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Development Application Part 1 of 2 - IDAS Forms 1 and 6 - OPW13/0308

of 14

Text shows just the words. Original shows the document exactly as it was published.

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Page 2

    IDAS form 1-Application detail                                                         Develo;Jmer-,t Counter
    (Sustainable Planning Act 2009 version 2.0 effective 17 December 2012)                             .18 APR 2D 3
    This form must be used for ALL development applications.
                                                                                                      TeWantin
                                                                                      _



    You MUST complete ALL questions that are stated to be a mandato_ry                require~        esS--t:ie[l’   identified on thi
    form.


    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 or the Sustainable Planning
    Regulation 2009.
I
    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 airport land under the
  Airport Assets (Restructuring and Disposal) Act 2008. Whenever a planning scheme is mentioned, take it to mean land
I use plan for the strategic port land, Brisbane core port land or airport land.
I
I PLEASE NOTE: This form is not required to accompany requests for compliance assessment.
    This form can also be completed online using eDA at www.smarteda.qld.gov.au



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 alllDAS 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 applioont.)


    Name/s (individual or company name in full)               I   Pacific Bea



    For companies, contact name


    Postal address                                                PO BOX 1901




                                                                  Suburb        NOOSAVILLE DC QLD

                                                                  State                                   Postcode      14566
                                                                  Country (if other than Australia)

    Contact phone number                                      I 5412 1520
    Mobile number (non-mandatory requirement)                 I 0410512536

Page 3

 Fax number (non-mandatory requirement)             154121522
 e-mail address (non-mandatory requirement)

                                                    I :[email protected]
 Applicant’s reference number (non-mandatory
 requirement)


11. What Is the nature of the development proposed and what type of approval is being sought?
 Table A-Aspect 1 of the application (If there are additional aspects to the application please list in Table B-Aspect 2.)

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

      D Material change of use       D Reconfiguring a lot           D Building work             ~ Operational work

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

      D Preliminary approval         D Preliminary approval          ~ 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.)

      Jetty



 d)   What is the level of assessment? (Please only tick one box.)

      D Impact assessment            ~ Code 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 application.)

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

      D Material change of use       D Reconfiguring a lot           D Building work             D Operational work

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

      D Preliminary approval         D Preliminary approval          D 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.)




 d)   What is the level of assessment?

      D Impact assessment            D Code assessment

Page 4

 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.)

        D Refer attached schedule           ~ Not required


I 2. Is the application for mobile and temporary environmentally relevant activity (ERA)?
                               a



 ~           N~ontinue to question 3


 D          Yes-complete Table D and then go to question 6

 Table D-name of each local government area in which the mobile and temporary ERA is proposed to operate




I 3. Location of the premises (CompleteTable E and/or Table F               as applicable.   Identify each lot in a separate row.)

 Table E-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.)
        ~    Street address and lot on plan (All lots must be listed.)

        D    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)                  24            THE ANCHORAGE                 4567       LOT 780 RP91 0420            SUNSHINE COAST
                                   NOOSAVILLE QLD                                                        REGIONAL COUNCIL

 ii)

 iii)

 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)




3                                                                                                        IDAS form 1-Application details
                                                                                                           Version 2.0 17 December 2012

Page 5

                                                                                                      of a lot or in water not
             Table F-premises coordinates (Appropriate for development in remote areas, over part
                                                                 in Moreton Bay.) (Attach a separate schedule   if there is insufficient
             adjoining or adjacent to land e.g. channel dredging
             space in this table.)
                                                                                                                                                                                            Zone                               Datum                                        Local government
                 Coordinates
I
                                                                                                                                                                                            reference                                                                       area          (if applicable)
                 (Note: place ~ach set of ~o()r~inates in a, separate row.)
                                                      I Northing.                                          Latitude                                 Longitude
     I           Easti!.l9                                                                                                                                                          -
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                 [8]             No                          o                  Yes-provide details below

