0015A4F2.001

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               INTEGRATED PLANNING ACT 1997                                                                                        IDAS Assessment Checklist, Version.20, 2 April 2007
                  }    NY                     Form         1  Development Application                                                                                      Els
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           yy                                 _         IDAS                          Assessment                                                                                                |

                                                                                 (Formerly the "Referrals Checklist")
               IMPORTANT NOTE FOR ALL APPLICANTS:
             _ 1.   This checklist was formerty referred to as the “Referrals Checklist’. Some of the ‘Guides’ to using the 1DAS 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 material 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.gov.au.                                                                                                    .
               11.  Section 3 provides advice about the referrals that can be required for applications for building work assessable against the Building Regulation 2006, _ .

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              a ee                            SECTION.1 - STATE ASSESSMENT (completion mandatory) 2%.
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              Note: : The following state assessment triggers apply to development other than for building work assessable against the Building Regulation 2006...) Powe:
             - Environmentally relevant activity            1.    The application involves: (tick applicable box/es)
             , For mare information refer to Guide 4.             (_] (i)  an environmentally relevant activity (ERA) for which a code for environmental compliance”
             ; Unless you answered “none of the above" to Q1,              has not been made - complete Part G of Form 1
             ! the apptication requires assessment by the              "        —                                   .                    .                   .
             " administering authority?.                          (1 (ii)  a mobile or temporary ERA for which a code of environmental compliance has not been
     @       _ fan entity, other than the administering                    made - complete Part G of Form 1
             _ authority, is the assessment manager for the        ) (iii) none of the above
             ‘ application, the administering authority is a
             ‘ concurrence agency for the application In relation
             _to this matter.
             "Note: An application involving ERA 19 and/or 20
              will also require completion of Part K; of Form 7
;            . for approval where an allocation under the Water                                                                                                                             .
              Act 2000 is required.                                        ee        wees          cece  seainevanms ase aun            ue                 ae      eaten eas
                                                                                          ;                                                                           Continued overleaf

                    PLEASE NOTE:            The assessment manager may refuse to accept an application, which, at the time of lodgement, fails to provide the
             fe           cent tae   tot          as ee.           COMpHeted IDAS Assessment Checklist (if applicable)
              OFFICE USE ONLY (appticabie to assessment manager)                             .                                                                  ,

              1  The assessment manager is responsible for assessing and deciding an IDAS application. The assessment manager for an application is prescribed in schedule BA of the IPA. ‘ .
              2  For additional information refer to Guide 6 ‘Does my application trigger the referral 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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