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Development Application for permit to damage vegetation - OPW13/0526

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                                                                           Department of State Development, Infrastru( see eO~R-~SPO~DENeE""

                                                                                                                                 1111111111111111111111111
            IDAS form 1-Application d                                                                                                         X0016461

                                                                                      Development Counter
            (Su,,,’’’’’’’/e Pla"lng Act 2009 ’’’’’00 3.0.’’’’’" 1 July 2013)

            This form must be used for ALL development applications.
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                          complete ALL questions that are stated to be a m
            ~~~~UST                                                                 da:ory’reqUirererw’l1tffferW!s’{f.)~entifi d                      on this




            For all development applications, you must:
            .
                  complete this form (IDASform 1-Application details)
                  complete any other forms relevant to your application
            .
                  provide any mandatory supporting information identified on the forms as being required to accompany your
                  application.
            Attach extra pages if there is insufficient space on this form.


            All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA)or the Sustainable
            Planning Regulation 2009.

            This form and any other IDAS form relevant to your application must be used for development applications relating to
            strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994 and airp6rt land under th~
            Airport Assets (Restructuring and Disposal) Act 2008. Whenever a planning scheme is mentione ta’ke it to m_ean lan~
            use plan for the strategic port land, Brisbane core port land or airport land.                   co
                                                                                                                   R’- (
                                                                                                                                                               \_
            PLEASE NOTE: This form is not required to accompany requests for compliance assessment. r-
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            This form can also be completed online using MyDAS at www.dsdip.gld.gov.au/MyDAS                                        SCRC COldS-




                                                                                                                                                              "

                                                                                                                                                              /

          I Mandatory requirements                                                                                             "’.~
            Applicant details (Note:the applicant is the person responsible for making the application and need not be the owner
            of the land. The applicant is responsible for ensuring the information provided on all IDAS application forms is correct.
            Any development permit or preliminary approval that may be issued as a consequence of this application will be issued
            to the applicant.)


            Name/s (individual or company name in full)                I ~ :o. ~ .MfJfl.CUS lSI!NGTSSt::JN I
            For companies, contact name                                 C15 yV\ OfF6~A-rJ t2EtA-c zS1i’fif;
            Postal address                                                                 A              ~ i,
                                                                                   N()




                                                                         Suburb

                                                                         State                                        Postcode                ’l-S67
                                                                         Country

            Contact phone number                                               040fjf a;s 001J

            Mobile number (non-mandatory requirement)


            Fax number (non-mandatory requirement)




          Great state. Great opportunity.
                                                                                                                                                  Queensland
                                              .M
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                                                                                     M*RW."& d’A!.. U4.MS’.kW{JP.i$f’l -a% 44                     Government
Full text of the other 12 pages

Page 2

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                           adr~;~~..:~~,datorY req~:r;;ment) ._j;;:
                 Email




                 Applicanf’s reference number (non-mandatory
                 requiremknt)’" .~""..~.’
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                 1.        What is the nature of the development propo;sed and what type of approval is being sought?
                             I

             .Table     A"::"A’SPt fof the""’ "pplication (If there-are additional aspects to the application pleas~ list in Table B-Aspect 2.)
                 a)    What is the nature of the developm~nt? (Please only tick one box.)
                                                                                                                                  ~ ~
                       o Material change of use                          0 Reconfiguring a lot                  0Building work
                                                                                                                                  (~era~io~al w~
                 b)    What is the approval type? (Please only tick one box.)

                       o Preliminary approval                            o Preliminary approval                 0Development permit
                                 under s241 of SPA                              unders241 ands242
                                                                                of SPA

                 c)    Provide a brief description of the proposal, including use definition and number of buildings or structures where
                       applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)




                 d)     What is the level of assessment?
                                                                              (Ple7onlytick       one   box.)

                       o Impact assessment                               [S}-
                                                                            ode assessment



                 Table B-Aspect 2 of the application (If there are additional aspects to the application please list in Table C-
                 Additional aspects of the applicatio’n.)

                 a)     What is the nature of development? (Please only tick one box’.)

