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08/0613 - Operational Works - Prescribed Tidal Work - Transport Type 5 (Jetty) [As Published] · 142008.613

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NOLO RWW Checklist - Applications Involving Land
ne Development & Land Use Sections
IDAS APPLICATION

This checklist should be used for any IDAS application. Please check each of the following items before accepting an
application at the counter.

 

1. APPLICATION FORMS: ~ . aS
1.1 Form 1 PartA

1.1.1 Ensure that the form is fully completed.

 

 

 

 

1.1.2 In the case of an MCU or Op Works below the high-water mark, owners consent is required.
1.1.2.1 If there are multiple owners, the consent of each owner is required.
1.1.2.2 If the owner of the land is a company, either ACN No. or Company Seal required.
1.2 Form! Part B-O Supporting Information
1.1.2 Ensure that for each box checked on Form A, the relevant additional Forms B-O are attached.
1.1.2.1. Ensure that each of Forms B-O which are attached are fully completed.

2. REFERRALINFORMATION, © 7) Om a EE

~~ Pe ere re ee see wean

2.1 Ensure that items 1-23 have been checked and/or completed with regard to referrals. mwas
3. ~ ENVIRONMENTALLY RELEVANT ACTIVITIES” ~ "00 7 oe

3.1. Ensure that Part G is completed if EPA referral is required.

 

 

 

 

3.2 | Where EPA is delegated to Council (see * in ERA checklist), ensure that the correct application

 

 

 

 

 

  

 

 

 

 

 

fee is paid and recorded on the application.
‘az “FORM 2°: REQUEST.TO CHANGE APPROVAL: “0°32 EET Le TO :?
4.1 Ensure that items 1-28 have been checked and/or completed including information regarding
applicant details and owners consent.
5. ~ PLANS. COR ag mm am pr gee a Re
5.1 Ensure that at least 6 sets of the Plan of Development (5 for Reconfiguration and Operational uv
Works) accompanies the apptication. In addition ensure that each set is complete.
5.2 Ensure that 1 of the copies of the Plan of Development is in an A3 or A4 format and is _
unbound.
6. “SUPPORTING INFORMATION 7707 STE TU ba oN te
6.1 Ensure that at least 6 copies of any report accompanies the application (5 for Reconfiguration
and Operational Works). If the application is accompanied by a covering letter, ensure that it is =

 

capable of reproduction. []
6.2 In the case of reports, ensure that 1 of the copies is in an A3 or A4 format and is unbound, =

EE Pt. PNP PRO OTM. reseysen ra, sean wg mame sme 2 em mr STN mA Nay

ok

   

 

 

a a vues ee he Beate ote A ee es ca me nae eerie Oe ed Seton ~ oo
mt Ensure that the application fee, as determined from the Council's adopted scale of fees, -
accompanies the application or has been paid. x

 

 

7.2 Ensure that the fee which has been paid is recorded on the application form.

Receiving Officer ... P> te

Having completed this form and accepted the a

trays:-

*  {f the application is for a Material Change of Use exclusively ~AOP1’s desk in the Land Use Section.

*  {fthe application is for an Material Change of Use & Reconfiguration - AOP1’s desk in the Land Use Section.

«  {f the application is for Operational Works (for parking, access, sewerage or drainage) exclusively - AOD2 in the
Land Development Section.

«  I[nall other circumstances — AOP1’s desk in the Land Use Section.

Please DO NOT leave the application at the counter and DO NOT deliver the application to Records.

 

 

    
 

Date ....0% hele.
ication, please deliver both to the following IDAS Application Receiving

 

 

SEP! g:\ant\forms\application checklist.doc

 
Full text of the other 19 pages

Page 2

Officer: Trish Sweeney

Direct Telephone: 07 5449 5293

Response Address: PO Box 141, Tewantin QLD 4565

Email: [email protected]
Our Reference: 08/0613

11 April 2008

Noosa Jetty Builders
PO Box 299
NOOSAVILLE QLD 4566

Dear Emma,

Re: Application for a Development Approval for a Prescribed Tidal Work - Transport
Type 5 (Jetty) situated at 17 Key Court Noosa Heads described as Lot 172 RP
214930

| refer to your application and advise that it is not a properly made application, as defined by
Section 3.2.1(6) of the Integrated Planning Act. Specifically,

. Inadequate fees have been paid, with an additional $775.00 required in
accordance with Council's adopted Planning & Development Fees & Charges
required to be provided.

Please arrange for the submission of the outstanding item/s such that processing of the
application may commence.

Yours faithfully,

Trish Sweeney
ADMINISTRATION OFFICER - LAND USE

Page 3

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

  

 

‘Applicant detains (he App cunt is iimep ‘son responses for tn.:s2.9 the app: ccton and &._ a nat be the oFtex of ties end The

pation pronded on the [DAS Appicetan Fonts comect This ntunr-:nans relied upon by ‘he Assessment Matt :3.1 and any referral agence"

beat aE i 2 ne the App cent many the obfigstions ang retpansb’ 25 presaded by the IPA. Any devcopr.
sa ht ray be? : if POS 3 be fsued to tes Ap eee

   

 
 

 

 

 

Company/organisation name {if applicable) [Pite-tt Pty Ltd fa Noosa Jetty Builders

 

individual applicant/Contact person (if there is more than one applicant, provide additional applicant details on an attachment to this form)

Postal address [PO Box 299. Noosaville. QLD 4566

Contact telephone number |07 5474 3480 Mobile phone number 10408 137 526
Facsimile number 07 5474 3480 e-mail address dhejreed@bigpond net.au

 

 

 

 

 

 

 

 

 

 

 

 

 

‘Details of the premises pe the kunden which the dcyclopment s proposed _ refer tu the advice at the eiit-of the form) . 4
1. Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is given to identify the premises)
Table A If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.

 

L "Name of each focal government area in which the mobile and temporary ERA is proposed to operate

| 1
OR
Table8 Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each lot in a separate row.)

