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09/1682 - Multiple Housing Type 1 - Relative [As Published] · 132009.1682
INTEGRATED PLANNING ACT 1997 _ , “IDAS Assessment Checklist, Version 22
mental Protection Act 1994?
No - Go to.02.6 OyYes
‘yes, does one or more of the following apply?
(i) A suitability statement has been given and asite management plan has been approved for the. ClNo {LJ Yes
proposed use of the land, and the proposed use involves only the following - :
* the fit-out of a building on the land; or /
+ minor site excavation, including for example, post holes for open-sided non-habitable structures
.{ (i) There is currently a Rofifiablé activity on the land and the activity is continuing... -»... ..- 'LJNo O1Yes
5 {Is any part of the land forming ore premises on the Environmental Management Register or Contaminated Land 4 Register under the
ee Tey The proposed use is industrial'and only involves minor site excavation (9. post holes for operrsided EINo |C1Yes
. non-habitable structures) - . f
1 (iv) The'land is used for a mining activity,or petroleum activity CNo |L) Yes
If no to all (i) - (iv) above - (Complete Form 1, Part N) This application requires Sssessmenit by the Envronmeitél Protection Agency (EPA), IFEPA Js not | >
. the Assessment Manager for the application, the agency has lurisieton 6 as Concurrence Agency.
IPA. scbeckte 8, pert 1 able 215 [P Reston, schedua 2, table 2, tam 22
Is any part‘of the lafid forming he
me Rye WS ght PTY ne oe
No-Gotoa27. > Elves we Mees aot oes i. pes
- Hyes, ; does one or mor ‘he following’ apply?
(i) A suitability statemént, removing the land from the environmental Management register, has been CJ No }( Yes
given under the Environmental Protection Act t 1994 for the existing use, or if there i igno existing use,
. the last use, and the following both apply - > ad
* nonew notifiable activity has occurred on the land since the Suitability statement was issued;
‘s ‘the land.is Not.otherwise contaminated by a hazardous contaminant _
(ii), A suitability: statement has been ‘given anda site management plan has been approved for ie. » {EJ No |] Yes
ale pe d use of the land, Bnd: the pro) the following - vat .
i . ay ot
¢
a minor sie excavation, chi re “ost hols roped schon stivctiires ="
poe (i) The land i is used for a mining: activity or petroleum activity" ‘ Sf ‘ io No- a Yes
It no to all {i) ~ a) above - (Complete Form 1, Part ) This application requires, assessment by the Environmental, protection Agency (EPA). IFEPA is not
“ the Assossment Manager for the application, the agency has jurisdiction. as Concurrence ‘Agency. .
ae: aie X
Is any part of the premises curréntly used for an industria activity (other th ‘than for a mining activity or petroleum activity), or if there is no
aNo- use was it last used for an industrial activity (other than for a mining activity or petroleum activity)?
Go to 02.8 DYes
If yes, is the proposed use for child care, educational, recreational or residential purposes (including a caretaker residence on
industrial land)? :
e oO No oO Yes: (Citrplte Fon 1, Path) This application requires assessment by the Environmnentel Protection Agency (EPA). It it EPA i is
ee “ not the Assessment ‘Manager for the application, ithas jurisdic fiction as Concurrence Agency. “ es oss
fehie , ilemn 6; IP Regs . : ,
Reser
=DIGAND/AREAIMANAGEMED i
12.8 = of the premises in an area for Which an area a management advice has been given for natural mineralisation or industrial
actiyity. (other than for a mining activity or petroleum activity)?
No - Gotoazg C1 Yes
If yes, is the proposed use for child care, educational, recreational or residential purposes (including a carelaker residence on
industrial tand)?
ONo L1 Yes - (Complete Form 1, Part N) This application requires assessment by the Environmental Protection Agency (EPA). IEPA is
not the Assessment Manager for the apptication, the agency has jurisdiction as Concurrence Agency.
IPA, scheaite 8, part |, table 2, fom 7 IP Regataton, schodule 2. table 2 Jem 22.
Page 11
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