete Part 14 of this checklist

    1.23 Is all or part of the land forming the premises currently used for an industrial activity (other than for a
    mining activity or petroleum activity) or if there is no existing use, was it last used for an industrial activity
    (other than for a mining activity or petroleum activity)?

    Z No
    q Yes                It is recommended that you complete Part 15 of this checklist

    1.24 Is any part of the premises in an area for which an area management advice has been given for natural
    mineralisation or industrial activity (other than for a mining or petroleum activity)?


    ® No

    q Yes                 It is recommended that you complete Part 16 of this checklist


    1.25 Is the proposed use for aquaculture defined under the Fisheries Act 1994?

    ® No

    q Yes                 It is recommended that you complete Part 17 of this checklist


    1.26 Is any part of the premises in a wild river area declared under the Wild Rivers Act 2005?


    ® No
    q Yes                 It is recommended that you complete Part 18 of this checklist


    1.27 Is any part of the premises within the South East Queensland designated region?


    fZ No
    q Yes                   It is recommended that you complete Part 19 of this checklist




                                                                                          Material Change of Use - 1^3AS c,heckJst 2
                                                                                                     Version 1.0 18 December 2009

Page 16

1.28 Is any part of the premises within the Far North Queensland (FNQ) designated region?


® No

q Yes            •     It is recommended that you complete Part 20 of this checklist



1.29 Is the proposal for urban purposes, as defined under the Sustainable Planning Regulation 2009?

q No

® Yes                It is recommended that you complete Part 21 of this checklist



1.30 Can the proposed use be performed without the removal, destruction or damage of marine plants under
the Fisheries Act 1994?


q No                 It is recommended that you complete Part 22 of this checklist

® Yes


1.31 Is any part of the premises within the Wide Bay Burnett (WBB) designated region?


® No

Iq Yes      I.       It is recommended that you complete Part 23 of this checklist


Part 5 - Vegetation clearing

5.1 Does the lot contain the following?


category A or B shown on a property map of assessable vegetation                       q Yes              Z No

if there is no property map of assessable vegetation for a lot, native vegetation
                                                                                       q                     No
shown as remnant vegetation on a regional ecosystem or remnant map.

         If no to both of the above then end of part of the checklist.

5.2 Is the application for a preliminary approval under section 242 of the Sustainable Planning Act 2009?


   No

             •        You must complete Clearing native vegetation --IDAS form 11
q Yes        •        This application requires assessment by the Department of Environment and Resource
                       Management as a concurrence agency

5.3 Is the application for a sole or community residence clearing only (as defined in Schedule 26 of the
Sustainable Planning Regulation 2009)?

®No
q Yes        •        End of part 5 of the checklist




                                                                                     Material Change of Use - IDAS checklist 2
                                                                                               Version 1.0 18 December 2009

Page 17

5.4 Will the application involve vegetation clearing that is operational works made assessable under schedule
3, part 1, table 4, item 1, of the Sustainable Planning Regulation 2009, other than operational work that is only
the clearing of regulated regrowth vegetation on freehold land, indigenous land or land the subject of a lease
issued under the Land Act 1994 for agricultural and grazing purposes?


I®No
                     You must complete Clearing native vegetation -IDAS form 11
Lives                This application requires assessment by the Department of Environment and Resource
                     Management as concurrence agency


i5.5 Will the application enable additional exempt operational work as defined in schedule 26 of the Sustainable
 Planning Regulation 2009, other than operational work that is only the clearing of regulated regrowth
,vegetation on freehold land, indigenous land, or land the subject of a lease issued under the Land Act 1994 for
,agricultural and grazing purposes?

J ®No

                     You must complete Clearing native vegetation -IDAS form 11
    Yes               This application requires assessment by the Department of Environment and Resource
                      Management as a concurrence agency

Section reference:
•         Sustainable Planning Regulation 2009, schedule 7, table 3, item 10



Part 7 - Easements and substations

7.1 Is, or will there be any part of any structure or work that is the natural and ordinary consequence of the use
located completely or partly in the easement?


® No          •       Go to question 7.4
    Yes

7.4 Is any part of the premises situated within 100 metres of a substation site under the Electricity Act 1994?


® No
              •       This aplication requires assessment by the entity responsible for the substation as an advice
LI Yes
                      agency


Section reference:
•       Sustainable Planning Regulation 2009, schedule 7, table 3, items 8, 9 and 16




                                                                                    Material Change: of Use - IDAS ,'h-  2
                                                                                              Version 1.0 18 December 2009

Page 18

Part 21 - Conservation estate

21.1 Is the proposed use on a lot situated in, or within 100 metres of, any of the following?

a protected area, forest reserve, critical habitat or area of major interest under the
                                                                                          ® No      q Yes
Nature Conservation Act 1992
a state forest or timber reserve under the Forestry Act 1959                                  No    q Yes
a marine park under the Marine Parks Act 2004                                             ® No      q Yes

a recreation area under the Recreation Area Management Act 2006                           ® No      q Yes
a world heritage area listed under the World Heritage Convention                          ® No      q Yes

Brisbane forest park under the Brisbane Forest Park Act 1977                              ® No      q Yes


        If you answered yes to any of the above, then this application needs to be referred to the Department of
        Environment and Resource Management as advice agency.

Section reference:
Sustainable Planning Regulation 2009, schedule 2, table 2, item 45

Privacy --please refer to the assessment manager for further details on the use of information recorded in
this checklist.

Disclaimer:

While the Department of Infrastructure and Planning (DIP) believes that the information contained on this checklist and
provided as part of this process will be of assistance to you, it is provided on the basis that you will not rely on the
information without first making your own enquiries regarding the interpretation and application of the applicable
legislation to your circumstances.


To the full extent permitted by law DIP expressly disclaims all liability (including but not limited to liability for negligence)
for errors or omissions of any kind or for any loss (including direct and indirect losses), damage or other consequence
which may arise from your reliance on this process and the information contained on this form.


OFFICE USE ONLY


 Date received                                            Reference numbers


The Sustainable Planning Act 2009 is administered by the Department of Infrastructure and Planning.




                                                                                         Material Chart, e of Use - IDAS chec„list 2
                                                                                                    Version 1.0 18 December 2009

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