 

 

 

 

(i) Street address / lot on plan for the premises (Appropriate for most applications including building applications): OF
pr

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

@ (ii) [[] Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
pontoan etc} (Note: Loton plan details may be obtained from title documents, a Rate’ notice, or from the local government.)
_ a TT ae mee : er
ik Sree s eet Adress = Loton eeecke Local government area (2,9. Logan, |
No. | No. Street Name and official suburblocalty name | Post Code} tot No. Pian Number Caims} \
4 17 Key Crt, Noosa Heads. QLD 4567 172 RP214930 Sunshine Coast Regional Council Noosa Office
AND/OR
Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lot, in water (e.g. channel dredging in Moreton
Bay) etc.)
a Coordinates - ° |
(Note: p'ice cath sal of coordinsies in a separete row} Zone Daturn Local government area |
Easting Northing Latitude | Longitude | Reference} (thapplicable}
1 (FJ dcoae4
( weses
(I Other -

 

 

 

 

 

 

 

 

 

 

2. _ Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: in most instances, the premises will not involve any of
the following characteristics, however some applications may involve one or more of these characteristics - complete only if applicable)

Page 4

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, lake, canal)

 

Name of water body, watercourse or aquifer (¥ known) |

 

1 Woon Sound Gaal

 

Table E Complete if the Premises ar are on Strategic | Port Land under the Transport infrastructure Act 1994

1

Port Authority for the fot
Table F Complete it the premises are in tidal water

~ Name of local government for the tidal area f applicable)
[1 Sunshine Coast Regional Council Noosa Office

 

 

 

 

 

 

  

 

 

 

 

 

3. __ Indicate the total area of the premises on which the 'e development i is proposed: (Note: The total area may include land both above and below water)

“Total area ofpremises “|

 

 

 

 

 

 

 

589.00 Km? [hectares (Tick appcable unit)
[Existing use of the premises - , ]

 

4. Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

[|

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

 

No Oo Yes - Ensure the type, facation and dimensions of each easement are included in plans, submitted with the application

[Proposal details J
6. Brief description of the proposal (e.g. 6 unit apartment building, 30 lot residential subdivision, a bore, aquaculture)

 

 

Timber jetty & concrete boat ramp

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?
{[] No LR] Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application

 

Resource entitlement wWzpp.cabioy «further mlormationss pwouided.n the advice-secton at the end ofthe form : oa! ah

 

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

BS No -Gotoa9 Oo Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitlement must be submitted with the application. You do not need to answer Q9 - go to the next section.

 

‘Owner's consent (fepe:cab’} - fuer form ston ts provided 1 the ed Ze Section it the end of tie fom : i

9. Complete Table H for applications involving a material change of use; reconfiguration of a tot; work on land below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995; or work on rail corridor fand defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.

 

 

 

Premises Owner's name/s Details.of the premises owned . . Date consent
Table H and postal address (siteet address or fol on plan description} Owner's signature was obtained
Michael Brew
1 |p¢ Box 299 Noosavile 4566 | 1” Key Crt, Noosa Heads. QLD 4567 6/12/2007

 

 

 

 

 

 

 

* Owner's signature cannol be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the awner's consent. If the owner is a company, $127 of the Corporations Act 2001 (Cwealth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the IPA website .

 

‘Attachments and supporting information (Camsice Table 1 Use a 5¢r-sate cow for each ype: of atischment or infomation. sncudng.mtormston required
It’s P=). Please ensure all documentation submitied with this form, inducing other Parts of Fonn 1, of owner's consent, ett, are secegely dtached to this Part of the Forni,

 

 

 

 

 

 

Description of attachment | of information Title @appicabie) . “Method of delivery to | q
Table | Teg. Pa Cet Fonn E rs 3 unsere ane Ofresautce (e.g, Ganera Aunonty, tes SteatTrafe Rept Date assessment manager
Eco Access Application form 31-Mar-2008 | mail
2 Part P 31-Mar-2008 | mail

 

 

 

 

 

 

 

Page 5

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 Checklist 31-Mar-2008 | mail
4 Owner consent letter 31-Mar-2008 | mail
5 Maritime Safety Queensland concurrence 31-Mar-2008 | mail
6 Title Search 31-Mar-2008 | mail
7 RP Plan 31-Mar-2008 | mail
8 Engineers Plans A3 John Norden 07/244-1 &-2 31-Mar-2008 j mail
9
Portable Long Service Leave (PLS1y levy (pp:c7be tar certain busing and constracton work vokied over SUO0Q only |

 

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)
{_] the application seeks a preliminary approval only;

(C1 the application is net for building and construction work under the Building and Construction Industry (Portable Long Service
Leave) Act 1991, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for
farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of
regrowth, thinning vegetation or controlling weeds or pests);

X all costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or
(1 the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -
Complete and submit a QLeave Notification and Payment Form (no payment required if owner-builder permit number stated). The receipted form must be
sighted by the assessment manager before a development permit can be given.
11. Is payment of a PLSL levy applicable to this application? (Refer to Q70 and the Advice below for more information)?
EX] No - Endof Part A

(1 Yes - Answer Q12 below

 

OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier) (Optional)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. Receiving officer's Reference
Fee ($) Date received name numbers
i . NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER
To: ‘ouncil. | have been engaged as the private certifier for the building work referred to in this application.
enna i Name, a _ BSA Cettitation number |  Butdng classifications

 

 

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable}

 

 

~~ Date receipted — 7
Si . sa aq | formsightedby | Nemie of officer who sighted the |
Description of the work QLeaye Project Number | Amount paid (6)]. Date paid mt form. -
71

 

 

 

 

 

 

 

 

 

Privacy Statement

The information collected on Form 1 will be used hy the Department of Infrastructure and Planning (DIP) in accordance with the processing and assessment of your Application.
Your personal details will not be disclosed for a purpose outside of the IDAS process, except where required by legislation (including the Freedom of information Act 1992) or as
required by Parliament. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.