                                                                                                                                            J
                                                                                                                                                                                                                                           Date approval lapses (dd/mm/yy)
         I
                 List of approval reference/s                                                                                                       Da~e approved (dd/mm/yy)

                                                                                                                                                                                                                                                                            -

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      -1.~~P\y.~~~i!1},~~ii;applip~tlon?.~Refer fa ~ofes ~tt),e1i                                                                                                                                                                       ott~!~f rmJQ~~riin!9f"!T1_~ .:,              -
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                 OJ           No


                 IZI          Yes-complete either Table G, Table H or Table I as applicable
                              -




                 Table G

      ,


                 Name of owner!s of the land                                                                              Paul Gerard McDonald

                                                                consent to the making                                                                                                                     of this application,
                 I/We, the above-mentioned ownerls of the landy
                                                              ;



                 Signature_of Qwner                                                 f~laDg                                     IJu__                                                            ,

                                                                                                                                                                                                                                                                                                             -




                                                                                                                                                                                -
                         -   ---




                 Date                                                                                                           1~’lf-ll3
             I   Table H

                 Name of ownerls of the land


                 D The owner’s written consent is attached or will be provided separately to the assessment manager
                                                                                                                                                                                                                                                                                                             -




             fTab,e
              ~ame
                                      I

                                      of ownerls of the land:                                                         1
                                                                                                                                                                                                                                                              IDAS form 1-Appfication details
                 4
                                                                                                                                                                                                                                                                   Version 2.0 17 December 2012

Page 6

 D By making this application, I, the applicant, declare that the owner has given written consent to the making of the
 application.



 8. Does the application Involve a state resource? (E.g.the application involves taking water or quarry material, or
 interfering with the flow of water. Refer to the notes at the end of this form for more information) (Non-mandatory
 requirement.)

 ~       No                D     Not identified whether or     D   Yes-complete Table J
                                 not the application
                                 involves a State
                                 resource




 Table J

 Nature of State-owned resource (if identified)




I 9. Identify If any of the following apply to the premises (Tick applicable box/es.)
 ~       Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-complete Table K

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


 D       In a tidal water area-complete Table M


 D       On Brisbane core port land under the Transport Infrastructure Act 1994 (no table requires completion)


 D       On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (notable requires completion)



Table K

 Name of water body, watercourse or aquifer


 Noosa Waters Canal



Table L

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




Table M

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




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

 ~       No     D   Yes-ensure the type, location and dimension of each easement is included in the plans submitted



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

 D       No     ~   Yes-ensure the nature, location and dimension of proposed works are included in plans submitted



5                                                                                                 IOAS form 1-Application detatfs
                                                                                                   Version 2.017 December 2012

Page 7

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


IZI     No-go to question 14         DYes

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


IZI     No


o Yes-complete Table N and submit with this application the yellow local government/private certifier’s copy of the
        receipted QLeave form

Table N


Amount paid             Date paid           QLeave project number (6digit number starting with A, S, E, L or P)

                        (dd/mm/yy)




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


IZI     No


o       Yes-please provide details below


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




    15. List below all of the fonns and supporting information that accompany this application (Indude 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 Smart eOA.)

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


(1)Plans & specifications relevant to the proposed works.                                     Email for printing if required.


(2)IDAS Form 6                                                                                Email for printing if required.




16. Appllcanfs declaration                          iU
                                                         ~




IZI By 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.)




6                                                                                                  IDAS form 1-Application details
                                                                                                     Version 2.0 17 December 2012

Page 8

Notes for completing this form


.   Section 261 of the Sustainable 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.


Question 7
.   Section 263 of the 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.
.   Owner’s consent is not required for a mobile and temporary ERA.


Question 8
.   If a development application involves a State resource, the application is not required to be supported by evidence
    of resource entitlement. The allocation or entitlement to the resource is a separate process and should be obtained
    prior to development commencing.

