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Section 2

a pony fa     _   :          _                  .       ‘If telephoning or calling please ask for:
          xx NOOS A                                           Helen Lowrie (07) 5449 5181
         =      eS              :                             TPL 4, 2/2 Quamby Pl, Noosa Heads
            ee)     COUNCIL ,                                 Email, [email protected] June 2007

          ,     Keith Hamlyn & Andrew Lumsden
                48 Orient Drive
                SUNRISE BEACH      QLD 4567

           a    Dear Sirs, ooo                              a                                   .
    @           Re:  Premises situated at 3/2 Quamby Place, Noosa Heads described as Lot 3 BUP
                     12000
                | refer to your email dated 15 June 2007 requesting advice as to whether there was planning
                approval for the sale of roasted coffee beans and the serving of coffee, cake and biscuits
                from the above premises.                                   .
                The planning advice for Shop 3 is the same as the advice given for Lot 2 in Council's letter of
                20 June 2007, which is detailed below:-
                “At its meeting of 21/22 February 1979 Council approved a shopping centre development on ~
                the above site which included shops (including Lot 2), a supermarket, a restaurant (Lot 10)
                and professional offices (TPL 4). Under the 1973 Planning Scheme a Shop was defined as:-
                “Includes any land, building or other structure or any part thereof used or intended for use for
                the purpose of displaying or offering goods for sale by retail: The term does not include a
                hotel, service station, general store or showroom as herein defined:”
                You will note there is no provision for any dining facility. Under the 1973 Planning Scheme a
    @           facility offering dining was defined as a Refreshment Service.
              - Your proposed use is defined under The Noosa Plan as Business Use — Type 2 Shop &
                salon. The definition of this use being:-                                                 oar
                “The use of premises for an activity that is generally found in a shopping complex, strip or
                centre.  The use includes a shop, hairdressing salon, appliance repairs, alterations, dry
                cleaning.and a café with dining facilities for up to 10 people.”                                 ;
               As the original shop approval did not include a provision for dining you are advised that
                planning approval is required for your proposed use. The application is code assessable and
                attracts a fee of $2,960 for up to 100m? gross floor area. , However, due to the straightforward
               nature of the proposal Council is willing to reduce the application fee to $985.”
                If you wish to discuss the matter further please contact Helen Lowrie on 5449 5181.
               Yours faithfully,

|              Kerri Coyle                 |                  NOOSA COUNCIL
              SENIOR PLANNING OFFICER                         9 Pelican Street Tewantin PO Box 141 Tewantin Q 4565
                    .                                                                      ABN 97 969 214 #21
                              :                               Phone: 07 5449 5200  - Fax: 07 5447 1062   1
               NSC g:\nelen\2 quamby.doc                      Email: [email protected]                 .

Section 3

INTEGRATED PLANNING ACT 1997                                                                                       Part A, Version 2.4, 29 May 2006
               .       N \               Form 1        Development Application                                                                   nee
                nN    &   ‘      oe                                                     H      H                                                 A
                4   ‘ay “A     Uh

                        af o- ~                                   hy q hy   *  }   t    t     }  j                                                 :
                    a                                              Van      gg y      py abayy                                                eo                 .
                                                         ;                                                                        <        pet
                ;                                                                                                                         ey

             F,, The completion ofall appficabfe questions on Part A is mandatory forall applications. Part A must be accompanied by the completed IDAS AsSesement Checkist =.
             fe      required, and by one (1) or more other completed parts of the Form as required. For. more information of the parts of tie Form refer to www ipaigkt.qov.atle =. “*
             I Any information requested in the form may be provided in an attachment fo the application. For further iriformation about completing the following details; refer to Guide’,
             F Description of land                  14.   “Street address: fnetudinghouse number, ‘street name, suburb/iocality name & posteode) (if applicable) 7°".
             ‘All land the subject of the application, mustbo «= | | [ye                                        '                                         ~
             [dented Hovee, adept fads ot            |      (2      QoANE                     UF \CE. NCOsA                     ery ,  Yt      ~       bf
             [Enironmottaly Regen Achy ERA            2. ” Name of water body or watercourse, within which the development is proposed: (applicable)
             development is proposed within a water body or                    —               -     -                  a        -           ——          J:
        Oe”                                           3.   Lot on:plan description (eg. Lot 123 on RP 4567)/GPS coordinates:§
             Advice for completing 3 - Most land can bé                     =                 —                              Ss                            .
             | Meni by alton pen descrip. These details           LOoTs,                 BYVOPI2Z0CCO
             (peal goverment. He documents or trough the | 4 The above description is for: (tick applicable box)               7           -
             However, ifthe land on which the development is mi    the land‘on which the developmentis proposed; or                                 a
             Hip developments prpocad na wator bod ation fie. CA (ii) the land adjoining the watet body. or watercourse, within which the development is
             fpctercnuse provi     oo                               proposed; or «.    -          ms                              ot,             oO          ,
      =      ‘a sionngadeentant.                 =|) the waterbody orwateroourse.                                                          |               ,
             HO Solnngladacent and (og h Moreton Bay  5.   Shop/tenancy.number:.         6.    Storey/level:             7.  Total area of land: (morha):
             Fdovelopmenis win await boty or welronuce            >         aaa                  SINGLE .                          Ft!
             jGivicelorcomeieting 8: Ob amniest |     18, . Local government area in which the land is situated: (eg. Esk, Hervey Bay; Wodcoo et) if applicable)
             ‘net                                                             SA Smee
             Boe                                                                                                                                        _
            ‘Hocal goverment’ ae ohoce pntotieg te andthe       NOOO                     SHie                         —                 _                 .
            piece! Government Act 1993.               9.   Port authority for the strategic port land or strategic port land:tidal area on-which the           .
             | een         me Reread strategic        ©«|«-deVelopmentis proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable) =
             pion remeeenarea                       |      ed
             {Proposal details              .      |  10.. Existing use of the land: (eg. vacant’ single house, shop etc.)                     ae
        @]    ovis an ctactment tote appieaton,               __ =     a!        —                   :
             i                                        41.  Proposed use of the land: (eg. 6 unit apartment building, 30 lot residential sisbdivision, ERA for aquactitture in. °
             L    :                                 .|-°  ponds with @ fotal area of 7 ha for which wastes are released into watersefc). =k     eo
             [Other applicable parts of Form1    ~~   |12. Other parts of Form 1 completed as part of this application: (eg. Part D, Part I, ec)
        (   eeatpetttomttommenent                   f°     [Cid
           _ Completed parts of Form 1. For information about                                            _                              _         _       7
             When a part of Form 1 may apply refer to Guide 1, |e . Oo        oo        VE :            oo               oe     wet         *  oe    “   7           .
             Applicant details                  |     {43. Applicant'sname:                    |         15. Contactperson,.
             ’ Clearly klentify who ig making the aplication: The’. * fof °         ;         =——                                              .
             eamtaemondteed” |                              ANTS X LOMShea]                                 [ApkGew LoMepei}
             ‘ensign nn te natn                    -  114. .Contactnumber                              _ 16.  Facsimile number/e-mail address:     «°-
             ‘The   applicant is ble for   the
            Eeameteas,                             |      Louoez7Z0_]                                                                                         |
             rth                        lief Executive    ee      .     oo                                         -             :         .                     _
               oe    ate sorptanent                   17. Postal address:                                         CON AO
|           eed                                             [2]         RAN ST,            SOOSHINE                    Bench             USGz]
            assessing and ééciding the Bppliggion. 7~ cto.                       —                                                rer     *
            eee         er       RN Y\ 18 Signature:                    A    /     fs                                 19.   Date:.                     ae
            CIT                    peceiven  <o                                                                         oi 68 ]oF
            _{-7          received                   ‘|          =    [VY                                             _loilestoy                         |
            He                                          EH           Ly                            fwerrdua         |           SHES                —
            eel           01 AUG 200               |               SOOO                                     Tt                                   a
                "9                +f      a       nn?                                  > oa                .
                Vc       HOOSASHIRECOURGL        Oo                              (>
                 \    SX.   FRONT COUNTER                                       “os
                    a                          my                          aA
                    \   LY  ;            wet                                                                                                                .
                            6 \ 3                                                                                    ;
7             ,                                                                                            ,

Section 4

.      INTEGRATED PLANNING ACT 1997                                                         :                                  Part A, Version 2,4, 29 May 2006
             ‘Land owner's consent (if applicable)’ “’ *) 20.: Land owner’s.consent'to thie tmiaking of this application:   ee.                    ES
             ‘application must contain, or be supported by, the |              Name                                   Signature             | Date          |
             written consent of the land owner/s, if the epplication J ‘                       “
             J      a       -      .     .        vo            I
             (i), reconfiguration.of a sot; :
             (Ti) work on land below high-water mark & not withinal =f (ii FY /         {n>
             x. -. canal as defined under the Coastal Protection and if) PHIL        BpcoN | boone ee ee                  ec eee eee          e fee e cece eee eee dd”
             '.. Management Act 1995;0                          es
             ‘(v) work on rail corridor land defined under the + (iii)                                                                                            .
             -.. Transport infrastructure Act 1994..   .      wea       eee ee eee ee eee eee eee bec eee ee ee eee          eee c nec ee ececee feeeccennceece
             Section 3.8.1(2)(a) of the IPA provides that       .
             Flandawner’s consent is pot required for a mobile or (iv)
             ‘temporary ERA .            a    soe             we ee ene ene eee eee a be nee ce eee naan nnn we cece etc een ence none ene
            [fameemate tr Si                                 |
       *     fResource entitlement (applicable)       | 21.  Does this application involve'a State resource prescribed under a regulation (other then involving’
            [ Secon 3.2.15) of to IPA rogues evidence o     quany         ‘on State coastal land under the Coastel Protection and Management Act 1995)?
        ‘    rresource entitlement be given for applications that WhO sot     es,                    ey                        .    Bo                     Je,
             Involve a prescribed State respurce.                  O - goto Q24            ae        Ee] YES-igoitoQ22..                      BO     se es
             Section  3.2.1(1      IPA prescribes               i                                    Tee an                           .        ee,
       |    trp       amt ten be opty mse” -|22.             This appicaion is aocompanied by evidence: (ck apiabie bos)                      oN
             ‘without evidence of the resource entitement     1 (i - of the:allocation of, or enititlement to, the fesource - attach:     and goto.Q23(u)
            | Refer to schedule 10 of the integrated Planning (C1 (ii) the chief executive'of the department administering the seSource is satisfied the. -
             Regutation 1998 that prescribes the nature of evidence                1s consister        an    allo      of.   or.entitiement to, the resource -
            ered by the State in support of the lodging of this     : development is consistent with an allocation. con sistent with-an allocation of, oF ntitlement to, the resource : 92
            F                                   -,    |  +, CA) (il); the:chiefexecutive of the:department administering the resource is satisfied the     .
             mo   ,                                          '_.   + development:application may proceed in the absence of an allocation.of; or.”            —
                                                    .             " -entitement to;-the resource-gotoQ23.           4%,                         ye
             :    .                                       .           TPR        La      he                      Te           ok           :     eee
            Ace forcommieina ge               evidence \22 FWidence ofthe tesource entitement,.§                                          2     OMe,
             regifed under G22 i) (i) above.” oviene'S |     (i), Resource entitlement’ aiithority details:   <<:       (vii) Official stamp of the department:
             “The offcial stamp of the Department of Natural                                                       :.    *" administering the resource (it,
            ; Resources, Mines and Water is mandatory where the Se                                              rer         applicable) -            ss
             -application Involves any water or riverine quany - (ii) Name:of delegated officer -             wets
            te a                                       eel         L______2__]
            {Secon 32.(6A) allows,the resource manag f im pe   tel                __ Tia          —             a.                                             :
             .the time the evidence ‘may be used. must be    ‘i        ition of deleaated.  officer 7h"   wk
            [completed ifthe evidence i Hime limited.        (iii) Position:of delegated.dfficer   “."i         we
           t.                                    _  |      > (iv) * Sighature of delegated officers? FO       AF

            f                                                (v)   Date’)                Te
             :      .                    ;                        -/7                                              4
             i                                        +      (wi! i Set tenets epee                      Se                     ke               ig
            | Assessment triggers                       24. i     OAS hese             Checklist completediand attached to this application? ©. 2"
         _   This checklist does pot apply if the application requires ey                   ay    we     aa     BT                        EE    a etM oi
             ‘the completion of Parts A and 8 of the Form only, “It . YES Tet aM Be -L.3'NO.- ite assessment manager may refuse to accept this app lication on fhe
         Sette camped fora ober appears.              |                      ER TL               nnd tat the appletion hes not been propery made
            tPlans { drawings / reports                 125. ‘Plans/drawings/reports accompanying this application:             wn ee EEE                                .
                                  eee                     “[__PantOrvng/Repotnonter                        [Te | Oa]
             sManager, referral agencies and any person viewing ay              ,
             the application during public scrutiny or public , (i)            *     10                                                          O-   |
           een                     conr eee                     200%! MOL. New. Seta. SuaP.| OF/OF |
            a                                          ‘       (ii)  °°    .                 .    '          1            -                                    :
             :                                  oo             0)         copies                eld
                 .          ;           nt oe              LW)                           __                                                              :    |
             PLEASE NOTE: Tie assessment manager may refuse to'accept an application that, .af the tiie of lodgement, fails to provide all applicable information required by Part A
      .                        - and any other relevant part of Form 1.                        ,        '
                  rrr errr                                                                                    A a a
             OFFICE USE ONLY (applicable to assessment manager's)                             Zz
             Rem      Ges             bl   vane               l6lo7                      Mets |        > Xan               |Snimeene 167] 1 52-9
             .                                       Notification of Engagement of Private Certifier.(Optional forma}                Poa                  ee
                                                                 :       :    .          as       eT               8        .
.             To.                                                    Council, | have been engaged as the private certifier-for the building work referred to in this application:
              Date ofengagement    /   /    Accreditation Number                     Name                               Signatres

Section 5

01/88/2087       ~=—s-« 14:59                             ee                                                                                       L
                                                                                                                                   NO. 129         bo2

