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 _. _
3.6 Is any part of the land forming the premises on the Environmental Management Register or Contaminated Land Register under the

Environmenial Protection Act 1994?
(No -Gowaa7 (Yes

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

{i} 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

(ii) There is currently a notifiable activity on the land and the activity is continuing Cno CYes

(iii) The proposed use is industrial and only involves minor site excavation (e.g. post holes for open-sided [CJNo (1) Yes
fon-habitable structures)

 

If no to alll of (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 the application, the agency has jurisdiction as Concurrence Agency.

I te

wet Wwe 2 ten Ma
CONTAMINATED LAND - NOTIFIABLE ACTIVITY __
3.7 | 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

notifiable activity?
LINo-Gowa3s (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;

 

 

 

(ii) A suitability statement has been given and a site management plan has been approved for the LINo [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

 

If1no to both (i) and (ii) above - (Complete Form 1, Part N) This application requires assessment by the Environmental Protection Agency (EPA). HEPA
is not the Assessment Manager for the application, the agency has jurisdiction as Concurrence Agency.

Oy NY AML wed cer nt

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)?

[INo-Gotoas9 =] Yes

ILyes, is the proposed use for child care, educational, recreational or residential purposes (including a caretaker residence on industrial land}?
No oO Yes - (Complete Form 1, Part N) This applicalion must be referred to the Environmental Protection Agency (EPA) as Concurrence Agency.

 

 

Pree tag?

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 industrial

activity (other than for a mining activity or petroleum activity)?
LINo-Gota3.10 [1 Yes

yes, is the proposed use for child care, educational, recreational or residential purposes (including a caretaker residence on industrial land)?
CJ No (J Yes - (Complete Form 1, Part N) This application must be referred the Environmental Protection Agency (EPA) as Concurrence
Agency.

CONTAMINATED LAND - AREA MANAGEMENT ADVICE (UNEXPLODED ORDNANCE) .

3.10 | Is any part of the premises in an area for which an area management advice has been given for unexploded ordnance?

LINo -Gotoas.11 (1 Yes - (Complete Form 1. Part N) This application must be retemed to the Environmental Protection Agency (EPA) as
Concurrence Agency.

 

Prom a

 

 

 

 

 

 

 

 

 

 

 

 

Page 16