0015D13F.001

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            INTEGRATED PLANNING ACT 1997                            _                                                 IDAS Assessment Checklist, Version 20, 2 Aprit 2007.
            Contaminated land’              ,         17.  The application involves: (tick the applicable box/es}           .                                        .
            Applications involving material change of use       j               ‘               i                          j        -
           andi or reconfiguring a lot may tigger this         (i) reconfiguring a lot for which all of part of the premises are
            referral,                                                (a)  premises mentioned in the IPA, schedule 8, part 1, table 2 -
            For more information refer to Guide 5.                      e item 5, including the exemption otherwise provided for by paragraph (d);
            Unless you answered “none of the above” to                  e item 6, including the exemption otherwise provided for by paragraph (e); or -
            Q17, the application requires assessment by the             ¢ item 7, including the exemption otherwise provided for a mining activity or petroleum
            Envwonmental Protection Agency (EPA). If an                   activity:
           -agency other than EPA is the assessment                       activity, or       ;                                              ;
            manager for the application, EPA will be a               (b)  in an area for which an area management advice has been given for unexploded
            concurrence agency for the application in                     ordnance - complete Part N of Form 1
            relation to this matter.                            .            .                                                           .
                                                           LJ (ii)  a material change of use —
                                           .                         {a}  made assessable under the IPA, schedule 8, part 1, table 2, items 5 to 7; or
                                                                     (b)  assessable against the planning scheme and if all or part of the premises isin an area     -
                                                                          for which an area management advice has been given for unexploded ordnance -
                                                                          complete Part N of Form 1
                         oo                                     iii) none of the above                                                              .
            Electricity infrastructure               18.   The application involves: (tick the applicable box/es)
           For more information refer to schedule 2of the IP. [1 (i) reconfiguring a lot where any part of the lot is -
            voce y y ou answered “none of the above” to              * subject to an easement in favour of a distribution entity or transmission entity under the @
            18, the application triggers referral to the               Electricity Act 1994 and the easement is for a transmission grid or supply network under
            agency to which the easementis granted in                  that Act; or                     .
            favour of as advice agency.                              « situated within 100m of a substation site;
                                                           [1] (ii)  a material change of use, assessable against a planning       scheme and not associated
                                                                      !                       J                 g                g
                                                                    with reconfiguring a lot if -                                                   :
            .                                                        * any part of the premises is subject to an easement in favour of a distribution entity or
                                                                       transmission entity under the Electricity Act 1994 and the easement is for a transmission
                                                                       grid or supply network under that Act; and    -
                                                                     * any structure or work that is the natura! and ordinary consequence of the use is, or will be,
                .                                       -              located wholly or partly in the easement:                                                           ‘
                        .                                  (J (iii) a material change of use, assessable against a planning scheme and not associated
                                                   .                                .                           9         .   +  g     +
                                                                    with reconfiguring a lot if any part of the premises is. situated within 100m of a substation
                                                                   site;                                                                  ;
’                                                          (1 (iv)  operational work that is filling or excavation assessable against the planning scheme,
                                                                    not associated with reconfiguring a lot, if -                                |
                                                                    + any part of the premises is subject to an easement in favour of a distribution entity or
                 :                                                     transmission entity under the Electricity Act 1994 and the work is located wholly or partly in
 .                                                                     the easement;                                                  .
                                                               /    « the work is located wholly or partly within 10m of a substation site:      ;                ©
                                                               {v)  none of the above.
           Land designated for community             19.  Does the application involve development assessable against the planning scheme and on land
           infrastructure                                 designated for community infrastructure?
.          Applications involving development on land       Ne                        .            A            Faye                                           ‘
           designated for community infrastructure may     (i) intended to be supplied by a public sector entity; and
           trigger this referral.                          (ii) on land not owned by or on behalf of the State; and
           For more information refer to schedule 2 of the  An                                                                                                 .           :
           IP Reculation,                                  (ili) other than development -
           if you answered “YES" to Q19, the application       (a)  for the designated purpose; or .
           requires assessment by the chief executive of                i                                  ;
           the department administering the Act authorising      )  carried out by, or on behalf of, the designator.                                                       |
           the development for the designated purpose.         NO                                                                                                          |
           tf an agency other than the designator is the -                                                                                                    ‘            i
           assessment manager for the application, the     O YES                                                                                                           |
           designating agency will be a concurrence                  .                                                                      .                              |
           agency for the application in relation to this
          matter.      .                                  .

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