001511C5.001

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"INTEGRATED PLANNING ACT 1997_                                                                              IDAS Assessment Checklist, Version 20, 2 April 2007
      Contaminatedland      |   --°   *  .   117.  The application involves: (tick the applicable box/es)
      Applications involving material change of use     ‘               ;               :                         :       _
      and! of reconfiguring a lot may tigger this. 0 (i) reconfiguring a fot for which all of part of the premises are
      referral...           RAR                              (a)  premises mentioned in the IPA, schedule 8, part 1, table 2 -
      For more information refer to Guide 5. *                  + item 5, including the exemption otherwise provided for by paragraph (d);
      Unless you answered ‘none of the above” to                + item 6, including the exemption otherwise provided for by paragraph (e); or
      Q17, the application requires assessment by the:          + item 7, including the exemption otherwise provided for a mining activity or petroleum
      Environmental Protection Agency (EPA). fan |                activity: or                               :
     “agency other than EPA is the assessment“. -                 ‘  Wvity,         .               /              .              ;
     -manager for the application, EPA willbea *             (b)  in an area for which an area management advice has been given for unexploded
     " Concurrence agency for the application In.                 ordnance - complete Part N of Form 1
     relation to this matter. -             4           .            .
     wo                                            (1 (ii)  a material change of use ~
     Ee                 Bag gts: |        oe                 (a)  made assessable under the IPA, schedule 8, part 1, table 2, items 5 to 7; or
     mal                   ate            a                  (b)  assessable against the planning scheme and if all or part of the premises is in an area
     eles                   ER         me                         for which an area management advice has been given for unexploded ordnance -
     en tg     oth        i!                s                     complete Part N of Form 1         ;
     eo                See                  |       Bi none ofthe above                                       —
     ‘Electricity infrastructure.          .  118. The application involves: (tick the applicable boxes)                                    7
     , Fo moe information refer to scheduie 2of the CI {i)   reconfiguring a fot where any part of the lot is -                                            os
     ~ Unless you sngwared oni HIE sce” to                   « subject to an easement in favour of a distribution entity or transmission entity under the  =~
     “Q18, the application triggers referraltothe              Electricity Act 1994 and the easement is for a transmission grid or supply network under
     “agency to which the easementisgrantedin |                that Act; or
     _ favour of as advice agency. oe                        + situated within 100m of a substation site;                                              ©
     wo abies           TERRES Oo                   (1 (ii)  a material change of use, assessable against a planning scheme and not associated
     mS           ge       TERE             Ss               with reconfiguring a lot if -
         EG              oe BRE                              * any part of the premises is subject to an easement in favour of a distribution entity or
     Satie ¢              “ee       Joe                        transmission entity under the Electricity Act 1994 and the easement is for a transmission
     BM a               BB                                     grid or supply network under that Act; and        ,
      eee                 RPE           mo                   * any structure or work that is the natural and ordinary consequence of the use is, or will be,
     eee.               TEES                                   located wholly or partly in the easement;                   ,
     ey                 tee.                |       EAD Gil) a material change of use, assessable against a planning scheme and not associated.
     Ceeoe     te       eg             OO                   « with reconfiguring a lot if any part of the premises is situated within 100m of a substation =
     Be ge SRE                                            -  site;                                                                                           |
                        ee                  °.           .          .                   on               ,                   ;             ;
     Per                  Te             oS         [J (iv) operational work that is filling or excavation assessable against the planning scheme,
     ee                  aS                 :                not associated with reconfiguring a lot, if -
     re                                ey                    » any part of the premises is subject to an easement in favour of a distribution entity or
     Bee be                               NG         ‘         transmission entity under the Electricity Act 1994 and the work is located wholly or partly in
     aa          2       .                 8S                  the easement;                                                       .
                                      rae                    » the work is located wholly or partly within 10m of a substation site;
     ‘Land designated for community. ~“:.’| 19.     Does the application involve development assessable against the planning scheme and on ‘ang
     infrastructure                4  te)          designated for community infrastructure?
     - Applications involving development on land. ° -: yj                                              ity:
      designated fof community inrastucture may     (i)  intended to be supplied by a public sector entity; and   _.
      trigger this teferral. -  Seep                (ii) on land not owned by or on behalf of the State; and
     _. For more information refer to schedule 2-of the i                         _
      IP Reaulaion.           uae                   (i) other than development                        .
      tf you ansivered YES" to 19, thé application      (a)  for the designated purpose; or *                              .
     - fequires assessment by the chief executive of             ‘                           ;     ;      .             .        :
     the depéatinent administering the Act authorising  (b)  carried out by, or on behalf of, the designator.                          .
     “the development for the designated purpose,       NO
     Han agency other than the designator is the - ";                                   .                             .
      assessment manager for the application, the .-.,; L]Yes          .
     “designating agency will be a conciirrence °°.
     Jagency for the application in relation to this“: "3]
     Matte                                                  os                   Lae               civ.        bee                     .

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