08/0071 - Op Works - Driveway Access [As Published] · 142008.71

INTEGRATED PLANNING ACT 1997 (DAS Assessment Checklist, Version 21.0, 3 September 2007

 

 

CONTAMINATED LAND - REGISTERED LAND © 2°

3.6 | Is any part of the land forming the premises on the Environmental Management Register or Contaminated Land Register under the 4
Environmental Protection Act 1994?

Lino OYes

If yes, does one or more of the following apply?

 

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¢ — A suitability statement has been given and a site management plan has been approved for the C1No (1 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

¢ — There is currently a notifiable activity on the land and the activity is continuing [No (Yes

¢ — The proposed use is industrial and only involves minor site excavation (e.g. post holes for open-sided [.]}No (1 Yes
non-habitable structures)

If no to all - (Complete Form 1, Part N) This application requires assessment by the Environmental Protection Agency (EPA). If EPA is not the Assessment
Manager for the application, the agency has jurisdiction as Concurrence Agency.

IP Raguishon. sehestubs 2, table 2. Item 21(6).
CONTAMINATED LAND = NOTIFIABLE ACTIVITY...

3.7 __||Is any part of the land forming the premises carenty used for a notifiable activity, or if there i is no existing use was it last used fora
Notifiable activity?

DNo Yes
Ifyes, does one or more of the following apply?

¢ — A suitability statement, removing the land from the environmental management register, has been O No (1 Yes
given under the Environmental Protection Act 1994 for the existing use, or if there is no existing use,
the last use, and the following both apply -
* no new notifiable activity has occurred on the land since the suitability statement was issued;
+ _ the land is not otherwise contaminated by a hazardous contaminant

 

     

 

¢ — A suitability statement has been given and a site management plan has been approved for the CiNo (1 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

Ifo to both - (Complete Form 1, Part N) This application requires assessment by the Environmental Protection Agency (EPA). I EPA is not the
Assessment Manager for the application, the agency has jurisdiction as Concurrence Agency.
JP Regulation. schedule 2. table 2. item Z1{a}.

CONTAMINATED LAND.~ INDUSTRIAL’ ACTIVITY «

3.8 | Is any part of the premises currently used for an industrial activity (other than for a mining activity or petroleum activity), or if there is
. no existing use was it last used for an industrial activity (other than for a mining activity or petroleum activity)?

LINo D1 Yes . . @

If yes, is the rere use for child care, educational, recreational or residential purposes (including a carelaker residence on industrial land)?
LINo Yes - (Complete Form 1, Part N) This application must be referred fo the Environmental Protection Agency (EPA) as Concurrence Agency.

IP Regulation, soiuuie 2, tabla 2, iter 214),
CONTAMINATED LAND - AREA MANAGEMENT ADVICE (NATURAL MINERALISATION OR INDUSTRIAL ACTIVITY)

3.9 __ | Is any part of the premises in an area for which an area management advice has been given for natural mineralisation or industial
activity (other than for a mining activity or petroleum activity)?
CNo O1Yes

ifyes, is the proposed use for child care, educational, recreational or residential purposes (including a caretaker residence on industrial land)?

No O Yes - (Complete Form 1, Part N} This application must be referred the Environmental Protection Agency (EPA) as Concurrence
Agency.

 

   

 

 

   

 

 

 

 

IP Reguiston, schedule 2 latie 2, tern 21{a).

 

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