07/1173 - Operational Works - Transport Type 6 - Refurbishment of Boathouse & Jetty [As Published] · 142007.1173

INTEGRATED PLANNING ACT 1897

Land owner's consent (if applicable}

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:

(i) amateria change of use;

(i) reconfiguration of a lot,

(iil) work on land below high-water mark & not within a
canal as defined under the Coastal Protection and
Management Act 1995;0r

(iv) work on rail corridor land defined under the
Transport infrastructure Act 1994.

Section 3.8.1{2)(a) of the IPA provides that

landowner’ consentis pot required for a mobile or

temporary ERA .

For more information refer to Guide 1

20.

Part A, Version 2.4, 29 May 2006
Land owner's consent to the making of this application:
Name

 

Signature Date

 

(i} see attached

 

 

 

 

 

 

 

Resource entitlement (if applicable)
Section 3.2.1(5) of the IPA requires evidence of
resource entitlement be given for applications that
involve a prescribed State resource.

Section 3.2.1(10)(a}(ii) of the IPA prescribes that an
application cannot be taken to be property made
without evidence of the resource entitlement.
Adyice for completing Q21 & 22

Refer to schedule 10 of the integrated Planning
Regulation 1998 that prescribes the nature of evidence
required by the State in support of the lodging of this
development application.

ice for completi
Tho information in (1) - (v) is mandatory if evidence is
required under Q22 (ii) or (iii) above.
The official stamp of the Department of Natural
Resources, Mines and Water is mandatory where the
application involves any water or riverine quarry
material under the Water Act 2000.
Section 3,2.1(5A) allows the resourca manager to limit
the time the evidence may be used. Q23 (vi) must be
completed if the evidence is time limited.

Assessment triggers

This checklist does not apply if the application requires
the comptetion of Parts A and B of the Form only. It
must be completed for ail other apptications..

21.

23.

24.

Does this application involve a State resource prescribed under a regulation (other than involving
quarry material on State coastal land under the Coastal Protection and Management Act 1995)?

[LINO - go to a24 BX] YES - goto a22

. This application is accompanied by evidence: (tick applicable box)

C1 (i) of the allocation of, or entitlement to, the resource — attach evidence and go to Q23(v)
(ii) the chief executive of the department administering the resource is satisfied the

development is consistent with an allocation of, or entitlement to, the resource - go
to 023

CL (iii) the chief executive of the department administering the resource is satisfied the

development application may proceed in the absence of an allocation of, or
entitlement to, the resource - go to Q23

Evidence of the resource entitlement:

(i) Resource entitlement / = details
(i) Name of a officer
(iii) Position of = officer

{iv) Signature of delegated officer

(vil) Official stamp of the department

administering the resource (if
applicable)

 

 

 

 

 

(v) Date

(vi) pe date of evidence ——

\s the IDAS Assessment Checklist completed and attached to this application?
yes

 

 

 

oO NO - the assessment manager may refuse to accept this application on the
grounds that the application has not been properly made

 

 

Plans / drawings / reports

An application should be accompanied by details to
support the proposal & enable the assessment
manager, referral agencies and any person viewing
the apptication during public scrutiny or public
notification to understand the scope of the proposal
and any potential impact.

25.

 

Plans/drawings/reports accompanying this application:
Plan / Drawing / Report Number

 

Title

Proposal Description (including
plans)

Date

 

00753 LO2 HB

()

June 2007

 

 

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information required by Part A
and any other relevant part of Form 1.

OFFICE USE ONLY (applicable to assessment manager's)

| ree ) DATE

RECEIVED

RECEIVING OFFICER'S
NAME/S

REFERENCE
NUMBERS

_