OPW16/0006 - Operational Works Application

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Department of Infrastructure, Local Government and Planning

 

 

Email address (non-mandatory requirement)

 

 

 

Applicant's reference number (non-mandatory
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) Whatis the nature of the development? (Please only tick one box.)
C] Material change of use Cl Reconfiguring a lot Cl Building work (7 Operational work

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

oO Preliminary approval C] Preliminary approval [7 Development permit
under s241 of SPA under s241 and s242
of SPA ©

c) 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.)

Ranema Is FILL VY CBP soat t arr.

 

 

 

 

d) Whatis the level of assessment? (Please only tick one box.)

Cc] 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) Whatis the nature of development? (Please only tick one box.)

C] Material change of use Fl Reconfiguring a lot CI Building work O Operational work
b) What is the approval type? (Please only tick one box.) laa
C] Preliminary approval CI Preliminary approval | Development “et
under s241 of SPA under s241 and s242 permit
of SPA

c) 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.)

 

 

 

 

d) Whatis the level of assessment?

Cc] Impact assessment Cl Code assessment

 

 

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

 

 

C Refer attached schedule L] Not required

 

 

IDAS form 1--Application details
Version 42-3 August 2015

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Department of Infrastructure, Local Government and Planning

 

25 Location of the premises (Complete Table D and/or Table E as applicable. Identify each lot in a separate row.)

 

 

Table D—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.)

 

EC] Street address and lot on plan (All lots must be listed.)

oO 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) VS | Blackbeawn ch 108 |RPG0#722
+ a
i) Zlock Mowtev'n .
‘i)

 

 

 

 

 

 

 

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

 

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

 

i)
ii)
ii)

 

 

 

 

 

 

 

Table E—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

L] cGpag4

L] wese4

CE other

 

 

 

 

 

 

 

 

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

 

 

% 6LG2m>

 

 

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

 

 

 

PWNS

 

 

IDAS form 1—Ap

Version 4.2

 

Page 4

‘
,

Department of Infrastructure, Local Government and Planning

 

 

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

 

ey No [_] Yes—provide details below

 

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

 

 

 

 

 

 

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

 

 

[7] No

C] Yes—complete either Table F, Table G or Table H as applicable

 

Table F

 

Name of owner/s of the land

 

We, the above-mentioned owner/s of the land, consent to the making of this application. € 5

 

Signature of owner/s of the land

 

 

Date

 

 

Table G

 

Name of owner/s of the land

 

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

 

 

Table H

 

Name of owner/s of the land

 

 

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

 

 

 

n

 

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 | Na
On strategic port land under the Transport Infrastructure Act 1994—-complete Table J

In a tidal water area—complete Table K

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

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

ONOOORO

Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
the Environmental Protection Act 1994 (no table requires completion)

 

Table |

 

Name of water body, watercourse or aquifer

 

 

 

 

IDAS form 1-~Application details
Version 4.2-—3 August 2015

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Department of infrastructure, Local Government and Planning

 

 

 

 

 

 

Table J

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

Table K

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

 

 

 

 

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

 

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

 

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

 

[A No C] Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

 

10... ‘Is 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.)

 

[A No—go to question 12 [] Yes

 

 

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

 

 

Cfo

Yes—complete Table L. and submit with this application the yellow local government/private certifier's copy of the
receipted QLeave form

 

Table L

 

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

 

 

 

 

 

 

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

 

 

Ch 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)

 

 

 

 

 

 

IDAS form 4 japon ation details
Version 4.2.9 August 2015

Page 6

.

Department of Infrastructure, Local Government and Planning

 

 

13... 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)

 

 

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

fot LX QoxnJ
(ots Cleon |

 

 

 

 

 

 

 

 

14... 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)

 

 

 

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

Applicant details
e Where the applicant is not a natural person, ensure the applicant entity is a real legal entity.

Question 1

e Schedule 3 of the Sustainable Planning Regulation 2009 identifies assessable development and the type of
assessment. Where schedule 3 identifies assessable development as “various aspects of development” the
applicant must identify each aspect of the development on Tables A, B and C respectively and as required.

Question 6

« 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 Neue?
application. If a development application relates to a state resource, the application is not required to be supported
by evidence of an allocation or entitlement to a state resource. However, where the state is the owner of the
subject land, the written consent of the state, as landowner, may be required. Allocation or entitlement to the state
resource is a separate process and will need to be obtained before development commences.

Question 7

e If the premises is listed on either the Contaminated Land Register (CLR) or the Environmental
Management Register (EMR) under the Environmental Protection Act 1994 it may be necessary to
seek compliance assessment. Schedule 18 of the Sustainable Planning Regulation 2009 identifies
where compliance assessment is required.

