IDAS Form 1 signed

 

 

(]_ On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)

Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
the Environmental Protection Act 1994 (no table requires completion)

 

Table |

 

Name of water body, watercourse or aquifer

 

 

 

 

 

 

 

 

 

 

 

 

Table J

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

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 fey,

water etc)

 

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

 

2

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

 

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 epplicablets to this application? (Refer to notes at the
end of this form for more information.)

 

xX)

No—go to question 12 [] Yes

 

 

41,

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

 

 

C
O

No

Yes—complete Table L and submit with this application the yellow local govemment/private certifier’s copy of the
receipted QLeave form

 

Table L

 

Amount paid Date paid QLeave project number (6 digit number

(dd/mmiyy) starting with A, B, E, L or P)

 

 

 

 

 

 

» section 96 of the Sustainat le Plarining : Act 2009? ©

 

. Has the. local government ‘agreed to. apply. a gupsrecded planhirig scheme:t to this is appiication under >.

   

 

O

No
Yes—please provide details below

IDAS form 1—Application details
Version 4.1—4 July 2014