IDAS Form 1

         Impact assessment                 Code assessment



Table C—Additional aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and attach to this form.)
         Refer attached schedule           Not required



2. Is the application for a mobile and temporary environmentally relevant activity (ERA)?

         No—continue to question 3
         Yes—complete Table D and then go to question 6

Table D—name of each local government area in which the mobile and temporary ERA is proposed to operate




3. Location of the premises (Complete Table E and/or Table F as applicable. Identify each lot in a separate row.)

Table E—street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
adjacent to the premises. (Note: this table is to be used for applications involving taking or interfering with water).
(Attach a separate schedule if there is insufficient space in this table.)
         Street address and lot on plan (All lots must be listed.)
         Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
         development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed)
Street address                                                        Lot on plan                     Local government area
                                                                      description                     (e.g. Logan, Cairns)

Lot     Unit     Street      Street name and official      Post-      Lot no.      Plan type
        no.      no.         suburb/ locality name         code                    and plan no.

i)               99          Noosa Drive, Noosa            4567       3            RP884396           Sunshine Coast
                             Heads
ii)              3           Lanyana Way, Noosa            4567       54 (part)    RP139776           Sunshine Coast
                             Heads
iii)             29          Lanyana Way, Noosa            4567       2            RP889596           Sunshine Coast
                             Heads
Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
separate row in the below table. Non-mandatory.)
Lot     Applicable zone / precinct              Applicable local plan / precinct           Applicable overlay/s
i)      Community Services Zone                 Noosa Heads Locality                              -   Bushfire Hazard
                                                                                                  -   Environmental Areas
                                                                                                  -   Acid Sulfate Soils
ii)     Business Centre Zone                    Noosa Heads Locality                              -   Bushfire Hazard
                                                                                                  -   Environmental Areas
                                                                                                  -   Acid Sulfate Soils
iii)    Business Centre Zone                    Noosa Heads Locality                              As above




3                                                                                                     IDAS form 1—Application details
                                                                                                        Version 2.0 17 December 2012