001511C5.001

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     ©    INTEGRATED PLANNING ACT 1997                                                                                       IDAS Assessment Checklist, Version 20, 2 April 2007
             ANN                         Form        1   Development Application                                                                                     idas

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                                                                           Checklist
                                                                            (Formerly the “Referrals Checklist’) -
          IMPORTANT NOTE FOR ALL APPLICANTS:
          1.    This checklist was formerly referred to as the “Referrals Checklist’. Some of the ‘Guides’ to using the IDAS Application Forms continue to refer to this document as the
                "Referrals Checklist’. The name of this checklist was changed from 25 July 2005 to more accurately describe its function.
          2.    Under the IPA and IDAS framework, an application may require assessment by the local Council and/or certain Queensland State entities (e.g. Environmental Protection
                Agency, Dept. of Natural Resources and Water, Queensland Heritage Council etc.).
        - 3.-   This checklist is provided to assist applicants to determine when an application requires assessment by a Queensland State entity and may also assist the applicant to
                determine the assessment manager’ for the application.
          4.    Therefore, the completion of all questions in section 1 of this checklist is mandatory for all applications (other than those requiring the completion of Parts A & B only).
          5. __ Itis the responsibility of the applicant to accurately complete this checklist.
@         6.    Section 2 is mandatory only if the proposed development is located in any part of a wild river area declared under the Wild Rivers Act 2005.
          7. — Depending on the nature of the application, an applicable State entity may be either the assessment manager or an IDAS referral agency for the application.
          8,    The assessment manager for the application will rely on the information provided in this checklist (as well as any materia! lodged in support of the application) to identify
                any applicable referral agencies for the application in the Acknowledgement Notice. The assessment manager will also rely on this information when identifying if the
                application triggers referral coordination?,
          9.    To assist you in answering the following questions a series of guides are available free from the IPA website www.ipa.qid.qov.au. Guide 25 explains the role of the IDAS
                Assessment Checklist in the IDAS application process, and its relationship to the Form 1 development application.
          10.   Any other parts of Form 1 that this checklist requires to be completed are available from the Council or the applicable State entity, or can be downloaded free from
              www. ipa.qid.qov.au.                               :
          11.   Section 3 provides advice about the referrals that can be required for applications for building work assessable against the Building Regulation 2006.

              |           ..              SECTION 4 - STATE ASSESSMENT (completion mandatory)                                                                     ae
          Note: The following state assessment triggers apply to development other than for. building work assessable against the Building Regulation 2006.       ESOS
          Environmentally relevant activity’”        | 1.    The application involves: (tick applicable box/es)
          For mofe information refer to Guide 4. os.         (1) (i)   an environmentally relevant activity (ERA) for which a code for environmental compliance
          Unless you srswered "nané of the above’. Qt,                 has not been made - complete Part G of Form 1
          the application requires assessment by the               .        —                                  ,                   .                    :
          administering authority?,           mh             C (ii)    amobile or temporary ERA for which a code of environmental compliance has net been
          if an entity, other than the administering...                made - complete Part G of Form 1
©         authority, Is the assessment manager for ttie      (X] (iii) none of the above
          application, the administering authority is a
         _ Concurrence agency for the application In relation        .
          to this matier.."2"*.      2          oo                                                                                                                                        ‘
         “ Note: An application irivolving ERA 19 and/or 20
         _ Will also require completion of Part Kz of Farm 1
          for approval whére én- allocation under the Water                                               ,
         Act 2000 istequired,                            coe                   cepesontey pe teen      ee            a             arti                   .      2 ets
                                                                                                .                                                               Continued overleaf

                PLEASE NOTE:            The assessment manager may refuse to accept an application, which, at the time of lodgement, fails to provide the
                     a                                         completed IDAS Assessment Checklist (if applicable).
          OFFICE USE ONLY (epplicabie to assessment manager)                               .
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          1  The assessment manager is responsible for assessing and deciding an IDAS application. The assessment manager for an application is prescribed in schedule 8A of the IPA.
          2  For additional information refer to Guide 6 ‘Does my application trigger the refarral coordination process?"
          3  The ‘administering authority’ may be either the Environmental Protection Agency, the relevant local government (for a devolved ERA) or the Queensland Department of Primary Industries and
             Fisheries (for a delegated ERA).                                                                                                          ,
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