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08/1041 - Op Works - Landscaping, Drainage, Stormwater & Earthworks [As Published] · 142008.1041
INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 21.3, 9 May 2008
CONTAMINATED LAND - REGISTERED LAND
25
Is any part of the land forming the premises on the Environmental Management Register or Contaminated Land Register under the
Environmental Protection Act 1994?
No - Go to 026 C1 Yes
tf yes, does one or more of the following apply? ee woe oe _
(i) A suitability statement has deen given and a site management plan has been approved for the CiNo [Yes
proposed use of the land, and the proposed use involves only the following -
« the fit-out of a building on the land: or
+ Minor site excavation, including for example, post holes for open-sided non-habitable structures
(ii) There is currently a notifiable activity on the land and the activity is continuing . Dino | C1 Yes
(iii) The proposed use is industrial and only involves minor site excavation (e.g. post holes for open-sided [_] No oO Yes
non-habitable structures)
he land i is used for a mining activity or petroleum activity . oo iO No 5 Yes
If no to all (i) - (iv) above - (Complete Form 1, Part N) This application requires assessment by the Enviranmental Protection Agency (EPA). If EPA is not
the Assessment Manager for the application, the agency has jurisdiction as Concurrence Agency.
PA schedule 8. Dac 1, bie 2. ton 6; IP Reainaton scheduie 0, bie 2 dam 27
CONTAMINATED LAND - NOTIFIABLE ACTIVITY
2.6
Is any part of the land forming the premises currently used for a notifiable activity, or if there is no existing use was it last used for a
notifiable activity?
[2] No ~ Go to 92,7 [J Yes
if yes, does one or more of the following apply?
(i) A suitability statement, removing the land from the environmental management register, has been Oo No (1 Yes
given under the Environmental Protection Act 1994 for the existing use, or if there is no existing use,
the last use, and the following both apply -
* nonew notifiable activity has occurred on the land since the suitability statement was issued;
_2__the land is not otherwise contaminated by a hazardous contaminant ce de
(ii) A suitability statement has been given and a site management plan has been approved for the CINo [J Yes
proposed use of the land, and the proposed use involves only the following -
+ the fit-out of a building on the land; or /
_*,...minor site excavation, including for example, post ho! ided non-habitable structures j oe
(i) The land is used for a mining activity or petroleum vactivity oe CINo O Yes
If no to all (i) - (ili) above - (Complete Form 1, Part N) This application requires assessment by the Environmental protection Agency (EPA). If EPA is not
the Assessment Manager lor the application, the agency has jurlsdiction as Concurrence Agency.
FA sroihue 3, ourt babe 2 em 8, iF Reyiaabon, sehoduw, 2 abe, 2. cam 22.
CONTAMINATED LAND - INDUSTRIAL ACTIVITY
2.7
Is any part of the premises currently used for an industrial activity (other than for a mining activity or petroleum activity), or if there is no
exisiing use was ii iast used for an industrial activity (other than for a mining activity or petroleum activity)?
(No - Go 028 CJ Yes
If yes, is the proposed use for child care, educational, recreational or residential purposes {including a caretaker residence on
industrial tand)?
| No O Yes - (Complete Form 1, Part N) This application requires assessment by the Environmenial Protection Agency (EPA). It EPA is
not the Assessment Manager for the application, it has jurisdiction as Concurrence Agency.
PA schen att
1 Bid6 2, eet BIE Regeutton, whens 2 lable @ tet: 20
Page 8
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