 

Advice for completing Part A

General advice

je Past A of IDAS Development Application Form 1 must be completed and accompany all development applications. The applicant is responsible
for answering all questions fully and correctly, unless following a response there is a statement to go directly to another question. The
Assessment Manger may refuse to receive an application that is not property made.

« The IDAS Assessment Checklist must also be completed for all development applications, other than those requiring assessment against the
Building Act 1975 only, ie. those applications requiring the completion of Parts A and B only.

 

 

 

 

 

Page 6

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

 

 

Applicant details

° If the applicant is a company or organisation, a contact person must be nominated. The applicant's signature is not required to be provided
under the IPA.

Details of the premises

ie The term ‘premises’ is defined by the IPA, schedule 10 to mean a building or other structure, and tand (whether or not a building or other
structure is situated on the land). The term ‘land’ is also defined to include the estate in, on, over or under the land.

je Details of the land are not required if the application involves a mobile and temporary Environmentally Relevant Activity only. Instead complete
Table A.

° The premises may be identified in a number of ways ~

* Street address and fot on plan are most common and will apply to most applications.

« Coordinates may provide the best means of accurately identifying the location of development proposed in waters, or on a relatively small
development site distant from property boundaries on a large lot. Sufficient coordinates need to be provided to identify the boundary of the
premises the subject of the application. Eastings and northings using GDA94 datum is preferred, but longitude and latitude and other
{specified) datum such as Zone Reference or GS84 may be provided.

° The definition of ‘water body and ‘watercourse’ can vary from Act to Act.

e StrategicPortLandis within a local government area but a local governments planning scheme does not apply onStrategicPortL and.
StrategicPortLandis declared under the Transport Infrastructure Act 1994. For further information go to !DAS Guide 11 {Development on
strategic port land) and the Queensland Transport (Ports) website.

fe “Tidal water is defined in the Coastal Protection and Management Act 1995 (Schedule) and ‘tidal area’ for a local government and for strategic
port land is defined in the IPA (schedule 10). Generally, the area below ‘high-water mark (defined by the Coastal Act in relation to high water
mark at spring tides) establishes the boundary of a tidal area. Land below high water mark is not within a local government's area unless
provided for under the Local Govemment Act 1993. Unless otherwise provided for by legislation, a local government has no jurisdiction below
high water mark. A tidal area for strategic port land is within the jurisdiction of the relevant port authority, white the Envronmental Protection
Agency generally has jurisdiction for a local government tidal area. However, the IPA gives local governments jurisdiction for assessing and
deciding applications for prescribed tidal works within the local government tidal area, and the planning scheme may be applied to that
assessment (to the extent provided for in the code for prescribed tidal work).

 

Resource entitlement

le Section 3.2.1(5) of the IPA requires evidence of resource entitlement be given for applications if they involve taking or interfering with a
prescribed State resource. Schedule 10 of the integrated Planning Regulation 1998 {IPR) prescribes the State resources, including State-
owned land, where evidence is required to be given, and the evidence required to support the application. Link to Integrated Planning
Regulation. Section 3.2.1(10}{a)(ii} states an application cannot be taken to be properly made without the required evidence.

 

le For applications involving the taking or interfering with water under the Water Act, the development application may be made at the same
time as the request for resource entitlement, and the Department of Natural Resources and Water will accept the application as properly made.

le For State-controlled roads, a resource entitlement is not required for an activity that is exempt ancillary works or encroachment (identified by
gazette notice under the Transport Infrastructure Act 1994, section 50), or if the activity requires referral to the Department of Main Roads.

e Evidence may be required from more than one Department responsible for a State-owned resource, e.g. from the Environmental Protection
Agency for quarry material below high water mark, and the Department of Natural Resources and Water in relation to the State-owned land
above high water mark.

Owner's consent

je Section 3.2.1(3} of the IPA prescribes that an application must contain, or be supported by, the written consent of the land owner/s, if the

application involves: a material change of use; reconfiguration of a lot; work on fand below high-water mark and not within a canal as defined
under the Coastal Protection and Management Act 1995, or work on rail corridor land defined under the Transport infrastructure Act 1994.

° Evidence of this consent may need to be provided before the application will be accepted as property made by the Assessment Manager, during
the processes of the application or in the event of an appeal about the outcome of the application.

je “Owner for the purpose of a ladging an IDAS development application means the person at the time of lodging the application, entitled to
receive the rent for the land (or would be entitled to receive the rent for it if it were let to a tenant at a rent).

e Templates are available from the IPA website for the provision of owner's consent as an attachment to this form. However other documentation
may be used for providing owner's consent provided it is clear the documentation relates to the development application for the premises.

ie Owner's consent, if required, must be provided even if the applicant is the owner. Owner's consent is not required for a mobile and temporary
ERA,

 

Portable Long Service Leave (PLSL) Levy

° The Building and Construction Industry Portable Long Service Leave Scheme provides long service leave entitlements to workers in the building
and construction industry who would be unlikely to accrue enough service with one employer to qualify for long service leave. To fund the
scheme, a Portable Long Service Leave Levy (PLSL levy} is collected on certain building and construction work carried out inQueensland.

le The PLSL levy amount and other prescribed percentages and rates for calculating the levy are stated in the Building and Construction Industry
(Portable Long Service Leave) Regulation 2002. Included in the amount collected by QLeave is the Workplace Health and Safety Fee and the
Building and Construction IndustryTrainingLevy.

