0015D13F.001

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 a        INTEGRATED PLANNING ACT 1997                                                                                   IDAS Assessment Checklist, Version 20, 2 Aprit 2007
          Acid sulfate soils                         5.    The application involves development on land situated in an identifiedS local government area
          For more information refer to Guide 10,          and where the surface of the land is: (tick applicable box)
          Unless you answered “none of the above" to Q5,   (J (i)  below 20m AHDS and the development will involve the excavation of 1000m?or more of
          the application requires assessment by                      F        .                        AHD                                                       .
          Department of Naturat Resources and Water                soil or sediment at or below 5m           , OF                                                      :
          (NRW).                                       ~   (2) (ii) at or betow 5m AHD and the development will involve filling the site with 1000m3 or more
          ff an agency other than NRW is the assessment            of materiat                                        :
          manager for the application, NRW is an advice-        {
          agency for the application in rélafion to this        iii} none of the above                                                                                        '
         matter.
          Major hazard facilities or possible        6.   Does the application involve a material change of use for a major hazard facility or possible
          major hazard facilities                         majoyhazard facility as defined under the Dangerous Goods Safety Management Act 2001?
     -    For more information refer to Guide 17.                0
          If you answered "YES" to Q6; the application
          requires assessment by the Department of      *  (YES - complete Patt of Form
          Emergency Services (DES).                                                                .
          {f an agency other than DES is the assessment
          manager for the application, DES is a                                                                                                                               ,
          concurrence agency for the application in
          relation to-this matter.                                                                                                                 .         .
          Water related development under the        |7.  The application involves:
         Water Act 20000                                   [J {i}  operational work, for taking or interfering with water under the Water Act 2000, that is:
©         For more information about items (a) — (f), refer        {tick applicable box/es)
         to Guide 15. For more information about item                        ’                               .         :           Co              .       oo       .
          (g), refer ta Guide 14 Does my application                OC] {a}  ina watercourse, lake or Spring, (eg. a pump, gravily diversion, stream re-direction, weir or
         involve assessment of a referable dam?        ,                     dam) - complete Part Kz, K3, Ks, Ks, or Ka of Form 1 whichever is applicable;
         Unless you answered “none of the above" to Q7,            [_] (b) for an artesian bore anywhere in the State, no matter what the use - complete Part
         the application requires assessment by the  :                                   :                         :                                                      :
         Department of. Natural Resources and Water                          K; of Form 1,                                .
         (NRW).                           ;                        [J (c)_  for a subartesian bore, in declared subartesian area’, or in acertain areacovered
        if an agency other than NRWis the assessment                         by a water resource plan, for use for purposes other than stock and/or domestic
         manager for the application, NRW is a                              use         fete Parl Ky of Form 1:              .
         concurrence agency for the application in          .      .             ~ complete  Pan Ky OF ror f,                                        /
         relation to this matter.                                  [_] (d)  for a subartesian bore, in certain declared subartesian areas, for use for stock
                      .                                                      and/or domestic purposes - complete Part Ky of Form 1;
                                                                   [J (e)   for taking overtand flow water in certain areas covered by a water resource plan
                                                                            — complete Part Ks of Form 1;                                     ;
                                                                   [_] (f}  for interfering with overland flow water in a drainage and embankment area -
                                                                            complete Part Kicof Form 1
                                                                   (J (g)   for constructing a referable dam? or works that will increase the storage capacity
                                                                            of a referable dam by more than 10% - complete Part Ks of Form 1; or
                                                            wm     none of the above.
         Removal of quarry material froma           |8.   Does the application involve development for the removal of quarry material from a watercourse?
©       watercourse                                       requing an allocation notice under the Water Act 2000?
         For more information refer to Guide 16.               NO
         If you answered “YES" to Q8, the application
         requires assessment by the Department of         L_] YES - complete Parts Kr and G of Form 1                                            .
         Natural Resources and Water (NRW).
         If an agency ather than NRW is the assessment                                                                         .
         manager for the application, NRWisa
         concurrence agency for the application in                                                                                 .     ‘
     '   felation to this matter.                                                          :                                                      .
         Note: Part G of Form 1 is required to be
         completed as the activity of removing quarry —
         material from a watercourse is also an                                                                                              :
         Environmentally Relevant Activity (ERA).                                              .

        5 The identified tocal government areas are: Aurukun, Bowen, Brisbane, Broadsound, Bundaberg, Burdekin, Burke, Burnett, Caboolture, Cairns, Calliope, Caloundra, Cardwell, Carpentaria, Cook,
           Cooloota, Dounglas, Fitzroy, Gladstone, Gold Coast, Hervey Bay, Hinchinbrooke, Isis, Johnstone, Livingstone, Logan, Mackay, Maroochy, Maryborough, Mirium Vate, Momington, Noosa, Pine Rivers,
           Redcliffe, Redland, Rockhampton, Sarina, Thuringowa, Tiaro, Torres, Townsville, Whitsunday.
        6 Australian Height Datum (AHD).
        7  The declared ground water areas are listed in Guide 13 Development in a declared catchment area.
        8  Referabte dam is defined under the Water Act 2000.                         :
        9  Watercourse is defined in sch 10 of the IPA.                                       :
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