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DNA 102 - Chnage develoment approval [As Published]
INTEGRATED PLANNING ACT 1997 oe oo “IDAS Assessment Checklist, Version 22
ED'RAND:
or Contaminated Land Register under the
mental Protection Act 1994?
spl the land forming the premises on the Environmental Management Register
Eny,
No - Go 0.02.6 OYes
If yes, does one or more of the following apply?
(i) A suitability statement has been given and a site management plan has been approved for the. [JNo iL} Yes
proposed use of the land, and the proposed use involves only the following - . :
+ the fit-out of a building on the land; or oo
+ ___ minor site excavation, including for example, post holes for open-sided non-habitable structures
{i)_ There is currently a notifiable activity on the land and the activity is continuing . LiNo | Yes
(ii) The proposed use is industrial and only involves minor site excavation (e.g. post holes for open-sided |L]No |L] Yes
non-habitable structures) . oo : . .
(iv)_The land is used for a mining activity or petroleum .activity- _ Lino iL) Yes
{If no to all (i} - (iv) above - (Complete Form 1, Part N) This application requires assessment by the Environmental Protection Agency (EPA). if EPA is not} -
the Assessment Manager for the application, the agency has jurisdiction as Concurrence Agency.
notifiable activity?
[INo=cotoaz7 ~* L)Yes
If yes, does one or-more of. the following apply?
(i) A suitability statement, removing the land from the environmental management register, has been [1] No |] Yes
given under the Environmental Protection Act 1994 for the existing use, or if there igno existing use,
athe last use, and the following both apply - ad
* no new notifiable activity has occurred on the land since the suitability statement was issued;
‘the land is not otherwise contaminated by a hazardous contaminant
(ii) A suitability statement has been given and a site management plan has been approved for the EJ No |EJ Yes
proposed use of the land, &nd the proposed use invetves only the following -
+ the fittout of a building on theland;or “ Ff . _ .
+ _minor site excavation, including for example, post holes for open-sided nén-habitable structures
(iii) The land is used for a mining activity or petroleum activity . C1No {C) Yes
if no to all (i) - (fii) above - (Complete Form 1, Part N) This application sequires assessment by the Environmental protection Agency (EPA). IF EPA is nat
the Assessment Manager for the applicetion, the agency has jurisdiction as Concurrence Agency. . .
JPA, schaittsle &
TED UAND: A
Is any part of the premises currei f an industrial activity (other than for a mining activity or petroleum activity), or if there is no
existing use was it last used for an industrial activity (other than fora mining activity or petroleum activity)?
CINo- Gotoaze OyYes ,
If yes, is the proposed use for child care, educational, recreational or residential purposes (including a caretaker residence on
industrial tand)?
Oo No oO Yes - (Complete Form 1, Pert N) This application requires assessment by the Environmental Protection Agency {EPA). if EPA is
iPA, schedule 8 pari 1. tabla
INDE
a Management advice has been given for natural mineralisation or industrial
activity (other than for a mining activity or petroleum activity)?
LINo -Gotoaas Cl Yes
If yes, is the proposed use for child care, educational, fecreational or residential purposes (including a caretaker residence on
industrial tand)?
O No O Yes - (Complete Form 1, Pat N} This application requires assessment by the Environmental Protection Agency (EPA). If EPA is
not the Assessment Manager for the application, the agency has jurisdiction as Concurrence Agency. .
iP A, schecide 8 pact 3, table 2. ten 7:1 Reqadaion, schedule 2 lable 2. Zem 22.
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