                       o Material change of use                          0 Reconfiguring a lot                  0Building work         []}6perational work

                 b)     What is the approval type? (Please only tick one box.)

                       o Preliminary approval                            o Preliminary approval                 o Development
                                 under s241 of SPA                              under s241 and s242                 permit
                                                                                of SPA

                 c)     Provide a brief description of the proposal, including use definition and number of buildings or structures where
                        applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)

I’                      ~’IO 6 ’T~\N                      Sf\=Fz- ffc2: ~? \C Tt\E                                     (3LC’ZJLs
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                 d)     What is the level of assessment?

                       o Impact assessment                               0Code assessment


                 Table C-Additional aspects of the application (If there are additional aspects to the application please list in a
                 separate table on an extra page and attach to this form.)

                       o Refer attached schedule                         0 Not required


     ("O,.’?;,
                                                                                                                                      IOAS form 1-Application details
                                                                                                                                             Version 3.0-1 July 2013

Page 3

..




     2.     Location of the premises (Complete Table 0 and/or Table E as applicable. Identify each lot in a separate row.)


     Table D-Street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
     adjacent to the premises (Note:this table is to be used for applications involving taking or interfering with water).
     (Attach a separate schedule if there is insufficient space in this table.)
            0    Street address and lot on plan (All lots must be listed.)

            0    Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
                 development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed.)
     Street address                                                            Lot on plan                     Local government area
                                                                               description                     (e.g. Logan, Cairns)

     Lot        Unit    Street       Street name and official      Post-       Lot no.     Plan type
                no.      no.         suburb/ locality name         code                    and plan no.


     i)                3(,-38". rThe au"..,-bJ~                              <t.3 I"RP~~ 34- 4-
     ii)                                                                     <S~~ /

     iii)                                                                      ~u.. ISf )              ’+      S-J.
     Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
     separate row in the below table. Non-mandatory)
     Lot        Applicable zone / precinct              Applicable local plan / precinct           Applicable overlay/s

     i)                                                                    -




     ii)                                                ~
                                              ----
     iii)              -----

     Table E-Premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not
     adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
     space in this table.)

     Coordinates                                                                Zone          Datum                 Local government
     (Note:place each set of coordinates in a separate row)                        erence                           area   (if applicable)

     Easting           Northing              Latitude

                                                                                               o       GDA94

                                                                                               o       WGS84

                                                                                               o       other


     3. Total area of the premises on which the development is proposed (indicate square metres)



                          ~

     4. Current use/s of the premises (e.g. vacant land, house,.apartment building, cane farm etc.)




            V~,-JT’                          ~NO




                                                                                                               IDAS form 1-Application details
                                                                                                                      Version 3.0-1 July 2013

Page 4

                                                                                                                                             ’.>




     5.     Are there any current approvals (e.g. a preliminary approval) associated with this application? (Non-
            mandatory requirement)

     ~o             o      Yes-provide details, below

     List of approval reference/s                         Date approved (dd/mm/yy)                 Date approval lapses (dd/mm/yy)




-




",
     6.     Is owner’s consent required for this application? (Refer to notes at the end of this form for ~ore information.)
                                                                                                                    r.
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     D      Yes-complete either Table F, Table G or Table H as,applicable                         ~~~
     Table F          .




                                                     ,

     Name of owner/s of the land

     I/We, the above-mentioned owner/s of the land, consent to the making of this application.

     Signature of owner/s of the land


     Date


     Table G

     Name of owner/s of the land                I
     D The owner’s written consent is attached or will be provided separately to the assessment manager.

     Table H

     Name of owner/s of the land                I
     o By making this application, I, the applicant, declare that the owner has given written consent to the making of the application.

     7.     Identify if any of the following apply to the premises (Tick applicable box/es.)

     D      Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-complete Table I

     D      On strategic port land under the Transport Infrastructure Act 1994-complete Table J
                                                            ,



     D      In a tidal water area-complete Table K


     D      On Brisbane core port land under the Transp           nfra tructure Act 1994 (Notable requires completion.)