                                                                                                                      Part a, Version 2.6, 29 May 2006
        INTEGRATED AANNING AC                            owners consent to the making of this       application:             —-
        Wetoooyecemm                            (nme                               |                    Same
        ‘cp              apo
         _ pain mas conan, or be ssharwe OY     :       /                                                                          3i/>     a
         saaiian coc of Rand eaves                     \ BA 06s                                x      F            fra31 9/27
   we     =F pberieielrbt ives                        eee ek en ena       ee teen seg eet amste ben soeaeeessitens
         “fa} tenontg:                       ,          oa
                                      BmlwtNa            \               rn                                                           t    a),
         PEimacmmcaimne|                               | BACON Ne                                     WM                         AAD
          >   Wdasagamnent Act 1995.07                   sa
          * OV) work on raid commitor tana defined under tha (iit)
          .   Toonagaat lnttectructine Ad 1958,         weet ee scecceeracce
           Sexton 38.A(2}a) ol the PA provides that                        Torr ttc sec tens en ete ele mae es Nise eecceeecnenececeeee}es coageaeds
           “Aapdomner's   i       ire toe                 Ww)
           “ema     ERA     Ee         mobile sc         OO     a eectetttttctteees             tenet meee nem e     nena
              ae           worn      Goldy»               3                                                        wet ee ctw ee cele ecteeee cone.
           "Resource entero ge              a Se                                                          SSeS         SS
           Sa       enutlement    apes)            21. Does this application Involve-a State resource prescribed under a regulation /atiar nen cwoveg
           ,         o pelPa mau    eritece ct     FRO cern                 ty educa        Cost Prlecton and Kangomet Ac 18657?          .                     .
          Grn 82a of            PA   ren                       meas                          CI YES   pom azz
                          7                                                    Lo
            cecum cannot taken ba prpaty mae      2. This application is accompanied by eviience: (sek eppdvable bax)
           _ Reo schecula 10 of the integrated Pisaaing  (ii) the chief executive of the department administering tre resourve is satisfied the
 @         | ania 19 Sto ope         tas of ees                development fs consistent with an allacation of of entitlement to, the resource go
                    1988       ,                                           ;       ‘No                   .           °
            evelopment appticaion,                          _  023                              ve
       .                                               C1 (ill) the chief executive of the department administering the resource Is satisfied the
   Ne                                                        development application May proceed in the absence of an ajlocat{on of, or
                                                              éntiflement to, the resource ~ 90 tp 023              :
     ‘——   Aibdice tor somatating 023             23. Evidence of the resource entitlement
          The mttcrration in () ~ (v) ts mandatory if gridenes ts .     a:                    ,                      .              -
          haves one’ GZS) ohana                       (i) Resource entitierient / authority detaile          (vii) Officiat stamp of the department
          The ofetal stamp of tte Department of Ngtaras              _                      :                    administering the resource (if
          apaieaton inctves my veneer va               i)  N      td         offi                                     =
          ‘aed onde On ee        te 0 quarry          (i)   Name o        ted.afficer
               a A lows th rasours manager tor         ;
           conglent tee  wautenine (vi) ent bo       (ii) poston cleat          fi
                                                     (iv)        a officer
                                                      (v} Date -             a          :          “
@                                                    (vi) Pe at eee ey abe)                                                     Ce
              smenttigges         SS          Tog
    \~ Assesement triggers                     24, mee Assessment Checklist compteted and attached to thiy application?
          ee cacti doe Det abet 8 the sentcation roxio     S           :     LINO = ine              ae.                     ;         .
            amples        Aan B af the Form aak.                           .           MO asgesunerd manager may refuse to accent this application an the
 .       Pa be completed fra tne bene                                  __.   "-__...   Saunas that the application has not bean property made
:        — Ss           PURERDE bien               rtp ccie ee                       a  :                        a
         Plans / drawings ! reparts             25. Plans/drawingstreports accompar   ing this appiication: —
        An application should be accompanied by detail                                                                                                  ,
           et    pepe ns             eae                 Pian Driwiag /ReportNumber          |              Tite       |e
 i      | CRBAEGOS, PefERTS agancies ahd any parson viewiig .
        * the eppbication duting pubia. ecruBny or pubtc (i)
 '      - Rotfieaicn to understand the scope af tho propatal OOO ead er wen ena n a enew enn   Semmes enw maar asm anee st nyen
 |       ad ary potent impact                         (i)
 \                                                    (iw)                                                                                              .
        PLEASE NOTE: The fasessment manager may refuse to accept an application that, at ihe time of dgement, ls fo provide at appicat inlormation required ty Panta
                         and any other relevant sant af Farm 1.
 |      OFFICE USE ONLY     (apptcablp to assessment manoger’)                                                     |
      ee
 /                                          Notification of Engagement of Private Coftifier (Optiang! format)
 1    ia)                 .                               Council! trave bean engaged as tha private certhier for the building work roferred to in nis appheation. .
         eo degummn         fT      Asetéeltation Number            Nemes
 ‘                                                                                                                _             168    2002/80/TO
              -                                  antean aTaaTan @ A                                 EEGS-ELPS-20            bai6

Section 6

INTEGRATED PLANNING ACT 1997 . :                           a                as         .            "Part,  Version 2.0, 4 October 2004:
       -         %, %»        Form 1 Development Application                                                                    idas

  :             a                                 s                      .                  .       .                      eal a Ceates      ;
       &                        Material change ofuse                                                         =")
          si                             —,                                -                  ye            _       Assis WER       RS
           iy        assessable against a local government’s planning scheme                                      gs 3s             BS
.    .    .            ‘      .                                 om. a =                                 "    _—   _       .   :
            ;            ’   Completion of all applicable questions on Part D is mandatory for all applications involving assessment of.a
      Oe         Ss                  material change of use (MCU) assessable against a local govermments planning scheme. .
   -      Nature of the application          1.  This application is for: (tick 1 or both if applicable)                 oo              —_
 :        A development permit authorises   __* [[] Preliminary approval for a material change of use of premises including conceptual    =,
;         Sat     a ep i ephrckalprocate               design for any associated works that require approval under the planning scheme fie
 .       _and does not authorise development to oocur.|. —._-—«- Consideration ofthe proposal concept)     vo                            -
      4                          ~-      1         ANDLOR. -             Co                                   _           Po
  .   @                    o                 .             elopment permit for a material change of use. of premises including coriceptual’
:                                 oo                  " design for any associated works that require approval under the planning scheme:   y
        _ The subjectland                  _|2.  How the subject land is identified in the planning scheme (name the zone, precinct etc.) oo
         For the definition of “gross floor area” go to Lor   :          eA) Pr      OO} -                                .
"the         planning scheme against which the            (3 , ©                                   a                                J.
        _ appfication will be assessed.  ,                                  .                                 _
       |                          (ft            Siteggessteraes mewn [FU ea meres |
 a :       .           oo                   4. Are there any existing easements on the land?         an
                                   .               LINO °                                                       oe                  .       a
               wen | aN                         .  [YES ~ attach plans of the location and details of the purpose of the easement . :
Looe,    Material Sha Ge of use‘adtails.    5: Details of the change to the use of the land: (eg. vacant land to shopping centre, house to apartment building,
         fy             BS                     vacantiand ond    fe mantactuig) ee)                      Ne
        /   7                 -.      CAT       f                          TT:                                   5                y.
       [a7       RECEIven            (o\|       [Fem a seoPTo A Tyre 2                                            sop)
       Fel      2   1 Aue zoo7              6    Montes                                                                                          |
 -      F\        FACT couNTERG A /         |    SPE         eNS and     hows:                    TO    SUSRAY,    6          ath      PPH  |
         VPA   tonsasiize cowie, 6/7.                Operating days and hours:             DAG TO SUNDAY 625i
   |   Taoey BTS                            8 Sieooer          [|                    Wai}                                              _
           AsSatitted building worksabiaié i |g   Stecove:     [ASFA i                              |
   — areat and storey go the planing scheme 9.   Gross floor area:  [7K             a          _            po           Op
          Bese rametnetie                  10,      ber of   scar prin pes:                                                               /
 v                       a,                  11. Nuinber of storeys / maximum height above natural ground:                             a
    I                           a      .  | 12. Number of employees      |             ioe. {            o           :       ce               .
          Co           ce                   13. Hours and days thé use will operate   [| pp OV — SUN B30 - 40-86
  Sc     ‘Associated operational works details | 14. Details of associated operational works (eg. landscaping, cut and fil, drainage, road works etc.)
     (ON                                            A eT)
|                  So                                           PLBASENOTE                                    |             |         |
       oo                    :       . This application cannot be accepted unless accompanied by Part Aof Form 1. -               .
   -         The'assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information. -
  oS                       :                .- Tequested by Part A anid any other relevant part of Form 1.               a
..        OFFICE USE ONLY (cnpicabie to assessment             manage. -  .                 os         so.                                 oo

Section 7

PD          sn            PLANNING ACT 1997                                                  .                                  IDAS Assessment Checklist, Version 20, 2 April 2007            -
             WW                            Form         1   Development Application                                                                                     idas &
                  y/                                 IDAS                          Assessment                                                               _
 .              Pe                                                                                                                                       .
           cy                                                                                                      a                                                         .
                               |                                       Checklist                                                                                 _—/
                                                                              (Formerly the “Referrals Checklist’)                                                  oo
            IMPORTANT NOTE FOR ALL APPLICANTS:                                                        .
            1.    This checklist was formerly referred to as the “Referrals Checklist’. Some of the ‘Guides’ to using the IDAS Application Forms continue to refer to this document as the
                  “Referrals Checklist’. The name of this checklist was changed from 25 July 2005 to more accurately describe its function. .
            2.    Under the IPA and IDAS framework, an application may require assessment by the local Council and/or certain Queensland State entities (e.g. Environmental Protection
                  Agency, Dept. of Natural Resources and Water, Queensland Heritage Council etc.).                          ,                                                 So,
    :       3.    This checklist is provided to assist applicants to determine when an application requires assessment by a Queensland State entity and may also assist the applicant to
                  determine the assessment manager’ for the.application,            ;          .                                                                                        ;
            4.    Therefore, the completion of all questions in section 1 of this checklist is mandatory for all applications (other than those requiring the completion of Parts A & B only).
         @        It is the responsibility of the applicant to accurately complete this checklist.                   ,       .        ,
             r —_ Section 2 is mandatory only if the proposed development is located in any part of a wild river aréa declared under the Wild Rivers Act 2008.                       ,
            7.    Depending on the nature of the application, an applicable State entity may be either the assessment manager or an IDAS referral agency for the application,
            8.    The assessment manager for the application will rely on the information provided in this-checklist (as well as any material lodged in support of the application) to identify
      ;           any applicable referral agencies for the application in the Acknowledgement Notice. The assessment manager will also rely on this information when identifying if the
                  application triggers referral coordination?.                     i                    ,              |
            9.    Toassist you in answering the following questions a series of guides are available free from the IPA website www.ipa.gid.gov.au. Guide 25 explains the rote of the IDAS
                  Assessment Checklist in the IDAS application process, and its relationship to the Form 1 development application.
            10,   Any other parts of Form 1 that this checklist requires to be completed are available from the Council or the applicable State entity, or can be downloaded free from
                 www.ipa.qid.gov.au.            .                              ,                                              .                            ‘             .
            11. Section 3 provides advice about the referrals that can be required for applications for building work assessable against the Building Regulation 2006. ,                    ,

   ‘        HERP         Eg                                               tes RO COGRIIR TT (eee che                            cece IE OO ey        ye   eG   AER  RR AR sap
             Sastyt-e.. ©                  -SECTION 1-2 STATE ASSESSMENT. (completion mandatory) a"                                                         Fs     Aer
             a NTRS M88 Helse. gy Ceoarin              co ge kB               gee age             ee eae OR tig RS               es Cat eas 2                lO ae  aaa ae SRA
           1 Note:  The followitig state ‘assessment triggers apply to'development other than for building work assessable against the Building Regulation 2006::3% weir Ae        a
           don    By          ge ee     ct         ENS         .                   te.  Soest           aurea          *                       J   aietent eneys +4 Sete | EMRE
           : Environmentally relevant activity.      ="! 4.     The application involves: (tick applicable boxes)       -
         __‘Forimore information fefer to Guided. 0:            [-] (i)  an environmentally relevant activity (ERA) for which a code for environmental compliance
           Unless you'answered none of the above" to. 1, |               has not been made - complete Part G of Form 1
           ‘thé application requires assessment-by thé:              2        a.                                  ‘     ‘             _                    .
         -__“ aaintinigtering:aithority’. aos                   C (ii)   a mobile or temporary ERA for which a code of environmental compliance has not been
       Qa             otfiet than tie administering: :- |                made - complete Part G of Form 1
           Peiitonty;is tie'assessment manager forthe   |   ” [YF (ili) none of the above                                                                                 os                 :
            “application, thie administering. dutfiority isa, |         :        .                                                     .                                    ,
           “coricimerice agency for the-application in relation                                     ae                                                              .
           tOthis matter    6       By     a    me                                                              .                                                          -
           ‘ NoteAn application iivolving ERA:19 andr 20°                      CO,                                                          :
            -will'algo require completion of Part Ky of Form:1.”                                                     .                                                 .
 :          -for'approval wheré an allacation undér the Water                                                        .                                         .
            Act 2000 ts equied.”                                                                                   __                                             .
       .                                                                                                                                                           Continued overleaf

                 -   .                       .                 :    .  .              .      .                    ‘    .                                             .    .     .               :
                   PLEASE NOTE: . The assessment manager may refuse to accept an application, which, at the time of lodgement, fails to provide the                                       .
                                                                 completed IDAS Assessment Checklist (if. applicable).                                                    .
              ee       te         fe beagle to ig ES NO te tat ta tae te tae tee ieee     EE eT          =    a   eral cee Castner ae ie lt CS     ee                _        =.
            OFFICE USE ONLY (applicable to assessment manager)                                            :           L            oo                                           ,

 .          1  The assessment manager is responsible for assessing and deciding an [DAS application. The assessment manager for an application is prescribed in schedule 8A of the IPA.
            2. For additional Information refer to Guide 6 ‘Does my application trigger the referral coordination process?” : :
            3  The ‘administering authority’ may be either the Environmental Protection Agency, the relevant local government (for a devolved ERA) or the Queenstand Department of Primary Industries and-
     :         Fisheries (for a delegated ERA}.
                              .       -         .      ;        us                                 Paget                   Lo

Section 8

~ INTEGRATED PLANNING ACT 1997                                                               ,       IDAS Assessment Checklist, Version 20, 2 Aprit 2007 '
           State-controlled.road:matters ~. °   ‘ 2.   The application involves: (tick applicable box/es)                                         .
          ‘Rot more information refer to Guides.)          (i) development on tand contiguous* to a State controlled road andfor-
          Unless youranswered “none of the above" to 2, :                    .                                  .      i,
          “the application triggers referalto the Department     J {a} material change of use assessable against the planning scheme;
           RE a Seva                       ks te               (J (b) reconfiguring a fot unless -                          .
    ,     ‘tn certain-circumstances OMR will be-an advice:                                       .     .         oo.   Lo                                :
  .       agency; while in.other crcumstarices OMR will               » the total number of lots is not increased; and
           berconcurence agency,  od                                  ¢ the total number of lots abutting the State-controlied road is not increased:          ss
           Schedule ?er the cReaulaton “i = you to             (J (c) operational work (not associated with a material change of use assessable against the
           concurrence agency for the application. .                  .planning scheme or reconfiguring a lot mentioned in (b) above)-
                          7        cues            ‘                 _* associated. with access to a State-controlled road; or            ;
 ,                   es                                          '    _« forfilling or excavation; or                                                     .
         ;            mt                   :    :                     * involving the redirection or intensification of site stormwater from the land, through a
                 Bo                                                      pipe with a cross-sectional area greater than 625 cm? that directs stormwater to a      ;
                                                ee                       State-controlled road.
             ook  De         Ee,                     - C0 (ii) development on land not contiguous to a State-controlled road and -
          Pe                                                   (CI (a) material change of use —
            mS             a           ,      te,                    « assessable against the local government's planning scheme; and _
          .     oo              "es            7                     * mentioned in schedule 5 of the IP Regulation and exceeding the thresholds set by
          oo,                        .                                  that schedule;
       ce                         a                            [1] (b) reconfiguring a lot for a purpose mentioned in schedule 5 of the IP regulation
            ;                    be                                    and exceeding the thresholds set by that schedule;                               @
          we               OTE       ae         yo             [J (c) operational work (not associated with a material change of use assessable against the
                 Ee                                                    planning scheme or reconfiguring a fot mentioned in (b) above)-
  ;       wis den Tye Fie                                            e assessable against the local government's planning scheme; and
    Sg        CEO          ag a SR ae                           *_¢ mentioned in schedule 5 of the [P Regulation and exceeding the thresholds set by
        CRORES Be Ew wpa                                                that schedule.                                          :
          “ee    elie      ch opi cal     eae a        Hii none of the above                    a
           Clearing vegetation. .....-- .~ [3.        The application involves: (tick applicable box/es)
 .        “For more information refer-to Guide 12, .-- |  (i)  material change ofuse—                     _
          ‘Uiiless you answered “none of:the abover-to Q3,                 :        .                         .-                    oO                Te,
          ‘the. application requires.assessment bythe.” _   +   {a} assessable against the planning scheme;
          “Department of Natural Resouives.and Water.           (b) on alot containing -            sO                                         .
          ANRW)lr   toes   TE        OE                                                   n                       ;                   .      .
          ‘ffan'agency other than NRW\Is the assessment             * acategory 1, 2 or 3 area shown on a property map of assessable vegetation; or
          Manager for the application NRW isa.                      e if there is no property map of assessable vegetation for the lot - remnant vegetation;  .
          pepcuenice, agency forthe application in elation      (c) ‘where the existing use of the land is a rural or environmental use; and           _
          “ityoutick ed (3() or ih-your application reiuites    (d) where the size of the land is 2 hectares or larger - completa Part J of Form 1            ;
          referral to.NRW for:assessment regardless of “| ~ [} (ii) reconfiguring a lot-                      .
         whether vegetation clearing Is: proposed ‘or.not: 7                    oo                                                       .
                Doe    ep      an le Td                        (a)  on a fot containing a category 1, 2 or 3 area shown on a property map of             ,
a         go      et ita           ee                             "assessable vegetation or, if there is no property map of assessable vegetation for    ©.
           POT           IND        pope ty                         the lot, remnant vegetation;           ON                 vs
    .     Ga    oped ake   Enea at alg                        .{b) where the   size of the lot before the reconfiguration is 2 hectares or larger;
          pop   MA    ber.”      es PAR oe                      (c)  where 2 or more lots are created; and          :
         Pe. ya Sl                 Se ybae                      (d)_ where the size of any {ot created is 25 hectares or smaller - complete Part J of Form 1
          ok                a   IST PE)               2) (itl)  operational work -                                                                           -
         Bee      ee    eee         ra     Nee                  (a): for the clearing of native vegetation where the vegetation clearing is made
         We       a         Ste Ege                                  assessable under Schedule 8 of the IPA; and
                                               |                (b)  not associated with a material change of use assessable against the planning .
         ..                                   nie                   scheme mentioned in (i) or reconfiguring a lot mentioned in (ii) - complete Part J of
          .     -                   "          4                    Form 1
           Pots                          ;    7         ivy   - hone of the above.
          Strategic portland.     =. ~~          14”  The application involves:                      “
 .        For.more information refer to Guide tt. |   LQ) development on strategic port land’as defined in the Transport Infrastructure Act 1994 (TI
          ‘Hyou ticked ()- the relevant Fort Authonty.isithe | Act) - complete Part | of Form 1
          ‘assessment manager-for the application.” .'     .      ;                                            ;
         ‘you ticked. (3) Queensland "Transport isa a (1 (ii) a material change of use that is inconsistent with the land use plan approved under the
          Concurrence agency.for the application:            TI Act.for the strategic port land - complete Part ! of Form 1 ,
    Lo,                     ey                        w (iii) none of the above                        a

