0014C22C.001

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     »    INTEGRATED PLANNING ACT 1997                                                                              IDAS Assessment Checklist, Version 17.0, 2 October 2006
          Major hazard facilities or possible        16.   Does the application involve a material change of use for a major hazard facility or possible
          major hazard facilities                          major hazard facility as defined under the Dangerous Goods Safety Management Act 2001?
          For more information refer to Guide 17.          =
          If you answered “YES” to Q6, the application         NO
          requires assessment (OES) Department of          [_] YES - complete Part L of Form 1
         Ememency Services      .
          If an agency other than DES is the assessment
          manager for the application, DES is a concurrence
          agency for the apptication in retation to this matter.
          Water related development under the        |7.   The application involves:
          Water Act 2000                                   [1 (i)   operational work, for taking or interfering with water under the Water Act 2000, that is:
          For more information about items (a) ~ (d), refer to      (tick applicable box/es)
          Guide 15. For more information about item (e),                     |                                .
          refer to Guide 14 Does my application involve             1 (a)    in a watercourse, lake or spring, or from a dam constructed on a watercourse (eg.
         assessment of a referable dam?                                      @ pump, gravity diversion, stream re-direction, weir or darn) - complete Part Ko, Ks, Ks, Ke, or Ks of
          Unless you answered “none of ne aoe to 27, the                     Form 1 whichever is applicable’
             ication requires assessment by the Department                                .                     .
          ornare Resouroes Mines and Water (NRMW),                  [-] {b) for an artesian bore anywhere in the State, no matter what the use - complete Part
          If an agency other than NRMW is the assessment                     K; of Form 7;
          Maa          eeere be cnrtaion i rela t                   [1 (c)   fora subartesian bore, in declared groundwater area’, for use for purposes other
          this matter.                                                       than stock and/or domestic use - complete Part K: of Form 1;
                                                                    (J (d)   for a subartesian bore, in certain declared groundwater area, for use for stock
                                                                             and/or domestic purposes - complete Part K; of Form 1;
                                                                    [1 (e)   for constructing a referable dam® or that will increase the storage capacity of a
e                                                                            referable dam by more than 10% - complete Part Ks of Form 1; OF
                                                                    (J (f}   for taking or interfering with overland flow water - complete Parts Ks and G of Form 1
                                                           [XJ (ii) none of the above.
          Removal of quarry material froma           |8.   Does the application involve development for the removal of quarry material from a watercourse®
          watercourse                                      requiring an allocation notice under the Water Act 2000?
          For more information refer to Guide 16,            XM NO
          {f you answered "YES" to Q8, the application
          requires assessment by the Department of Natural  [_] YES - complete Parts Kr and G of Form 4
          Resources Mines and Water (NRMW)}.
          If an agency other than NRMW is the assessment
         Manager for the application, NRMW is a
          concurrence agency for the application in relation to
          this matter.
          Note: Part G of Form 1 is required to be completed
          as the activity of removing quarry material from a
           watercourse is also an Environmentally Relevant
          Activity (ERA),

          7  The declared ground water areas are listed in Guide 13 Development in a dectared catchment area.
          8   Referable dam is defined under the Wafer Act 2000.
          3  Watercourse is defined in sch 10 of the IPA.

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