     D      On airport land under the Airport Asse       Restructuring and Disposal) Act 2008 (no table requires completion)

     Table I                   /’
     Name of water body, water~e aquifer   or


                        /
                          /’

     Table J   .


                    /
     Lot on plan description for strategic port land                          Port authority for the lot




                                                                                                           IDAS form 1-Application details
                                                                                                                  Version 3.0-1 July 2013

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      Table K

          Name of local government for the tidal area (if applic               Port authority for the tidal area (if applicable)




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



                      D      Yes-ensure the type, location and dimension of each easement is included in the plans submitted


                Does the proposal include new building work or operational work on the premises? (Including any
                services)

                      D      Yes-ensure the nature, location and dimension of proposed works are included in plans submitted


          10.   Is the payment of a portable long service leave levy applicable to this application? (Refer to notes at the
                end of this form for more information.)


      ~o question       to          12      DYes

          11.   Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
                information.)

          ~
      .
          D     Yes-complete Table L and submit with this application the yellow local government/private certifier’s copy of the
                receipted QLeave form

          Table L

          Amount paid                                                       Date paid        QLeave project number (6digit number

                                                                            (dd/mm/yy)       starting with A, B, E, L or P)




          12.   Has the local government agreed to apply a superseded planning scheme to this application under
                section 96 of the Sustainable Planning Act 20091


          D     No

          D     Yes-please provide details below

          Name of local government                           e of written   notice given   Reference number of written notice given
                                                          by local government              by local government (if applicable)
                                                          (dd/mm/yy)




                                                                                                          IDAS form 1-Application details
                                                                                                                  Version 3.0-1 July 2013

Page 6

                                                                                                                                                             ,~




              13.     List below all of the forms and supporting information that accompany this application (Include alllDAS
                      forms, checklists, mandatory supporting information etc. that will be submitted as part of this application. Note:
                      this question does not apply for applications made online using MyDAS)


              Description of attachment or title of attachment                                             Method of lodgement to
                                                                                                           assessment manager
                                     S     ,




                                                                                                                                      .......L
                                                                                                                                                         .

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             114.     Applic~nt’s declaration

              8t(y’making this application, I declare that all information in this application is true and correct (Note:it is unlawful to
              provide false   or   misleading information)    .




             Notes for completing this form


             .  Section 261 of the Sustain ble Planning Act 2009 prescribes when an application is a properly-made application.
                Note, the assessment manager has discretion to accept an application as properly made despite any non-
                compliance with the requirement to provide mandatory supporting information under section 260(1 )(c) of the
                Sustainable Planning Act 2009


             Applicant details
                Where the applicant is not a natural person, ensure the applicant entity is a real legal entity.


             Question 1
                 .    Schedule 3 of the Sustainable Planning Regulation 2009 identifies assessable development and the type of
                      assessment. Where schedule 3 identifies assessable development as "various aspects of development" the
                      applicant must identify each aspect of the development on Tables A, Band C respectively and as required.

             Question 6
             .  Section 263 oHhe Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required for
                an application. Section 260(1 )(e) of the Sustainable Planning Act 2009 provides that if the owner’s consent is
                required under section 263, then an application must contain, or be accompanied by, the written consent of the
                owner, or include a declaration by the applicant that the owner has given written consent to the making of the
                application. If a development application relates to a state resource, the application is not required to be supported
                by evidence of an allocation or entitlement to a state resource. However, where the state is the owner of the
                subject land, the written consent of the state, as landowner, may be required. Allocation or entitlement to the state
                resource is a separate process and will need to be obtained before development commences.



             Question 11
             .  The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portable long
                service leave levy is payable.
                The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy
                are   prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.




                                                                                                                IDAS form 1-Application details
                                                                                                                       Version 3.0-1 July 2013


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Page 7

   Question 12
   .  The portable long service leave levy need not be paid when the application is made, but the Building and
      Construction Industry (Portable Long Service Leave)Act 1991 requires the levy to be paid before a development
      permit is issued.
   .
      Building and construction industry notification and payment forms are available from any Queensland post office or
      agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qld.gov.au. For
      further information contact QLeave on 1800803481 or visit www.qleave.qld.gov.au.



