00157AD5.001

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                   INTEGRATED PLANNING ACT 1997                                                                                       IDAS Assessment Checklist, Version 19.0, 2 March 2007

                                                  Form         1   Development Application                                                                                        idas
                                                    ‘                                                                                                                                a
                y                                                                    Checklist
                                                                                      (Formerly the “Referrals Checklist”)
                   IMPORTANT NOTE FOR ALL APPLICANTS:
                   1.    This checklist was formerly referred to as the “Referrals Checklist”. Some of the ‘Guides’ to using the IDAS Apptication 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 apptication may require assessment by the local Council and/or certain Queensland State entities (e.g. Envirenmental Protection
                         Agency, Dept. of Natural Resources and Water, Queenstand Heritage Council etc.).
                   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).
                   5.    Itis the responsibility of the applicant to accurately complete this checklist. ‘
    @              6.    Section 2 is mandatory only if the proposed development is located in any part of a wild river area declared under the Wild Rivers Act 2005.
                   7.    Depending on the nature of the application, an applicable State entity may be either the assessment manager or an IDAS referrat 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?,
                   9.    To assist you in answering the following questions a series of guides are available free from the {PA website www.ipa.ld.gov.au. Guide 25 explains the role 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 4 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 apptications for building work assessable against the Building Regulation 2006.

                                                   SECTION 1 - STATE ASSESSMENT (completion mandatory)
                   Note:  The following state assessment triggers apply to development other than for building work assessable against the Buiiding Regulation 2006.
                   Environmentally relevant activity             1.    The application involves: (tick applicable boxes}
                   For more information refer ta Guide 4.              [J (i)    an environmentally retevant activity (ERA) for which a code for environmental compliance
                   Ie cmfeston    quite sosovemont bythe. a1,                    has not been made - complete Part G of Form 1
                   administering authority?.                           [_] (ii)  a mobile or temporary ERA for which a code of environmental compliance has not been
                   If an entity, other than the administering                 -  made - complete Part G of Form 1
                   authority, Is the assessment manager for the             (iii) none of the above
                   application, the administering authority is a
                   concurrence agency for the application in relation
             :     to this matier.
                   Note: An application involving ERA 19 andvor 20
                   will also require completion of Part Kr of Form 4
                   for approval where an allocation under the Water’                                                                :
                   Act 2000 is required.
                                                                                                                                                                             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).
                   OFFICE USE ONLY (applicable to assessment manages}
                  [oor natnnn
                  i     DATE RECEIVED         ‘|                                |       REFERENCE NUMBER/S

                   1  The assessment manager is responsible for assessing and deciding an IDAS application. The assessment manager for an application is prescribed in schedule 8A of the IPA,
                   2  For additionat information refer to Guide 6 ‘Does my application trigger the referral coordination process?’                 .
                   3  The ‘administering authority’ may be elther the Environmenta! Protection Agency, the relevant local government {for a devolved ERA) or the Queensland Department of Primary Industiies and
                      Fisheries (tor a detegated ERA).
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