Question 12
.   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.

Question 13
.   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 will not be disclosed for a purpose outside of the
IDAS process, 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.




7                                                                                            IDAS form 1-Application details
                                                                                               Version 2.0 17 December 2012

Page 9

OFFICE USE ONLY

 Date received                                        Reference numbers


NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

 To                                                   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 (Forcompletion by assessment manager or private certifier if
aQPlicable.).




                                                                                    Date receipted
                              QLeave project      Amount paid                       form sighted by   Name of officer who
Description of the work                                                Date paid
                              number              ($)                               assessment        sighted the form
                                                                                    manager
 Jetty                                            $                                                    D.Grehan




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




8                                                                                             IDAS form 1-Application detatls
                                                                                                Vers on 2.017 December 2012

Page 10

~.~"l&~;mlMJ!j!&:t..!lmlf.ll;~~.h’ti: Department of State Developmel1t.lnfrastructure and Planning ~




       IDAS form 6-Build.ing or operational ’vvork assessable
       against a planning scheme
       (Sustainable Planning Act 2009 version 2.1 effective 1 April 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 re                            uirQ,@,V~ltfs~=ftQfa,QjifehQMru~~is
       form.

                                                                                                                      1 8 APR 2013
       For all development applications, you must:

        .        complete IDAS form 1-Application details
        .        complete any other forms relevant to your application
                                                                                                                    Tewantin
        .
                 provide any mandatory supporting information identified on the form                         ~qtrired-to-accum
                 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 or the Sustainable Planning
       Regulation 2009.

       This form must be used for building work or operational work relating to 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. Whenever a planning scheme is mentioned, take it to mean land use plan for the strategic port land, Brisbane
     : core port land or airport land.


       This form can also be completed online using eDA at www.smarteda.qld.gov.au




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              D              Building work-complete Table A                           o   Operational work-complete Table B


       Table A

       a)        What is the nature of the building work made assessable in the planning scheme (e.g. building, repairing, altering,
                 underpinning, moving or demolishing a building)?




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

                D            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
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   Table B

   a)    What is the nature of the operational work made assessable in the planning scheme? (Tick applicable box/es.)

                                           0       Stormwater                             0                 Water infrastructure
         0 Road works

         0 Drainage works                  0       Earthworks                             0                 Sewerage infrastructure


         0 Landscaping                     0       Signage                                0                 Clearing vegetation under the planning scheme


         0 Other-provide details           Jetty


   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

   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)
                              -




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                                                                                                                                                Confirmation of          Method of
   Mandatory supporting information
                                                                                                                                                lodgement                lodgement

   All applications involving building work and/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
    envelopes and existing or proposed open space (note: numbering is
    required for all lots)
                                                                their
   .
    any existing or proposed easements on the relevant land and
        function
   .
        any access limitation strips
   .    all existinq and proposed roads and access points on the relevant land.

   A statement about how the proposed development addresses the local                                                                           o Confirmed
   qovernment’s planning schemes and any other planninq documents relevant

  2                                                   IDAS form 6-BuiiGtF’                                        c:r .jGe’’"::1t.’crd! wco< a..).3a,3..’S’abfe   :-igair’s[ ’.1 ::(3nl~i(!g sct,,:")("’1e
                                                                                                                                                                     V 9(SiCr; 2. j ’J .~,,:’(l 20 J

Page 12

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                     to the application.


                    Applications for building work (including extensions and assessable demolition)
                     Floor plans drawn to an appropriate scale (1:50, 1:100 or 1 :200 are                                                                                                                                     o Confirmed
                     recommended scales) which show the following:
                                                                                                                                                                                                                               o 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                                                                                                                                     o Confirmed
                     recommended scales) which show plans of all building elevations and
                                                                                                                                                                                                                              o Not applicable
                    facades, clearly labelled to identify orientation (e.g. north elevation).