   Privacy-The information collected in this form will be used by the Department of State Development, Infrastructure
   and Planning (DSDIP),assessment manager, referral agency and/or building certifier in accordance with the
   processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
   the IDAS process or the provisions about public access to planning and development information in the Sustainable
   Planning Act 2009, except where required by legislation (including the Right to Information Act 2009) or as required by
   Parliament. This information may be stored in relevant databases. The information collected will be retained as
   required by the Public Records Act 2002.


   OFFICE USE ONLY


    Date received                                              I Reference numbers
   NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER


    To
                                                               I   Council. I have been engaged as the private certifier for the
                                                                   building work referred to in this application

                                                                                  BSA Certification license          Building
    Date of engagement         Name
                                                                                  number                             classification/s




   QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or private certifier if
   applicable.)
                                                                                                   Date receipted
                                                                                                                       Name of officer
                                      QLeave project           Amount paid                         form sighted by
    Description of the work                                                          Date paid                         who sighted the
                                      number                   ($)                                 assessment
                                                                                                                       form
                                                                                                   manaqer




   The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
   Planning. This form and all other required application materials should be sent to your assessment manager and any
   referral agency.




Department of State Development, Infrastructure and Planning
PO Box 15009 City East Old 4002
tel 13 OGOV (1374 68)
[email protected]                                                                                      IDAS form 1-Application details
                                                                                                                    Version 3.0-1 July 2013
www.dsdip.qld.gov.au

Page 8

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                                                                           DepartmentofState Development, Infrastructure and Planning _



            IDAS form 6-Building or operational work assessable
            against a planning scheme
           (Sustainable Planning Act 2009 version 3.0 effective 1 July 2013)


           This form must be used for development applications for building work or operational work assessable against a
            planning scheme.

           You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
           form.


            For all development applications, you must:
            .
                      complete IDAS form 1-Application details
            .
                      complete any other forms relevant to your application
            .
                      provide any mandatory supporting information identified on the forms as being required to accompany your
                      application.
            Attach extra pages if there is insufficient space on this form.


            All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA)or the Sustainable
            Planning Regulation 2009.

            This form must be used for building work or operational work relating on strategic port land and Brisbane core port land
            under the Transport Infrastructure Act 1994 and airport land under the Airport Assets (Restructuring and Disposal) Act
            2008 that requires assessment against the land use plan for that land. Whenever a planning scheme is mentioned,
            take it to mea~ land use plan for the strategic port land, Brisbane core port land or airport land.


            This form can also be completed online using MyDAS at www.dsdip.gld.gov.au/MyDAS



          I Mandatory requirements
            1.         What is the nature of the work that requires assessment against a planning scheme? (Tick all applicable
                       boxes.)

                  D         Building work-complete Table A                     ~r~tional work-complete Table     B


            Table A

            a)        What is the nature of the building work (e.g. building, repairing, altering, underpinning, moving or demolis~ing a
                      building)?

                      j)BA-O ’\"""~Ee.. <2-t:(Y\~A<- ’"’t-                             c.J N De.tL~’-\            ~ce..v-Y’C::U~

            b)        Are there any current approvals associated with this application? (e.g. material change of use.)

                  rg--No             D     Yes- provide details below



                 List of approval reference/s                           Date approved (dd/mm/yy)    Date approval lapses (dd/mm/yy)




          Great state. Great opportunity.
                                                                                                                                Queensland
                                                                                                                                Government   _

Page 9

                                                                                                                          ,.            "




 Table B

 a)    What is the nature of the operational work? (Tick all applicable boxes.)

       o     Road works                  0     Stormwater       0      Water infrastructure



       o     Drainage works              0     Earthworks       0      Sewerage infrastructure


       o     Landscaping                 0     Signage          Q/’Clearing vegetation under the planning scheme                            I
                                                                                                 v
                                                                                                                                            ~



       o     Other-provide details
                                                                                                                                            1

 b)    Is the operational work necessary to facilitate the creation of new lots? (E.g. subdivision.)

      o      No    0 Yes-specify the number of lots being created          I
 c)    Are there any current approvals associated with this application? (E.g. material change of use.)

      o      No    0 Yes-provide details below

      List of approval reference/s                    Date approved (dd/mm/yy)            Date approval lapses (dd/mm/yy~
                                                                                                                               ’-




                                                                                                                                            ’i’

 2.      What is the dollar value of the proposed building work?                                          $
         (Inc GST, materials and labour.)

