0015D13F.001

°            INTEGRATED PLANNING ACT 1997                                                                                          IDAS Assessment Checklist, Version 20, 2 Apr 2007
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                    AS                      Form         1   Development Application                                                                                        ort

                                                                               (Formerly the “Referrals Checklist”)
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            IMPORTANT NOTE FOR ALL APPLICANTS:
            1.    This checklist was formerty referred to as the “Referrals Checklist’. Some of the ‘Guides’ to using the IDAS Application Forms continue to refer to this document as the .
                  “Referrals Checklist. The name of this checklist was changed from 25 July 2005 to more accurately describe its function.                            .
            2.    Under the IPA and IDAS framework, an application may require assessment by the local Council and/or certain Queensland State entities (e.9. Environmental Protection
                  Agency, Dept. of Natural Resources and Water, Queensland Heritage Council etc.).
            3.   This checklist is provided to assist applicants to determine when an application requires assessment by a Queensland State entity and may also assist-the applicant to
                  determine the assessment manager for the application.                                                             .            .
  ©         4.    Therefore, the completion of all questions in section 1 of this checklist is mandatory for all applications (other than those requiring the completion of Parts A & B only).
            5. __ Itis the responsibility of the applicant to accurately complete this checklist.
            6. — Section 2 is mandatory only if the proposed development is located in any part of a wild river area declared under the Wild Rivers Act 2005.
            7. — Depending on the nature of the application, an applicable State entity may be either the assessment manager or an DAS referral agency for the application.
            8.    The assessment manager for the application will rely on the information provided in this checklist (as well as any material fodged in support of the application} to identify
                  any applicable referral agencies for the application in the Acknowledgement Notice. The assessment manager will also rely on this information when identifying if the
                  application triggers referral coordination?.
/           9.    Toassist you in answering the following questions a series of guides are available free from the IPA website www.ipa.qld.gov.ay. Guide 25 explains the role of the IDAS
                  Assessment Checklist in the [DAS application pracess, and its relationship to the Form 1 development application.
            10.   Any other parts of Form 1 that this checklist requires to be completed are available from the Council or the applicable State entity, or can be downloaded free from
     ,            www.ipa.qid.gov.au. -                                                                                    ’
            11.   Section 3 provides advice about the referrals that can be required for applications for building work assessable against the Building Regutation 2006.
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          |                                 SECTION 1 - STATE ASSESSMENT (completion mandatory)                                                           _  ,               a
          {Note: The following state assessment triggers apply.to development other than for building work assessable against the Buifding Regulation 2006,                    wast
            Environmentally relevant activity             1.   The application involves: (tick applicable bowes)
           For more information refer to Guide 4.             \L1 (i)    an environmentally relevant activity (ERA) for which a code for environmental compliance
           Untess you answered “none of the above” to 01,                has not been made - complete Part G of Form 1
           the application requires assessment by the                         —                                   .                    .                    .
           administering authority?.                              | {ii} a mobile or temporary ERA for which a code of environmental compliance has not been
  .        If an entity, other than the administering                    made - complete Part G of Form 1
           authority, Is the assessment manager for the — -         (iii) none of the above
           application, the administering authority is a                                                          ‘
           concurrence agency fir the gpptialion in relation
           to this maker. a,                          .                                                           :
           NotezAn  appipation involving ERE     ade 20                                                  ;
           wilfalQ seytiire compel  o Fa    PagF   uit,
           fot appiplal where atrallotation under Me  Wate
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                 f         *                         —_                                                                                                             Continued overleaf
                       43 JUL 2007,
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                 PLEASE       NOTE>~     The assessment manager may refuse to accept an application, which, at the time of Jodgement, fails to provide the
                                                                completed IDAS Assessment Checklist (if applicable).
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          OFFICE USE ONLY (applicable to assessment manager)
               DATE RECEIVED                        ,                      |    REFERENCE NUMBERIS

          1  The assessment manager is responsible for assessing and deciding an IDAS application. The assessment manager for an application is prescribed in schedule 8A of the IPA,
          2  For additional information refer to Guide 6 ‘Dees my application trigger the referral coordination process?",                                   ‘
          3  The ‘administering authority’ may be elther the Environmental Protection Agency, the retevant local government (for a devolved ERA) or the Queensland Department of Primary Industries and
             Fisheries (for adetegated ERA).
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