07/1173 - Additional information on tidal works & amended form 2 [As Published] · 142007.1173.02

INTEGRATED PLANNING ACT 1997 Form 2, Version 4.1, 3 March 2008

4. Can the premises best be identified by coordinates (e.g. for development proposed in waters, or on a site within a large rural fol)?

] No

LJ Yes - Complete Table D

5. Whatis the total area that makes up the premises (ie. the area covered by the application)?

 

 

 

 

 

 

 

 

 

” Area of land above high water mark/outside watercourse, Area in a water body or watercourse
om Cl hectares |g, 0 om UD hectares
(Tick appicable unit) . (Tick applicable unit)
{Owner's consent and resource owner's agreement . , |

 

6. Is the person making the request the owner of the land to which the approval attaches?

oO Yes No - Complete Table E - provide defails for each owner on a separate row, or on an attachment to this form if applicable. Note: Advice
provided at the end of this form details when owner's consent is not required.

Table E

 

 

i r.| eee Details ofthe. premises OWNED ae | eee
_ (street address or lot on plan description) |"
1 Resource Allocation (refer to attached Lot 164 on CP907410
approval)
* Owner's signature can not be provided on the form if you intend to submit the application etectronically. Owner's consent must be provided to the assessment manager on an

attachment containing appropriate written documentation of the owner's consent. If the owner is a company the company must sign as owner, $127 of the Comorations Act
2001 (Cwealth) details how a company may execute a document.

= Signature*seass

 

 

 

 

 

 

 

 

 

 

 

7. If an application for the existing approval were being made now (i.e. at the time of making this request), would evidence be required to
support the application because it involved taking or interfering with a State-owned resource prescribed by schedule 10 of the integrated
Planning Regulation 1998 (IP Reg) or any other regulation

(No [XJ Yes - Complete Table F and submit, with the application, written agreement to the request.

 

Date written agreement of the
chief executive was obtained

1 | 2. Land subject to a lease (including a freehotding lea | Department of Environment and Resource Management 19-May-2009

Table F Nature of State-owned resource Relevant State Government Department

 

 

 

 

 

 

 

 

(Nature of the request " ]
8, What is the nature of the request for change? (Tick the applicable box/es)

(71 An extension of the period before an approval lapses (under IPA, section 3.5.22)

To change the development approval other than a change of condition (under IPA, section 3.5.24)

L] To change or cancel a condition of approval (under IPA, section 3.5.33) - Go to Q11
oO To change conditions of a rezoning approval given under the Local Government (Planning and Environment) Act 1990 (under IPA,
section 6.1.35A) - Go to Q12
9. Were one or more concurrence agencies involved in the approval?

oO No i Yes - Complete Table G. Submit, with the application, @ copy of the notice required to be sent to each agency under IPA sections
3.5.22(1)(a) and 3.5.24(1)(b).

 

Table G . . .. Each concurrence agency

(use a separate row for each agency) Date notice sent

 

Queensland Transport - Maritime Safety

=

 

2 | Department of Environment and Resource Management (formerty Environmental Protection Agency)

 

 

 

 

 

10. Does the request for change relate to an aspect of the approval that involved a building referral agency?

& No O Yes - Complete Table H. Submit, with the application, a copy of the notice required to be sent to each agency under IPA section
3.8.24(1)(0).