° The Building and Construction Industry (Portable Long Service Leave) Act 1997 (PLSL Act) defines the building and construction work subject to
the PLSL levy and includes renovating, relocating, constructing, altering, demolishing, maintaining or repairing buildings, pools, roads, jetties,
Pipelines, fences or earthworks, and works for subdividing, irrigating or draining tand.

le The PLSL levy need not be paid when the application is made, but the PLSL Act requires the levy to be paid before a development permit may
be issued.
je The Assessment Manager must sight an approved form issued by QLeave advising of the status of the payment of the PLSL levy. Building and

Construction Industry Notification and Payment Forms are available from anyQueenstandpost office or agency, on request from QLeave, or can
be completed on the QLeave website at www.qleave.qid, gov.au. For further information contact QLeave (Tel: 1800 803 481 Web:

www. gleave.qid.gov.au }

 

 

 

Page 7

INTEGRATED PLANNING ACT 1997

    
 

 
 

__ Form 1 Development Application

Part P

Part P, Version 2.1, 3 March 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prescribed tidal work
‘Nature of the ibed tidal works
iN prescr’
1. What is the nature of the proposed prescribed tidal work and the type of approval sought? (Tick applicable box/es)
Natire of tse Estimated value of [> a7
{Tick appicable box) | _completed works (§) | TYP 0f approve! Soup
[J Private use
i Jetty, pier or wharf . $18,975.00
0 ty. pr (J Non-private use
7 . & Private use
Boat tw: 10,000.00
@ w «i oat ramp or spliway CJ Non-private use $
Private use
OO iii) Mooring pile 4 Non-private use [X] Development Permit
(1 Private use [_] Preliminary approval
i Deck or boardwalk
OO Ww) jack or boardwal FNon-private use
(Private use
Pontoon
Ol) (J Non-private use
Private use
1 wi Revetment, sea wall or retaining wall QO .
(J Non-private use
(vii) Other (e.g. abutment, basin, bridge, breakwater, dam,
0 dock, dockyard, embankment, groyne, pipeline or other |[“] Private use
underground service etc.) - Provide details below
(I Non-private use

 

 

 

@”

XK No

ls the application within a cul-de-sac, a bend in a waterway or other location where the side boundaries of the lot connected to the
work and neighbouring lots are not at right angles to the waterway?

(1 Yes - Submit, with the application, photos of any constructed neighbouring structures, or information about approved but unconstructed

neighbouring structures.

 

{Adjoining property access and evidence of support

3. __|s the application supported by evidence that the proposed work will not prejudice the access rights of adjoining property owners?

L] No

3(a) Whatis the nature of the evidence?

Yes - Complete Q3(a)

 

[1 Letters of support from adjoining property owner - Submit, with the application, the letters of support.
[X] Plans illustrating a water allocation area - Submit. with the application, the plans illustrating the water allocation area.

Page 8

INTEGRATED PLANNING ACT 1997 Part P, Version 2 1, 3 March 2008

 

(Certification . . |

 

4. Has a Registered Professional Engineer of Queensland (RPEQ) or interstate equivalent certified that the works comply with the design
and safety provisions of the State IDAS code for Prescribed Tidal Works contained in the Coastal Protection and Management

 

 

 

 

 

 

 

Regulation 2003?
[CO No
Dd Yes - Provide details below
Name of RPEQ or equivalent John Norden Structural Civil Design Engineers
IRPEQ No. or equivalent
Contact maiing address : {PO Box 205, Tewantin. QLD 4565
Contact telephone number 107 5449 7137
Contact facsimile number 107 5449 7172
FReference number of 2:t plans to which this certification relates jor/244-1 , 07/244-2, 07/244-3

 

 

 

Mandatory infortnation . Te |

 

e@ 5. Confirm the following mandatory information accompanies this application.

 

Confirmation of

fodgement of lodgement |

 

ns and written documentation
(i) The location and dimensions of the proposed tidal work in relation to the lot/s abutting the proposed
work and the tidal land on which the work is proposed to be located
(ii) All other structures on the waterfront and within 20 metres of the proposed works Xi Confirmed mail

(iii) The current location of Lowest Astronomical Tide (LAT), Highest Astronomical Tide (HAT) and
Mean High Water Springs (MHWS)

(iv) The slope angles of the beds and banks of the tidal area & Confirmed mail

(v) Details of the proposed work in accordance with the IDAS code for prescribed tidal work in the

Coastal Protection and Management Regulation 2003, schedule 4A (e.9. physical appearance, lighting, |<] Confirmed mail
signage, earthworks, public access, infrastructure, structural components, engineering design standards)

 

[X] Confirmed — | mail

 

 

[X) Confirmed =| mail

 

 

 

 

 

 

 

 

 

 

 

 

 

(vi) — The finished levels of the proposed works [XJ Confirmed mail
{X] Confirmed
(vii) — Details of the largest vessel, if any, to be moored at the structure mail
[J Not applicable
@ (vil) Evidence that the proposed work will not prejudice the access rights of adjoining property X Confirmed mail
owners [Not applicable
OFFICE USE ONLY

 

 

Date Recaved Reference Numbers [dA sted fe

 

 

 

 

 

 

Page 9

o

SNTEGRATED PLANNING ACT 1997 Part P, Version 2.1, 3 March 2008
Advice for completing Part P

 

General advice

Part A must also be completed for all IDAS development applications.

The applicant is responsble for answering all questions fully and correctly, unless following a response there is a statement to go dsectly to another
question.

When paying fees to the Environmental Protection Agency by electronic funds transfer (EFT) use the process from the information sheet Electronically
paying fees to the Environmental Protection Agency (EPA) and attach the form Electronic Funds Transfer (EFT) payment notification to the application.
For further information about completing this form go to:

 

 

. IDAS Guide 24 (Prescribed tidal work)
. Ecoaccess website
. PA Guidelines and proc: ui
Qt A development permit authorises development to occur, while a preliminary approval is a step in the approval process and does not authorise
development to occur.
a4 A Registered Professional Engineer of Queensland (RPEQ), or the interstate equivalent, may certify that the proposed work complies with the

 

design and safety provisions of the IDAS code for prescribed tidal work in the Coastal Protection and Management Regulation 2003, schedule
4A. The provision of the certification may reduce the applicable fee for assessment of the work by the iocal government.

 

 

Page 10

"

INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 21.1, 3 March 2008

Development Application

IDAS

Assessment Chec!

 

 

boas Cevelopment Application Form 1 is the approved form for ail development applications under the integrated Planning Act
1997 \PA). Form is made up of various Parts.

Part A (Common details) of Form 1 must be compteted for all applications. The relevance of other Parts of Form 1 depends on
the nature of the application.

