06/1266 - Op Works Transport Type 5 Domestic Marine [As Published] · 142006.1266

INTEGRATED PLANNING ACT 1997

Part A, Version 2.4, 29 May 2006

 

 

 

 

 

 

 

 

 

 

Land owner's consent (if anpicable) 20. Land owner's consent to the making of this application:
Section 3.2.1(3) of the IPA prescribes that an 7
appticaven must contam, or be supported by, the Name Signature Date
watien consent of the land owners, if the application
wnvolves: i
(). amatenal change of use; 0 Chivg or ne eh. wee adhe ned... +s
(@) reconfiguration of alot; ~
(il), work on land below high-water mark & not within a
canal as defined under the Coastal Protection and
Management Act 1995.0r
(iv) work on rail corrdor land defined under the
Transport fnlrastructure Act 1994,
Section 3.8.1(2){a} of the IPA provides that
lardowner's consent is not required for a mobile or
temporary ERA.
For more information refer to Guide 1.
Resource entitlement (if appicable) 21. Does this application involve a State resource prescribed under a regulation (other than involving

Secon 3.2.4{5} of the IPA requires evidence of
fesoutce entillement be given for applications that
involve a prescribed Siate resource.

Section 3,2,1(10)(a}(ii} of the IPA prescnbes thal an
Application cannot be taken to be propery made
without evidence of the resource entitlement,
“Advice for completing Q2t & 22

Refer to schedule 10 of the integrated Planning
Regulation 1998 thal prescribes ine nature of evidence
required by the State in support of the lodging of this
development application.

Advice for completing Q23

The inlormation ir ) is mandatory if evidence is
required under Q22 {ii) or (iil) above.

The official stamp Gf the Deparment of Natural
Resources, Mines and Water is mandatory where the
application involves any waler of avenne quarry
material under the Water Act 2000

Section 3.2.1(5A) allows the resource manager to limit
the time the evidence may be used. 023 (vi) must be
completed if the evidence is time tmited.

 

22.

23.

quarry material on State coastal land under the Coastal! Protection and Management Aci 1995)?
BT NO - go to 024 (1 YES - go to 922

This application is accompanied by evidence: (tick applicable box)
oO (i) of the allocation of, or entittement to, the resource - attach evidence and go to Q23(vi)

C1 (il) the chief executive of the department administering the resource is satisfied the

development is consistent with an allocation of, or entitlement to, the resource - go
fo. 023

(1 (il) the chief executive of the department administering the resource is satisfied the

development application may proceed in the absence of an allocation of, or
entitlement to, the resource - go to 023

Evidence of the resource entitlement:

(i) Resource entitlement / authority details (vii) Official stamp of the department
administering the resource (if
applicable)

(ii) Name of — officer

(ii) Position of delegated officer

{iv} Signature of delegated officer

 

 

 

 

 

(v) Date

(vi) _ date of evidence —

 

 

 

 

 

Assessment triggers 24. |s the IDAS Assessment Checklist completed and attached to this application?

ovate ai Dae ee poloetan one a O YES 0 NO - the assessment manager may reluse (o accept this application on the
Must be completed for alt other applications. grounds that the application has not been properly made

Plans / drawings / reports 25. Plans/drawings/reports accompanying this application:

An application should be accompanied by detalis to
support the proposal & enable Ihe assessment
manager, referral agencies and any person viewing
the applicaton during public scrutiny or public
Notification to understand the scope of the proposal
and any potential impact

 

 

Plan / Drawing / Report Number

 

0)

 

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may refuse to accept an application shat, al the time of lodgement. fails to provide all applicable information required by Part A
and any other relevant part of Form 1

 

OFFICE USE ONLY (applicable fo assessment manager's)

FEE ($) DATE

Ws.

Notification ot Engagement of Private Certifier on.

 

RECEIVED

 

Reef aS OFFICERS TY 7
BO ftefere  nanes {I

    
 

 

“REFERENCE”
al NUMBERS _,

 

Counc } have been engaged as the private cerifer for the burlding work referred te m this apphcation

a Name. _. Signature. 2 See