09/0152 - MCU - Mulitple Housing Type 1 - Relative or Employee [As Published] · 132009.152

INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 21.3, 9 May 2008

 

CONTAMINATED LAND - REGISTERED LAND
25 swf of the land forming the premises on the Environmental Management Register or Contaminated Land Register under the

 

Envigonmental Protection Act 1994?
lO - Go 10 02.6 O1 Yes

If yes, does one or more of the following apply? _ oe
(i) A suitability statement has been given and a site management plan has been approved for the LINo [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 .
(ii) There is currently a notifiable activity on the land and the activity is continuing (No [Yes
(iii) The proposed use is industrial and only involves minor site excavation (e.g. post holes for open-sided [[}]No [1] Yes
non-habitable structures) _ ae
Ono (Yes /

(iv) The land is used for a mining activity or petroleum activity
If no to all {i) - {iv) above - (Complete Form 1, Part N) This application requires assessment by the Environmental Protection Agency (EPA), If EPA is nat
the Assessment Manager for the application, the agency has jurisdiction as Concumence Agency.

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[CONTAMINATED LAND - NOTIFIABLE ACTIVITY oe

2.6 _ | Is any part of the land forming the premises currently used for a notifiable activity, or if there is no existing use was it last used for a
lis

 

 

 

le activity?
0 - Go to 02.7 Cl Yes @
If yes, does one or more of the following apply?
(i) A suitability statement, removing the land from the environmental management register, hasbeen [[]No [] 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
(ii) A suitability statement has been given and a site management plan has been approved for the Ono (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 . ,
(iii) The land is used for a mining activity or petroleum activity CI No [7 Yes
If no to all {i) - (iii) above - (Complete Form 1, Part N) This application requires assessment by the Environmental protection Agency (EPA). If EPA is not
the Assessment Manager for ihe application, the agency has jurisdiction as Concurrence Agency.
PA ar Sat! Sabie? fo 5 PAC aon achedues 2 oat 2
CONTAMINATED LAND ~ INDUSTRIAL ACTIVITY ae

2.7 | 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
exisjhg use was it last used for an industrial activity (other than for a mining activity or petroleum activity)? @

 

 

No - Go 0.02.8 O Yes

It yes, is the proposed use for child care, educational, recreational or residential purposes (including a caretaker residence on
industrial land)?
oO No oO Yes - (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, it has jurisdiction as Concurrence Agency.

 

 

 

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