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07/2323 - MCU - Detached House [As Published] · 132007.2323
INTEGRATED PLANNING ACT 1097 1DAS Agsazsment Checklist, Version 21.0, 3 Sepembat 2007
CONTAMINATED LAND - INDUSTRIAL ACTIVITY
27
Ig any part of the premises currently used for an industrial activity (other than for a mining activity or patroleum activity), or if there
Is no existing use was It last used for an industrial activity (other than for a mining ectivity or petroleum activity)?
No .
Yes :
Htyes, is the proposed use for child care, educational, recreational or residential purposes (including a caretaker residence
on industrial land)?
O1 No
CJ Yes- (Complete Purt #4) This application requires assessment by tho Environmental Protection Agency (EPA). If EPA is nol {he
Assessment Manager for the appication, il has Jurisdiction as Concurrence Agency,
Mack
CONTAMINATED LAND - AREA MANAGEMENT ADVICE (NATURAL MINERALISATION OR INDUSTRIAL ACTIVITY)
28
Te ary pat of the premises in an area for which an erea management advice has been glven for natural mineralisation or
Industrial activity (other than for a mining activity or patroieum activity)?
Ba No
CG Yes
tyes, is the proposed use for child care, educational, recreational or residential purposes (Including a caretaker residence
on industrial land)?
OC] No
Ct Yes - (Compote Part N} This appitcation requires assossment by the Environmental Protection Agency (EPA), IFEPA is not the
Assessment Manager for the application, the agancy has hurisdiction as Concurrence Agency.
=13-
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