Question 11

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

* 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.

IDAS form 1—Application details
Version 4.2---3 August 2015

Page 7

Department of Infrastructure, Local Government and Planning

 

Question 12

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.

¢ 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.qld.gov.au. For
further information contact QLeave on 1800 803 481 or visit www.qleave.qlid.gov.au.

Privacy~~The information coilected in this form will be used by the Department of Infrastructure, Local Government
and Planning (DILGP), assessment manager, referral agency and/or building certifier in accordance with the
processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
the IDAS process or the provisions about public access to planning and development information in the Sustainable
Planning Act 2009, 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.

 

(CFFICE 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

 

Date of engagement

Name

number

BSA Certification license

Building
classification/s

 

 

 

 

 

 

applicable.)

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

 

Date receipted

a QlLeave project Amount paid : form sighted by :
( Description of the work number (3) Date paid assessment ano sighted the
manager

Name of officer

 

 

 

 

 

 

 

 

 

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

referral agency.

IDAS form 1--Application details
Version 4.24 August 2015

Page 8

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opener

Department of State
SVEN Hp

    
 
  

  
 

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IDAS form et ilding or operatignal work agg apoabie
S anning scheme

(Sustainable Planning Act 2009 version 3.0 effective 1 July 2013)

 

 

ap

7 €wantin

This form must be used for development applications for building work or operational work assessable against a
planning scheme.

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:
e¢ — complete /DAS form 1—Application details
¢ complete any other forms relevant to your application

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

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 (SPA) or the Sustainable
Planning Regulation 2009.

This form must be used for building work or operational work relating on strategic port land and Brisbane core port land
under the Transport Infrastructure Act 1994 and airport land under the Airport Assets (Restructuring and Disposal) Act
2008 that requires assessment against the land use plan for that land. Whenever a planning scheme is mentioned,
take it to mean land use plan for the strategic port land, Brisbane core port land or airport land.

 

This form can also be completed online using MyDAS at www.dsdip.qid.gov.au/MyDAS

 

 

Mandatory requirements

 

 

‘ts What is the nature of the work that requires assessment against a planning scheme? (Tick all applicable

 

 

boxes.)
[-] Building work—complete Table A [AL Operational work—complete Table B
Table A
a) Whatis the nature of the building work (e.g. building, repairing, altering, underpinning, moving or demolishing a
building)?

 

 

 

 

 

b) Are there any current approvals associated with this application? (e.g. material change of use.)
LC No CL] Yes— provide details below

 

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

 

 

 

 

 

 

 

 

 

 

 

Great state. Great opportunity.

Queensland
Government

Page 10

 

Table B
a) Whatis the nature of the operational work? (Tick all applicable boxes.)

[-] Road works ["] Stormwater ["] Water infrastructure
[_] Drainage works Fi Earthworks [_] Sewerage infrastructure
CJ Landscaping CJ Signage Ct Clearing vegetation under the planning scheme

 

["] Other—provide details

 

 

b) Is the operational work necessary to facilitate the creation of new lots? (E.g. subdivision.)

 

A No [-] Yes—specify the number of lots being created

 

 

 

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

bd No [-] Yes—provide details below

 

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

Date approval lapses (dd/mm/yy)

 

 

 

 

 

 

 

 

 

2. What is the dollar value of the proposed building work?
(Inc GST, materials and labour.)

 

 

3. What is the dollar value of the proposed operational work?
(Inc GST, materials and labour.)

 

$2,000

 

 

Mandatory supporting information

 

 

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

 

 

Mandatory supporting information

Confirmation of
lodgement

Method of
lodgement

 

All applications involving building work or operational work

 

 

Asite plan drawn to an appropriate scale (1:100, 1:200 or 1:500 are

tecommended scales) which shows the following:

¢ the location and site area of the land to which the application relates
(relevant land)
the north point

* the boundaries of 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 existing or proposed easements on the relevant land and their
function

® any access limitation strips

® all existing and proposed roads and access points on the relevant land.

 

(Eontirm ed
profs Ss.

 

 

 

 

Page 11

 

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

EC] Confirmed

 

A statement addressing the relevant part(s) of the State Development
Assessment Provisions (SDAP).

CJ Confirmed
LJ Not applicable

 

Applications for building work (including extensions and demolition that i

 

Floor plans drawn to an appropriate scale (1:50, 1:100 or 1:200 are
recommended scales) which show the following:
the north point

the intended use of each area on the floor plan (for commercial, industrial
or mixed use developments only)

the room layout (for residential development only) with all rooms clearly
labelled

the existing and the proposed built form (for extensions only)
the gross floor area of each proposed floor area.