         4 Land contiguous to.a State-controlled road is defined in schedule 14 of the IP Regulation to mean land - if part of the land ig within 100m of the State-controliad road; or that is part of afuune State-
            controlled road.                    .                          :                 :                    '
                                            .                                      Page 2                              -                :
                                                                                .                   .     ~                  ~                .- .        ee

Section 9

Ea                                                                        +                                       .
    4 we                                 7                   ,                   \                                                                .
           INTEGRATED PLANNING ACT 1997                                         0     x        .      Co,                IDAS Assessment Checklist, Version 20, 2 April 2007
           Acid suifatesoils.-..; _-          ~..: .{5.     The application involves development on tand situated in an identified5 local government area
           For more information refer to Guide'10." - |     and where the surface of the land is: (tick applicable box)
           he ableton ite             soemereditn |    —    C1 (i)   below 20ni AHD® and the development will involve the excavation of 1000m? or more of
           Department of Natural Resources and Watet' m              soi! or sediment at or below 5m AHD, or                        .                     ;
          AMRF                         ag           |] (ii) ator below 5m AHD and the development will involve filling the site with 1000m3 or more
           ‘Ean agency: other tha’ NRW'Is the'assessment ‘| -       of material’                       ‘                        .          .
          "manager for the application; NRW is an advice                                                                               .            .
           ‘agency for the application in-relation to this -  iii none of the above                                                                                                  ’
          matter.     .               .             :                     tee peep oe         wo             .                                                           :
           Major hazard facilities or possible        6,    Does the application involve a material change of use for a major hazard facility or possible
           major hazard facilities -                        majgs hazard facility as defined under the Dangerous Goods Safety Management Act 2001?
           For moré information refer to.Guide 17.              NO                                             :                     :
           If you answered "YES" to:Q6, the application                         ‘                                          oO            ;               ,
           requires assessment by the Department of         LJ YES - complete Part L of Form 1                       -
           Emergency Services (OES).                                                   ,                                         :
         * Ifan. agency other than DES is the assessment .         .                                                                           .                        ,
           manager for the application, DES is:a                                                                                                          .
     .     concurrence agency forthe. application in»                                                                                                                   ,
   '       elation to this. matter.                  4     oe,                   _                                     pe,                                      /
           ‘Water.related'development under the |7.         The application involves:                                                                                      a
           Water Act 2000                .                  [_] (i)  operational work, for taking or interfering with water under the Water Act 2000, thatis:
      "For more:information aboutiitems (a) = (), refer .            (tick applicable box/es)     .                           ,      uo
           to Guide 15. For more information about item ..-                   :                                                 Ce                           .      ;             :
         @ fefer to Guide.t4 Does my application»   ~                (J (a)   in-a watercourse, lake or spring, (eg. a pump, gravity diversion, stream re-direction, weir or
          Solve assessment of areferable dam?                                 dam) - complete Part Ke, Ks, Ks, Ke, or Ka of Form 1 whichever is applicable;
 .     __, ‘Unless you answered “hone of the atjove” to'Q7,          (-) (b) for an artesian bore anywhere in the State, no matter what the use - complete Part
           the application requires.assessment by. the...                                 :                                            :
           Department of Natural Resourves aitd:Water *                _    —, Ky of Form 4,                                                             ;                     .
           (NRW).                           ae                   _  (1 (©) fora subartesian bore, in declared subartesian area’, or in a certain area covered
         ~ fan agency other than'NRW.is.the assessment :                      by a water resource plan, for use for purposes other than stock and/or domestic
           manager for the'application, NRWisa ~ |,                           u          fete Part Ky of Form 1°            .
           concurrence agency (or the application in.                          Se - complete  Part Kr of Form 1,              -
       "relation to this matter  fy                                 [J (d)   fora subartesian bore, in certain declared subartesian areas, for use for stock
                    -                   ots                                   and/or domestic purposes - complete Part K; of Form 1;                                  mo
                   ;                          -                     [-] {e)   for taking overland flow water in certain areas covered by a water resource plan.
  ‘                              ;                      :           "= complete Part Ks of Form 1;
           .        .                 :                            ‘(1 (f)   for interfering with overland flow water in a drainage and embankment area -
       og          7.                       ;                              _  complete Part Kioof Form 1              ‘                       ;
                 a,           i        :                              J (g) for constructing a referable dam® or works that will increase the storage capacity
       Ff      me                                 0                   0      of a referable dam by more than 10% - complete Part Ks of Form 1; Or             7
     poo,                                         ode       iy       none of the above.               7
  ;       : Removal of quarry material froma        | 8.    Does the application involve development for the removal of quarry material from a watercourse?
/         Watercourse                     wee,             requising an allocation notice under the Water Act 2000?
H           or more information: refer to Guide.16. :         ah  0                          :                                                  :
             ou answered “YES" to Q8, the'application                                 .
          ~ Fequires'assessmént by the Department'of        [) YES - complete Parts Krand Gof Form1
     —_    Natural Resources:arid Water (NRW): Ce           ,                 :                                 :       ‘        .                   /           :
          _lFan agency: otfiér tian NRW is tie a8sessment: |       ;
   .._    *Manager-for the application, NRW.is’a =.= |
          “Conturrence:agency forthe application: “yp                               ,                                       .            oo,              .
          sfelation-to.this matte,       ey      ae
          “Note: Part G of Forti is required (0166! «.*"               8
          “Coniploted'as the activity of removing. quay «| -
          “material froma walércourse.is also‘an-*,                   :                        |               :
          ‘Envifonmentally Relevant Activity (ERA ey                                                                                                   ve

     ,    5 The identified local government areas are: Aurukun, Bowen, Brisbane, Broadsound, Bundaberg, Burdekin, Burke, Bumett, Cabootture, Caims, Calliope, Caloundra, Cardwell, Carpentaria, Cook, co
            Cooloola, Dounglas, Fitzroy, Gladstone, Gold Coast, Hervey Bay, Hinchinbrooke, ‘sis, Johnstone, Livingstone, Logan, Mackay, Maroochy, Maryborough, Mirium Vale, Mornington, Noosa, Pine Rivers,
   .        Redcliffe, Redland, Rockhampton, Sarina, Thuringowa, Tlaro, Torres, Townsville, Whitsunday.  :                    :           :          .
         6 Australian Height Datum (AHO).                                                                                                                                      |
          7  The declared ground water areas are listed in Guide 13 Development in a declared catchment area,        .
          8  Referable dam is defined under the Water Act 2000.’                                                                                .                     ,
          9  Watercourse is defined in sch 10 of the IPA.                     .                    ,                                                  ,
                                                            :                      ,        Pagé3   -                                    ,                      °                    .

Section 10

of     *                                                         SLR
                ;                                                                       .                     .                                                    7
           INTEGRATED PLANNING ACT 1997                                                      ef                     IDAS Assessment Checklist, Version 20, 2 April 2007
          ‘Operational:work that is tidal work'or   |9.   The application involves operational work that is: ( tick the epplicable box/es)                            °
           work in:coastal management district           LJ (i)   tidat work*® as defined under the Coastal Protection and Management Act 1995 (the
           For-more information refer to Guide 18. For                               .            ‘     :      tk   =o                     .                  .
           moreiinforniation about prescribed tidal work in       Coastal Act) that is not prescribed tidal work  ~ complete Part M of Form 1; OF
        .  local aia         areas bee "    ee     |     (A (iil) tidal work that is prescribed tidal work" other than in a canal"? -compiete Part P of Form 1:0f
          Unless you answered “none.of the above" to.Q9,      vss     .         ge                                .     ie
          the application requires assessment by te |    CA (ili) carried out within a coastal management district under the Coastal Act and for - complete
          Environmental Protection Agency (EPA).                  -Past M of Form 1 if any box/es (a) to (i) below are ticked. zy
           Han agency ofher than EPA is he assessment             (J (a)    constructing or installing works in a watercourse between MHWS and HAT (ie.
          -Managerfor the application, EPA is:a - .                                                “                                                    ;
           concurrence agency for the application in                       other than those works in tidal water) where the development has been determined not
           relation to this matter.  a                                      to be assessable against the Water Act 2000 ;      \
           Local goverriment is the assessment manager «|         [J (b)    constructing a canal12 intended to be connected to tidal waters;
          .for. all: prescribed tidal work:                     .                     .         oe
                                   .                              (J (c)    constructing an artificial waterway;
    .          oe                 oe                              (C1 (d)_  reclaiming land under tidal water:                        .
            ;                                                     (J (e)    disposing of dredge spoil or other solid waste material in tidal water,       5
                          oe                                  - (J (8 _ interfering with quarry material on State coastal land above high-water mark;
       oo                                                         (J (g)   draining or allowing drainage or flow of water or other matter across State
                                          oe                               coastal land above high-water mark;                .             \                          :
                    _         ;                                   (J (h)   removing or interfering with coastal dunes on land, other than State coastal land,
           cE                                                            - that is in an erosion prone area and above high-water mark;        “
                            .                                     C1 (i).  constructing a bank or bund wall to establish a ponded pasture on land, other - @
          oe                                                               than State coastal land, above high-water mark; or                       \
                     .                          a          in     none of the above,                                          ;                     \
          Operational'work below high water       | 10.  The application involves operational work that is: (tick the appticable boxes)
          mark                ae                              i)   ti        13                                        i
     -    —sFocmmdig infornation.retef to Guide 18, For   O (i) tidal work’    as defined under the Coastal Protection and Management Act 1995 (the
          ‘more information about isc tetite ‘dal workin}         Coastal Act) that is not prescribed tidal work - complete Part M of Form 1; or          .
      ~_  Tocal government tidal areas ve Coe             CJ (ii) tidat work that is prescribed tidal work" - complete Part P of Form 1; Or
          ‘Unless-you answered ‘none.ofthe above’ to          se      .        ‘ge:                  :         -s               :                                      :
  ,       “Q10; the application triggers referalids’ ,    (J (iii) carried out within a coastat management district's under the Coastal Act and for- —
         * Queenstand Transport (QT) (Maritime Safety  ”              a)    disnosi                  :           afi               ‘al in fi        _
      ~ ” Qigy as a concurence agency.                           _) (a)    disposing of dredge spoil or other solid waste material in tidal water     complete Part
          ee                      ea                                       MofForm1; — -                                                                          \
         “tocal'governmentis the assessment.manager             .               _.                  /                              :                                a
         <for.all prescribed tidal work. ©        .              (J (b)    reclaiming tand under tidat water - complete Part M of Form 1; oF                           .
         ee                                     a                (J (c)    constructing a cana!12, if the canal is associated with reconfiguring a lot -                     a
          a                             Dey                                complete Part M of Form 1;
.        MWe ye eh oe                                       wy     none of the above.                               y           oo                                     o
         “Coastal:management °°. =. ..              21414. The application involves: (tick the applicable boxles) -
           a   ee        a a                                  .             .                                               .            .      :           :                  *
   /——_Rerangre information refersto: Guide 8." eh       CJ (i)    material change of use assessable under a planning scheme involving operational                    —_. ,
         “Unless you answered “none of the above" to               work carried out completely or partlyin a coastal management district's                                  ;
         ".Q11; the application fequires assessment by the:                 .                                          a                 :        :
         i Environmental Protection Agency\(EPA):..      [J (ii)   a material change of use assessable under a planning scheme involving building
         “Han agency other than ERA\is the assessment, 2   :      work, carried out completely or partly.in a.coastalmanagementdistrictthatis—-            -~+- |     ~ —~2~
 - +=-L— manageror-the application;EPAisa 7]                                      “                  ‘cas  with ;                                                 :
         Cnaaton acy for heapekabth nr                             e the construction of a new premises with a GFA‘ of at least 1000m?               oe                      .
         -Félation to,this matter.                |  °°.           « the enlargement of the GFA of existing premises by more than 1000m?
 ;       a       mo                                      CJ (iii)  reconfiguring a tot assessable under schedule 8 of the IPA where the land is situated
                oo                  Bo                             completely or partly in a coastal management district                  So                               ;
             0                               a.          LJ {iv)   reconfiguring a lot'’ assessable under schedule 8 of the IPA and in connection with
           me                 oe                 ’                 the construction of a canal12 - complete Part M of Form 1            ;            .
         ee           ee L                               dw       none of the above                   ae                              _             :

         10 Tidal work is defined in sch 10 of the IPA.                                                                      .                          :      ;
         11 Prescribed tidal work is defined in the Coastal Protection and Management Regulation 2003 and includes certain tidal works completely or partly within a local government tidal area. 7
         12 Canal. means cana! as defined under the Coastal Protection and Management Act 1995 : .                                                                       a
         13 Tidal work is defined in sch 10 of the IPA.       mo                  .
         14 Prescribed tidal work is defined In the Coastal Protection and Management Regulation 2003 and includes certaln tidal works completely or partly within a local government tidal area.
         1§ Coastal management district ts defined in sch 10 of the IPA and means a coastal management district under the Coastal Protection and Management Act 1995, other than an area declared as 3 '
           coastal management district under section 47(2) of that Act                                                                        /
         16 GFA is defined in sch 14 of the IPA to maan the gross floor area. For a definition of how to calculated GFA, go to the ptanning scheme against which the application is being assessed.
         17 Under 5117 of the Coastal Protection and Management Act 1995, an application for reconfiguration, where the reconfiguration is associated with the construction of an artificial waterway, must be
           accompanied by the application for he operational works to construct the artificial waterway.               :                                                     -
                                             :          .                      :        Page 4                       ‘                                   .       :