Form 1 also includes the [DAS Assessment Checklist, which is used to assist in determining State assessment and reterrat
fequiremerds, and the Parts of Form 1 relevant to the application.

Section 7 and all other relevant sections of the IDAS Assessment Checklist, as identified in the Table below, must be
completed for ail development applications except those proposed on land in an urban development area, or for building work
requiring assessment against the Building Act 1975 onty.

For more information about development applications on land in an urban development area, refer to www.ulda.qld.gov.au.

Fos more advice about building applications refer to Part B of the IDAS Application Form.

 

 

Answering the following questions will assist you in determining which sections of the checklist must be completed for your application.

 

For all DAS development applications (except those for building work requiring assessment against the Building Act 1975 only) - complete Section 1 of this
checklist

 

Does the application seek approval to materially change use of the premises? Ces |pNo
if yes - complete Section 2 of this checklist

 

Does the application seek approval to reconfigure a lot? ClYes |BaNo
if yes - complete Section 3 of this checklist and Part F of IDAS Application Form 1. Assessment is by the local government,

 

Does the application seek approval to carry out operational work?
if yes - complete Section 4 of this checklist Yes |LJNo

 

Does the application seek approval to carry out building work requiring assessment against the Fisheries Act 1994?

 

Yes No
if yes - complete Section 5 of this checklist Oo bg
Have you received a referral agency response under section 3.3.2.0f the IPA, in relation to this development application?
if yes - complete Section 6 of this checklist. ClYes |KINo

 

Does the application seek approval to carry out building work requiring assessment against a local government planning
scheme? L1Yes |KjNo
ifyes - complete Part E of (DAS Application Form 1. Assessment is by the local government.

 

Does the application seek approval to carry out building work requiring assessment against the Building Act 1975?
If yes - go to Appendix 1 of this checklist for advice on building referrals, Complete Part B of IDAS Application Form 1. C1Yes |KINo
[Assessment is by a building certifier

 

 

 

 

 

_—

 

 

 

 

 

 

poi! ” Section t must be completed for all applications that require completion of the IDAS Assessment Checkhst
HERITAGE
1.1 Is any part of the proposal intended to be carried out on a registered place under the Queensland Heritage Act 1992?

No-Gowai2 (] Yes
IPA, schedule 8, part 1, table 5, item 2; IP Requiation, schedule 2, table 2, item 18; IPA, section 1.3 5 (Definitions for terms used in development)

 

sREMOVING QUARRY MATERIAL; WILD RIVER AREA

 

12 Does the proposal involve removing quarry material from a watercourse or lake as defined under the Water Act 2000?
[XJ No-Gotoq13 [[] Yes

Page 11

INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 21.1, 3 March 2008

IPA, schedule 8, part 1, table 5, aem 7, IP Requlaison. schedule 2. table 2, tem 11: iP Regulation, schedule 1, ladle 5. tem 2 (wild nver area), Water Act 2000,
section 966C; Wid Rivers Act 2605, section 43A

 

ENVIRONMENTALLY RELEVANT ACTIVITY; WILD RIVER AREA |

 

13 Does the proposal involve an environmentally relevant activity (ERA), other than a mining activity or a petroleum activity?
[XJ No-Gota1s [_] Yes

IPA, scheuuie 8 pct 1 table 2. stem IPA, schedule 8 part |, table 6, sem ¢ and 4 iP Reguilzuon schedule 2 lable 2. dems 1 and 23, Eavnenmental Protection Act 1994 sete
73AA (uni tver ated). Wild Rivers Act 2009, section 43A_ relevant vad iver declaration, Wid Rivers Cage

 

 

 

AWVITHIN THE LIMITS OF A PORT 4
1.4 \s any part of the premises within the limits of a port under the Transport infrastructure Act 1994?

[X] No - Go10 01.5

Yes

IP Regulation, schedule 2, table 2, items 1 and 16
IDECLARED FISH HABITAT AREA j

 

1.5 Does any part of the premises adjoin a declared fish habitat area under the Fisheries Act 1994?
IX] No - Goto. a7.6

oO Yes - if answers to questions in other sections of this checklist indicate that the proposed development is assessable under IPA, schedule
8, this application requires assessment by the Department of Primary Industries and Fisheries (DPI&F). if DPI&F is not the
Assessment Manager for the application, the agency has jurisdiction as Advice Agency.

IP Regulation, schedule 2, table 2, item 26

{COMMUNITY INFRASTRUCTURE ; . j

 

 

1.6 ls any part of the premises designated for community infrastructure?
[KX] No - Goto.ai.7

(] Yes

IP Regulation, schedule 2, table 3, item 7

(WASTE WATER MANAGEMENT _ J]

 

47 Does the proposal involve the establishment or expansion of a waste water disposal system?

[KI No - Endof Section? [_] Yes
IP Regulation, schedule 2, table 3, item §

 

 

iS OR Section 4 must be completed when the application sacks epprovel to carry out operational work.

 

 

 

PLANNING SCHEME |
44 {s any of the proposed operational work assessable under a planning scheme?
DX] No - Go to 04.2 (I Yes - (Complete Form 1, Part E) Answer Qs4.1.1 - 4.1.7 below.

ASSOCIATED WITH RECONFIGURING A LOT: RESIDENTIAL, COMMERCIAL OR INDU: TRIAL DEVELOPMENT IN AWILD RIVER” ]
AREA .
4.2 {s any of the proposed operational work associated with reconfiguring a lot and the reconfiguration is also assessable?

IX] No -Gotoas3 [[] Yes

IPA, schedule 8, part 1, table 4, item 2. IP Regulation. schedule 1, part 2, table 5, item 1{c)
Wild Rivers code (Note: the code does not currently contain applicable provisions for residential, industrial or commercial development inside a designated urban

 

 

 

 

 

area}
VEGETATION CLEARING; KOALA CONSERVATION; WILD RIVER AREA | . ° 5
43 ls any of the proposed operational work for the clearing of native vegetation to which the Vegetation Management Act 1999
applies?

