3836IDAS+Consent Form

Page 2

 

Fax number (non-mandatory requirement) 07 5442 5125

 

 

e-mail address (non-mandatory requirement) [email protected]

 

 

 

Applicant’s reference number (non-mandatory | 15/3836

requirement)

 

 

 

1. What is the nature of the development proposed and what type of approval is being sought?

 

 

Table A—Aspect 1 of the application (If there are additional aspects to the application please list in Table B—Aspect 2.)

 

a)

b)

qd)

What is the nature of the development? (Please only tick one box.)
C] Material change of use Reconfiguring a lot CL] Building work CL] Operational work

What is the approval type? (Please only tick one box.)

imi Preliminary approval O Preliminary approval X Development
under s241 of SPA under s241 and s242 permit
of SPA

Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)

 

 

2 lot subdivision

 

 

What is the level of assessment? (Please only tick one box.)

[] Impact assessment Code assessment

 

 

Table B—Aspect 2 of the application (If there are additional aspects to the application please list in Table C—Additional
aspects of the application.)

 

 

a)

b)

qd)

What is the nature of development? (Please only tick one box.)
CL Material change of use CL Reconfiguring a lot EL] Building work C Operational work

What is the approval type? (Please only tick one box.)

| Preliminary approval | Preliminary approval C] Development
under s241 of SPA under s241 and s242 permit
of SPA

Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)

 

 

 

 

What is the level of assessment?

CL Impact assessment O Code assessment

 

 

 

 

Page 3

 

Table C—Additional aspects of the application (If there are additional aspects to the application please list ina
separate table on an extra page and attach to this form.)

 

imi Refer attached schedule LC Not required

 

 

 

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

 

Xx] 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.)

C 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) 38 Pavilion Street, Pomona | 4568 4 RP196984 Noosa
ii)
iii)

 

 

 

 

 

 

 

Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot ina
separate row in the below table. Non-mandatory.)

 

 

 

 

 

 

 

 

 

 

Lot Applicable zone / precinct Applicable local plan / precinct Applicable overlay/s
i)

ii)

iii)

3 {DAS form 1

 

VOrSION 2 ©

 

Page 4

 

Table F—premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not
adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
space in this table.)

 

 

 

 

 

Coordinates Zone Datum Local government
(Note: place each set of coordinates in a separate row.) reference area (if applicable)
Easting Northing Latitude Longitude

[1 Gpag4

L] wese4

CE] other

 

 

 

 

 

 

 

 

4. Total area of the premises on which the development is proposed (indicate square metres)

 

 

1,876m?

 

5. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm etc.)

 

 

House

 

 

6. Are there any current approvals (e.g. a preliminary approval) associated with this application? (Non-
mandatory requirement.) : : :

 

No [] Yes—provide details below

 

List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy)

 

 

 

 

 

 

7. 1s owner’s consent required for this application? (Refer to notes at the end of this form for more information.)

[-] No

Yes—complete either Table G, Table H or Table | as applicable

 

 

Table G

 

Name of owner/s of the land

 

We, the above-mentioned owner/s of the land, consent to the making of this application.

 

Signature of owner/s of the land

 

Date

 

 

Table H

 

 

Name of owner/s of the land Alisa Christine Wythes

 

The owner's written consent is attached or will be provided separately to the assessment manager

 

 

Table |

 

Name of owner/s of the land

 

 

 

 

4 IDAS form

 

Page 5

 

 

CO By making this application, |, the applicant, declare that the owner has given written consent to the making of the
application.

 

 

8. Does the application involve a State resource? (E.g. the application involves taking water or quarry material, or

interfering. with the. flow of water. Refer to the notes at the end of this form for more information) (Non-mandatory
requirement.) : :

 

 

Xx] No [| Notidentified whether or [[] Yes—complete Table J
not the application
involves a State
resource

 

Table J

 

Nature of State-owned resource (if identified)

 

 

 

 

9. Identify if any of the following apply to the premises (Tick applicable box/es.)

 

 

Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete Table K
On strategic port land under the Transport Infrastructure Act 1994—-complete Table L
In a tidal water area—complete Table M

On Brisbane core port land under the Transport Infrastructure Act 1994 (no table requires completion)

OOOOd

On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)

 

Table K

 

Name of water body, watercourse or aquifer

 

 

 

 

 

 

 

 

Table L

Lot on plan description for strategic port land Port authority for the fot

Table M

Name of local government for the tidal area (if applicable) Port authority for the tidal area (if applicable)

 

 

 

 

10. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water
etc.)

 

No C] Yes—ensure the type, location and dimension of each easement is included in the plans submitted

 

 

11. Does the proposal include new building work or operational work on the premises? (Including any services.)

 

No CL Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

 

5 IDAS form 1-

 

 

Page 6

 

 

 

 

12..1s the payment of a portable long service leave levy applicable to this application? (Refer to notes at the end
of this form for more information.)

