OPW14/0139 - Application for Operational Works - Private Jetty - 23 The Peninsula, Noosaville

Table K

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



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

[{]   No    0      Yes-ensure   the type, location and dimension of each easement is included in the plans submitted

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

o     No    [{]    Yes-ensure   the nature, location and dimension of proposed works are included in plans submitted

10.   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.)

[{]   ND---9o to question 12       DYes

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

o     No

o     Ye5--{;omplete Table L and submit with this application the yellow local governmenVprivate certifier's copy of the
      receipted OLeave form

Table L

Amount paid                                                     Date paid           OLeave project number (6 digit number
                                                                (ddlmm/yy)          starting with A, B, E, L or P)




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   Has the local government agreed to apply a superseded          planning     scheme to this application     under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

[{]   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 iocal government (if applicable)
                                                (dd/mm/yy)




                                                                                                 IDAS form I-Application details
                                                                                                        Version3.0-1 July 2013