Development Application Part 1 of 2 Covering Letter,Idas Forms 1 & 28 - OPW12/0590

                             Integrated Development Assessment System form
      111111
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Prescribed tidal work                                              -     IDAS form 28
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)


This form must be completed for development applications for prescribed tidal work.


You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all

necessary information and documentation will result in your application not being a properly made application.


For all development applications you must:

      complete Application details IDAS form 1
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      complete any other forms relevant to your application

      provide any mandatory supporting information identified on the forms as being required to accompany your
      application.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable Planning
Regulation 2009.

11. What type of approval is sought?
[gI development permit
o preliminary approval

2. What is the nature of the prescribed tidal works and the nature of the use? (tick applicable box/es)



                                                     Private use   Non-private use   Estimated value of completed works ($)



0 jetty, pier or wharf                                   0                 0
0 mooring pile                                           0                 0
0 deck or boardwalk                                      0                 0
0 boat ramp or spillway                                  0                 0
[gI   pontoon                                            ~                 0
0 revetment, sea wall or retaining wall                  0                 0
0 other please specify below
            -

                                                         0                 0

3. Is the application within a cul-de-sac, a bend In a waterway or other location where the side boundaries of
the lot are connected to the work and neighbouring lots are not at right angles to the waterway?


[gI   No           DYes

4. Has a registered professional engineer of Queensland (RPEQ).or an Interstate equivalent. certlfled that the
works comply with the design and safety provisions of the IDAS code for development applications for
prescribed tidal works in the Coastal Protection and Management Regulation 2003. schedule 4A? (non-
mandatory)

o     No           [gI   Yes   -

                                   provide details below




 Department of Infrastructure and Planning                               QPlan                       ~~  Queensland
                                                                                                      ’" Government
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