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09/1512 - MCU - Transport Type 2 - Carpark [As Published]
INTEGRATED PLANNING ACT 1997 . Part N, Version 2.1,3 March 2008
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@ Develooment Applicatio 6 Fe)
Part N
Contaminated land
Nature of the application and con’
1. What is'the nature of the application and the nature of the contamination on the premises? (Tick applicable boxes)
Tagen
re Nature.of the applicatio
ae ne ae fare
EX] Material change ofuse |[_] (i) All or part of the premises is on the Environmental Management Register
LJ Reconfiguring a lot O fi) All or part of the premises is on the Contaminated Land Register
oO (ii} All or part of the premises is currently used for, or if there is no existing use, was last
used for -
(Ae) — a notifiable activity
(>) an industrial activity and the proposed use is for a child care centre,
educational, recreational or residential purpose {including a caretaker
residence on industrial land)
Oi In an area for which an ‘area management advice’ has been given for natural
mineralisation or industrial activity and the proposed use is for a child care centre,
educational, recreational or residential purpose (including a caretaker residence on
industrial land)
EG) In an area for which an ‘area management advice’ has been given for unexploded
ordnance
{Mandatory information
2. Confirm the following mandatory information accompanies this application.
* Confirmation of
... lodgement *
Confirmed
lodgement
(i) Plans showing where any notifiable activities, hazardous contaminant or potentially contaminated
activity has occurred on the premises
(i) If the application involves a material change of use from an industrial use to a more sensitive use (e.
g. child care, educational, recreational or residential purpose, including a caretaker residence on
industrial land), a detaited site history outlining previous potentially contaminated uses on the * .
premises DX] Not applicable
[_] Confirmed
OFFICE USE ONLY
Date Received Reference Numbers
(Advice for completing PartN -
x
General advice
+ Part A must also be completed for all IDAS development applications.
* — The applicant is responsible for answering all questions fully and correctly, unless following a response there is a statement to go directly to another
question.
+ For further information about completing this form go to -
. IDAS Guide 5 (Contaminated land matters)
. EPA contaminated land website.
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