07/2333 - Prescribed Tidal Works - Transport Type 5 - Domestic Marine (Private Jetty) [As Published] · 142007.2333

INTEGRATED PLANNING ACT 1997 Part A, Version 3.0, 3 September 2007

Table J

 

Nature of State-owned resource
Nature of evidence required

Allocation/entitlement
reference number

 

 

State Goverment Date of | Date of

Name of authorising officer | Position of authorising officer Department issue | expiry

 

 

 

 

 

 

 

 

 

 

[ GENERATE ANOTHER TABLE |

 

11. Does the application involve land other than State-owned land (ie. privately owned land) and require owner's consent?

{(/ No

Yes - Complete Table K and submit, with the application, written documentation of all owner's consent

 

 

 

 

 

 

 

Table K
Owner name/s Street address or lot on plan description Date written consent was obtained
[_TEAANCO DE PRSGUALE | 25 SWINRO NOKAVIE | 24 /9fo7 .
QOLSEG ,

Mandatory attachments and supporting information

12. What are the other parts of [DAS Application Form 1 submitted with this application, and the other mandatory attachments and
supporting information accompanying this application, not identified in those other form parts?

 

 

 

 

 

 

 

Description of attachment or information Title (applicable) Method of delivery to
(e.g. Part C of Form 1, owner's consent, evidence of (e.g. General Authority, James Street Date assessment manager
resource allocatiorventtfement, plans, drawings, reports) Traffic Report) ag
1. WEES CONCENT, G/U[67| LOSTED.:
(nS ; Hakan 14 Sler, FOF

Portable Long Service Leave (PLSL) levy for building and construction work

13. Is payment of a Portable Long Service Leave (PLSL) levy required for building and construction work before a development permit
for the gppfication can be given?

No

13(a) Indicate the reason PLSL is not applicable.

(_ The application is not for building and construction work under the Building and Construction Industry (Portable
Long Service Leave) Act 1997, section 3AA (e.g. the application is only for a change of use or for the following types of
work carried out solely for farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting,

am of encroaching vegetation, clearing of regrowth, thinning vegetation or controlling weeds or pests); or
All costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or
C1 The work is being carried out under an owner-builder permit issued under the Queens/and Building Services

Authority Act 1991 - Complete and subrmit a QLeave Nobification and Payment Farm (no payment required if owner-builder permit
number stated). The receipted form must be sighted by the assessment manages before a development permit can be given.

DO Yes

13(b) Has the PLSL levy been paid?

(J No- Complete and submit a QLeave Notification and Payment Form. The receipted form must be sighted by the
assessment manager before a development permit can be given.

(J Yes- Complete Table L and submit, with the application, the "yellow" (Local Government's (Council) / Private Contt fier’s}
copy of the receipted QLeave Form.