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

                     Plans showing the extent of any assessable demolition.                                                                                                                                                   o Confirmed
                                                                                                                                                                                                                              o Not applicable

                    Applications for operational work involving earthworks (filling and excavating)

                    drawings showing:                                                                                                                                                                                         o Confirmed
                     .
                             existing and proposed contours                                                                                                                                                                   o 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 defined fill level (if aoolicable).

                    Applications for operational work involving roadworks
                     Drawings showing:                                                                                                                                                                                        o Confirmed
                     .
                             existing and proposed contours                                                                                                                                                                   o 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,
                             curve radii, arc length, tangent length, superelevation (if applicable) and

                             curve widening                         (if applicable)
                     .       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 markings including details on raised pavement markers
                     .catchpit, manhole and pipeline locations
                     .
                      drainage details (if applicable)
                     .cross road drainage culverts (if applicable)


                     .       concrete footpaths and cycle paths
                     .       location and details for access points, ramps and invert crossinqs


                  3                                                                                                                       IDAS form 6-dL: C:J"ld or .;ce:;J[,’cr-~.1! ’,vcrK a.;seSS2!D/e a                                                                   f;lf1sr :: ,~.ianri!!g s..:;;:er;:e

                                                                                                                                                                                                                                                                              ~/,::;"s;c(1 2.
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                                                                              .

Page 13

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                  .     changes in surfacing material.
                 Applications for operational work involving stormwater drainage
                  Drawings showing:                                                                                                                                               D Confirmed
                  .
                       existing and proposed contours                                                                                                                              0’Not applicable
                  .
                       drainage locations, diameters and class of pipe, open drains and
                       easements
                  .     manhole location, chainage and offset or co-ordinates and inlet and outlet
                        invert levels
                  .    inlet pit locations, chainage and offset or co-ordinates and invert 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                                                                                               0’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 Confirmed
                 .  location of all existing and proposed services
                                                                                                                                                                                  0’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
                 .
                       chainages
                 .
                       design sewer invert levels
                 .
                       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

                                                                                                                                                                                  0’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 alignment
                 .     details of lightinq levels.

                Applications for operational work involving public utility services
                 Drawings showing:                                                                                                                                                D Confirmed
                 .
                    any. existing light poles and power poles
                                                                                                                                                                                  0’Not applicable
                 .
                    any existing underground services
                 .     details of proposed services
                 .     alternation to existinQ services.

              4                                                                                                IDAS form 6-3Li!d;j~~’ ’")( :,-;:.Je,..~t,’c!’~:3/ !NC(~ a ~-.$essac,e ag7:frSl :1 planilf(~Q SCr9f’;’"e
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~!~-;".~;,;.-!F ~ ~ctt-~~;~l’:’!~~ ’~,j’.’~;~:g~~:;~~;;;;"~;~":’$;~~~(.fr’:’’’’:~.!~~J ~;:-~~~n’$:~:~rf’:~~:::"’!::~~.:’?’~;;:WV!~"".~L":~:;.. ,
                 .

Page 14

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                           Applications for operational work involving landscaping works
                           Drawings showing:                                                                                                                                                                                                                                  o Confirmed
                           .  the location of proposed plant species
                                                                                                                                                                                                                                                                              o 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                                                                                                                                                 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
                       agencies.




                                       Department of State Development, Infrastructure and Planning
                                       PO Box 15009 City East aid 4002
                                      tel 13 aGOV (137468)                                                                                                           IOAS form 6-8uic!i,Yj ;1" ;ce2iicrai iVC ".( a ;.;.3SSi:                                                                                                            cia!’I’ ny :;cr9i:-:e
                      5                                                                                                                                                                                                                                                                                              i8 :Jga rSi a

                                       [email protected]                                                                                                                                                                                                                                                                    ::9(510(’ 2.! !   ’:";)(’i :;1::

                                      www.dsdip.qld.gov.au

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