Ida form 622052017 · OPW17/0180

Department of Infrastructure, Local Government and Planning

© details of lighting levels.

Applications for operational work involving public utility services

Drawings showing: (] Confirmed

e any existing light poles and power poles [_LNof applicable
any existing underground services

.
° details of proposed services
© alteration to existing services. |

Applications for operational work involving landscaping works
ihe oles
fot applicable

 

      
   

Drawings showing:

® the location of proposed plant species

* aplant schedule indicating common and botanical names, pot sizes and
numbers of plants

* planting bed preparation details including topsoil depth, subgrade
Preparation, mulch type and depth, type of turf, pebble, paving and garden
edge

* the location and type of any existing trees to be retained

* construction details of planter boxes, retaining walls and fences

e the proposed maintenance period
* irrigation system details.

Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the
use of information recorded in this form.

  

 

 

 

OFFICE USE ONLY

Date received | Reference numbers
lace tr |

The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.

IDAS form 6—B8uilding or operational work assessable
against s planning scheme
Version 2.1—3 August 2015