Development Application part 1 of 2 Application Forms MCU11/0198

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