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001AA433.001

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        INTEGRATED PLANNING ACT 1997                                                                                 IDAS Assessment Checklist, Version 22
        PSTN ETPRRLA          0 or roe ees se Pare eae Br ee                                         te                 ee             ee ee a
         SEGIONS4            « Socton 4 mustbe completad wien the application seeks           appro al to caity oul operational work: 12%, ag Sele   0
           PE NININIC: CCHERMEL e eee see ce             oe ere aeons a mee rs RR                     ene ne Ce eee fem                        ee
        TMC ee ee                                                                            en             ee Se                ee        see
         41        Is the proposed operational work assessable under any State planning regulatory provisions?
                   GJNo        ([) Yes
                          If no, is the proposed operational work assessable under the planning scheme?
                              No - Goto Q4.2             [_] Yes - Complete Form 1, Part E and answer Q4.1.1 - 4.1. 7 below
         RS OCIATE      wil td RECUR Fl SURING ASLO, STRESIDENTIAN: COMMERCIAL OR INDUS RIAL DE| EECEMEN AN A WIt RIVE ee
         paar tas LRA B SH Sas eee mate, Bees < e Ped eee adhe Et TG eA ae  HOMER TAR      Nr           ees lpras at eR nee CR epitg ee ee Se aies eas ae
        IAREN sen er                              ne Ga ee ee               ea Se                              een ae ei
         42        Is any of the proposed operational work associated with reconfiguring a lot and the reconfiguration is also assessable?
                    {KJ No -Gotoas3      |_] Yes
                    IPA, schedule 8, part 1, table 4, item 2; iP Regulation, schedule 1, part 2 table 5, item T{c}
                     Wild Rivers code (Note: the code does not currently contain applicable provisions for residential, industrial or commercial development inside a designated urban
                     area}
           are             een      TIT       ER SSE TE TO                 ee ee                                          a et sun ger
        IKOALA CONSERVATION (side SEQ urban foot TM                                  ee                                ee             ee
          4.3A      Is any part of the premises in an interim koala habitat protection area?
  @                     No -Gotoa4.3B     {_] Yes
                     IP Regulation, schedule 2, table 2, tern 34A
          WECETATION TE CEFATIO NICEEARING: | EEARING: KO ALE RCC ONSER VATION; WIEDst ION: WIRD: RW ERCAE aif RE Ree aes me ae aE a ane Se
          NECET? ey           BRING EO ci ACO! SER BR TON: I EDR ne Sy RENE                 ee ets             pe pace                     aa      ae
          436       Is any of the proposed operational work for the clearing of native vegetation to which the Vegetation Management Act 1999
                    applies?
                         No -Goas4        [_] Yes
                      IPA, schedule 8, part 1, table 4, tems 7A-1G; IP Regulation, schedule 2, table 2, item 5 (vegetation clearing); IP Requtation, schedule 2, table 2, item 34 {koala
                      conservation}: IP Regutation, schedule 1, part 3, table 4, item (vegetation clearinghuild river area); Vegetation Management Act 1999, section 22A {vegetation
                      clearing/wild river area}; Wild Rivers Act 2005, sections 31F and 43A
          Para INT ERE             LRING  ETH WAT BT         ITY DIVER AREA Coan           WN eee Le                            Ee                    NS
          REARING OR          NER cing WIRLUATES WILD.RIVE! ERAREA Ge                                 eae Seu ee
           44        ts any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking or
                     interfering with water from a watercourse, lake or spring (other than using a water truck to pump water; and other than under
                     the Water Act 2000, section 20(2), (3) or (5)), or from a dam constructed on a watercourse or lake?
                          No -Go10Q4.5     {[_] Yes - Answer (a) and (b} below
                      IPA, schedule 8, part 1, table 4, items 3(a); IP Reguation, scherkile 2, table 2, lem 8: If" Regulation, schedule 1, part 3, table 4, tems 3 and 3A; Water Act 2000, section 966A {wild river
   @                  area}; Wild Rivers Act 2908, section 434: relevant valid river declaration; Wid Rivers Code
           45        Is any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking or
           interfering with artesian water (other than using a water truck to pump water}?
                        ] No Goto 04.6     C Yes - (Complete Form 1, Part K,) This application requires assessment by the Department of Natural Resources and Water
                                                      (NRW). IF NRW is not the Assessment Manager for the application, ihe agency has jurisdiction as Concurrence Agency.
                       IPA, schedide 8, part 1, table 4, item 3(b); IP Regulation, schedule 2, table 2, item 8 JP Requialion, schedule 1, part 3, table 4, tem 3
                       Wid Rivers code (Note: the code does not currently contain applicable provisions for taking or interfering with artesian water)
            46        is any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking
                      overland flow water (other than using a water truck to pump water)?
                       [XJ No -Gotoas.7      [_} Yes - Answer (a) and (b) below
                       IPA, sehedule 8, patt 1, table 4, tem 3{c}. IP Reguiation, schedule 2, fable 2, ite 8: IP Requialion, schedule 1, part 3, lable 4. tom 3: Waler Act 2000, section 966A fwild river area):
                       Wiki Ravers Act 2005, section 43A; relevant wid ver declaration: Wild Rivers Code,
            47        is any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking or
                      interfering with subartesian water (other than using a water truck to pump watery?
                       [] No -Gotoase        {[_] Yes
                       IPA, schedule &, part 1, table 4, ilem 3c} fii); IP Regulation, schedule 2, table 2, item 8 IP Regulation, schedule 1, part 3, table 4, item 3
                        Water Act 2000. section 966A {wild river area)(Note: no current Wild River declaration identifies taking ar interfering with subartesian water as assessable}
                        Wild River code (Note: the code does not currently contain applicable provisions for sub artesian water)
             48        Does any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for
                       interfering with overland flow water (other than using a water truck to pump water)?
                        DX] No - Goto a4s    [_] Yes - Answer both (a) and (b) below

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