 

Dx] No—go to question 14 L] Yes

 

| 13, Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more —
information.)

 

 

[_] No

CL Yes—complete Table N and submit with this application the yellow local government/private certifier’s copy of the
receipted QLeave form

 

Table N

 

Amount paid Date paid QLeave project number (6 digit number starting with A, B, E, L or P)
(dd/mm/yy)

 

 

 

 

 

14, Has the local government agreed to apply a superseded planning scheme to this application under section
96 of the Sustainable Planning Act 2009?

 

 

BX] No

| Yes—please provide details below

 

Name of local government Date of written notice given | Reference number of written notice given
by local government by local government (if applicable)
(dd/mm/yy)

 

 

 

 

 

15. List below all of the forms and supporting information that accompany this application (Include all IDAS
forms, checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this
question does not apply for applications made online using Smart eDA.)

 

 

Description of attachment or title of attachment Method of lodgement to
assessment manager

 

IDAS Form 7 Email
Planning Report including Proposal Plan (15-3836AA)

 

 

 

 

 

 

 

16. Applicant's declaration

 

 

By making this application, | declare that all information in this application is true and correct (Note: it is unlawful to
provide false or misleading information.)

 

 

 

 

Page 7

Notes for completing this form

* Section 261 of the Sustainable Planning Act 2009 prescribes when an application is a properly made application.
Note, the assessment manager has discretion to accept an application as properly made despite any non-
compliance with the requirement to provide mandatory supporting information under section 260(1)(c) of the
Sustainable Planning Act 2009.

Question 7

¢ Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required for
an application. Section 260(1)(e) of the Sustainable Planning Act 2009 provides that if the owner’s consent is
required under section 263, then an application must contain, or be accompanied by, the written consent of the
owner, or include a declaration by the applicant that the owner has given written consent to the making of the
application.

¢ Owner's consent is not required for a mobile and temporary ERA.

Question 8

« lf adevelopment application involves a State resource, the application is not required to be supported by evidence
of resource entitlement. The allocation or entitlement to the resource is a separate process and should be obtained
prior to development commencing.

Question 12

* The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portable long
service leave levy is payable.

e The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy
are prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.

Question 13

e The portable long service leave levy need not be paid when the application is made, but the Building and
Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
permit is issued.

e Building and construction industry notification and payment forms are available from any Queensland post office or
agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qid.gov.au. For
further information contact QLeave on 1800 803 481 or visit www.qleave.qld.gov.au.

Privacy—The information collected in this form will be used by the Department of State Development, Infrastructure
and Planning (DSDIP), assessment manager, referral agency and/or building certifier in accordance with the
processing and assessment of your application. Your personal details will not be disclosed for a purpose outside of the
IDAS process, except where required by legislation (including the Right to Information Act 2009) or as required by
Parliament. This information may be stored in relevant databases. The information collected will be retained as
required by the Public Records Act 2002.

 

OFFICE USE ONLY

 

 

 

Date received Reference numbers

 

 

 

 

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

To Council. | have been engaged as the private certifier for the
building work referred to in this application

 

 

 

 

 

BSA Certification license Building

Date of engagement |Name number classification/s

 

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or private certifier if
applicable.)

 

7 IDAS form 1-22

Vorson

 

Page 8

 

Date receipted

a. QLeave project Amount paid ._, | form sighted by |Name of officer who
Description of the work number ($) Date paid | assessment sighted the form
manager

 

 

 

 

 

 

 

 

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

referral agencies.

 

 

 

Page 9

Owner's Consent

1, ALISA CHRISTINE WYTHES
as owner of the premises identified as follows:
Lot 1 on RP196984
Consent to the making of a development application under the Sustainable Planning

Act 2009 by Max Watterson & Associates on the premises described above for the
purposes of a Reconfiguration of a Lot Application.

(Signature)

4.5.18

(Date)

Page 10

IDAS form 7—Reconfiguring a lot

(Sustainable Planning Act 2009 version 2.0 effective 17 December 2012)
This form must be used for development applications or requests for compliance assessment for reconfiguring a lot.

You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.

For all development applications, you must:
« complete DAS form 1—Application details
e complete any other forms relevant to your application

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

For requests for compliance assessment, you must also complete DAS form 32 — Compliance Assessment.

Attach extra pages if there is insufficient space on this form.

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

 

This form can also be completed online using eDA at www.smarteda.qld.gov.au

 

 

Mandatory requirements.

 

 

 

1. What is the total number of existing lots making up the premises? : 1

 

 

 

2. What is the nature of the lot reconfiguration? (Tick applicable box/es.)

 

xX] subdivision—complete questions 3 — 6 and 11

CL boundary realignment—complete questions 8, 9 and 11

LI creating an easement giving access to a lot from a constructed road—complete questions 10 and 11
CJ dividing land into parts by agreement—please provide details below and complete questions 7 and 11

 

3. Within the subdivision, what is the number of additional lots being created and their intended final use?

 

 

Intended final use of new lots Residential | Commercial | Industrial Other—specify

 

 

Number of additional lots 1
created

 

 

 

 

 

 

 

 

 

Page 11

 

 

4. What type of approval is being sought for the subdivision?

 

 

x] Development permit

im Preliminary approval

CL Compliance assessment

 

| 5. Are there any current approvals associated with this subdivision application? (E.g. material change of use.)

