10/0632 - Prescribed Tidal Works - Pontoon - Gympie Tc [As Published] · 142010.632

LIL.

 

a copy of the certificate of title for the land (including tidal land) that would abut
or adjoin the proposed works

[| confirmed

 

details of how the proposed work addresses the IDAS code for prescribed tidal
work in the Coastal Protection and Management Regulation 2003, schedule 4A

[] confirmed

 

details of the largest vessel, if any, to be moored at the structure
12 4 FEeRey,: Pick Oe ~ SEr Dom,

EF] confirmed
[Ynot applicable

 

evidence that the proposed work will not prejudice the access rights of adjoining
property owners in the form of:

* letters of support from adjoining property owner, or

¢ plans illustrating a water allocation area

[e}confirmed

 

For applications within a cul-de-sac, a bend in the waterway or other location where the side boun
connect to the work and neighbouring lots are not at right angles to the waterway ,

daries of the lot

 

@ photos of any constructed neighbouring structures or information about
approved but unconstructed neighbouring structures

 

 

[] confirmed

| not applicable

 

 

 

Privacy—please refer to your assessment manager for further ‘details on the use of information recorded in this form.

 

OFFICE USE ONLY

 

 

Date received ob { Ss] (o Reference numbers

 

 

The Sustainable Planning Act 2009 (SPA) is administered by the Department of Infrastructure and Planning. This form and all

 

 

to] 63%

 

 

other required application materials should be sent to your assessment manager and any referral agencies.

 

Prescribed tidal work—IDAS form 28
Version 1.0 18 December 2009

 

oe es |