DX] No -Gotoass [_] Yes

IPA, schedule 8, part 7, table 4, items 14-1G; IP Regulation, schedule 2, table 2, tem 5 {vegetation clearing); IP Requiatton, schedule 2, table 2, tem 34 (koala
conservation). IP Regulation, schedule 1, pari 3, table 4, item {vegetation clearing/wild river area}; Vegelation Management Act 1999, section 22A (vegetation
clearing/wid nver area); Wild Rivers Act 2005, sections 31F and 43A

Page 12

INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 21 1, 3 March 2008

[TAKING OR INTERFERING WITH WATER; WILD RIVER AREA 7]

44 is any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking or
interfering with water from a watercourse, lake or spring (other than using a water truck to pump water; and other than under
the Water Act 2000, section 20{2), (3) or (5)}, or from a dam constructed on a watercourse or lake?

[XI No -Gotoaas [[] Yes - Answer (a) and (} below
IPA schedule 3 part} table 4. dams ta) iP Requation, schedde 2 table 7. tens 8. Requlahon, schedule 1, part 4 latte 4, dems f and 3A, Water Aat 2000, section G6DA (wkd iver

bea Aid Rivers Act 2008, section 434 teievant ald mer deciataton Wid Rivers Cove

45 Is any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking or
interfering with artesian water {other than using a water truck to pump water}?

No Goto 04.6 oO Yes - (Complete Form 1, Part K,) This application requires assessment by the Department of Natural Resources and Water
(NRW). if NRW 6 not the Assessment Manager for the application, the agency has jurisdiction as Concurrence Agency.

IPA, schedule 8 part 1, table 4, item 3(b); IP Regulation, schedule 2, table 2, item 8; IP Regulation, schedule 1, part 3, table 4, item 3

Wild Rivers cade (Note: the code does not currently contain apphicable provisions for taking or interfering with artestan water}

46 ts any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking
overland flow water (other than using a water truck to pump water)?

[KX] No -Gotoas7 (_] Yes - Answer (a) and (b) below

IPA, schedule 8 pat 1. table 4, tem I{c}y: iP Regulahen, schedule 2, teble 2, lem 8 iP Regulation, schethile 1, pan 3, table 4, item 3, Waler Act 2000, section &B6A (wild iver ated}
Wild Revers Act 2008, secon 43A; :elevant wild sver declatation: Wild Rivers Code

47 ls any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking or
interfering with subartesian water (other than using a water truck to pump water}?

[EX] No -Gotoass [_] Yes

IPA, schedule 8, part 1, table 4, item 3(c}{ilj; IP Regulation, schedule 2, table 2, item 8; IP Regulation, schedule 1, part 3, table 4, item 2
Water Act 2000, section 966A {wild river area){Nole no current Wild River declaration identifies taking or interfering with subartesian water as assessable)
Wild River code (Note: the code does not currently contain applicable provisions for sub artesian water}

48 Does any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for
interfering with overland flow water (other than using a water truck to pump water}?
EX} No -Gotoa49 [[] Yes - Answer both (a) and (b) below

IPA, schedule 8, part 1, table 4, items 3{:)() and 3{d); IP Regulation, schecbile 2. lable 2, tem 9 iP Requiation, seferiute 7, part 3. table 4, tea 3A; Water Act 2000, section S86B (wild
‘aver area}: relevant watd river decistaton; Wiki Rivers Code

49 Is the proposed operational work for the following?

(i) For the construction of a referable dam as defined under the Wafer Act 2000 {J No O Yes
{ii) To increase the storage capacity of a referable dam by more than 10% &] No OO Yes

If yes to either or both (i) or (ii) above - (Complete Form 1, Part Ks) This application requires assessment by the Department of Natural Resources and

Water (NRW). If NRW is not the Assessment Manager for the application, the agency has jurisdiction as
Concurrence Agency.

IPA, schedule 8, pait 1, table 4. item 4; IP Regulation. schedule 2, table 2, item 10

{DAL WORK; WILD RIVER AREA : ~]

410 ls any of the proposed operational work tidal work, other than excluded work defined under the IPA?
(No -cotoasi17 BX] Yes - Answer (a) and (b) below
{a) Is any of the proposed tidal work prescribed tidal work?
Yes [_] No

If yes, is any of the proposed prescribed tidal work to be carried out in a wild river area declared under the Wild
Rivers Act 2005?

No [] Yes
If no, is the work proposed in a canal?

LINo [Kj Yes

If yes, is any of the proposed tidal work for a marina with more than 6 vessel berths?

EX) No- (Complete Form 1, Part P). This application must be referred to QueenslandTr Transport (Maritime
Safety Qid) as Concurrence Agency.

OO Yes - (Complete Form 1, Part P). This application must be referred ta QueensiandTransport (Maritime
Safety Qid) as Concurrence Agency, and Qld Fire and Rescue Service as Advice Agency.

Page 13

INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 21.4, 3 March 2008
(b) !s any of the proposed tidal work to be carried out in one or more of the following tidal areas?

@ One only local government tidal area [ No &] Yes
{ii) Starting in one local government tidal area and extending into another local J No C1 Yes
government tidal area (but in no strategic port tidal area)
(ii) In two or more focal government tidal areas but not starting in either local
government tidal area XX No [] Yes
{iv) One only strategic port tidal area {] No (J Yes
{v) A Neel area that is not a strategic port tidal area or a local government tidal Bq] No Cl Yes

Note: The answers you provide in (i) - (v} above may affect who the Assessment Manager is for the application.