Section 11

.                                      Me                                    .          ..        ™                          .
            INTEGRATED PLANNING ACT 1997                                        _                                    _DAS Assessment Checklist, Version 20, 2 April.2007
           - Development within the-limits.of a         12.   Does the application involve development below high\water mark'8 and within the limits of a port
            port                    oO       :                urider the Transport Infrastructure Act 1994?               ’                           :
            For more information refer to Guide 18..‘For       NO              ;       mL              7)                 —                     f       .                         ,
            information about prescribed: tidal work refer to ‘                     .           a                                            “              .
            “Guide24      |                       _    tL *   [YES - complete Part M of Form 1, or Part P of Form 1 if the work is prescribed tidal work
            you answered “YES" to-Q12, the application - !                                      ‘s                 i
            triggers referral to the Port Authority.                              :                   L            i                           .            .        .     .
            The Port Authority:is a concurrence agency if the                                          ‘,        2
     .      development is -       ‘                                                                     :        .
            © within 200m of-@ shipping'channel or an entry                       :                        A                          ;           :     '
   .           and exit shipping corridot.forthe-port                                                        1
            «_ within: 1000rn of a'swing Basin, a commercial                                .                  a                 .
               shipping wharf, a moorifig, anchorage‘or spoil        oo,                                         .      :
               grounds;    SS                    .              ‘                                        ;      h                 .                      ‘
            © within 1000m of a planned port facility .      .                                                    1                                                             .
   .          ‘identified ina land Use plan approved: under,                                    ,
               the Transport Infrastructure Act'1994..                            .
            -tnvalt other situation the PortAuthority isan:                                    ;         ;                        :
            advice agericy. ..        wee             fe                                 ee       ve          ee                                   -
        .   Marinas            |           . -.. - .] 13.    Does the application involve operational work that is tidal work for a marina’? with more than 6
  ,       ~ For. more information refer to Guidé48"-For: »   vessel berths?                                                                      .     .
            information about whether a marina‘is prescribed  ai          .                                \            .                                                            .
            tidal work refer:to Guide 24.. The.tocal .              0                                                                                                      ,
           “goverment is:the'assessment manager for all     /           .                     .              6       4    ij       .        ad fi
            Sesto! bal work          nm,                      (_] YES - complete Part M of Form 1, or Part P of Form 1 ifthe tidal work is prescribed tidal work |
        .     you answered "YES" to Q13; the application          :                                      .                                                           ‘
             iggers referral to Queensland Fire and Rescue                                              :                                             :                          :
           : Service as an advice agency.             Jo.                           wo.                                                .        .            :
            Tidal works in strategic port land-tidal]   14.  Does the application involve tidal works within a strategic port and tidal area20?
            areas                                            [Ano               oe
   an       For more information réfer-to Guide 18:           [71 YES - complete Part M of Form 1                                      \
            -Untess you angwered “NO” to Q14, the relevant  .           :         ‘                         ,                            .
          -. Port Authority iS thie assessment manager for the                                                                                                             .
       ’ _- application and:the Environmentat Protection "                                     ,                .        :                        ,
           “Agency (EPA)-and-Queensland Transport (QT}.,             ;     .                                      t                           ‘     :
        -. ‘ate’ coficurrense’agencies for the application. Bl,                                    a               ‘                a
    wm,    Heritage       =      “=A                «1 15... Does the application involve development in a heritage registered place as defined under the
  -§       “For further irformation refer to Guide 19. .     Queensland Heritage Act 1992?                        f      -                   ‘
     =.     lf you answered ‘YES™ to Q15, thé application . FINO                                                  ~                                                   a
   &. * triggers referral to the Queensland Heritage                                                                                co                                                  ;
           “Couincil.ds‘concurtence agency forthe:           [] YES - complete Part C of Form 1°
    -      application.”  ”                   oo       .                          -                               ce                                                    ‘
           ‘Unless you answered ‘none ofthe above" to   een application involves: (ie applicable boxes)                               .                      |   ,
           ‘Q15(0), the application involves referral to thé     (i) | amaterial change:       use assessable against the planning scheme and the lot shares a
           ‘Environmental Protection Agency as an-advice:        -     common boundary with a protected area or.registered place under the Queensland.
         gy 2eney for the application:      ed,                         Heritage Act 1992;                    a                                                                    .
  t     ©       .        ~        Sg                        Oi tii)     reconfiguring a lot if the lot shares a common boundary with a protected area of
    HOE                                                                registered place under the Queensland Heritage Act 1992;
          A                    4        .            ‘+     (A (ill)   none of the above.                                 os                  ct                        ;               .
  Ven                          yt                   |          g¢     Tt                               a          oe
Pee.                   Rooke                        -          i        mo                        a                “i
           -*    ‘".  ~                 .                                            ‘                            .         ™
 t \         5           :      ye                   ‘                                                             .        ;         :
“3d 4 Declared catchment areas                          16. 2The application is in an area declared to be a catchment area under the Water Act 2000 and
a     wt    For more.information, includig.a list of the     involves: (tick the applicable box/es)
      “I    declared’catctiment areas-within Queeristand, -       .               woe         .                .                           fs
        "EA refecto Guide 13, -     \s                       L}(i)     reconfiguiring a lot if any lot resulting from the reconfiguration is less than 16 hectares;
         1 f Unless you answered “rione of the above" to     [] {ii}   development assessable against the.planning scheme involving the establishment or
    -     14016. the application requires assessment by the |          expansion of a waste water disposal system, other than a disposal system-for carrying
            Department of Natiiral: Resources:and Water.                           .                           a                    -                    .
 ,       FRRW),                     a             vo                   out an environmentally relevant activity under the Environmental Protection Act 1994;
          li aniagenicy other than NRWiis'the:assessment:     Hii      noneofthe above          ~~                                                                0                    ;
           "Manager for the application; NRWisa:                                                                                                  ;
       - |} -Concuireiiée agency for the:application.in |:                .                                                                                       ,                 ‘
           ‘elatiorrto thisimatte; ©                            .                               ee                                          .

           18 High water mark is defined in the Coastal Protection and Management Act 1995 and means the ordinary high water mark at spring tide.                            ,      oO
           19 Marina is defined in the Transport Operations (Maritime Pollution) Regulation 1995, .                                ‘                                       .           ‘
           20 Strategic port land tidal areas are the areas generally 50 metres seaward of high water mark adjacent to strategic port land. .                          ,               .
                                                                 ,                           Page 5                  ,                             ;                                  .

Section 12

INTEGRATED PLANNING ACT 1997 __                           ft                     ;                  IDAS Assessment Checklist, Version 20,2Apil2007,
           Contaminated land     © 2  = 0-17. {The application involves: (tick the applicable box/es)                 tm
          - Applications involving material-change ofuse .- - ‘            ‘      .        ;     ,                  :        _                              .
          and/or reconfiguring lot may biggerthis «|    [*) (i) reconfiguring a lot for which all of part of the premises are
           -feferral,             ok                             (a) premises mentioned in the IPA, schedule 8, part 4, table 2 -.
           For more information refer'to Guides. * -           ___« item 5, including the exemption otherwise provided for by paragraph (4); 4
          _Unléss you.answered “none of the'dbove” to:   *.    |      item 6, including the exemption otherwise provided for by paragraph (e); or
           ‘Enviconmental Protection Ageney (EPA) fon          \   ‘  ten  4, including the exemption otherwise provided for a mining activity or petroleum
           Q17,-the:application requires assessment by the         “ej       i     H              j         i      i           ini     ivity
           agency other than EPA is the assessment                & activity; or
          manager for:the application, EPA will be a             {b)  sin an area for which an area management advice has been given for unexploded
          concurrence agency for the application in               / ordnance -- complete Part N of Form 1
           relation to this matter.      oe          :      .         vo          :       .                                                                       ‘
                      oo                   .            CJ (ii) a material change of use -                            .                                            ms
 :             Ost                        .      yo          -f  (a)  made assessable under the IPA; schedule 8, part 1, table 2, items 5 to 7; or
         ‘                                   -                  ‘(b)  assessable against the planning scheme and if all or part of the premises is in an area
                                                 |        ’           for which an area management advice has been given for unexploded ordnance -
          a                                      1                    complete Part N of Form 1
      ,            a.                     a      |      wii     none of the above _            a                                .                   .
.         -Electricity.infrastructure ~~         | 18. The application involves: (tick the applicable box/es)
       -.  For-more information refer to'schedule 2ofthe|P/ — [] (i) reconfiguring a fot where any part of the lot is —       .                       "
           Regulation.                    2S                           .                   .      :             gs    .           cat       .
           Untess'you answered “none of the'abovet to... |       e subject to an easement in favour of a distribution entity or transmission entity under the      :
   .       18, the-application tigers referraltothe |              Electricity Act 1994 and the easement is for a transmission grid or supply network under ©
          - agency to'which the easementis grantedin |            _ that Act; or                                                                           @
    ©;    Bvourof as advice agency.      ora                     e situated within 100m of a substation site;              .
                           te         cS 3 Ss           (.) (ii) a material change of use, assessable against a planning scheme and not associated
                           SY                           ,        with reconfiguring a lot if -
               co                     tore       |               * any part of the premises is subject to an easement in favour of a distribution entity or
          Pe                                 2               -     transmission entity under the Electricity Act 1994 and the easement is for a transmission
   -o               .                    ee      |:              - grid or supply network under that Act; and
            pe                                                   « any structure or work that is the natural and ordinary consequence of the use is, or willbe,”
             oo ta                             :                   located wholly or partly in the easement;                                    LL
 .        bf ets              .         ss]            [[) (il)  a material change of use, assessable against a planning scheme and not associated“
          tee                  Te     ee]                        with reconfiguring a lot if any part of the premises is situated within 100m of a substation, ..-”
           poe gs                  |     Oe 7           CJ (iv) operational work that is filling or excavation assessable against the planning scheme,      =
co         ve fee                     ae                ‘      * not associated with reconfiguring a lot, if -                                                       ;
          Se                          eS                         * any part of the premises is subject to an easement in favour of a distribution entity or
                             ee                                    transmission entity. under the Electricity Act 1994 and the work is located wholly or partly in
.                      a           ot           4                  the easement;                            .             ‘
                      fe                      _                  « the work is located wholly or partly within 10m of a substation site;                              .
                 eek: Soe                    od         Hw       none.ofthe above.                         ees             Ce                             {
          Land designated for community :      "" / 19. Does the application involve development assessable against the planning scheme and on land         ©
_..- +2 14 Infrastructure: .22     0. 4 *  4 <2]. - designated -for community infrastructure?:      .—-...~-———-          -                fe   ee ad /
  .      Applications involving development on land:     a                    “a               earsi       vy                                     0
          -designated for community infrastucture may’  (i) intended to be supplied by a public sector entity; and                          #3             A
          gWigger this teferral.: “earn Sette ge      ces). (ji) on land not owned by or on behalf of the State; and .                      wo     A in        “F
          {Rér,thore information ‘retertoschedule2 oftie:"| ay                       _                                                   |       ‘¢         AL .:
          ; IP Regulation: meant]                       (iii) other than development                                                     f.      Low           an
          “if you-answered “YES" to. Q19, the application: | . (a) _ for the designated purpose, or                                     |                 ae   ze
          ‘requirés assessment by the chilef.executive:of'. -        i          ;                                                     f              Ff   Oi
          ‘the   department administering the Achauthorsing | (b) carried out by, or on behalf of, the designator.                              ot oe                 |
          the development for the designated purpose, "| [Ano                                          :                        .    fF        moe   BOY            (
          Hf ani agency:other than‘the designators the              a                                                 oo,                        ,           a
           assessment manager forthe applicaton,the     Lives               :                                                                   soo4                 ‘
      ‘designating agency will be a concumence       _                        ,                                                  :                          g
          “agency for the application in telation'to this. |               oO
          myalier,;             ee               |                         oo   .               :          ,                      if                  ;

                                 ,                                                                                                          |           oo
       |              .                                                              Page 6                                                   .      .     .

Section 13

INTEGRATED PLANNING ACT 1997                                                    _                _IDAS Assessment Checklist, Version 20, 2 April 2007
          SEQ Regional Plan”                 - 20.    The application involves (tick applicable boxes) -                         .
         For moreinformation refer-to schedule 2ofthe |. [7] (i) a material change of use ofpremises- .         .                                        ,
         : IP-Regulatlon,    po                :                    .       .                  Area i        ban F      rint f
         ‘fer to Chapter 2; pat’SA and schedule 10 of *        (a)  ina Major Development       Area in the Urban ootp   nt for -                oo
    ___- the integrated Planning Act-1997; and schedule’:          1     ()   an urban activity -                 .             :        .
          datos            ons rte. "                                   - (1     inan area included in a structure plan where the IPA, section 3.1.6
         Unless you-answered “none of the-above’to. -                           applies,               :          ;                 .                   .
          Q20, the application requires assessment by tie                  (1    in an area not included in a structure plan where -
      _   Sige gt Urban Management (OUM)                                     .  » the IPA, section 3.1.6 applies to the application for the material change
        oo                                                       .   .             ofuse; or
          BS                                                          -         e the premises exceeds 10,000m2;or
                                                   oo                   ot    ' « the gross floor area (GFA) on the premises will exceed 10,000m2; or
                     :       .                         ,              :         + impact assessment is required under the relevant planning scheme    |
                    .                         :                    CJ (ii)    intensive animal husbandry, or                                                   ee
                      .                oe                          C)   (ii)  residential development involving a rural residential purpose                ‘
            '      .                    .    :.                                                                        .                    r                »
                    ce                                 .        (b) in the Regional Landscape and Rural Production Area for \             '  ‘                ‘
                                                                   CJ    (i)  anurban activity and not specified in section 2.4(2); of \   \                   (
                                              :                '   (J)   (ii): residential development involving a rural residential purpose and not    |
                                               '                              specified in section 2:6(2)                                  .
      @                                                          (c) in the Rural Living Area for an urban activity and not specified in section 2.8(2);
 .                         -                 oe                  (d) in the Investigation Areafor-.      -                     .                7         .
       a,              woe ha      eS                         ~    (2) (i)   an urban activity and not specified in section 2.10(2);              ’
                              of                                   LJ   (ii) residential development involving a rural residential purpose and not            3
      OU       De        rp                                             specified in section 2.12(2); or                                     .           -
         a         we                               ee             (.)  (ii) intensive animal husbandry                     ——                         mo
        CR                  ar!           —           [1]   (ii) reconfiguring a tot-        co               .           -              sv             .
        Co                   Boa                           ~  On land in a Major Development Area in the Urban Footprint that is:        ue                     ‘
2                 oe                          !       .         ‘(a)  not included in a structure plan; and              :                be                   LO
        -                             a                         (b)   not specified in section 3.1(2).          :                         ee      "
       ee                                   |        A         itynoneoftteatove                                                                            |
         Fisheries matters          oo          21.  The application involves: (tick the applicable box/es)
        _ Eormore information: refer to schedule:2of the IP CI (i) an assessable material change of use for aquaculture - complete Part O: of Form 1;
         Ret                       a                 C1 (i)   assessable operational work that is the construction or raising  of a waterway Barrier -
       :.Unless you-answered "none of the above" to a   ’    ow            Pp        :                                       g             cas a,       .
    .   - Q24, the application requires asséssiment by.ttie  complete Part O3 of Form 7; -                                               aE                 a
        Ce                   eel                     (1) (iii) assessable operational work completely or partly within a declared fish habitat area.             o
     Qa       er  ster     DPISF's the assesment             complete Part Oz of Form 1,                                                         |            .   }
         naniager,for:thé application, DPIBEs a :    [J (iv) assessable operational work that is the removal, destruction or damage of a marine                   ;
        . Concurrence ‘agency, for the application in              -                       .                                                                      x
        ‘retation:to items (i) - (iv)-aftd.an advice agency | plant complete Part Oz of Form 1,                     :   .                   ,       .     so      £
        ‘relation tolitem(v).                        (] (v). development assessable under the IPA, schedule 8, part 1, on land that adjoins a
                                       rn    |               declared fish habitat area;                                            ,
         a                      eee                  “O) none ofthe above.                            ce                                      So