 

No [[] Yes—provide details below

 

List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy)

 

 

 

 

 

 

6. Does:the proposal involve multiple stages?

 

 

 

 

 

><] No—complete Table A [_] Yes—complete Table B

Table A

a) What is the total length of any new road to be constructed? (metres) nil

6) What is the total area of land to be contributed for community purposes? (square nil
metres)

 

 

 

c) Does the proposal involve the construction of a canal or artificial waterway?

Dx] No [] Yes

d) Does the proposal involve operational work for the building of a retaining wall?

No [] Yes

 

 

 

Table B—complete a new Table B for every stage if the application involves more than one stage

 

a) What is the proposed estate name? (if known and if applicable)

 

b) What stage in the development does this table refer to?

 

c) Will the development permit being sought for this stage result in additional residential lots? (only applicable if a
development permit is being sought)

| No | Yes—specify the total number

 

 

d) What is the total area of land for this stage? (square metres)

 

e) What is the total length of any new road to be constructed at this stage? (metres)

 

f) | What is the total area of land to be contributed for community purposes at this stage?
(square metres)

 

 

 

g) Does the proposal involve the construction of a canal or artificial waterway?

[] No [] Yes

h) Does the proposal involve operational work for the building of a retaining wall?

L] No [] Yes

 

 

 

 

Page 12

 

7. Leasefagreement details—how many parts are being created and what is their intended final use?

 

 

Intended final use of new parts Residential Commercial Industrial Other—specify

 

 

 

 

 

Number of additional parts created

 

 

8. What are the current and Proposed dimensions following the boundary realignment for each lot forming the
premises?

 

 

 

Current lot Proposed lot

Lot plan description | Area Length of road frontage | Lot number Area (square | Length of road frontage
(square metres)
metres)

 

 

 

 

 

 

 

 

9. What is the reason for the boundary realignment?

 

 

 

 

; 10. What are the dimensions and nature of the proposed easement? (If there are more than two easements
proposed please list in a separate table on an extra page and: attach to this form.)

 

 

Width (m) Length (m) | Purpose of the easement (e.g. pedestrian Entity favoured by the easement
access)?

 

 

 

 

 

 

 

11. Confirm that the following mandatory supporting information accompanies this application

 

 

Mandatory supporting information Confirmation of Method of
lodgement lodgement

 

All applications for reconfiguring a lot

 

 

Site plans drawn to an appropriate scale (1:100, 1:200 or 1:500 are the xX Confirmed

recommended scales) which show the following:

e the location and site area of the land to which the application relates

(relevant land)

the north point

the boundaries of the relevant land

any road frontages of the relevant land, including the name of the road

the contours and natural ground levels of the relevant land

the location of any existing buildings or structures on the relevant land

the allotment layout showing existing lots, any proposed lots (including

the dimensions of those lots), existing or proposed road reserves,

building envelopes and existing or proposed open space (note:

numbering is required for all lots)

¢ any drainage features over the relevant land, including any
watercourse, creek, dam, waterhole or spring and any land subject to a
Q100 flood event

® any existing or proposed easements on the relevant land and their
function

e all existing and proposed roads and access points on the relevant land

 

 

 

 

 

 

Page 13

 

e any existing or proposed car parking areas on the relevant land

e the location of any proposed retaining walls on the relevant land and
their height
the location of any stormwater detention on the relevant land
the location and dimension of any land dedicated for community
purposes

e the final intended use of any new iots.

 

A statement about how the proposed development addresses the local
government’s planning schemes and any other planning documents
relevant to the application.

Confirmed

 

 

For an application involving assessable development in a wild river declaration

 

Documentation that:

e describes how the activity to which the application relates is not
prohibited development under Schedule 3 of the Sustainable Planning
Act 2009 and

« demonstrates how the proposed activity will meet the requirements
set out in the relevant wild river declaration and Wild Rivers Code.

LE] Confirmed
BxINot applicable

 

A map showing the proposed location of the activity in relation to wild
river management areas and nominated waterways (a map may be
produced digitally at http:/Awww.ehp.qlid.gov.au/wildrivers/wildrivers-

map.php).

 

 

| Confirmed
EX]Not applicable

 

 

Notes for completing this form

e For supporting information requirements for requests for compliance assessment, please refer to the relevant
matters for which compliance assessment will be carried out against. To avoid an action notice, it is recommended

that you provide as much of the mandatory information listed in this form as possible.

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

 

 

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

agencies.

 

 

 

 

IDAS form 7---

4

BD