OPW13/0859 Application for permit to damage vegetation 8 Bunya Lane Black Mountain

e==                                                                                                                                                    :    :;u




       Applications for operational work involving landscaping works
       Drawings showing:                                                                                                D Confirmed
       .  the location of proposed plant species
       .  a plant schedule indicating common and botanical names, pot sizes and
                                                                                                                        ~ot applicable
          numbers of plants
       .
          planting bed preparation details including topsoil depth, subgrade
          preparation, mulch type and depth, type of turf, pebble, paving and garden
          edge
       .  the location and type of any existing trees to be retained
       .  construction details of planter boxes, retaining walls and fences
       .  the proposed maintenance period
       .   irriqation system details.


      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                                                             I 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.




            Department of State Development, Infrastructure and Planning
            PO Box 15009 City East Old 4002

      5     tel 13 OGOV (1374 68)                                           IDAS form 6-Bui/cling or operational work assessable against a planning scJ1eme
            [email protected]                                                                                                        Version 2.1 1 Apr/2013

            www.dsdip.qld.gov.au

                  ,                                111M                                        !5
t"    9%          "Ii Ii qlS’           !/Ildl            ,

                                                              SAP   ’,’,’
                                                                            ,,;;gIn,p   & u.        5 iF"l-It 1If-_.’