 3.      What is the dollar value of the proposed operational work?                                       $
                                                                                                                                    J
         (Inc GST, materials and labour.)

I Mandatory supporting information
 4.      Confirm that the following mandatory supporting information accompanies this application


 Mandatory supporting information                                                       Confirmation of       Method of
                                                                                        lodgement             lodgement

 All applications involving building work or operational work

 A site plan drawn to an appropriate scale (1 :100, 1 :200 or 1 :500 are                o Confirmed
 recommended scales) which shows the following:

 .    the location and site area of the land to which the application relates
      (relevant land)
 .    the north point
 .    the boundaries of the relevant land
 .    the allotment layout showing existing lots, any proposed lots (including the
      dimensions of those lots), existing or proposed road reserves, building
                                                                                                                                            I
      envelopes and existing or proposed open space (note: numbering is                                                                     I.

      required for all lots)
 .
      any existing or proposed easements on the relevant land and their
      function
 .
      any access limitation strips
 .    all existing and proposed roads and access points on the relevant land.




                                                                                IDAS form 6-Building or operational work assessable
                                                                                                         against a planning scheme
                                                                                                           Version 3.0-1 July 2013

Page 10

..      t,




     A statement about how the proposed development addresses the local                  D Confirmed
     government’s planning schemes’and any other planning documents relevant
     to the application.

     A statement addressing the relevant part(s) of the State Development                D Confirmed
     Assessment Provisions (SOAP).
                                                                                         D Not applicable
     Applications for building work (including extensions and demolition that is assessable development)

     Floor plans drawn to an appropriate scale (1 :50, 1:100 or 1 :200 are               D Confirmed
     recommended scales) which show the following:
                                                                                         D Not applicable
     .   the north point
     .   the intended use of each area on the floor plan (for commercial, industrial
         or mixed use    developments only)
     .   the room layout (for residential development only) with all rooms clearly
         labelled
     .   the existing and the proposed built form (for extensions only)
     .   the gross. floor area of each proposed floor area.

     Elevations drawn to an appropriate scale (1:100, 1 :200 or 1 :500 are               D Confirmed
     recommended scales) which show plans of all building elevations and
                                                                                         D Not applicable
     facades, clearly labelled to identify orientation (e.g. north elevation).

     Plans showing the size, location, proposed site cover, proposed maximum             D Confirmed
     number of storeys, and proposed maximum height above natural ground level
                                                                                         D Not applicable
     of the proposed new building work.

     Plans showing the extent of any demolition that is assessable develop’ment.         D Confirmed
                                                                                         D Not applicable
     Applications for operational work involving earthworks (filling and excavating)
     Drawings showing:                                                                   D Confirmed
     .
        existing and proposed contours                                                   D Not applicable
     .areas      to be cut and filled
     .  the location and level of any permanent survey marks or reference
        stations used as datum for the works
     .  the location of any proposed retaining walls on the relevant land and their
        height
     .  the defined flood level (if applicable)
     .  the fill level (if applicable).

     Applications for operational work involving roadworks
     Drawings showing:                                                                   D Confirmed
     .
        existing and proposed contours                                                   D Not applicable
     .  the centreline or construction line showing chainages, bearings, offsets if
        the construction line is not the centreline of the road and all intersection
        points
     .  information for each curve including tangent point chainages and offsets,
                      length, tangent length, superelevation (if applicable) and
        curve radii, arc

            widening (if applicable)
        curve

     .kerb lines
                 including kerb radii (where not parallel to centreline) and
      tangent point changes (where not parallel to centreline)
     .
      edge of pavement where kerb is not constructed
     .
      position and extent of channelisation
     .location and details of all traffic
                                          signs, guideposts, guardrail and other
        street furniture
     .  pavement markinqs includinq details on raised pavement markers