                                        .         |                              Page 7            —        oo            ,

Section 14

INTEGRATED PLANNING ACT 1997,                                                                     {DAS Assessment Checklist, Version 20, 2 April 2007
   .       Integration of-land‘use and public     22. The application involves: (tick the applicable box’es)—
          “Ferns   reat rtr'6 ude 28 schedule          [_] (i) a material change of use assessable against the planning scheme for a purpose
          " BA of the IPA;& schediite 2-of the IP Regulation.  mentioned in schedule 13C of the IP Regulation and exceeding the thresholds set by that    ~
           “Unlass youjafiswered “nione of the above", the.    schedule.                                                          oe
        *  applicatioritriggers referaltoQTasa “*-: [>
           concurrerice agency.                        [1] (ii) reconfiguring a fot—                                            .
           Soe Be,                    ot                  *     [J (a@) _ onland that is completely or partly within a public transport corridor, andthe —
           BO                                                             total number of lots increases;
               yo,                       oe                     (]{b)     on land that is completely or partly within a future public transport corridor or
                         o                      |t                        an airport's public safety area;
    }               ,             .             ‘               (1 {c)    on land that is within 400m of a public passenger transport facility or a future
                     ot:                                                  public passenger transport facility, and the total site area is 5000m? or greater,
           .       tpt.                  .                      (J (d)  for residential purpose within the 25 ANEF contour for an airport;
    )                  gf        f                        .     [J (e) _ fora residential purpose resulting in 100 or more allotments.
  js               OFS            ;                    (_] (iii) operational work assessable against the planning scheme, but not associated with a
 peo.                   }   fF                  ;              material change of use mentioned in {i) above or reconfiguring a lot mentioned in (ii)
    ;      oP SS               f       .        '              above, on land that—_.                                            ‘
    .                    fo                         ;           (1) (a) _ is completely or partly within a public transport corridor or a future public
 ’              tp,                             }.                        transport corridor;                             :                           -
              ,.      )                         |               (J (b)   will result in work that encroaches into an airport's operational airspace.
              ;    f fo.                   —            Hi     none of the above. ©                                                                   @
          Railway safety and efficiency          23.  The application involves: (tick the applicable box/és)—                                                   .
           ‘Fox more information refer to Guide 23, schedule [_] (i) a material change of use assessable against the planning scheme for a purpose
        . _Bhofthe IPA'8 schedule 2 of te IP Requiation    ” mentioned in schedule 13D of the IP Regulation and exceeding the thresholds set by that
}         :application triggers referral to OT-as a           schedule,                       .          ;
        -  Unless.you answered *none of the:above’, the                             4
 a         concurrence agency." a, es”                 (] {ii) reconfiguring a lot—                  .      a                                     =
I.     f  f    ee   ee rene ee                                 (] (a)    on land that is completely or partly within a future public transport corridor,
  J / sled Te                      sang                              _+  future railway land or a railway tunneleasement;
 “ty       ee Rei               ho on                          ([] {b)   on land that is within 400m of a Citytrain passenger railway station or a future
             aM ys or UY                                                 Citytrain passenger railway station, and the total site area is 5000m? or
  i         me                                                     _     greater;                  a                                a
           De,                                  4              [J (c)    ‘on land that abuts rail corridor tand, commercial corridor land or future railway
       So        ee     Uy Ben                                           land, and the total number of lots increases;
          a                                                    (0 (4)   ~ on land. that abuts rail corridor !and, commercial corridor tand or future railway   .
   a            ea                                                     - land and an easement abutting the corridor or future railway land is created;  -
  ood            OS        ee      oo    ie                    [J (e)    on land that is completely or partly within 100m of, and abutting an approach
  i       PE ad Bee Ro               AP                                  to, a railway level crossing, and the total number of lotsincreases;   «=
 a           ee 2S Mg                                 :        C1 (f)   for a residential purpose resulting in 100 or more allotments.
          Weel PYRO Saat                  Ps od        (] (iii) operational work assessable against the planning scheme, but not associated with a     @
:         pg                                   /          ‘material change of use mentioned in (i) above or reconfiguring a lot mentioned in (ii)
           :      eokash        byt    ih.    ce              above, involving extracting, excavating or filling greater than 50m3, on land that—
           we FE            BR           ee                    [J (a)    is completely or partly within rail corridor land or commercial corridor land, and
                             a                                           the work is not for rail transport infrastructure or other rail infrastructure;
;          ee                               :                  (-] {b) _ is completely or partly within future railway land, or a railway tunnel easement;
     Co              te ee                                     (J {c)    abuts rail corridor and, commercial corridor land or future railway land, and         .
      CAE                                                                the work is within 25m of the railway boundary.                            ;
    Ce                                                  iw none of the above.                                                                             -
          ‘Moonieto:Brisbane-pipeline   =.       -|24. The application involves the easement for the:construction or operation of the Moonie to
          “For more information refer to schedule 2of the P| Brisbane strategic pipeline, and involves: {tick the epplicable box/es)— ae
          Tete torscbrcd irk in@akonsh he:         -   [J (i) a material change of use assessable against the planning scheme and not associated
          vappicaton biggers reféralto the holder of he       with reconfiguring a fot, and any structure or work will be located wholly or partly in the
          ‘pipeline licence No 4:iSsued under:the Petroleum) . easement. |                                  7                                                .
          *AGt'1923; curently Santos ONT-Ply Utd; for. (1 (ii) reconfiguring a fot                                                -
 :        vadvicg.”*       IE     re                       as        .                          .                              «pe            "
   .        Po                                 ‘       C (ii) operational work assessable against the planning scheme, thatis filing, excavation,     .
          oy      vo                ae          Jo            compaction, drilling, boring or piling not associated with a reconfiguring a lot, and the
                                 ne             4             work is located wholly or partly in the easement.                    Lo
             foe            a       ,          ‘      wiv none of the above,            uO                                            moe

                                                                               _  Pages                                   SO                             ae

Section 15

ee                                     ,                                                                         .                 ‘
           INTEGRATED PLANNING ACT 1997                                                                     IDAS Assessment Checklist, Version 20,2 April 2007,
          Koala habitat area         -       ‘125. The application involves: (tick the applicable box/es)—
      a Sone late pie                   and            (J (i) a material change of use of premises in a koala conservation area or koala.
           UsiléSs you dnsweiréd none of the above thie: -     sustainability area made assessable under a planning scheme, that is not for a domestic
           application requirés referral to the Environmental  activity and will result in -
           ‘Brotection Agency. 2s & concurrence agency. |} =‘  E-](a)_ clearing of native vegetation over an area greater than 2500m2;
          a                     Oe                     .      [7] (b)  anew building and any reasonably associated structure with a total footprint
.                     .                        fp                      greater than 1000m?,                                                               "
  -          ne,                        He                    (_] (c} an extension to an existing building and any reasonably associated structure if
           a               re                                          the extension has a total footprint greater than 1000m2;
                                5                                1} {d) extracting gravel, rock or sand from an area greater than 5000m?;
 So,                :                                          (J (e) excavating or filling an area greater than 5000m2;              ,
     Se             .      a        vo                         O(a     additional traffic. in a koala conseryation area or koala sustainability area,       Co,
          ee         BE                                       ,        between 6p.m. on a day and 6a.m. on the following day.            Se
                      mg                               (J (ii) reconfiguring a fot in a koala conservation area or Koala sustainability area that will
        Co                      Oe                  “          resultin =
    De                         ee                              (] {a)  an increased number of lots; .                                               .
          ero                       a                          [1 (b) clearing of native vegetation over an area greater than 2500m?.
      oo                                               ([) (iii) operational work in a koala conservation area or koala sustainability area made
          .                 OO               ao                assessable under Schedule 8, Part 1; Table 4, items 1A to 1G (not associated with
        .     i           eo                        yp,        reconfiguring a lot mentioned in (i) above) that will result in the clearing of native vegetation
        @                                             .        over an area greater than 2500m?.
                            .                       ~  (1 (iv) operational work in a koala conservation area or koala sustainability area made        -
 .                                                             assessable under a planning scheme (not associated with a material change of use
               mo            -           oo             ee     mentioned in (i) or reconfiguring a lot mentioned in (ii) above) that is not for a domestic activity’
   _—_                                  ne                    and will result in -                                               7
         ;     eee                      a             :        {_] (a) clearing of native vegetation over an area greater than 2500m?;
            CO                                 ee              [_] (b) extracting gravel, rock or sand from an area greater than 5000m?;
           ae oy                          re                  CO) (c)  excavating or filling an area greater than 5000m?.
          SPs ee                                      fname ofthe above.                                    me          ee                                     .
          Wild:river area “* "- " --".           126. Does the application involve development in a wild river area declared under the Wild Rivers Act
           For tigre: informtiation, refer to. Guide'27;..- 2005?    .              .          Lo          ,           ‘                                   :      :
          If You answered YES to'026; you must'also   Ar NO
          -Compléte'séction'2 of this checklist: This will.                         .                                                         .
        _“eflable’ you to determine your application:can’ C1} YES
          “proceed in'a-wild tver‘aréa and which referral. :               ‘     .                                                   ‘
          “agency will assess your application against the:                  oo              oo                                       .
   4      ‘Wild Rivers Code; or ifthe proposed...  :                                                               .
          Gevelopment Is*prohibited" ina Wwild:tivef area. .                                        :                           ;
           Note: Dévelopment:can be “prohibited” ina wild.                                                     ‘             .                :      :        ‘
          fiver area. because the application.canniot.be: .                                     :
            cepted: by the'assessinant manage.                                              ee                               7                            mo,
           Preliminary Approval.  ~      “127. Does the application involve a development for which preliminary approval is sought under
          -lfyou-arisweredYES'to Q27;the:appfication.. Section 3.1.6 of the Integrated Planning Act 1997?                            .
          .ffiggers'referral-to.the' Department of.tocal HN 0                .          :                      /       -
         Goverment; Planning, Spottand Recreation as.     N            of                           ‘       .                                               .
   :      atvadvice'agency:                           (Yes                                sO                       .
          Wetlands     -  =.     °°] 28.              The application involves: (tick the applicable boxes) -                          a
          ee bay ae         eth  ee          |        [J (i)   amaterial’change of use, other than for a domestic activity, assessable against the
         a bf acmgle teeenoe tn alah ded a recsehatly          planning scheme that is in or within 100m of a wetland;
    - __- aSsdciated building’or structite. Examples of a) C] (ii) reconfiguring alot-
          ‘Rolking “un iia       be reasonably a               In or within 100m of a wetland that will result in
   .      -associated with a.singlé-residence include:                                     .          .                                  _           .       :
        __eatelakérs residenca, granny fat;bulcing or          [_] (a) more than 10 lots being created; or
          structure used for athome business.                   1 (b) lots tess than 5 hectares;                                            .
          —                          er ee           mii       none of the above                                                 .
         ' “Note: Wetland is-défined in:the: Integrated’...                  ,                                           .                    .             .
    _. -  }Planning'Regulation.1998,
          ‘Uiéss yu ahwered "hone ofthe abevet fo.
          028; thé application involves eférral.to test"            -                                                              7
         Eniirorimental Protection Agency as'an’advice’
          ‘agency.for the application. oT ee                                                                                             oo         .

                 .                                  .               :             Page 9             ,                      7                                 :

Section 16

INTEGRATED PLANNING ACT 1997                                                             +:      __IDAS Assessment Checklist, Version 20, 2 April 2007
   Conservation Estate."             .  -| 29. The application irivolves: (tick the applicable box/es)—
   rtian purposes ie definedin the integrated . CJ {i) a material change of use for urban purposes that is in or within 100m of any of the             .
  Planning Act 1997 as “purposes for which tand is} ‘following -                                                                               ;
    neues ee ieiglalaiis   rca                              (a) a protected area, forest reserve, critical habitat or area of major interest under
   purposes, butotincuding envionmental,                        the Nature Conservation Act 1992::
   conservation, rural, natural or wildemess area       (J (b)  a State forest or timber reserve under the Forestry Act 1959;
 * PerpOsee                      a                      CJ (c)  amarine park under the Marine Parks Act 2004;
    Unless you answered “none ofthe above’to            (J (d)  arecreation area under the Recreation Area Management Act 1988;
    oo apt VON Telera Oe .                              (J (e)  a world heritage area listed under the World Heritage Convention;
   agency for the application.               ‘     -    (J(f}   Brisbane forest park under the Brisbane Forest Park Act 1977.
                                       at       (-} (ii) reconfiguring a lot if -                                                            .
            7      Lo                             ,     (7) (a) any part of the lot is situated in, or within 100m of, any of the following -     .
      :                                 .                      [J] (i)   aprotected area, forest reserve, critical habitat or area of major
   .               coe                  |       -    oe         ‘interest under the Nature Conservation Act 1992;
ST                        ce                              _    [QGi)     a State forest or timber reserve under the Forestry Act 1959;     ;
                             moe        fo                     (7) (ili) a marine park under the Marine Parks Act 2004;              .
                                 we     dle                    (| (iv)   a recreation area under the Recreation Area Management Act 1988;
                                                               LJ] (v)   aworld heritage area listed under the World Heritage Convention;
   Se                    we                               :              Brisbane forest park under the Brisbane Forest Park Act 1977; and -   _
                      —         So                      [J (b)  the reconfiguration involves more than 10 lots being created, or any lot      @
    .                      So     eS                            resulting from the.reconfiguring is less than Sha;
   Be                                             i) none of the above,                    .          ,                           7                     .

                         .           .              .   .                       . °   ,     .                                              ,  .  %       .

