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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
3.6
Is any part of the land forming the premises on the Environmental Management Register or Contaminated Land Register under the
Environmental Protection Act 1994?
CINo-Gowaa7 (€] Yes
If yes. does one or more of the following apply? __ oo _ ce ae
(i) A suitability statement has been given and a site management plan has been approved for the Ono DYes
proposed use of the land, and the proposed use involves only the following -
¢ _ the fitout of a building on the fand: 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 = _., (AINo_ 1 Yes ,
(ii) The proposed use is industrial and only involves minor site excavation (e.g. post holes for open-sided O No (] Yes
__.. hom-habitable structures)
[f no to all of (i) — (iii) above - (Complete Form 1, Part N) This application requires assessment by the Environmental Protection Agancy (EPA). ff EPA is
not the Assessment Manager for the application, the agency has jurisdiction as Concurrence Agency.
sobodie 2 tabi .< don dtial
CONTAMINATED LAND - NOTIFIABLE ACTIVITY
37
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?
LI No-Gotoo3s (_] Yes
If yes, does one or more of the following apply? _ _. . coe
.{i) A Suitability statement, removing the land from the environmental management register, has been .([]No [_] 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 -
* no new notifiable activity has occurred on the land since the suitability statement was issued;
e _ the land is not otherwise contaminated by a hazardous contaminant
‘(ii) A suitability statement has been given and a site management plan has been approved for the LINo (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 hales for open-sided non-habitable structures
If no to both (i) and {ii) above - (Complete Form 1, Part N) This application requires assessment by the Environmental Protection Agency (EPA), If EPA
ig nat the Assessment Manager for the application, the agency has jurisdiction as Concurrence Agency.
1 Reguiaw: > sitteutwie 2 table 2 tam
CONTAMINATED LAND ~ INDUSTRIAL ACTIVITY
3.8
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 existing use was it last used for an industrial activity (other than for a mining activity or petroleum activity)?
[LINo-Gota39 (] Yes
{Eyes, is the proposed use for child care, educational, recreational or residential purpasas fincluding.a caretaker residence on industrial land}?
C1 No an Yes - (Complete Form 1, Part N) This appkcation must be retemed to the Environmental Protection Agency (EPA) as Concurrence Agency.
"PR. pilOon, sored
CONTAMINATED LAND ~ AREA MANAGEMENT ADVICE (NATURAL MINERALISATION OR INDUSTRIAL ACTIVITY)
3.9
Is any part of the premises in an area for which an area management advice has been given for natural mineralisation or industrial
activity (other than for a mining activity or petroleum activity)?
LINo-Gotoa3z10 [J Yes
i yes, is the proposed use for child care, educational, recreational or residential purposes (including a caretaker residence on industrial land)?
oO No oO Yes - (Complete Form 1, Part N) This application must be referred the Environmental Protection Agency (EPA) as Concurrence
Agency.
DP Rete ety SNe oA Ae NSE,
CONTAMINATED LAND — AREA MANAGEMENT ADVICE (UNEXPLODED ORDNANCE)
3.10 | Is any part of the premises in an area for which an area management advice has been given for unexploded ordnance?
CI No - Go 2.03.11 [7] Yes - (Complete Form 1, Part N) This appkcation must be refered to the Environmental Protection Agency (EPA) as
Concurrence Agency.
Pega dhs ome oF ae er etae
Page 16
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