09/0871 - Operational Works - Prescribed Tidal Works - Jetty [As Published] · 142009.871

 

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer eg. fiver, creek, lake, canal}

a Mee Creek

 

 

 

 

 

 

 

 

sae ee) re oipo sunowy Si ne ales ED

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3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)

 

 

 

Hi ¥
4. Current use/s of the premises: eq vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

[1 | House

5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc.)?

 

bd Ne No O Yes -- Ensure the pe. location and dimensions of each easement are included in plans, submitted wih the application

 

6. Brief description of the proposal (e.g. 6 unit apartment building, 30 lot residential subdivision, a bore, aquaculture)

 

New Timber Jetty

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?
QO No x Yes - Ensure the nature, location and dimensions of the proposed w works are included in plans, submitted with the application

 

8. Does the application involve taking or interfering witha State 1 fesource and therefore require a resource entitement? (e.g. the application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

&] No -Goto.Q9 O Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitlement must be submitted with the application. You do not need to answer QQ - go to the next section.

 

9. Complete Table H for applications involving a material change of use; reconfiguration of a lot work on land below high- -water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995, or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.

 

 

 

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MICHELLE G7Sm 00TH i
2 PO. XK (IY YO Srnrsoy
NoosAvilce &C ie

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* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. if the owner is a company, $127 of the Corporations Act 2001 (Cwealth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the 1PA website .