                                                                                 IDAS form 6-Building or operational work assessable
                                                                                                          against a planning scheme
                                                                                                            Version 3.0-1 July 2013

Page 11

                                                                                                                                   t’         ;J


                                                                                                                                                   .   I




             .
              catchpit, manhole and pipeline locations
             .
              drainage details (if applicable)
             .cross road
                          drainage culverts (if applicable)
             .concrete footpaths and cycle paths                                                                                         l
             .location and details for access points, ramps and invert crossings
             .
              changes in surfacing material.
             Applications for operational work involving stormwater drainage

             Drawings showing:                                                                  D Confirmed
             .
                existing and proposed contours                                                  D Not applicable                                           ;:~
             .
                drainage locations, diameters and class of pipe, open drains and
                easements
             .  manhole location, chainage and offset or coordinates and inlet and outlet
                invert levels
             .  inlet pit locations, chainage and offset or ’coordinates and in\(ert and kerb
                levels.

             Applications for operational work involving water reticulation

             Drawings showing:                                                                  D Confirmed
             .  kerb lines or edge of pavement where kerb is not constructed                    D Not applicable
             .  location and levels of other utility services where affected by water
                reticulation works
             .
                pipe diameter, type of pipe and pipe alignment
             .  water main alignments
             .  water supply pump station details (if applicable)
             .  minor reservoir details (if applicable)
             .  conduits
             .  location of valves and fire hydrants
             .  location of house connections (if applicable)
             .  location of bench marks and reference pegs.

             Applications for operational work involving sewerage reticulation

             Drawings showing:                                                                  D Confir~ed
             .  location of all existing and proposed services                                  D Not applicable
             .  location of all existing and proposed sewer lines and manhole locations
             .  location of all house connection branches
             .  kerb lines or edge of pavement where kerb is not constructed
    t
I
             .
                chainages
             .
                design sewer invert levels
I            .
                design top of manhole levels
             .
                type of manhole and manhole cover
             .
                pipe diameter, type of pipe and pipe alignment
             .  location of house connections (if applicable)
             .sewer       pump station details (if applicable).

             Applications for operational work involving street lighting

             Drawings showing:                                                                  D Confirmed
             .  location of all light poles and service conduits                                D Not applicable
             .  location of all other cross road conduits
             .
                type of wattage and lighting
             .
                any traffic calming devices
             .  additional plans for roundabouts and major roads (if applicable)
             .  details of any variations to normal aliqnment


                                                                                        IDAS form 6-Building or operational work assessable
                                                                                                                 against a planning scheme
                                                                                                                   Version 3.0-1 July 2013



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Page 12

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         .   details of lighting levels.

         Applications for operational work involving public utility services

         Drawings showing:                                                                  D Confirmed
         .
             any existing light poles and power poles                                       D Not applicable
         .
             any existing underground services
         .   details of proposed services
         .   alteration to existing services.

         Applications for operational work involving landscaping works

         Drawings showing:                                                                  D Confirmed
         .   the location of proposed plant species                                         D Not applicable
         .a       plant schedule indicating common and botanical names, pot sizes and
             numbers of plants
         .
          planting bed preparation details including topsoil depth, subgrade
          preparation, mulch type and depth, type of turf, pebble, paving and garden
          edge
         .the location and type of any existing trees to be retained
         .construction details of
                                  planter boxes, retaining walls and fences
         .the proposed maintenance period
         .
          irrigation system details.

        Privacy-Please refer to your assessment manager, referral agency and/or building certifier for further details on the
        use of information recorded in this form.




        OFFICE USE ONLY


         Date received                                            I Reference numbers

        The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
        Planning. This form and all other required application materials should be sent to your assessment manager and any
        referral agency.




   Department of State Development, Infrastructure and Planning
   PO Box 15009 City East Old 4002
   tel 13 OGOV (13 74 68)                                                           IDAS form 6-Building or operational work assessable
   [email protected]                                                                                     against a planning scheme
                                                                                                               Version 3.0-1 July 2013
   www.dsdip.qld.gov.au

r====

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