0015A4F2.001

INTEGRATED PLANNING ACT 1997                                                                             IDAS Assessment Checklist, Version 20, 2 Apri! 2007
           : Contaminated land                       17.  The application involves: (tick the applicable box/es)
           ‘ Applications involving material change of use     ‘               ;                i                         :         _                          -
            andl of recontiguring lot may bigger this      OC  (i) reconfiguring alot for which all of part of the premises are
           _feferral,                                               (a)  premises mentioned in the IPA, schedule 8, part 1, table 2 -
           jFor 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
           , 217, the application requires assessment by the           e item 7, including the exemption otherwise provided for a mining activity or petroleum
           Environmental Protection Agency (EPA). If an                   activity: or
            agency other than EPA is the assessment. ;                    :   ly,           .                               .      ,        .
           | Manager for the application, EPA willbe a              (b)   in an area for which an area management advice has been given for unexploded
           j Concurrence agency for the application in                 »  Ordnance - complete Part N of Form 1
           : relation to this matter.                          .            .                 :
.                                                         (_] (ii) a material change of use -
           :                                                        (a)   made assessable under the IPA, schedule 8, part 1, table 2, items 5 to 7; or
           i                                                        (b)  assessable against the planning scheme and if all or part of the premises is in an area
                                                                          for which an area management advice has been given for unexploded ordnance -
           j                                                              complete Part N of Form 7
                                                     |. Bill) none ofthe above
           ‘Electricity infrastructure               18.  The application involves: (tick the applicable box/es)
           yor mote information refer to schedule 2of the IP C1 (i) reconfiguring a lot where any part of the lot is -
           i         ;        :              ,                      e subject to an easement in favour of a distribution entity or transmission entity under the
           ' Unless you answered “none of the above” to                      oe                               .              rar      .
            Q48, the application triggers referral to the              Electricity Act 1994 and the easement is for a transmission grid or supply network under
    @ { agency to which the easement is granted in                     that Act; or
            favour of as advice agency.                             e situated within 100m of a substation site;                                     .
,                                                          C1 (ii)  a material change of use, assessable against a planning scheme and not associated
                                                                    with reconfiguring a lot if -
           :      .                                                 « any part of the premises is subject to an easement in favour of a distribution entity or
           :                                                          transmission entity under the Electricity Act 1994 and the easement is for a transmission
           i                                                      .   grid or supply network under that Act; and
                                                                    e any structure or work that is the natural and ordinary consequence of the use is, or will be,
                                 .                                    located wholly or partly in the easement:
           bs                                              LC  (iii) a material change of use, assessable against a planning scheme and not associated
           A                                                        with reconfiguring a lot if any part of the premises is situated within 100m of a substation
           ‘                                                        site;
           :                                               LJ (iv)  operational work that is filling or excavation assessable against the planning scheme,
           .                                                        not associated with reconfiguring a lot, if -
           i                                                          any part of the premises is subject to an easement in favour of a distribution entity or
           :                  .                                       transmission entity under the Electricity Act 1994 and the work is located wholly or partly in
                                                                      the easement;
           .                                                        e the work is located wholly or partly within 10m of a substation site;
                                                           Bev)     none ofthe above.
   @ | Land designated for community                 19.  Does the application involve development assessable against the planning scheme and on land
            infrastructure                                designated for community infrastructure?
           * Applications involving development on land ~ - ye                       ;             ;            Stays
           {designated for communi infastucture may        (i)  intended to be supplied by a public sector entity; and
           ; bigger this referral.                          ii) on land not owned by or on behalf of the State; and
           Fi        formation refer to schedule 2 of th                             Y
           | For more information refer to ule 2 of the     a                             _
          “"  Regulation,                                  (iii) other than development
            tfyou answered "YES" to Q19, the appication |.     (a)  for the designated purpose; or
            tequires assessment by the chief executive of               ;                                  ‘
           “the department administering the Ae authorising    (b)  carried out by, or on behalf of, the designator.
           , the development for the designated purpose.   {XJ NO
           ; If an agency other than the designator is the
           _ assessment manager for the application, the   O YES
           ! designating agency will be a concurrence
           { agency for the application in relation to this                                                                                                              .

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