07/0465 - Modification to Alternative Siting Provisions [As Published] · 132007.466

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INTEGRATED PLANNING ACT 1997

Land owner's consent (if applicable)

Section 3.2.1(3) of the IPA prescribes that an
application must contain, or be supported by, the
written consent of the fand owner!s, if the application
involves:

() amaterial change of use;

(reconfiguration of a lot;

(ii) work on land below high-water mark & not within a
canal as defined under the Coastal Protection and
Management Act 1995;0r

(i) work on rail corridor land defined under the
Transport infrastructure Act 1994.

Section 3.8.1(2){a} of the IPA provides that

landowner's consentis not required for a mobile or

temporary ERA .

For more information refer to Guide 1,

20.

Part A, Version 2.4, 29 May 2006

Land owner's consent fo the making of this application:
Name _Signgture
Liz ck Davy Deaton

 

 

 

 

 

 

 

 

 

Resource entitlement (if applicable) 21.

Section 3.2.1(5) of the IPA requires evidence of
resource entitlement be given for applications that
involve a prescribed State resource.

Section 3.2.1(10}(a)(ti) of the IPA prescribes that an
applicafion ¢annot be taken to be properly made
without evidence of the resource entitlement.

Advi comptetin: &22

Refer to schedule 10 of the integrated Planning
Regulation 1998 that prescribes the nature of evidence
fequired by the State in support of the lodging of this
development application.

Advice leting Q23

‘The information in {i} - (v) is mandatory if evidence is
fequired under Q22 (ii) or (iii) above.

The official stamp of the Department of Natural
Resources, Mines end Water is mandatory where the
application involves any water or riverine quarry
material under the Water Act 2000.

Section 3.2.1(5A) allows the resource manager to limit
the time the evidence may be used. Q23 (vi) must be
completed if the evidence is time limited.

Assessment triggers

This checklist does not apply if the application requires
the completion of Parts A and B of the Form only. It
must be completed far all other applications.

23.

24,

Does this application involve a State resource prescribed under a regulation (other than involving
quarry material on State coastal land under the Coastal Protection and Management Act 1995)?

KINO - goto. 024 (YES - go to 022

. This application is accompanied by evidence: (tick applicable box)

C1 (i) of the allocation of, or entitlement fo, the resource - attach evidence and go to 023(v)

(7 (ii) the chief executive of the department administering the resource is satisfied the

development is consistent with an allocation of, or entitlement to, the resource - go
to 023

C1 (iii) the chief executive of the department administering the resource is satisfied the

development application may proceed in the absence of an allocation of, or
entitlement to, the resource - go to Q23

Evidence of the resource entitlement:

(i} Resource entitlement / —_ details
(ii) Name of — officer
(iii) Position of a officer

(iv) Signature of delegated officer

(vil) Official stamp of the department

administering the resource (if
applicable)

 

 

 

 

 

(v) Date

(vi) pe date of evidence eet

ls the IDAS Assessment Checklist completed and attached to this application?
Kl Yes

 

 

 

[] NO - the assessment manager may refuse to accept this application on the
grounds that the application has not been property made

 

Plans / drawings / reports

An application should be accompanied by details to
support the proposal & enable the assessment
manager, referral agencies and any person viewing
the application during public scrutiny or public
notification to understand the scope of the propesal
and any potential impact

 

25.

Plans/drawings/reports accompanying this application:
Plan / Drawing / Report Number

 

 

 

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information required by Part A
and any other relevant part of Form 1.

OFFICE USE ONLY (appticable to assessment manager's)

 

 

 

FEE (S) DATE RECEIVING OFFICER'S REFERENCE
RECEIVED NAMEIS NUMBERIS
Notification of Engagement of Private Certifier (Optionat format)
To, Council. | have been engaged as the private certifier for the building work referred to in this application.

 

 

Date ofengagement / /

Accreditation Number.

 

___ Name: Signature: