Application for permit to damage vegetation - OPW13/0659

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8. 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 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 (no table requires completion)



Table K


Name of water body, watercourse ?r aquifer




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)




9. 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



10. 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



11. 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.)


~otOqUestion                13      DYes

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



(]/’No
D       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. B, E, Lor P)

                        (dd/mm/yy)


5                                                                                               IDAS form 1-Application details
                                                                                                     Version 2.031 March 2013