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Development Application Part 1 of 2

of 12

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Engineers name/s                             John A Norden
Organisation name (if applicable)            John Norden & Associates


Postal address                               PO Box 205 Tewantin OLD 4565

Contact phone number                         0754497137
Fax number (non-mandatory)                   07 54497172
e-mail address (non-mandatory)               [email protected]
RPEQ number (or equivalent if
                                             11089
interstate)
Reference number of all plans to which this certification relates             Plan No. 10!'90-1

5. Confirm the following mandatory supporting information accompanies this application


Plans certified by a registered professional engineer of Queensland
                                                                                  Confirmation of             Method of
(RPEQ) (or an interstate or international equivalent registered with
                                                                                    lodgement                 lodgement
the appropriate professional body) showing:

the location (real property description and boundaries) and dimensions
of the proposed works in relation to the land (including tidal land) that      ® confirmed               over the counter
would abut or adjoin the proposed works

the proposed works in relation to the locations and levels of lowest
astronomical tide, highest astronomical tide, mean high water springs          ® confirmed               over the counter
and the coastal management district

the slope angles of the beds and banks of the tidal area and the finished
                                                                          ® confirmed                    over the counter
levels of the proposed works
Written statements or evidence

a copy of the certificate of title for the land (including tidal land) that
                                                                                   confirmed             over the counter
would abut or adjoin the proposed works

details of how the proposed work addresses the IDAS code for
prescribed tidal work in the Coastal Protection and Management                 ® confirmed               over the counter
Regulation 2003, schedule 4A

                                                                               E] confirmed
details of the largest vessel, if any, to be moored at the structure
                                                                               ® not applicable

evidence that the proposed work will not prejudice the access rights of
adjoining property owners in the form of:
                                                                               ® confirmed               over the counter
        •   letters of support from adjoining property owner; or
        •   plans illustrating a water allocation area.

For applications within a cul-de-sac, a bend in the waterway or
other location where the side boundaries of the lot connect to the
work and neighbouring lots are not at right angles to the waterway
must also provide:

photos of any constructed neighbouring structures or information about         q confirmed
approved but unconstructed neighbouring structures.                            ® not applicable


Privacy - please refer to your assessment manager for further details on the use of information recorded in
this form.




                                                                                             Presci!bcd tidal     - IDAS form 28
                                                                                                  Version 1.0 18 December 2009
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