OPW15/0056 - IDAS Forms Part 1 of 2

Email address (non-mandatory      requirement)        I [email protected]

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)   What is the nature of the development?      (Please only tick one box.)

     D Material change of use         D Reconfiguring a lot             D Building work            !8lOperational work
b)   What is the approval type? (Please only tick one box.)

     D Preliminary approval           D Preliminary approval            D 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.)

     Filling to the extent specified to allow future development of a residence and an adjacent machinery shed on a
            13ha property currently used for cattle grazing. All future work will be subject to Engineering design and
            Development Approval. The approval is sought now to bring fill on site that is currently available that will
            make future proposed use possible. The overall plan is to build a lifestyle property to incorporate existing
            wildlife and establish an environment for local Koalas with a specific tree planting. The enclosed Letter of
            Intent details current operational work proposed.



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

     ~     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)   What is the nature of development? (Please only tick one box.)

     D Material change of use         D Reconfiguring a lot             D Building work            D Operational work
b)   What is the approval type? (Please only tick one box.)

     D Preliminary approval           D Preliminary approval            D Development
            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)   What is the level of assessment?

     D Impact assessment              D Code assessment


                                                                                                 IDAS form 1-Application details
                                                                                                        Version 4.1-4 July 2014