Cc] Confirmed
[_] Not applicable

 

Elevations drawn to an appropriate scale (1:100, 1:200 or 1:500 are
recommended scales) which show plans of all building elevations and
facades, clearly labelled to identify orientation (e.g. north elevation).

CJ Confirmed
LJ Not applicable

 

Plans showing the size, location, proposed site cover, proposed maximum
number of storeys, and proposed maximum height above natural ground level
of the proposed new building work.

[_] Confirmed
LJ Not applicable

 

Plans showing the extent of any demolition that is assessable development.

[] confirmed
L] Not applicable

 

Applications for operational work involving earthworks (filling and excavating)

 

Drawings showing:

* existing and proposed contours
areas to be cut and filled

the location and level of any permanent survey marks or reference
stations used as datum for the works

the location of any proposed retaining walls on the relevant land and their
height

the defined flood level (if applicable)

the fill level (if applicable).

C] Contirmed
im Not applicable

 

Applications for operational work involving roadworks

 

 

Drawings showing:
existing and proposed contours

the centreline or construction line showing chainages, bearings, offsets if
the construction line is not the centreline of the road and all intersection
points

information for each curve including tangent point chainages and offsets,
curve radii, arc length, tangent length, superelevation (if applicable) and
curve widening (if applicable)

kerb lines including kerb radii (where not parallel to centreline) and
tangent point changes (where not parallel to centreline)

edge of pavement where kerb is not constructed

position and extent of channelisation

location and details of all traffic signs, guideposts, guardrail and other
street furniture

L] Confirmed
LJ Not applicable

 

pavement markings including details on raised pavement markers

 

IDAS form 6---&

is assessable development)

 

 

 
 

Page 12

 

catchpit, manhole and pipeline locations

drainage details (if applicable)

cross road drainage culverts (if applicable)

concrete footpaths and cycle paths

location and details for access points, ramps and invert crossings
changes in surfacing material.

 

Applications for operational work involving stormwater drainage

 

Drawings showing:

existing and proposed contours

drainage locations, diameters and class of pipe, open drains and
easements

manhole location, chainage and offset or coordinates and inlet and outlet
invert levels

inlet pit locations, chainage and offset or coordinates and invert and kerb
levels.

CL Contirmed
[_] Not applicable

 

Applications for operational work involving water reticulation

 

Drawings showing:

kerb lines or edge of pavement where kerb is not constructed
location and levels of other utility services where affected by water
reticulation works

pipe diameter, type of pipe and pipe alignment

water main alignments

water supply pump station details (if applicable)

minor reservoir details (if applicable)

conduits

location of valves and fire hydrants

location of house connections (if applicable)

location of bench marks and reference pegs.

[_] Confirmed
[J Not applicable

ao
i 3
Nes?

 

Applications for operational work involving sewerage reticulation

 

Drawings showing:

location of all existing and proposed services

location of all existing and proposed sewer lines and manhole locations
location of all house connection branches

kerb lines or edge of pavement where kerb is not constructed
chainages

design sewer invert levels

design top of manhole levels

type of manhole and manhole cover

pipe diameter, type of pipe and pipe alignment

location of house connections (if applicable)

sewer pump station details (if applicable).

(-] Confirmed
[J Not applicable

ony
re

 

Applications for operational work involving street lighting

 

 

Drawings showing:

location of all light poles and service conduits

location of all other cross road conduits

type of wattage and lighting

any traffic calming devices

additional plans for roundabouts and major roads (if applicable)
details of any variations to normal alignment

 

L] Confirmed
L] Not applicable

 

 

 

 
   

au

JUS,

Version

 

Page 13

 

e details of lighting levels.

 

Applications for operational work involving public utility services

 

Drawings showing:

¢ any existing light poles and power poles
* any existing underground services

* details of proposed services

* alteration to existing services.

C] Confirmed
LJ Not applicable

 

Applications for operational work involving landscaping works

 

Drawings showing:
* the location of proposed plant species

numbers of plants

edge

the proposed maintenance period
irrigation system details.

 

* aplant schedule indicating common and botanical names, pot sizes and

¢ planting bed preparation details including topsoil depth, subgrade
preparation, mulch type and depth, type of turf, pebble, paving and garden

the location and type of any existing trees to be retained
construction details of planter boxes, retaining walls and fences

 

| Confirmed
C] Not applicable

 

 

 

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 agency.

Department of State Development, infrastructure and Planning
PO Box 15009 City East Qid 4002

tel 13 QGOV (13 74 68)

[email protected]

www.dsdip.qid.gov.au

IDAS form 6—Building or operational watk ass

 

  

417 MeO ME

Yorsion B.0e~ 4 duly 2013

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O