                          -                                                Page 10

Section 17

ro   =       ,    .                  ,                   .                       my      .         .                            ,    ’          ,                    .  ,
             INTEGRATED PLANNING ACT        1997                         a                             _______IDAS Assessment Checklist, Version 20, 2 April 2007
            LE Ses      of EE       SSe AP SECTION DP ASSESSMENTIN’A                                       WILD RIVER AREAR ME Sa
            pie hes ae sp SECTION 2— ASSESSMENT, IN‘A WILD RIVER’AREAt os oe Vg
            ae      ORE. (completion mandatory ifthe proposed development is located.in a wild river area)                                                       a aaa a
            Bg    RR Li          RI    ks 72 Wn                 INES              Nara         mre er      | a ier na ae emlorn                Pa a a POT            corn Cee
             iy Reese Oe            Laan att        as     a        apg es                =             —         eae                  aT       or       ear es  ea  ad Bee
 _           Wild River Area                    .       | 1. - Which wild river area is the development proposed in?                                         .
             It the responsibility of the applicant to                                                                                                                                          ,
             determine if the development is proposed in                                                                                                         .                     :
             aiwild river area.    ,      ‘             :                         —                                                                                                :      .
             Information about wid river areas including the | The proposed development is to be located in: (tick the applicable bowes)-
             geographical tocation and position of                  .     .        .        .                               a                               :       :     .
             management areas in relation to properties, can   Cc] i) a high preservation area (HPA);                ;
             be accessed by contacting-the Department of            wy              .                     oo       :                                              .                    .
             Natural Resources and Water (NRW), accessing | -  J ii) a preservation area (PA);                                                                                       -
            cantactha the department bere       ov.all oF      oO   iii) a wild river floodplain management area (FMA);
            wild rivers@nnw ald.qov.auy                        [_]iv) a wild river nominated waterway;            2.                                             .              |
             Note on Referrals      wt,                        CJ v) a designated urban area (DUA).
             Referrals for development in a wild river area _
         __ other than for agricultural activities andanimal ]       .                                                .                                                       ‘      -
             husbandry activities) are not changed from the.                         .                               :
            -existing referral arrangements.        .           .                                                                     so                                      a
             Notes on development assessable            |}.                               .     ‘                                                                        ,
             against the Wild Rivers.Code .                                                                                                                    -
             For information regarding development in ‘é-wildi. .                                                                      ;
             river area, see the relevant wild river declaration                                  .                        os                 .        ,                .                .
               d Guide 27. The relevant witd river                           :                                                     :                 .
      :       eciaration will provide information regarding .                                  :       ‘                                                                       a
             which types of development must be assessed _                                   .                 .                 :                .
             against the Wild Rivers Code,-andinsome                             ,          :                                                       .           :              .               ,
             cases which types of development are exempt.                          .                               :                           :
             from wild river requirements. °                                                                          .
             The notes on development assessable against:                      ,     .                     ,                   ,                             -               :
             the Wild:Rivers Code in this section of tie        co                                                                                                                     -
             checklist provide some guidance however this”                                   :
             may vary.between wild river areas. The relevant -                       .
 .           declaration wilt provide the information applying    ,              .               :                           ‘
            to each wild river area.            ,                                                               ee                                                                    ;
            Applications for-some:new developments will not        .               ,                       .          .      ,      ,
             be acceptad if the proposed development isin a                              —                                                                                 .        .
            high: preservation area (HPA): ‘Most applications:                                 .                                             :
             for development.activitles which may be made                           ,                        .              :                       ;                   .
             including those in a preservation area-(PA), rust                               co                                                                                           ,
             be-assessed against and must comply with.the    .                          ,                             .                .                                    “
             Wild-Rivers Code where indicated:in a relevant                          :               :                                                                                          .
           wild tiver dectaration.                                                      a                                                  re                        Lo.                      ,
            Environmentally relevant activities.        ‘|2.    Does the proposed development only involve any of the following environmentally relevant
            (ERAs)‘n a designated-urban area                    activities (ERAs) in a designated urban area (as mapped in the relevant wild river declaration)?
 ~—ERAisexemptftom any wid merrequrements                       |) ANERA 28 or ERA 14; or                      SO                              .                                     :
 .   @:. provided ere are no other asports at tis .           ’ ii) Alevel 2 ERA except ERA 1, 2, 3, 4, 20, 22 or 59.
              evelopment  that require assessment against“                                                                            :
            Wild rivers, you donot need'to compléte the’        JNo                     [4 YES (ensure you have completed Part G of Form 1)
-          “femaining questions in Section 2.       co                                                                                                                    :           ‘      .
            ‘Ifyou answered NO to Q2, please complete the :                                                          .
            ifemaining questions in Section 2.)                        eee mesa a nam yn        sty sngntim        its pan gp mgs jet ean         pes            co    enc     cs
            “Clearing native vegetation        ©    *     13. _ Is the application operational work for clearing native vegetation in a HPA?
           ~IFYES, there‘are a limited number of purposes            \                                                                                                ,
           “for which an application to.clear native... =       [_] NO                  [_] YES (ensure you have completed Part J of Form 1)                                                    .
         _  Vegetation may be accepted in:a‘ HPA.Sée.. "|
            -Guide.27.for a list of relavant purposes for: “| 4. If YES, is the clearing?                                                                                              ;
           which an-application:may-be made Ina: HPA: :              .       .           ,                 .              .                .              oo         ;
             YES and you tickéd'04 boxi) the application.       (_] i) clearing regrowth (as defined in the Vegetation Management Act 1999) in a registered
            -fihay-be made and is assessable against the Wild        area of agriculture in a HPA (see Guide 27); or
             Rivers Code. If YES and-you ticked Q4:Box:ii)        “7                    .            4                  .                     ,    .
            ‘tie application wil not be accepted. _- i  .       C} ii) in a HPA outside a registered area of agriculture?                      .
            "Note: tf clearing'native vegetation is ina‘PA, °             .              :                                                                  .
            there. are no wild-river- requirements and: :                 co                                                                      .
  .         -provided ‘there are no other.aspects of this.                                                .              Ss                                      So                  ct
          _ ‘development where wild river requirements.                                                                                                                  ;               .
         "  ‘apply, do not complete the remalning qitestionis:                                                                                                            a              ss

           .                 ,                           ‘                                       Page 11                                                                                   ,

Section 18

INTEGRATED PLANNING ACT 1997                      ‘                                                                 IDAS Assessment Checklist, Version 20, 2 April 2007
            Works in tidal areas, coastal                 95.   Is the development for specified works? (see definition in the Wild Rivers Act 2005 and Guide 27-
            management districts and fish habitat               Development in a wild river area)                         .                         :
            areas                     .                                                                               .                         .                           .
            Ifyou answered YES to Q5, and ticked any            [Jno                     Cl ves                                                      Lo                             ,
            “boxes in Q6), your application is required to be                 ;
            ‘Assessed against and must comply with the Wild | 6. - The application is for one or more of the following:
               ers     Cade.            .                                                                :                        .                       .       .        Lo
            Hf you answered YES to-05 and ticked box in         (_] i) Operational works that is tidal works or works in a coastal management district (ensure you .
          - .Q6, your application is required (o’be referred:to       have completed Part M and/or Part P of Form 1), OF                    :
.       .  + the EPA,                                                wag                                                  .                         .
            Note: specfed works are proposed ina local          (J ii) Operational works for the removal, destruction.or damage of marine plants (ensure you have
            government area, it is prescribed tidal work — the        completed Part O2 of Form 1); OF                                                                 .
           * relevant local government will be, the                  Pn     APT          spat              .             .                                                      a
    .       pocecoment rnanager with the EPA ws a               [1 ili) Building or operational works in a fish habitat area (ensure you have completed Part Oz of Form 1).
            concurrence agency                          4                                                             ,                      ,         SO,                           .
       .     If you answered YES to Q5, and ticked box ji}-or    ‘                                                      ,                                   .
            iil) in Q6, your application requires referral to                                      :                    ,
            DPIF.                  :                    |                                              .                                                           .              .
            ‘If you answered NO to Q5 and ticked box i) in                 ‘       .                            .                .                .
            Q6, the application will not be accepted.         :                                                                                                     .
            If you answered NO to Q5, ticked box ii) in Q6                                                        ,                       %                               :
        "and: the development is necessary to install.                 .       :         ,
            authorised works or infrastructure where a                                    ’         :                        ,                        .
            ‘development permit is not required, or if a                                                                                                                      .
            required permit is held, the application must be       .                                                        :
            assessed-against and must comply with the Wild                       :                           .        .                                    /
            Rivers Code. Applications for purposes other   .                         .                     :                                             .                       @
  .         than specified works:or as described above will                     .           ‘                         :         .           .     .                               .      ,
            “not be accepted.                ,                                                                .                Jo
            if you answered NO at Q5 and ticked box iii)'in                                                          :       .
            Q6, the application may be made Ifthe works afey                                                               /                 .             :                              .
   .        ina PA. These applications must be.assessed .                 .                 :                                                       .                                    .
            against and must comply-with the Wild Rivers -                                                   .      /                                                         .
            Code, The application will not be.accepted if the    '                     :                            ,                                    a
            development is proposed to be located in a HPA.                                                                                       ,          ‘
            -For more information about specified works refer                                                         -             .           .
           oGuide 27                                                             eee ee       se ett         ett gut tegen itp spon getty te tt                 wow        et               .
    "Residential, commercial of industrial |7.                  Is the application for residential, commercial or industrial development in a designated urban
            development                                 :       area?                                                                    :                                           mt
           ” Ht you.answered YES to Q7, your application is’                                                              .                                ;             .           :
            ‘not subject to. wild river requirements: Provided  CI NO           -    .   CJ YES                                              :
            there are.no other-aspects of this:development                                         :         .
            hatrequie assessment ease eo donot            8.    If NO, does the application for residential, commercial or industrial development involve:
            fiver declaration or Wild'Rivers Code, you do no         ;                                :                                :          .       -
            need.to complete the remaining questions:in’          J i) a material change of use made assessable in a local government planning scheme                            oo
           “Secton2,               .                    |       __   (ensure you have completed Part 0 of Form 1); or                               Oo
           : Ifyou.answered NO to Q7-and ticked either-box «         .          .            +      .        .              .                 _                                     .
          *))orii)'in Q8, the assessing agency is the           (J ii) operational works associated with reconfiguring a lot (ensure you have completed Part F
    :       relevantlocal gavemment. The:application. must;   .      of Form 1).                    .            -G                       :       .             .               .
  :        ‘bée-assessed against and:must comply with.the                  :         :                                                                           :            .
           “Wild Rivers Code.                   .                                   to                                              .                                             @
            Animal husbandry activities       _ © -.}9.         Does the application involve a material change of use for animal husbandry activities (as defined
            ‘ifyou answered.YES to.Q9:your application’ 4     under the Wild Rivers Act 2005) in a PA?                       .                                   ,
            requires.assessment against and must comply         ,          :                                  :                             :
           “with the Wild Rivers Code.          “|              LINO»                    LD YES (ensure you have completed Part R of Form 1)                                      |
           _The-assessing agency:is NRW.     .          |         /                                                  :
            ‘Note: Applications for animal husbandry’... |           ,                      ‘                        .            -
         _  “activities willnot be accepted if proposed ina >.                                               ae                  .                 :            .           .
            HPA. For more.details and .a‘definition of animal: |                                                                               .
           _ husbandry activities see theiWild Rivers Act: < |            .                             .
            :2005 and:refer-to Guide 27.”          ore                        se ee                                        ee          tp
           “Agricultural activities.      .    -." ~" 140.      Does the application involve agricultural activities (as defined under the Wild Rivers Act 2005) in
           “Ifyou-answered YES to'Q10, your application: =     a PA?                                                                                                    ,        F
   .        Tequires'assessment against and must comply.: ©                                       :
;           with the Wild Rivers Code.          nome          C] NO            .        C] YES (ensure you have completed Part Q of Form 1}                        ‘
            The assessing agency is NRW.           .                                                                                                .                       .        .
            Note: Applications for agricultural activities will 11. IfYES is the application for;                                                         ,                          .         :
           ~hotibe accepted ifproposed.in a HPA..;For more          .           .                   .                                                    /               ,                  .
           “Geals and adeintion of agncatural eciaies --|           i) a material change of use; or                                                     |           |
            e the Wild Rivers Act 2005 and refer. to Guide:   C) ii) operational works,                                7                       :                                          7
           The production of fodder in a-PA, and pasture | -                                                    oo,               .          m               .
            improvement using:low impact soil-disturbance”                                       :    ‘
           techniques is not an agricultural activity:as “|                                   .              se                                .
            defined under the Wild Rivers Act 2005. For |                                          /                                                      .
            more Information see Guide-27, -       |]                        -      oS                       oo.                                oo                           ‘           '
                      ,                                       .                                   Page 12

Section 19

»     INTEGRATED PLANNING ACT 1997.             :        :                                                               IDAS Assessment Checklist, Version 20, 2 April 2007
            ‘Works that take overland flow.water: | 12.         Does the application involve works that take overland flow water in a HPA or an FMA?
             he relevant wit ver deciarafon wil Stale P         [_] No          -.            YES (ensure you have completed Part Ks of Form 1)
  :         ‘self assessable or assessable, or are exempt                                    —                                           ;          ae
             from wild river requirements,                13,   if YES, is the application for works stated in the relevant wild river declaration to be?
            -H you ticked Q13 i}, your application must be           .                                       .                     :        :        .
       _    assessed by NRW against the Wild Rivers Code        (Ji) assessable works
            “and must comply with the code.     *               [_] ii) self-assessable works
            Ifyou ticked’ Q13 ii} an application isnot required .    eae      .       .                                                                                                     :
            to be made however the: works must comply with|     [_] iii) exempt works
         -   the relevant self-assessable section of the Wild.     0                                                                                                                  ‘
             Rivets Code, otherwise the works become    :                                                             /                                     :
            assessable developmentfor which an application                          .                                                                                  _
            ils required and must be assessed byNRW.:                                       .
      .     “agalnst the relevant part of the Wild Rivers Code ;                                :
             and:must comply with the code.                                                      ;      .                       ;        ,
            ‘Ifyou ticked Q43 if) your application is not ~
             subdject-to wild river requirements.     ae                        an                 oo,                                  .      .                   .
            -Applications for development that Is:other than - °                              yo.                                        .                                            .
             that stated to be assessable, self-assessable-or:)            .                                                 .                       .                         ,
            -exempt will nat be accepted,          .   2         ;                 mo                      oo                          .                    .                         :
            Works that interfere with overland-         | 14.   Does the application involve works that interfere with overland flow water in a FMA?
             flow water                            .                                                ,         .                                         .
            "The relevant wid dwerdeclereton vil cite”          [JNO                     [7] YES (ensure you have completed Part Kio of Form 1)                                               .
             works that interfere with overtand flow water that          .           co.          ‘                .                 ao,        :        .
         @: either self assessable, assessable or exempt] 15.   If YES, is the application for works stated in the relevant wild rivers declaration to be?
.             ‘om wild river requirements.                      O “            abl     rk                               .
            off you ticked Q15 i), your application mustbe |        i) ASSESSADIE WOTKS                                                                                 ;                    ,
            ‘assessed by NRW against the Wild Rivers Code      Cj ii) self-assessable works                                                  .                   .
             and must comply with the: code..    :                   -                                                                                              .
             Ityou.ticked.Q15 il} an application is not required] O iit) exempt works                                             ;            .                  .
             to'be madaihowever the works: must comply: with
            - the relevant self-assessable section of the Wild:      :                                                                 ,                                                     :
            -Rivers Code, otherwise the'works become   -~                          /                  .
           “aésessablé development for which'an application   .                                                       :             .             .                                :     .
         .  iS requiréd.and must be assessed by NRW: . =                             :                         ,                                                                            :
            “against the relevant part of the Wild Rivers Code:  ;                     :                                                     ,                      .
   :        ‘and fust comply with'the code.           re                         :                                               .                    oo.
    -      “If yo ticked Q15 iil) your application isnot *                                           mo,                                                          ,
       .    subject to wild-river requirements. ~       '                 .                        .                               ,                           /                 .
          . Applications for development thatis.cther.than. | -                                                                                       .                   .
            that stated tobe assessable, self-assessable.or |  ,                                                            :
           ; exempt will not be accepted:             ef                                       ce    gp          wees        Coo                                 ee                            :
     .      Waterway barrier works                 ~  * 146.    Does the application involve building or raising waterway barrier works in a PA?
            ‘Applicators for building or raising watétway. °°
            bbarier works n'a: HPA wil not be accepted:        C] NO                   C) YES {ensure you have completed Part Os of Form 1)                                  .
             Ifyou.answered YES to Q16, your: application: -
           . Must be assessed by: DPIF against the Wild-                                                                                            ,      :
    :        Rivers Code and must comply wit the codé.- |                               i,        7                  ;
   ©        Aquacultiire (non ERA)                        17.   Does the application involve aquaculture in a PA?                                      -
             contorted for aquaculture ina HPA wall not be      {JNO                     ([] YES (ensure you have completed Part O: of Form 1)
           - you answered YES to'Q17, your application:   |”                                                     ,                                           ;
            must be assessed by. DPIF against the Wild’                          ,                                                                   :                                           ,
            Rivers Code and must comply withthe code. -               a               oe                      oo                          oo        —                        oo,
            ‘Works that interfere with water.ina.      |18.     Does the application involve operational works that interfere with water in a watercourse that is in
          _ Watercourse                               |.        anmominated waterwayinaPA?
            Note:.If the development is proposed in aHPA,       -                                 .
            applications for all works that interfere: with water C] NO                C] YES (ensure you have completed the relevant Part KofForm 1) —                                 so,
            in a watercourse {including dams'‘or weirs, -  .                      ‘                                                                .                                        :
            ‘Stream realignment or stream diversion) wil'not’:| 49 If YES               :                               .                                    ‘         ‘         .
            ‘be accepted.                            o              x            «tian   ie for an  inetraat               ;              oO
            ‘nia PA, applications for instream damns and’ |     LJ i) The application is for an instream dam or weir; or
            Weits may be accepted ir nominated Waterways. |                       tnattian ¢            :                  .         -             .                         .
           ‘tf you ticked! box ii) in'Q19, your application will; CJ ii) The application is for operational works that interfere with water in a watercourse, and is                        .
       ‘    ‘notbe accepted.                   er!                     for development other than a dam or weir.
            ‘Note: Operational works outsidé.a:HPA or:
            Nominated waterway. are not subject to'wild «|                           .                                        ,                    ;
        "Hiver-requirements.                 ON
            -More information and.tocations of nominated’ *                                             ,
            waterways is avaitable by contactNRW,   7,                    .                                                                    ‘                        :
            “accessifig'the: department's website.”     *                               .        :                                                          .                                  .
            Www:nnw.qld.gav.au or contacting the-      :                                                                               .                   uO ,
            department by eniail'‘on:            :                                                   -                      ,     .                                 ;      "
            ‘wild [email protected]:     ,       .        Le                 .       :                  ;          ;           ot                  ;            ,              .

