OPW Form 6

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Table B
a)    What is the nature of the operational work? (Tick all applicable boxes.)
            Road works                       Stormwater              Water infrastructure

            Drainage works                   Earthworks              Sewerage infrastructure

            Landscaping                      Signage                 Clearing vegetation under the planning scheme

            Other—provide details

b)    Is the operational work necessary to facilitate the creation of new lots? (E.g. subdivision.)
            No         Yes—specify the number of lots being created

c)    Are there any current approvals associated with this application? (E.g. material change of use.)
            No         Yes—provide details below

     List of approval reference/s                   Date approved (dd/mm/yy)          Date approval lapses (dd/mm/yy)




2.      What is the dollar value of the proposed building work?                                        $
        (Inc GST, materials and labour.)

3.      What is the dollar value of the proposed operational work?                                     E$2000 (tree
        (Inc GST, materials and labour.)                                                               removal)

Mandatory supporting information

4.      Confirm that the following mandatory supporting information accompanies this application

Mandatory supporting information                                                    Confirmation of        Method of
                                                                                    lodgement              lodgement

All applications involving building work or operational work
A site plan drawn to an appropriate scale (1:100, 1:200 or 1:500 are                    Confirmed
recommended scales) which shows the following:
 the location and site area of the land to which the application relates
     (relevant land)
 the north point
 the boundaries of the relevant land
 the allotment layout showing existing lots, any proposed lots (including the
  dimensions of those lots), existing or proposed road reserves, building
  envelopes and existing or proposed open space (note: numbering is
  required for all lots)
 any existing or proposed easements on the relevant land and their
  function
 any access limitation strips
 all existing and proposed roads and access points on the relevant land.


                                                                            IDAS form 6—Building or operational work assessable
                                                                                                     against a planning scheme
                                                                                                    Version 3.1—3 August 2015

Page 3

A statement about how the proposed development addresses the local                      Confirmed
government’s planning schemes and any other planning documents relevant
to the application.
A statement addressing the relevant part(s) of the State Development                    Confirmed
Assessment Provisions (SDAP).                                                           Not applicable
Applications for building work (including extensions and demolition that is assessable development)
Floor plans drawn to an appropriate scale (1:50, 1:100 or 1:200 are                     Confirmed
recommended scales) which show the following:                                           Not applicable
   the north point
   the intended use of each area on the floor plan (for commercial, industrial
    or mixed use developments only)
   the room layout (for residential development only) with all rooms clearly
    labelled
   the existing and the proposed built form (for extensions only)
   the gross floor area of each proposed floor area.
Elevations drawn to an appropriate scale (1:100, 1:200 or 1:500 are                     Confirmed
recommended scales) which show plans of all building elevations and                     Not applicable
facades, clearly labelled to identify orientation (e.g. north elevation).
Plans showing the size, location, proposed site cover, proposed maximum                 Confirmed
number of storeys, and proposed maximum height above natural ground level               Not applicable
of the proposed new building work.
Plans showing the extent of any demolition that is assessable development.              Confirmed
                                                                                        Not applicable
Applications for operational work involving earthworks (filling and excavating)
Drawings showing:                                                                       Confirmed
 existing and proposed contours                                                        Not applicable
 areas to be cut and filled
 the location and level of any permanent survey marks or reference
    stations used as datum for the works
 the location of any proposed retaining walls on the relevant land and their
  height
 the defined flood level (if applicable)
 the fill level (if applicable).
Applications for operational work involving roadworks
Drawings showing:                                                                       Confirmed
 existing and proposed contours                                                        Not applicable
 the centreline or construction line showing chainages, bearings, offsets if
    the construction line is not the centreline of the road and all intersection
    points
   information for each curve including tangent point chainages and offsets,
    curve radii, arc length, tangent length, superelevation (if applicable) and
    curve widening (if applicable)
   kerb lines including kerb radii (where not parallel to centreline) and
    tangent point changes (where not parallel to centreline)
   edge of pavement where kerb is not constructed
   position and extent of channelisation
   location and details of all traffic signs, guideposts, guardrail and other
    street furniture
   pavement markings including details on raised pavement markers

                                                                            IDAS form 6—Building or operational work assessable
                                                                                                     against a planning scheme
                                                                                                    Version 3.1—3 August 2015

Page 4

   catchpit, manhole and pipeline locations
   drainage details (if applicable)
   cross road drainage culverts (if applicable)
   concrete footpaths and cycle paths
   location and details for access points, ramps and invert crossings
   changes in surfacing material.
Applications for operational work involving stormwater drainage
Drawings showing:                                                                     Confirmed
 existing and proposed contours                                                      Not applicable
 drainage locations, diameters and class of pipe, open drains and
    easements
 manhole location, chainage and offset or coordinates and inlet and outlet
  invert levels
 inlet pit locations, chainage and offset or coordinates and invert and kerb
  levels.
Applications for operational work involving water reticulation
Drawings showing:                                                                     Confirmed
 kerb lines or edge of pavement where kerb is not constructed                        Not applicable
 location and levels of other utility services where affected by water
    reticulation works
   pipe diameter, type of pipe and pipe alignment
   water main alignments
   water supply pump station details (if applicable)
   minor reservoir details (if applicable)
   conduits
   location of valves and fire hydrants
   location of house connections (if applicable)
   location of bench marks and reference pegs.
Applications for operational work involving sewerage reticulation
Drawings showing:                                                                     Confirmed
   location of all existing and proposed services                                    Not applicable
   location of all existing and proposed sewer lines and manhole locations
   location of all house connection branches
   kerb lines or edge of pavement where kerb is not constructed
   chainages
   design sewer invert levels
   design top of manhole levels
   type of manhole and manhole cover
   pipe diameter, type of pipe and pipe alignment
   location of house connections (if applicable)
   sewer pump station details (if applicable).
Applications for operational work involving street lighting
Drawings showing:                                                                     Confirmed
   location of all light poles and service conduits                                  Not applicable
   location of all other cross road conduits
   type of wattage and lighting
   any traffic calming devices
   additional plans for roundabouts and major roads (if applicable)
   details of any variations to normal alignment

                                                                          IDAS form 6—Building or operational work assessable
                                                                                                   against a planning scheme
                                                                                                  Version 3.1—3 August 2015

Page 5

  details of lighting levels.
 Applications for operational work involving public utility services
 Drawings showing:                                                                   Confirmed         Unity Water
    any existing light poles and power poles                                        Not applicable    decision notice
                                                                                                       2016008949
    any existing underground services
    details of proposed services
    alteration to existing services.
 Applications for operational work involving landscaping works
 Drawings showing:                                                                   Confirmed
  the location of proposed plant species                                            Not applicable
  a plant schedule indicating common and botanical names, pot sizes and
     numbers of plants
  planting bed preparation details including topsoil depth, subgrade
     preparation, mulch type and depth, type of turf, pebble, paving and garden
     edge
    the location and type of any existing trees to be retained
    construction details of planter boxes, retaining walls and fences
    the proposed maintenance period
    irrigation system details.

Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the
use of information recorded in this form.


OFFICE USE ONLY

 Date received                                        Reference numbers

The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                         IDAS form 6—Building or operational work assessable
                                                                                                  against a planning scheme
                                                                                                 Version 3.1—3 August 2015