IPA, schedule 8, part 7, table 4, item 5; IP Regulation, schedule 2, table 2, items 12, 14 and 17. IP Regulation. schedule 1, part 3. table 4, tems 4A and §
Coastal Protection and Management Act 1995, section 104A {wild river area)

ICOASTAL MANAGEMENT DISTRICT; WILD RIVER AREA : |

 

 

4.14 Is any of the operational work proposed to be carried out within a coastal management district?
[X] No -Gotoas12 [[] Yes

IPA. schedule 8, part 7, table 4, item 5; IP Regulation, schedule 2. table 2, items 12 and 14; IP Regulation, schedule 1, part 3, table 4, items 4A and §
Coastal Protection and Management Act 1995 Act 1995, section 104A {wild river area); Wid Rivers Act 2005, seciion 43A

WATERWAY BARRIER WORKS; WILD RIVER AREA oe aa 7 |

 

 

4.12 Is any of the proposed operational work for constructing or raising waterway barrier works under the Fisheries Act 1994?

1X] No -Gotoas13 [[] Yes

IPA, schedule 8, part 1. lable 4, nem 6; IPA, schedule 8, pari 2. table 4, item 2; Fisheries Regdlation 1995 571A (self assessable codes); IP Requiakn, schedule 2 table 7, item 28; 1P
Roguiston, schedule |, part 3, table 4, tem 6; f shenas Act 1904, sechon 76D {vald fiver area}; Wild Revers Act 2008, section 43A.

 

IDEGLARED FISH HABITAT AREA; WILD RIVER AREA : , : . : a |
4.13 's any of the operational work proposed to be carried out completely or partly within a declared fish habitat area under the

Fisheries Act 1994?

No - Goto 04.14

0 Yes

IPA, schedule 8, part 1, table 4, dem 7: IPA, schedule 8, part 2. table 4, tens 3: Fishenes Regulation 1995 511.2A {self assessable cores); IP Regulation, schevule 2, table 2, item 25;1P
Regulation, schedule 1, patt 3, table 4, ilem 7; Wild Rivers Act 2005, sections 43A; Fisheries Act, section 76DC (wild srver ama).

 

JREMOVAL, DESTRUCTION OR DAMAGE OF A MARINE PLANT; WILD RIVER AREA : so {

4.14 ts any of the proposed operational work removing, destroying or damaging marine plants under the Fisheries Act 1994?
IX] No -Gotoas75 ((] Yes

IPA, schedule 8, part 1, lable 4, tem 8; IPA, schedule 8, part 2. lable 4, item 4; Fishenes Regulabon 1995 5113A (selfassessabie cores); IP Requiation, schertile 2, tale 2, tom 79, IF
Regulation, schedule 7, part 3. talte 4, dem 8; fishertes Act 1994, section 760B (valu iver area): Wild Rivers Act 2005, section 43/: relevant wild river declaravon; Wild Rivers Code

AWILD.RIVER AREA. . . ; . |

 

4.15 Is any of the operational work proposed to be carried out in a wild river area declared under the Wild River Act 2005?

EX] No -Gotoas16 [_] Yes
IPA, schedule 8, part 1, table 4, item 10, IP Reguiation, schedule 2, table 2, item 37; Wild Rivers Act 2008, sections 42, 43A

 

ISTATE-CONTROLLED ROAD |

4.16 Is any part of the premises located in part of a future State-controlled road, or within 100m of a State-controlled road?
[EX] No -Endorsections (_] Yes
IP Regulation, schedule 2. table 2, Kem 3

 

Disclaimer:
While the Department of Infrastructure and Planning (DIP) believes that this information contained on this form and provided as part of
this process will be of assistance to you, it is provided on the basis that you will not rely on the information without first making your own
enquiries regarding the interpretation and application of the applicable iegislation to your circumstances.

To the full extent permitted by law DIP expressly disclaims all liability (including but not limited to liability for negligence) for errors or
omissions of any kind or for any loss (including direct and indirect losses), damage or other consequence which may arise from your
reliance on this process and the information contained on this form.

 

 

 

Page 14

ae

Queensland
YS Government

”

20 March 2008 Maritime Safety

Queensland

Noosa Jetty Builders
PO Box 299
Noosaville Qld 4566

Queensland Transport

Dear Sir

Tidal Works — Request for comments
Jetty and Boat ramp ~ M. Brew — 17 Key Court, Noosa Heads (Lot 172)

Thank you for your letter of 25 February 2008 about your proposal to construct a jetty and boat ramp
at the location mentioned above.

As a concurrence agency, Maritime Safety Queensland has no objection to the proposal provided the
following navigation and marine safety conditions are complied with.

1. The contractor must build the jetty and boat ramp according to Noosa Jetty Builders, Drawing No
07/244-1, 07/244-2, 07/244-3, attached to your letter dated 25 February 2008.

2. No part of the structure or any ship berthed at this structure is to come closer than 1.5metres from
the side boundaries of the allocated water space as shown on the submitted water allocation plan
07/244-1.

3. The jetty/ boat ramp and all freestanding piles must be lit and clearly visible to approaching
vessels. The contractor must position all lighting so it does not cause a risk to the safe navigation
of other vessels.

4. The applicant or his agent is responsible for'the removal of any existing structure above or below
the waterline, and must contain and remove any debris. Any pile that needs to be removed must
be totally extracted.

5. The ship moored at this jetty and boat ramp must follow the most direct course from this structure
to open waters and a similar direct course when returning to this pontoon. By the most direct
route and is not permitted to enter any other canals.

Maritime Safety Queensiand Our ref 710/01585 P37936 E25470 F341
Marine Operations (Brisbane) Your ref
MacArthur Avenue East Enquiries Geoff Smith
Pinkenba Queensland 4008 Telephone +61 7 3860 3538
. Facsimile +61 7 3860 3571
ABN 13 200 330 520 Website www.msq.qid.gov.au

Emait [email protected]

Page 15

oe

fle

6. The owner is to ensure that the ship berthed at this structure must maintain sufficient under keel
clearance at all stages of tide. The ship must comply with any local restrictions placed on channel
depths and draft restrictions.

7. Any ships and equipment you or your agent use must comply with the Transport Operations
(Marine Safety) Act 1994, the Transport Operations (Marine Safety) Regulation 2004 and the
Transport Operations (Marine Pollution) Act 1995.