                ce                                                                               Page 13              ;              ,                                        SO

Section 20

INTEGRATED PLANNING ACT 1997                                           .      ‘                            IDAS Assessment Checklist; Version 20, 2 April 2007
         ~ -Environmentally-relevant activities. “) 20.     Does the application involve an ERA?                                                        4
            ‘Most applications for an ERA‘ina HPA will not  CL] NO                C} YES (ensure you have completed Part G of Formt)             :
            ‘be accepted. Applications whic may be made                                               ya        ne
           -Fequire' referral to the.EPA. The assessment of .                                     :              :
           . some ERAs is assessed by NRW, othershave | 21. Is the application for an ERA 20 instream?
           ~ been:devolved to:DPIF; NRW or delegated.                                                      :                                           .
           focal governiment (see EPA website formore’ 1    [_]NO                   Cl yes                    .                                                  |
           - information ‘on-devolved ERAs) -        det                        .           :
                 eo            020 you do‘notneedto | 22.   {5 a quarry allocation notice held for the proposed ERA 20 instream?
            If you answered YES to Q20-and the              CJ NO                   O YES
:          . development is in.a PA, your application must be.         ’           ,                                         .                   ;                  .
            assessed by the administering authority?                       ication i                         ing in  a   HPA?
            against the Wild Rivers Code arid must comply. 23. Does the application involve any of the following in a HPA? .
            with the code, unless the Propasal ee           i) alevel 2 ERA 11, (and is for specified works or a residential complex)
             evelopment where an application willnotbe      _                     .                                                                                             .
            accepted;’or is exempt from wild river          ii) an ERA 19 (dredging)
  .         requirements {see Q2). Youwil be able to. |   iii) Low impact ERA 20 (out of stream) for specified works or a residential complex (as defined in
            determine if an ‘application will not be accepted                 .                         .     :             ,
.         _ for the development by answering: O21 ~ Q24.          the Wild Rivers Act 2005, and Environmental Protection Act 1994)
            tyou answered NO to 021, you:do not need to’,   iv) an ERA 22 (out of stream)               7       :                               .
            complete Q22: 'H you-answered YES to Q21 you             .                                                ,                                                         ‘
            rare required tocomplete Q22.. 0 2 Loe          [] No                   (_] YEs
            Hfyou answered NO to 22, the application will                                            .                       ;
           “not be docepted. ff you answered YESto Q22,: 124 Is the proposed development for ERA 20 (out of stream) and;
            the application must be assessed by NRW             ina EMA:      and                                 .                                      .                  :
            against the Wild Rivers Code arid must.comply - —   Ina       , an              .     .                     .                                .
            with the'code.                   te             —- not low impact; and
   ,        ILyou answered NO to Q23 and the development                          ae           :                        .                            :
            is proposed in the HPA tie ‘applitation wil oot be —- not for a residential compiex in the area, or for specified works.:                -
            pplication must be assessed by the EPA or      CO   NO              ‘   O YES                   .
            accepted. Ifyou:answered:YES to.Q23,.the.                                                         :              ‘                .
            NRW (as prescribed in schedule 8A of thie IPA)
            agairist-the Wild Rivers:Code.and must comply: -                                                      a                                    ,           m
            wihthecode,   9                                                                                      .            .                             ‘              ;
    .       it you answered YES to Q24 the application will”                                                          oo,                                               Do
    .      “not be accepted. Ifyou answered NO to-Q24; *                                                                      ,
           ‘your'application must be assessed by NRW: *-.                                                                                                      .
           against the Wild Rivers Code.and must comply “
     __, -ExemptERAs‘in-a designated urban: :                                               ,                                os
           AMER          ee      TE,                          Bt                         _                    os
           ifthe developmentis proposed in-a designated |’                                                    :
           ~Urban area there may.benowildtiver: 01“                                                :
           ‘requirements; See Section 2.Q2.  os               '                                                     .                            ‘
            Note: All applications that can be accepted must’        -             .                Lo
           -be assessed against and'must comply with the.
     -     Wild Rivers Code (other. than exempt ERAs in.a .|              :
           “designatedivban area)           ee                                             ee
        ~  “Documentations.” <=." 4.2125.                   Has documentation been included with the application describing how the applicant proposes to
           “lf youanswered NO:to Q25, your-application."'"} comply with the mandatory requirements, required outcomes, and/ or performance requirements ©
           May be subject to an information:request and |,             in the   relevant  part’s of the Wild Rivers Code?
           "processing of:tié application may.be delayed.  _as set out in   the relevant part/s of the Wi   ivers   Code?
           Boe                                            C] NO                   ["] Yes                                                                             .

                       * The administering authority may be either the EPA, or if devolved or delegated, the local goverment, DPIF or NRW.    ,               oe
          co,                                                                              Page 14”                                      a       .            ,

Section 21

oO        INTEGRATED PLANNING ACT 1997           ,                                                                     IDAS Assessment Checklist, Version 20, 2 April 2007
         USEC VSP                  SECTION 3 ZBUILDING REFERRALS                                    (completion      nol mandatory), fF C8
          Below is a list of the referrals that can apply to an application for building work assessable against the Building Regulation 2006. This section of the DAS _
          Assessment Checklist is provided for advice only.    This section of the IDAS Assessment Checklist is not required to be completed and lodged with an
          application for building work assessable against the Building Regulation 2006 only.       ;     .
          Special fire services. - generally     - 1.     An application may trigger referral to Qld Fire and Rescue Services as an advice agency if the building work
         ‘For more information go-to schedula.2 table 1 and. requires special fire services mentioned in schedule 2A part 1 of the Integrated Planning Regulation 1998
          schedute 2A of ihe 1P Regulation. 7             {IP Regulation} or includes an alternative solution assessed against the performance requirements of the
       . | Assessment period 15 days: No-fesponse is a _  Building Code of Australia.
          deemedrefusl;                  .                   .                     -                      .
          Fire safety for budget accommodation -|2.       An application may trigger referral to Qld Fire and Rescue Services as an advice agency if the building work
         For mow information go to schedule 2ofthe IF == |- the subject of the application requires the installation of a fire safety system for a budget accommodation
         Geauizton           .                    |       building                                                      |
          Spray painting.              woo           3.   An application may trigger referral to the Department of Industrial Relations (DIR) as a concurrence agency
          For.more information go to sctiedule 2 of the IP. if the application involves a workplace incorporating spray painting.
          Regulation                      ;                                                                                           .                    ;
        | Retail meat premises     -- ~              4.   An application may trigger referral to Safe Food Qld as a concurrence agency if the application involves a
          For more information go to schedule 2 of the IP retail meat premises.      .                           :                                                .                ‘
         Regulation             ;                                                                                          .
’         Private health facilities    —  a          15. — An application may trigger referral to the Department of Health as a concurrence agency if the application          ‘
          For more information go t6 schedite 2 of tie IP involves a private health facility.
          Regulation              o            ee                                 .                                       :                                               .
   -     “Workplace area.less:than 2.3m?“          ./6.   An application may trigger referral to the Department of Industrial Relations (DIR) as an advice agency if the
          For more information go to schedule 2of the IP  application involves a work place area less that 2.3m?.                  .                        ,
          Regulation       ,          oo                                                     .             t
:         Land contiguous to a State-controlled|7.        An application may trigger referral to the Department of Main Roads as a concurrence agency or advice ”
         ‘road                                   .         agency if the application involves land contiguous to a State-controlled road.                   ‘                      ,
 .        Fer more information-go to schedute 2of the {P                             :                                                                            a
         Reguation                                                                                                                         :
     ‘    Pastoral workers accommodation: ’          }8.  An application may trigger referral to the Department of Industrial Relations (DIR) as a concurrence agency           .
          For more information go to'schiedulé 2 of the'|P: if the application involves pastoral workers accommodation. °                      ,
         ‘Child care centre      =~    Lot -       -19.   An application.may trigger referral to the Department of Communities as a concurrence agency if the -
          For more information go to schedule 2 of the {P. application involves a childcare centre.
  -       Regulation                       te                         “                   ;             ,                    ,
     -    |Coastaldevélopment       ~..    --   ~-~140.   An application may trigger referral to the Environmental Protection Agency (EPA) as a concurrence agency           (
         For more information go to schedute 2 ofthe |P- :|- if the application involves land completely or partly seaward of a coastal building line22,      °
         -Requiation               .       :       !                                       .                                                                       1
         ‘Heritage          a            ____, 411.       An application may trigger referral to the Heritage Council as a coricurrence agency if the application.
  .       For more information go'to'schedule:2 ofthe IP.” involves a heritage registered place.              .                 ,
          Regulation         eT       See                                      :                         :                                                                  a
          ‘Fistieries: matters  =        -«   "_ "2/42.   An application may trigger referral to the Department of Primary Industries and Fisheries (DPI&F) as a
          For more information go to schedule 2 of the IP. ~. concurrence agency if the application involves assessable building work in a declared fish habitat area; or
          peaulation  a                 _#       7.j] "ag an advice agency if the application involves assessable building work on land that adjoins a declared fish
                     Coe          et                       habitat area,
          ‘Integration-of fand.use and public’ ::| 13.    An application may trigger referral to Queensland Transport as a concurrence agency if the application
          transport.                                       involves existing or future public transport corridors, or airport operational airspace”,
    "|.   Fe more ififontiation go-to schedulé:2 of the IP. <                                                                       ;
    :     Railway safety.and efficiency -      ‘144,       An application may trigger referral to Queensland Transport as a concurrence agency if the application
          For inore information go.to schedule:2 ofthe IP” - involves future railwayJand.                                                         sO                .
       '   NOTE: CONCURRENCE AGENCY ASSESSMENT PERIODS                                                                         .                               oe
           The local government, as the concurrence agency, is required to assess and provide a response for the following building applications within a prescribed
           time. For applications relating to design and siting (17, 18 & 19), and building work for removal or rebuilding (23), the assessment period is 5 days. For all
           other applications the assessment period is 15 days. If no response is received from the local government for an application, it is taken to be a deemed
           refusal. However for amenity and aesthetics impact of particular building work for a single detached class 1a or class 10 building of structure (15), no
        "response is taken to be a deemed approval.                       ;      ;             ,       :     ,                            ‘
          ‘Amenity and aesthetic Impact of         | 15.   An application will trigger a referral to the local government if itis :
          ‘particular building: Work for'single!: ”       *   for a single detached class 1 building or class 10 structure; and
         ‘detached'class''building:or classit0",          e   the local govemment has declared by resolution the following:
          building.of Structure    -                           -  the appearance of the building or structure will have an extremely adverse impact on the amenity of
          ‘For more information go-to schedule 2 table:1-of the ~ the locality; and                                      -                                                      ,
           Regulation,                       ers               —  the appearance of the building or structure would be in extreme conflict with the character of the
          Assessment period:15 days: No résponseis’ay. .. ¢      locality
          deemed approva,                         wb                     ,                        .               ,

 .         2 Coastal building lines ere prescribed under the Coastal Protection and Management Act 1995. ae .                 .  ,
           2 Operational airspace is as defined in State Planning Policy 1/02 “Development in the Vicinity of Certain Airports and Aviation Facilities".
                                                                               ;         - Page 15                                                                          .

Section 22

*  INTEGRATED PLANNING ACT 1997.”                                   .               :                     :        IDAS Assessment Checklist, Version 20, 2 April 2007    .
          Whether particular buildings may be | 16.          An application to use an existing building that is not class 1, 2, 3 or 4 for residential purposes may trigger a .
         ‘| occupied for residential purposes                referral to the focal government as the concurrence agency.
           ‘For more information go toschedule 2 table 1 of the                          ‘
           IP Regulation,          .                 .           .                  ,                      ‘                                          |
          ‘| Assessment period 15 days... No response isa .                                 /       .     .     -                                        .                     .
           ‘deemed refusal’. -      :           ‘    :                                                       ,                                                                            :
           ‘Design-and:siting                 .       147.   An application.may trigger referral to the local government as the concurrence agency if the building work
           ‘For more information go to schedute 2 table. of the does not comply with the performance criteria of,parts 11 and 12 of the Queensland Development Code.
           iP Requtation.            ,                  18.  An application may trigger referral to the local goverment as the concurrence agency if the building work
;          Assessment period’5 days. No response isa         does not comply with the qualitative statement for building clearance and site cover.
      .   | deemed refusal                              19.  An application may trigger referral to the local government as the concurrence agency if the building work
°            co                                              does not comply with the qualitative statement for performance criteria 4, 5, 7, 8 or 9 of the Queensland
                                                             Development Code, part 11 or 12.                               .
           Fire safety in particular budget           420.   An application may trigger referral to the local government as the concurrence agency to determine the       - | °
           accommodation buildings                           building will comply with the fire safety standard under the Building Act 1975 when the building work has
           -For. more. information go to schedute.2 table 1-of the been completed.    .      ,                                                       a
           IP Regutation,          ‘
 ‘         Assessment period 15 days. No responseis a                  .                                 '              :
      |  | daemed refusal.                                                                                                                                        .
           ‘Higher.risk personal appearance            21. + An application may trigger referral to the local government as the concurrence agency to determine if the
           services                           /              building work                                                                                                             -
           For.more information go to schedule 2 table t of the ¢ — complies with the performance criteria of the Queensland Development code part 15; and
           1P Regulation and the QOC part 15.                * — the work does not comply with an acceptable solution stated in the part.          oo
   .      “Assessment period 15.days. .No response is.a                                             .                                         .               :
 ;        ‘deemed refusal,             ,            :                                                 :             ,      .      :                                            .     :
 .        ‘Building work for residential-sérvice ‘|22.       An application for building work for premises in which residential care service under the Residential
          For more ififormation.go to schedule 2 tablé 1.of the . Services (Accreditation) Act 2002, section 4, is conducted, or is proposed to be conducted, will trigger
 .      |B Reguiation andthe QOC:pat 20,                     referral to the local government as the concurrence agency.                                   ;       ‘
          ‘Assessment period 15days. Noresponseisa.                                                  .                                                   .          ;
         [deemed refusal.’ a                                                                                      :              .    -                                                ;
          ‘Build ing: Work forremovalor'..-         - *{23.  An application for the removal and/or rebuilding at another site of a building or other structure, will trigger
          ‘rebuilding. © my                  eo              referrat to the local government as ihe concurrence agency.
          “For. more information go to schedule 2 table 1 of the |
           IP Reguiation.       an                    |    .                                         .                                                     _
          “Assessment period 5 days. ‘Noresponse is a \              me                                                                            a
     *    [Oeemediefusa                                                   .                                               _                                         :
          ‘Building work:for:ralnwater tank in        124.   An application may trigger referral to the focal government as the concurrence agency to determine if the                   ’
           designated rainwater tank area.            4     _ building work or structure complies with the relevant performance criteria if- -        ,                      :
  _    | | For'more information ‘go to schedule 2 table 1 of the - e Under the Building Regulation 2006, a rainwater tank is proposed to be installed as part of relevant              :
   .      ‘WP Regulation and:theADC part 26.                      building work, in a designated rainwater tank area; and                                                       .
.         “Assessment period-15 days.~Noresponseis 8: |       ¢   Under the Queensland Development Code, part 25, the rainwater tank does not include an acceptable
           dcomedsetusa,                                          solution for a relevant performance criteria.                                                              oo

