07/2323 - MCU - Detached House [As Published] · 132007.2323

INTEGRATED PLANNING ACT 1997 (DAS Assessment Checktst, Version 21.0, 3 September 2007
SECTIO N 3 Section 3 must be completed when the application seeks approval to reconfiguring a let.

 

East tbs}

 

 

STATE-CONTROLLED ROAD
31 is any part of the premises within 100m of a State-controlied road, or part of a future State-controlled rood?
SJ No
tfno, isthe proposed reconfiguration stad in Inagratad Pfenning Reguiation 1968, echedute 5 and does lt exceed the threshokd?
1 No

[E_ Yes - The eppfcation must be referred to the Department of Mein Roads (DMR) es Concurrence Agency.
OD Yes
Ityes, wil the proposed reconfiguration result in the following?
Anincreasa in the total number of lots Ono (OYes

¢  Aninerease in the total number of lots sbutting the Stete-controlied road Ono (Yes

Hfyes to elther or both, is the reconfiguration proposed in a future State-controlled road defined by route?

(2s Yes ~ Tnis appication must be referred to the Department of Main Roads (OMR) as Concurrence Agency.
(3 _No- This pplication must be referred to DMR as Advice Agency.

 

 

GOASTAL MANAGEMENT DISTRICT

 

3.2

ls any part of the premises within a coastal management distict?

No
Yes - ‘Complete Zon Af This application must be referred to the Environmental Protection Agency (EPA) as Concurance Agency.

Pp fo Secerttie Subtle G, BN Seat

 

VEGETATION CLEARING

 

33

 

Do the premises include a tot containing the following?
© Acategory 1, 2. or 3 area shown on a Property Map of Assessable Vayatation (PMAV) §aNo = 1 Yes
© Ifthere fs no PMAV for a lat, remnant vegetation ee

tyes to ether or both, are 2 of more lots proposed to be created?
0 No
[] Yes
tyes, is any lot, before the proposed reconfiguration, 2ha or larger?
O] No
OO Yes
ttyes, is the siza of any lot proposed to be created, 25ha or smailer?
(1 No

2 Yes- compute Pert J) This application must be referred fo the Department af Ne(ural Rosources and Water (NRW)
as Concurrence Agency,