8. Any ships using this structure must comply with the Transport Operations (Marine Safety) Act
1994 and the Transport Operations (Marine Safety) Regulation 2004.

9. Any ship moored at this jetty and boat ramp must.not impede the safe navigation of other ships or
restrict safe access to or from neighbouring structures.

10. Any ship moored or dry berthed at this structure must not exceed the following sizes:

Wet Berth Dry Berth

Length Overall - 5 metres . N/A
Beam - 2 metres

11. The contractor must construct the jetty and boat ramp within two years from the date of approval.
If construction is not completed, you will need additional or amended comments from the
Regional Harbour Master.

Maritime Safety Queensland does not need to be further consulted if all of the above conditions are
met.

The above conditions must be included in your application to the assessment manager.

This agency will also forward a copy of this letter to the Assessment Manager.

Yours sincerely

_poevin’.

Captain Richard C Johnson
Regional Harbour Master (Brisbane)

Maritime Safety Queensiand Page 2 of 2

Page 16

1771242887 11:12 NO. 443

CURRENT TITLE SEARCH

NATURAL RESOURCES AND WATER, QUEENSLAND
Request No: 2793323 . .
Search Date: 17/12/2007 10:58 Title Reference: 17038170
Date Created: 02/07/1987
Previous Title: 15875104
REGISTERED OWNER
Dealing No; 702211320 12/09/1997
“MICHAEL JOHN BREW
NANCY GLEN FRENCH TRUSTEE
UNDER INSTRUMENT NO 702211320
ESTATE AND LAND
Estate in Fee Simple
LOT 172 REGISTERED PLAN 214930
County of MARCH Parish of WEYBA
Local Government: NOOSA SHIRE
EASEMENTS, ENCOMBRANCES AND INTERESTS

1. Rights and intereste reserved to the Crown by
Deed of Grant No. 15875104 (ALLOT 172 SEC 23)

2, MORTGAGE No 702211326 12/09/1997 at 09:33
AUSTRALIA AND NEW ZRALAND. BANKING ‘GROUP LIMITED A.C.N. 005
357 522 :
ADMINISTRATIVE ADVICES - NIL
UNREGISTERED DEALINGS - NIL
CERTIFICATE OF TITLE ISSUED ~ No
Caution - Charges do not nécessarily appear in order of priority

** End of Current Title Search **

COPYRIGHT THE STATE OF QUEENSLAND (NATURAL RESOURCES AND WATER) [2007]
Requested By: SMIS .

Page 1/1

bae2

 

Page 17

17712/280? 4ist2 NO.443 Daas

RP214930 VO- Poga of 2 Not To Scale
—_ ee
WARNING - FOLDING OR MUTILATING WILL LEAD TO REJECTION - PLAN MAY BE ROLLED

 

 

“as 514930
oneric =

  
  
     

PLAN MUST BE DRAWN WITHIN BLUE LINES @.

S3NTT INTE NULLIM NAAVUC 38 LSA NOTE

 

Arvenimanty in nad cede purmav

MY 218.08

 

 

 

 

 

 

 

 

 

 

 

 

: . . . =
: LR. sno wore eomare PLAN OF !
i bl IASBES Foly 23 ; ¢
"88 | 16) 5825 Revi 1OF- Concelling Lots 17t end 172 on Plon N-21858

~ : ‘counrr...... March. .
[ae - a

WY] BheBascre-ac mocwmme | eae | |@).resa0.... [REGISTERED PLAN“™ 214930

: (2345 se) -. CROWN COPTIGONT REELVED, AGOISTRAR OF THTLES, GUSENSLAND a) 7 | Fae

Copyright protects the plans velng ordered by you. Unauthorised reproduction or amendments ar nol permitted. , :

 

Page 18

PILE-IT Pty Ltd

Trading as
Noosa Jetty Builders
LETTER ABN: 55099036736
No: 0001 BSA: 1111115
DATE:6/1272007

FROM: Noosa Jetty Builders

PO Box 299 Phone: (07) 5474 3480

Noosaville Fax: (07) 5474 3480

QLD, 4566 Mobile: 0408 137 526
To Whom It May Concern,

I Mike Brew, give Pile-It Pty Ltd t/a Noosa Jetty Builders permission to submit an
application for prescribed title works on my behalf.

Address: 26 Vakuta St Fig Tree Pocket, Brisbane QLD
Post Code: 4069
Phone: 3878 3556 Mobile: 0411 654 091

Email: [email protected]

Yours Sincerely,

Page 19

 

THIS

DOCUMENT IS

TO LARGE TO
SCAN.

PLEASE REFER
TO HARD
DOCUMENT.

Page 20

 

Sunshine Coast Tanp us Section FEES

Regional Council

 

 

 

 

 

 

 

 

RECEIPT TYPE
SALE OF DOCUMENTS
Superseded Planning Scheme Documentation 520
Copy of Permit/Approval Letter 110
The Noosa Plan Documentation 111
APPLICATION FEES
Material Change of Use - Code/Impact
Consistent 521
Inconsistent 521
Assessment under Superseded Planning Scheme §21
Modification to a Development Permit 521
Extension of a Currency Period 521
Operational Works - Landscaping 521
@ Bldg Work assessable against the Planning Scheme 521
PRE LODGEMENT REVIEW
Half Hour 522
One Hour §22
ADVERTISING
Purchase Advertised Applications §23
JETTIES / :
Jetty Application Fee [yoo 524
Jetty Bond 51
(Category 4)
BONDS
’ Performance Bond 51
(Category 9)
SIGNS
Registration Fee 222
Y
Bee FEE . .
Search of Land Use Section file 112
Liquor Licensing Request mo 113
TOTAL $ [Boo
name: “US Brews
ADDRESS: Y- fo Ber< 299
MOOSCAV ua se fT |
FILE NO: 26 ote: DATE: — 7/urfo%
7
RECEIPT NO: 2a S eo Signature of TP Officer: (A) A d22~e
AUTHORITY NO: . /

 

=

IG Looe] G13)

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