        ‘         -                               ‘                          :                Page 16

Section 23

A        ’                                                                                                                                                                                                                 DLs            ~
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                                                                                                                                                                                                                          01 AUG 2997        .
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                                                                                                                                                                                                                                   ATER
                                                                                                                                                                                                                                      vy

                                                                                                       PARK   prez senaness”
                                                                    90 706
                                                                                                                                                             a ae
                                                                      « e8) L essa           a                —_      —_  a se                                      hey -_  wt
                                                                                                                                                                 1x80
   eM                                       PROPOSED JETTY                          TITLE SOUKDaRY                                                                                 v&
                                                         ffpPa~                            9 | stops | top?  shop 6 shop 5 | stop é.         | : . 2  sep 1
                                                       tft                           |; shop                                                  shop
                                                        *   #               AL.2%      RLM                              . | ue               | aro»                                   od
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                                                                   restaurant        | ae    | 4              general store                                 KZ                                    Re EES,
                                                                   RL 290                                                                                         Ki)
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                                                                 PROJECT                                                                                                                                                       SCALE
                                                                                                                               DRAWING TITLE
                                                                 SHOPPING CENTRE - NOOSA SOUND                                  SITE PLAN                                                                                      t: 200        7901
                                                                 lot 279 quamby      place - noosa heads                                                                                                                  —
                                                                                                                                                                                           >                                   OATE       SHEET NO |REY.
                                                                                                                                                                                                                               OCTOBER 79
      |                                                           for J.O' DONOHUE                                                                                                                                                        W2
       X                                                                                                                                                                                                                 ve    N. HARRIS          38
                                                                                                                                                                                                     ae te                   oS

                                                                                            ce

Section 24

x

                                                                                                                                                                                                                               oe
                                                                                                                                                                                                                              A
                                                                                                                                                                                                                             ah
                                                                                                                                                                                                                       REAFIVED
                                                                                                                                                                                                                       Ot AUG 2007
                                                                                                                                                                                                                  aa
                                                                                                                                                                                                                €     ROGTA EMRE
                                                                                                                                                                                                                               ye LU tUNCIL
                                                                                                                                                                                                                        ERGRT C
                                                                                                                                                                                                                               QUNTER
                                                                                                                                                                                                                    4
                                                                                                                                                                                                                          + emege
                                                                                                                                                                                                                        ™ a

                                                   0
                                                            at!
                                                     fhr
                                                     common
                                                     WC
                                                                                         fhr

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                                                                              common         A                 hr
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                                                                              WC
                                                                                           17

                                                                                                           DEVELOPMENT PLAN NEW RETAIL SHOP: SHOP 3 WRALF SHOPPING CENTRE NOOSA SOUND Pages eee eat             i
                                                                                                           DRAWING NUMBER 2007:100 Scale NTS Date 07/07                           "PO BOX 993 eA Meester
                                                                                                                                                                                                 4

Section 25

4
          os                                                                                SHOP        2
                                                                                             dish washer -
                                                                                             ice maker) -                 4000                  600                           |
                                                                                                                                                                              '
                                                                                           "rink fridge                                                                       stainless steel bench and | splash
                                                                                                                                                                              bac reter de
                      ih —.
                                                                                      semnctpamenpenchi elon nen al sanpuamesgmsanignsncmajesineipasnsaerssanioeasanead:smmmgsen
                                                            —_—_  T                             \W          Kise                {po-B                NW       é
                                                            — —-                                                            My                |   ZN                          iNew cleaners sink
                                                                                                Ye                                         ZN              SS                 fwo stainless st | sink -one
                                                                                             waste bin                         ates              O                           Handwash separate by stainless
                                                                                             provide holean             © |                                                   Brvider
                               j                                                           bench op -                       eee                        e                     3
                           hew stoo! fable refer  o               t =                     _             X                 — Se      —                        wat              new cupbd refer detari
                                                                                                                                                             Tu
                           new alumin framed Di          |                                                         ec                                        H
                           ‘old déors remove exist ~                                 Ee OT                                                                                   existing walkway
                           doors and widows                          &)     -@)      &         ¢                                       3000     650                           new alumtn framed -br fold
                                                                                             refrig display
                           existing   walkway                                                                                           Exit                           ——— doors fémove ekist door and
                           i                                      seating                    fridges under                                                                    WIR OW         Ler defal!
                           !                               Fire extreiihes                     HOP      3                       3500.-conficrn                                few counter F
                          few ste table refer
                          det fat:                                         ()     \        st)
                                                                                                                         oe ene ceeeeme sme
                          4                                                ®          \}   31                                  bean roosting.
                             na me cane ee ena                                                                                 grea
                                                                               fo                                   Ea                fo                                      I
                                                                                                                     fe                                                       new coffee “ake
                          fiew: fammnate finished bench                         packaging                                ae                  27                               \
                           refer ¢ é ‘al                                                                                                                                      \
                                                                   Ls          ht Acs

                           new famyna te shelving over                                      existing walkway
                           refer de ar               a                                      SHOP       4                                  _ tt                                                “aS
                                                                                                                                                              we wn                       RECEWER           -
                                                                                                                                                                                            0 1 AUG 2007
                                                                                                                                                                                           NOOSA SHIRE COURCH fo!
                                                                                                                                                                                             FRONT COUNTER ~
                                                                                                                                                                                         Y
                                                                                                                                                                                              Ad    $
                                                                                   GROUND FLOOR PLAN NEW RETAIL SHOP: SHOP 3 WHALF SHOPPING CENTRE NOOSA SOUND eta e)i3 DESIGNS eos en            ef
                                                                                   DRAWING.NUMBER 2007:101 Scale 1:50 Date 07/07               a ro 993 NOOSA Ae rg vr Seren  a3

Section 26

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                                                  Re Sowers oe                                               SF          orm, ee
                                            yo         SF 19              RL2  SF    ae      SF   PA    _—o    ——_ —.                i —          Y ff   SF tt as   pa      EET        fe   oY \ sr        (ZL              (3     Bl #
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                                         / wal     ee                  =                                               ra                           x.                           SF
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                                           RL2-455   RL 2.50  SF 10 | y | sF17 RL 2.70     RL. 2:70       R.L. 2:70      RM                             R96        WALKWAY   moo —)   |        L2n         Pt
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                            if in     =                  Co   a       b dt th  nee          70 emo Y {)   _                                                             ie        lea     La
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                 tes.            L2          Y sa se               a                             ZA  im — -                                                      |
                     /  ff Serene             SOO bre,                   COMMERCIAL VEH SPACES A         ye            SENERAL S                                 .        ey eo 2
                                                                                                                       22
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                                    Lt          Toh Se                                                          (e¥  it             =—               ao |   BM      *
                                                                                                      TOROF KERB 2.  PERE eRRCURIT eS Serwrre
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                                      iad   4                                                   foe              270 t    ae oe                                i
                                                                                                      3770
                                          2D                                                                               Ss                  a         + 2                                                       RY
                                                                                                                     12270
                                                           “SSeagen                                                        ahemeee ——         on         ewes.                                                            0 1 AUG 2007
                                                                                                                        te oe       et err      _. f.SMte         270
                                                                                                  !   HTL                 = Se        4 = |                                                                                FRONT COUNTER
                                                                                                       ie!                   4        saz                           =                                                    HOOSA SHIRE COURCH.
                                                                                                if i  by       il:              ‘tf                                                                                   Y                y
                                                                                                                                   ees
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                                                        [A                                                    $02    ie 2 a          SO5     sO¢   rane          Ks)
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                                                                                                                     UFFIXCE 2     Bras,           OFFICE 4          Al
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                                                           ~~                                   rite   OFFICE 1      Sa  Ses                                     H ny                                           EPL TE RULOWING SE REBATES IN THE EDGE OF |
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                                                                                                                          aes aur tn                                 mo)
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                                                                                                     2 feeble                             ed                                                                        ALL OTHERS | x 20
                                                                                                                                            na
MENTS                                                                                                                                              $770          270
                                                        PROJECT                                                                                   Rite —                                                                 ate
                                                                                                                         DRAWING TITLE
                                                        SHOPPING CENTRE - NOOSA               SOUND                      FLOOR PLANS                                                                                                    JOB NO.
                                    cc                  lot 279 quamby       place     neosa hedds                   Oued flan                                                                                              DATE        SHEET NO
                                                        for J.0' DONOHUE                                                                                                                                                    OCTOBER 79
                                                                                                                                                                                                                                        W3
                                                                                                                                                                                                                            NLHARRIS

Section 27

Neen e            we    Checklist - Applications Involving Land
        ou                                Development & Land Use Sections
                                          IDAS APPLICATION
         This checklist should be used for any IDAS application. Please check each of the following items before accepting an
         application at the counter.
        TEARPLICATION: FORMS er                 ccd jated oe nvena tne ee          MaS ohaes Ca mnt Samet Rs aa mey
               4.1    Form 1 PartA
                      1.1.1 Ensure that the form is fully completed.                                                 (A
                      1.1.2 In the case of an MCU or Op Works below the high-water mark, owners consent is required.    Col p
                °           1.1.2.1   If there are multiple owners, the consent of each owner is required. —~ bB eo
                            1.1.2.2   If the owner of the land is a company, either ACN No. or Company Seal required.  vy
               1.2    Form1 Part B-O Supporting Information
                      1.1.2 Ensure that for each box checked on Form A, the relevant additional Forms B-O are attached.            os
                            1.1.2.1.  Ensure that each of Forms B-O which are attached are fully completed.
@       sR RENO
               2.1.   Ensure that items 1-23 have been checked and/or completed with regard to referrats.           [7
          RETEST     DO NID ERT ALLY: BEL EVANTAG TIVITIES coe                    ee          ree     PER   COUN TE CERRO TH DDE
        SS ENVIRONMENTALLY: RELEVANT/ACTIVITIES 22 cnn                            ancn met ee        ana acon
               3.1.   Ensure that Part G is completed if EPA referral is required.
               3.2    Where EPA is delegated to Council (see * in ERA checklist), ensure that the correct application
                      fee is paid and recorded on the application.
        Qe [email protected] ats Wena                                    Mamie amcor           gente      espns
               4.1.   Ensure that items 1-28 have been checked and/or completed including information regarding
                      applicant details and owners consent.
         Bi SEBS at Ry                       OR SE                                     ec           nee            em ard             .
                5.1   Ensure that at least 6 sets of the Plan of Development (5 for Reconfiguration and Operationa!                     .
                  _   Works) accompanies the application. In addition ensure that each set is complete.
         .      5.2   Ensure that 1 of the copies of the Plan of Development is in an A3 or A4 format and is         [YJ
                      unbound.                                                                                               ,
         GU SISUBBOR TING INFORMATIONS                       e Sean taal tee eae Cees
  Y             6.1  ‘Ensure that at least 6 copies of any report accompanies the application (5 for Reconfiguration
 Q                    and Operational Works). If the application is accompanied by a covering letter, ensure that it is          ‘
                      capable of reproduction.                                                                       [A
                6.2   Inthe case of reports, ensure that 1 of the copies is in an A3 or A4 format and is unbound.
  :        = Sosa pie ect Es     Resize Riise RT    TREE TUTTI oa     FINE ORY    STAT TNEG NS THARP NS ST TTEAY DME SSIES 2 OE COME Tan tT
         PEATE ae                                      Ec ne ane Mer ake
 :     .        7.4   Ensure that the application fee, as determined from the Council's adopted scale of fees,
                      accompanies the application or has been paid.
                7.2   Ensure that the fee which has been paid is recorded on the application form.  .
         Receiving Officer  Fa Ane              ne     Ciittstsesesen    Date i 7 he
         Having completed this form and accepted t 63 pplication, please deliver both to the following IDAS Application Receiving
         trays:-
      . |    [fthe application is for a Material Change of Use exclusively -AOP1’s desk in the Land Use Section.
         e   if the application is for an Material Change of Use & Reconfiguration - AOP1’s desk in the Land Use Section. —
         «    if the application is for Operational Works (for parking, access, sewerage or drainage) exclusively - AOD2 in the    .
             Land Development Section.
         ¢   Inall other circumstances ~ AOP1’s desk in the Land Use Section.
         Please DO NOT leave the application at the counter and DO NOT deliver the application to Records.

         SEP! g:\antVorms\application checklist.doc                                     .
      .                                                                                    XN

Section 28

.             ___.            LAND USE SECTION FEES                                     ae
               NOOSA                     oo                       :                               TO
     |           Co                                         OO                      RECEIPTTYPE
  SALE OF DOCUMENTS                                                                           ,
            Superseded Planning Scheme’ Documentation                                     §20             ;
            Copy of Permit/Approval Letter                                                110
            The Noosa Plan Documentation                                                  111,
  APPLICATION FEES.               :                      oo         |      .                               .
 -         Material Change-of Use - Code)lmpact
 ,                Gorsistéa           |      |                            ASS             521
                   |     istent                                                           521
     ''. Assessment under Superseded Planning Scheme       Si                            _ §21-                   .
            Modification to a Development Permit            "                             521          oO
     ae     Extension.of a Currency Period                               .                521            .
    @       Operational Works - Landscaping                                        ot     521
          ’ Bldg Work assessable against the Planning Scheme -                          - §21         7
_ PRE LODGEMENT REVIEW                           :                 Oo               |              ae         a
           Half: Hour -      ,              .                      .                      522
          _ One Hour.                                                                    $22        ae
 ADVERTISING                                |                .              :                       SO
      ‘  .  Purchase Advertised Applications                                              523
. JETTIES ©                                      ,             an                                So
       _    Jetty Application Fee.                                                        §24                   oo
          ' Jetty Bond.                                          .                         «§t          “
  St                                    ;                      Co                     (Category 4)
 BONDS                                 re          ”       :         To ,
            Performance Bond.             a            Co              -.                 54        S|
                                                                                      (Category 9)                a
 SIGNS                 OS                   :                                   ,            Be
     q      Registration Fee        so                      So                            222
 SEARCHFEE                       Be                                   ee                 |                   -
            Search of Land Use Section file                                               112
     ‘Liquor Licensing Request                                                            113 .            oo
                      —                   -"            _tomal. $        —   78S            |               |
 NAME:    — Kecth.          6    44 aaa                          _                  _              .
 ADDRESS:       Z/iy       a         Ye               .                                            oo
 FILENO:    =O7}     /S2         |             _baTE:          24a/o                              ,          |
‘RECEIPTNO:       | BOBS \          a            Signature of TP Officer: _| >            .        Se
 AUTHORITY NO:                                                      ae             _         |             |         ,

            |               1 3f[r207 /irval                           :                           BO

Section 29

"7s                                     GALCGULATIONOF-FEES-                                  oe             oo
             —_.        APPLICATION.                           |FEESOCS~™S              TOTALS
    :             :                ,                       |                    :       FEES
 MCU - CODE ASSESSMENT                    |      ~          |                                        :         a
 [Details of Development        |                                                                      ES
 Consistent1.0°                      |           a                                       |            _       oo
 Inconsistent 3.0       .                  ;     |            .                                       ,
 FEE CALCULATION         -—       CO                                                                   |

 MCU - IMPACT ASSESSMENT _                            ]                  oo                                        o-
 Details of Development                                                      a                   —          oo.
 Consistent1.0     .     =              |             -          =          |           .                    |
 Inconsistent 3.0          .                                 .                          .     .
 FEEGALCULATION            =                                 |                            re

 OPERATIONALWORKS,                 ~~~SOSOC~C~SCSsSSSS‘YY         SS                                               -
 Details of Development                                                                                 .    Do
 FEE CALCULATION                        |                             a                                          aD

 TOTAL FEES                            |       |                          as                  rs               |      :

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