07/0762 - Op Works - Transport Type 5 - Domestic Marine [As Published] · 142007.762

INTEGRATED PLANNING ACT 1997

Land owner's consent (if applicable)

Section 3,2.1(3) of the [PA prescribes that an

application must contain, or be supported by, the

written consent of the land owner's, if the application

involves:

fi] a materid change of use;

(i) reconfiguration of a lot;

{work on land below high-water mark & not within a
canal as defined under the Coastal Protection and

. Management Act 1995;0r

(iv) work 00 rail corridor tand defined under the
Transport Infrastructure Act 1994.

Section 3.8.1{2}(a) of the IPA provides that

landowner’s consent is not required for a mobile or

temporary ERA .

For more information refer to Guide 1,

20.

. Part A, Version 2.4, 29 May 2006
Land owner's consent to the making of this application: ”

Japhorg |,

 

 

 

 

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Resource entitlement (if applicable) -
Section 3.2.1(5) of the IPA requires evidence of
resource entitlement be given for applications that
Involve a prescribed State TESOUTCR.
Section 3.2.1(10}(a}{il) of the IPA prescribes that an
application cannot be taken to be property made
without evidence of the resource entitlement.

fi ing Q2t & 22
Refer to schedule 10 of the integrated Planning -
Regulation 1998 that presoribes the nature of evidence
required by the State in support of the lodging of this
development application. m

Advice for compteting Q23

The infarmation in (i) - (v) is mandatory if evidence is
required under Q22 (ii) or-(iii) above.

The official stamp of the Department of Natura!
Resources, Mines and Water is mandatory where the
application involves any water or riverine quarry
material under the Water Act 2000, :
Section.3.2.1{5A) allows the resource manager to limit
the time the evidence may be used. Q23 (vi) must be
completed if the evidence is time limited. :

Assessment triggers ;

* This checklist does of apply if the application requires
the completion of Parts A and B of the Form onfy. tt
must be completed for all other applications.

21.

23.

24.

Does this application involve a State resource prescribed under a regulation (other than involving
ql ferfal on State coastal tand under the Coastal Protection and Management Act 1995)?

NO - got 924 _ LALYES- goto 22
This application is accompanied by evidence: (tick applicable box)
(1 of the allocation of, or entitlement to, the resource - attach evidence and go to 023(v)
C (ii) the chief executive of the department administering the resource is satisfied the

development is consistent with an allocation of, or entitlement to, the resource - go
10Q23 |

CZ (iil the chief executive of the department administering the resource is satisfied the
development application may proceed in the absence of an allocation of, or
entitiement to, the resource ~ go to Q23 . 7

 

 

Evidence of the resource entitlement:

(i) Resource entitlement / authority details "__(vil) Official stamp of the department’
administering the resource (if
applicable)

 

(i) Name of delegated officer .

(ii) Position. of “ees gated officer

(iv) Signature of delegated officer .

 

 

 

 

v) Date

(vi) ee date of evidence tenes .

Is the IDAS Assessment Checklist completed and attached to this application? .

| YES. (TINO - the assessment manager may refuse to accept this application on the
: grounds that the application has not been property made

 

 

 

 

. Plans / drawings reports
‘An application should be accompanied by delails to
support the propos & enable the assessment
manager, referral agencies and any person viewing
the application during public scrutiny or public
notification to understand the scope of the proposal
and any potential impact.

 

25.

Plans/drawings/reports accompanying this application:
Pian / Drawing / Repost Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

yoy
PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all appligable’inforria on Fequifed by Part A
and any other relevant part of Form 1. , . ff eA aS
foe a ¢
OFFICE USE ONLY (applicable fo essessment manager's) : AY ae tN
=—— BATE T , 5 - Pa METS Ta
FE) (Vo RECEIVED [24]x|eor RECENING OFFICER ia Sate —o,!- res FSU |
Notification of Engagement of Private Certifier (Optionaltondy oT YaRT FAA ES TT
: : . hee
To. Council. | have been engaged as the private certifier for the building work referted:to in this application’- *
: ety tia? me
. . usta. ETA
Date ofengagement: / / Accreditation Number: __ Name. Signature: ‘ * im _: