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Development Application forms 1, 23 & 28, Covering Letter · OPW12/0139

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tourism excellence
                                         Development COunter
                                                      8 JUN
                                                              2012
 Sunshine Coast Council
 Locked Bag 72
 Sunshine Coast Mail Centre
 Queen$land.4560


ATT: Development and Consent Planning Department


 RE:    LOT 162/ CP907407.


        186 GYl1)pie Terrace, Noosaville DC. Qld 4566.


 Dear Sir,


 Please find attached the following documents to support our Development Application to
 complete 4 (four)floating pontoon sections on the existing jetty infrastructure


    .   IDAS Form 1
    .   IDAS Form 23
    .   IDAS Form 28
    .   DERM Resource Entitlement Approval
    .   DNR Lease Tenure
    .Working Drawing
    .Site Plan Drawing
    .Survey Pile Drawing




As advised by a member of the SCRC, please find enclosed a $1,000 fee payable for
the assessment and approval of our application.


 If you have any questions regarding this application, please do not hesitate to contact
 me.



 I look forward to the earliest receipt of your approval to complete the 4 floating pontoon
 sections as requested.




Wade Batty
The Discovery Group



                        Ph: +61 0412342895       Fax: +61 754499406
             [email protected]   v   http://www.thediscoverygroup.com.au

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                                                                                                                                                                                                                                                            B JUN 101Z
  Application details-IDAS for                                                                                                                                                                                         1
  (SustainablePlanningAct 2009 version 1.0 effective 18 December 2009)                                                                                                                                                                              Nambc"-
  You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all necessary
  information and documentation will result in your application not being a properly made application.


  For all development applications, you must:

   .                complete this form (Application details-IDAS form 1)
   .
                    complete any other forms relevant to your application
   .                provide any mandatory supporting information identified on the forms as being required to accompany your
                    application.
  Attach extra pages if there is insufficient space on this form.


  All terms used on this form have the meaning given in the Sustainable PlanningAct 2009or the Sustainable Planning

  Regulation 2009.


  This form can also be completed online using Smart eDA at www.smarteda.qld.gov.au



  Applicant details (note:the applicant is the person responsible for making the application and need not be t.he owner of
  the land. The applicant is responsible for ensuring the information provided on alllDAS application forms is correct. Any

  development permit or preliminary approval that may be issued as a consequence of this application will be issued to the
  applicant.)

  Name/s (IndiVidual or company name in full)                                                                                                              NooSft                              ~J?                                  p-ej L..-rD
                                                                                                                                                                          f_
  For companies, contact name                                                                                                                             ’y.J
                                                                                                                                                                                                    A-11~
  Postal address                                                                                                                                          ro                    box                            \$04-
                                                                                                                                                           ~ooSA\)\V\E.                                                         o c.:....
                                                                                                                                                                                                                                      ~
                                                                                                                                                                                                                                                                  6H                    kG&(,

  Contact phone number                                                                                                                                    04- \2-3~                                                  CZ<6,s-

  Mobile number (non-mandatory)                                                                                                                         ~$                                {U()v


  Fax number (non-mandatory)



                                                                                                                                                                                                                                                        f’flU
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  e-mail address (non-mandatory)

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1. What is the nature of development proposed? (tick all applicable box/es)




D material change of        use of   premises

~ building work
D operational work
D reconfiguring lot    a




2. What type of     approval is being sought?


~         development permit          D     preliminary approval     D       both-provide details below




3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?



!ZJ No
D Yes-complete table A and then go to question 5

Table A-name of each local government area in which the mobile and temporary ERA is proposed to operate




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)



Table B-street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the

premises

       D street address/lot     on the   plan

       1ZI street address/lot   on   plan for the land adjoining or adjacent to the premises (appropriate for development in
           water e.g. jetty, pontoon)

Street address                                                     Lot on    lan description     Local government area
                                                                                                 (e.g.Logan, Cairns)
Unit      Street    Street name and official suburb/      Pos~.    Lot no.      Plan type
no.       no.       locality name                         code                  and plan no.

         l<6t       G’fMPIE. TE-R{ZAc.                                            cP
                                                         45bl, l-~T
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                    N 00 SA\I\t..~              &t.D
                                           .

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                2                                                                           Application details-IDAS form 1
                                                                                               Version 1.0 18 December 2009

Page 5

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           ODD
       Table C-premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel
       dredging in Moreton Bay)

       Coordinates                                                                  Zone          Datum                Local government
       (note:place each set of coordinates in a separate row)                       reference                          area (if   applicable)

       Easting            Northing          Latitude              Longitude


                                                                                                  D GDA94
                                                                                                  D WGS84
                                                                                                  D other


       5. Total area of the premises on which the development Is proposed (indicate hectares or m’)


                           Z
         1 f l\0

       6. Current use/s of the premises (e.g.vacant land, house, apartment building, cane farm,etc.)


        <0v!.\~f\/\         of>E.P,M \oN) -1f..’\<1.’-’\’                     oo~        ,J G-S   ..,_      ADM ,,J ,sr{a:Krleor-I
         lL,05- \!-          ’So E.fl.\J’c.es   .




       7. Provide a brief description of the proposal (e.g.six unit apartment building, 30 lot residential subdivision etc.)


                                                                                                              of        ~L.ok11 e-.!6,
       -iU P~C~""<<\                        of           4 (f-ovfL)                 SE..C.<’(\ON>

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       "lAlJ>      kt’lA~1

       8. Is owner’s consent required for this application? (refer to notes at the end of this form for more information)




       D      No

                               either table D, table E or table F as appficable
       ~ Yes-complete
       Table D


       Na~fownerls         of the land


       I/We,t~ove-mentioned          owner s of the
                                            I          land, consent to the making of this application.

       Signature of
                      ~the           land



       Date                      ~


                      3                                                                                  Application details-IDAS form 1
                                                                                                           Version 1.0 18December 2009

Page 6

  DDD
Table E

                                                                                   Q.E.S ~c W’1\1LF...v\EN1
Name of owner/s of the land
                                          1- ~SE- pttt’fA- \(..S..Oc
                                                                                                   LE.’1’te.R.    .




[pl   The owner’s written consent is attached or will be provided separately to the assessment manager




Table F

Name of owner/s of the land               I
D By making this application, I, the applicant, declare that the owner has given written consent to the making of the
application.


9. Does the application involve a state resource? (e.g.the application involves state land, or taking quarry materials.
Refer to the notes at the end of this form for more information)



D       No
                                   ~ Yes-complete       table G




Table G-state owned resources (provide details for each state resource in a separate table)

Nature of state-owned resource




Nature of evidence required (tick the
applicable box and attach a copy of the               Evidence of an allocation of, or an entitlement to, the resource
evidence to this form)                           ~
                                                      Evidence the chief executive of the department administering the
                                                 D
                                                      resource is satisfied the   development is consistent with an allocation
                                                      of, or an entitlement to, the resource


                                                 D    Evidence the chief executive of the department administering the

                                                      resource is satisfied the   development application may proceed in the
                                                      absence of an allocation of. or an entitlement to. the resource



10.   Identify if any of the following apply to the premises (tick applicable box/es)


        adjacent to a water body, watercourse or aquifer (e.g.creek, river, lake, canal)-complete table H

~       on strategic port land under the Transport Infrastructure Act 1994-complete table I




~       in a tidal water area-complete table J




Table H        Name of water body. watercourse or aquifer


                tJ oo~~ t.\vElt


               4                                                                           Application details-IDAS form 1
                                                                                             Version 1.0 18December 2009

Page 7

   DDD
Table I     Lot on plan description for strategic port land                   Port authority for the lot




Table J     Name of local government for the tidal area (if applicable)       Port authority for the tidal area (if appUcable)


               >- vrJsl-\ lNR         eoA’S..<(

11. Are there any existing easements on the     premises? (e.g.for vehicular access, electricity, overland flow, water, etc.)


~     No
            D Yes-ensure the type, location and dimension of each easement is included in the plans submitted

12. Does the   proposal Include new building work or operational work on the premises? (including any services)


D     No
            ~        Yes-ensure the nature, location and dimension of proposed works are included in plans submitted




13. Is the payment of a portable long service leave levy applicable to this application? (refer to notes at the end of this
form for more information)




~ No-go question
               to          15       DYes

14. Has the portable long service leave levy been paid? (refer to notes at the end of this form for more information)



D
D                plete table K and submit with this application the yellow local government/private certifier’s copy of the
                    Leave form




Table K                                   Date paid               QLeave Project Number (6digit number starting with A, S,
                                                                  E, Lor P)




15. Has the local government agreed to apply a superseded planning scheme to this application under section 96 of
the Sustainable PlanningAct 2009?



~     No


D Yes-please provide details below

Name of local government                          Date of written notice given    Reference number of written notice given
                                                  by local government             by local government (ifapplicable)




             5                                                                          Application details-/DAS form 1
                                                                                           Version 1.0 18December 2009

Page 8

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              ODD
         16. list below all of the forms and supporting information that accompany this application (include alllDAS forms,
         checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this question
         does not apply for applications made on-line using Smart eDA)



        Description of attachment or title of attachment                                             Method of lodgement to
                                                                                                     assessment manager


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    117.Applicant’s declaration
        ~y making this application, I declare that all information in this application is true and correct (note:it is unlawful to
        Vovide false or misleading information).

    Notes for completing this form


    Question 8:
    .         Section 263 of the Sustainable PlanningAcf 2009 sets out when the consent of the owner of the land is required for an

              application. Section 260(1)(e) of the Sustainable PlanningAct 2009 provides that if the owner’s consent is required
              under section 263,then an application must contain, or be accompanied by, the written consent of the owner, or
              include a declaration by the applicant that the owner has given written consent to the making of the application.
        .     Owner’s consent is not required for a mobile and temporary ERA.


        Question 9:
    .         Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a state resource, a

              regulation may require the application to be supported by certain evidence prescribed under the regulation. Schedule
              14 of the Sustainable Planning Regulation 2009 prescribes the state resources for which
                                                                                                      evidence is required to be

              given, and the evidence required, to support the application.

        Question 13:
        .     The Building and Construction Industry (Portable Long Service Leave)Act 1991 prescribes when the portable long
              service leave levy is payable.
        .     The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy are
              prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.

        Question 14:
        .     The portable long service leave levy need not be paid when the application is made, but the Building and Construction

         Industry (Portable Long Service Leave)Act 1991 requires the levy to be paid before a development permit is issued.
        .Building and Construction Industry Notification and Payment Forms are available from any Queensland post office or


                                                                                                                       For further
              agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qld.gov.au.
              information contact QLeave on 1800 803 481 or www.qleave.qld.gov.au.




                          6                                                                       Application details-IDAS form 1
                                                                                                    Version 1.0 18December 2009

Page 9

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            ODD
     Privacy-the information collected in this form will be used by the Department of Infrastructure and Planning (DIP)in
     accordance with the processing and assessment of your application. Your personal details will not be disclosed for a purpose
     outside of the IDAS process, except where required by legislation (includingthe Right to Information Act 2009)or as required

     by Parliament. This information may be stored in a departmental database. The information collected will be retained as
     required by the Public Records Act 2002.



     OFFICE USE ONLY

      Date received                   ~.~        ..
                                                      \.~      I Reference   numbers            O’ruo        ’<:""-C,->q


     NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTlFIER
      To

            I                                I   Cou ncll. I have been engaged as the private certifier for the building work referred
                                                 to in this application



                                                                                                                 Building
     Date of engagement        Name                                           BSA Certification license number
                                                                                                                 classification/s




     QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)
                                                                                               Date receipted

                                      QLeave Project           Amount paid                     form sighted by   Name of officer who
     Description of the work                                                      Date paid
                                      Number                   ($)                             assessment        sighted the form
                                                                                               manager




       The Sustainable PlanningAct 2009(SPA)is administered by the Department of Infrastructure and Planning. This form and
       all other required application materials should be sent to your assessment manager and any referral agencies.



                      7                                                                         Application details-/DAS form 1
                                                                                                  Version t.o t8 December 2009

Page 10

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             Tidal works and coastal man                                                                                      gementLdistricts
             IDAS form 23                                                                                                                            Nambour
             (SustainablePlanningAct 2009 version 1.0 effective 18 December 2009)


             This form must be completed for development applications for operational work that is tidal works (otherthan prescribed
             tidal works) or work in a coastal management district.


             You MUST complete All questions unless the form indicates otherwise. Incomplete forms or forms without all necessary
             information and documentation will result in your application not being a properly made application.


             For all development applications you must:

             .        complete Application details-IDAS form t
             .        complete any other forms relevant to your application
             .        provide any mandatory supporting information identified on the forms as being required to accompany your
                      appli~ation.
             Attach extra pages if there is insufficient space on this form.


             All terms used on this form have the meaning given in the Sustainable PlanningAct 2009or the Sustainable Planning

             Regulation 2009.

             This form can also be completed online using Smart eDA at www.smarteda.qld.gov.au


             1. What is the nature of the work           proposed by this application? (tick applicable box/es)

                       tidal work (e.g.artificial waterways to be connected to tidal water, basins, breakwaters, bridges, boat ramps, decks
             ~         and boardwalks, docks, dockyards, embankments, groynes, jetties, marinas, pipelines, pontoons, powerlines,
                       seawalls, slips, small craft facilities, training walls, wharves etc.)

             o interfering with quarry material              as defined under the Coastal Protection and                                        ManagementAct 1995on State coastal
                          land above high-water mark


             D         disposing of dredge spoil or other solid waste material in tidal water

             D         draining or allowing drainage or flow of water or other matter across State coastal land above high water mark

             D         constructing or installing works in a watercourse that are not assessable under the Sustainable PlanningRegulation 2009,
                       schedule 3, part 1, table 4,item 3or 4


             D         reclaiming land under tidal water


             D         constructing an artificial waterway associated with reconfiguring a lot

                                      an artificial waterway not associated with                    reconfiguring a lot on land, other than State coastal land,
             o constructing
                       above high-water mark if the maximum surface area of water on the waterway is at least sooom2;


             D         constructing a bank or bund wall to establish a ponded pasture on land, other than State coastal land above high
                       water mark


             D         removing or interfering with coastal dunes on land, other than State coastal land, that is in an erosion prone area as
                       defined in the Coastal Protection and ManagementAct 1995and above high water mark

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      DDD
I   2. What type of       approval is sought?

    ~ development permit
    tJ preliminary approval
    D      both   -

                      provide details below




    3. Is the application supported by evidence that the proposed work will not prejudice the access rights of adjoining
    property owners?


    ~      No          D Yes-provide details below and submit with this application      a copy of the evidence




11.   I   Nature of evidence

                                                                                I   Date given




    4. Are there other associated/previous approvals for tidal work on the premises?



    D      No
                       ~ Yes-provide      details below



          List of approval reference/s               Date issued                    Date approval lapses (if known)


11. ~~cE.. &K l1:lfMbJT                              (4-n-n                         O<t -:TUNe.        2.o,Q


    5. Has the relevant local government given a development approval for any associated use or works, or provided
    written comment on the proposal?




    ~      No
                       DYes

    6. Have you entered into a contract with an engineer/consultant to undertake the work? (non-mandatory)


           No          D Yes-provide details below
    ~
    Name of engineer / consultants


    Postal address




    Contact phone number




                      2                                            Tidal works and coastal management districts-IDAS form 23
                                                                                                 Version 1.0 18December 2009

Page 12

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         ODD
       7. To assist in calculating the appropriate fee for this application, indicate what the work is for (non-mandatory,tick
       applicable box/es)


      D      coastal management processes involving beach nourishment, dune fencing, revegetation of dunal areas with
             endemic native plants, stinger enclosures or a purpose directly related to the provision of a lifesaver or rescue
             service by a volunteer community organisation


      D      a private purpose relating to a residence



                              below
      ~ other-specify
       Ct>MP~rc\c>N              or     F\...o’I,.J6.-                        o



              p~          PLAN>       kl1 0J.U:      .




       8. Does the proposal involve the construction of a canal or other artificial waterway associated with reconfiguring a
       lot? (non-mandatory)




      ~      No         D Yes-specify below the length (in metres) of frontage of the proposed subdivision to the canal    or

                             artificial waterway




       9. What is the estimated value of the completed works? (non-mandatory)



      1$ =i’ec.     -




       10. Confirm that the    following mandatory supporting information accompanies this application            rJ A
      Written description of the proposal including a report that addresses           Confirmation of            Method of
      the following                                                                   lodgement                  lodgement

      natural coastal, riverine and estuarine processes                               D confirmed                       -




      natural topography and drainage of coastal land                                 D confirmed                        -




      coastal wetlands and other coastal ecological systems                           D confirmed                        -




      places or objects that have cultural heritage, landscape, historical,            D confirmed                      -




      anthropological, archaeological or aesthetic significance or value

       public access to the foreshore                                                  D confirmed                        -




      Plans certified by a registered professional engineer of Queensland
                                                                                                                         -

      (RPEQ)(or an interstate or international equivalent registered with the
      appropriate professional body) showing:
      the location (real property description and boundaries) and dimensions of        D confirmed
      the proposed works in relation to the land (including tidal land)that would                                         -




      abut or adjoin the proposed works



                    3                                               Tidal works and coastal management districts-IDAS form 23
                                                                                                Version 1.018December 2009

Page 13

...   ...   ~. J   "




                   DDD
              the proposed works in relation to the locations and levels of lowest                 D confirmed
              astronomical tide. highest astronomical tide. mean high water springs and                                            -




              the coastal management district

              the slope angles of the beds and banks of the tidal area and the finished            D confirmed                       -
              levels of the proposed works

                                                                                                                                    .--
              Other documents

              a copy of the certificate of title for the land   (includingtidal land)that would    D confirmed                     -


              abut or adjoin the proposed works



             Privacy-please refer to your assessment manager for further details on the use of information recorded in this form.

             OFFICE USE ONLY



              Date received                    ~ -\0...\,-                I Reference   numbers             <::>~~ ,~-              Oc:s.~




             The Sustainable PlanningAct 2009is administered by the Department of Infrastructure and Planning. This form and all other

             required application materials should be sent to your assessment manager and any referral agencies.




                              4                                                  Tidal works and coastal management districts-IDAS form 23
                                                                                                             Version 1.0 18December 2009

Page 14

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                                                                                          .:       ..~’’’.’,..~.,-: :~, h-’"         .~, ’::"’:~.: .~,-,’:.:~.:’. ~"~::       "...~.~:.         : :.: ..~~’~::._..’~_:’:-~ ’\l~",t.l"~               ~’:l~"’1!ISII!




           Prescribed tidal work-IDAS fo
           (SustainablePlanning 2009)  Oeve\opnlcnt Counter
                                                   Act 2009 version 1.0 effective 18 December




            This form must be completed for development applications for prescrib d tidal work.                                                                                                           8 JUN 2012

           You MUST complete ALL questions unless the form indicates otherwise.                                                                                                                                                                 all necessa
                                                                                                                                                                             g{{f{~illfout
            information and documentation will result in your application not                                                                            being ncomPlet~f:~N
                                                                                                                                                               prop.!dY.     ppheatt.

            For all development applications you must:

             .           complete Application details-IDAS form 1
             .
                         complete any other forms relevant to your .application
            .
                         provide any mandatory supporting information identified on the forms as being required to accompany your
                         application.
           Attach extra pages if there is insufficient space on this form.


           All terms used on this form have the meaning given in the Sustainable PlanningAct 2009or the Sustainable Planning

            Regulation 2009.

           This form can also be completed online using Smart eDA at www.smarteda.qld.gov.au


                                                                                                                                                                                                                                       ~


      11.          What type of approval Is sought?


                             development permit

           ~                 preliminary approval


            2. What Is that nature of the                                    prescribed tidal works and the nature of the use? (tick applicable box/es)

                                                                                                                       Private use                  Non-private use                             Estimated value of completed works ($)


            D                jetty, pier or wharf                                                                      D                            D
            D                mooring pile                                                                              D                            D
            0 deck                   or boardwalk
                                                                                                                       0                            D
            D                boat ramp or spillway                                                                     D                            D
                             pontoon                                                                                   D                            D                                      (0)            ~ 60I ()(X)
          ~                  revetment, sea wall or retaining wall                                                     D                            D
                                                                                                                                                                                                     "




            0 other-please specify below                                                                               D                            D




                                                                                                                                                                                                                              -
                                                                                                                                                                                                                                       -


                                                                                                                                                         ~1.                                                                                    _
               _        _~      __                        _                   ~            ,.      _~        _   ___.....                         ~"            _~~.....~       "......~        .___~                                                  _   __~__




          ’-’,      ’                                                                                                                                                                                                                                                    ,




                                                                                                                                                                                                                                           Queensfand’
                                                                                                                                                                                                                .




                             r~m’e~’t ~f Infrastructure and PI~nnin’g
                                                                                                                                                                                                                                 \~~
                                                                                                                                 ,




                        p
                                                                                                                                      ,




                                                                                                                                                    QPlan’                                                                ,




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             ""

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                                                                                                                                                                                                                    .

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                                                                                                                                                                                                                                                              ,.,~.

Page 15

  DDD
3. Is the application within a cul-de-sac, a bend In a waterway or other location where the side boundaries of the lot
are connected to the work and neighbouring lots are not at      right angles to the waterway?


~     No
              DYes

4. Has a registered professional engineer of Queensland (RPEQ),or an interstate equivalent, certified that the works
comply with the design and safety provisions of the IDAS code for development applications for prescribed tidal
works in the Coastal Protection and Management Regulation 2003, schedule 4A? (non-mandatory)


      No      D Yes-provide details below
~
Engineers name/s


Organisation name (if applicable)


Postal address




Contact phone number




Fax number (non-mandatory)




e-mail address (non-mandatory)

                                      I@
RPEQ number (orequivalent if interstate)


Reference number of all plans to which this certification relates



5. Confirm that the following mandatory supporting information accompanies this application


Plans certified by a registered professional engineer of Queensland (RPEQ)            Confirmation of       Method of

(or an interstate or international equivalent registered with the appropriate         lodgement             lodgement
professional body) showing:

the location (real property description and boundaries) and dimensions of the
                                                                                                             MIf Llf_ L lJ"’J)
proposed works in relation to the land (including tidal land)that would abut or
                                                                                      ~    confirmed
                                                                                                              PlANS
adjoin the proposed works

the proposed works in relation to the locations and levels of lowest astronomical
                                                                                                              P({1Ac,~
tide, highest astronomical tide, mean high water springs and the coastal
                                                                                      ~    confirmed
                                                                                                                ~v\NS
management district

the slope angles of the beds and banks of the tidal area and the finished levels of   D confirmed                N\A.
the proposed works


Written statements or evidence




              2                                                                       Prescribed tidal work-IDAS form 28
                                                                                           Version 1.0 18December 2009

Page 16

         .~
(   .)




                                                                                                                                               .~..
              ODD
                                                                                                                      A.-{I{ A<. I+6D
     a copy of the certificate of title for the land   (including tidal land)that would abut   I;K1 confirmed
     or       adjoin the proposed works

     details of how the proposed work addresses the IDAS code for prescribed tidal
                                                                                                                       kVlA-<-t+6’>
     work in the Coastal Protection and Management Regulation 2003. schedule 4A
                                                                                               [fJ   confitmed



                                                                                                                      ,q’\1’l4-<-1+t:D     ~



     details of the largest vessel. if any. to be moored at the structure                            conflrmed

                                                                                               ~     not applicable
                                                                                                                      A-s PE,p..
                                                                                                                        P\AJ\JS        .




     evidence that the proposed work will not prejudice the access rights of adjoining         D confirmed
      property owners in the form of:
                   .   letters of support from adjoining property owner, or
                                                                                                                           r0   J It
                   .   plans illustrating a water allocation area

      For applications within a cul-de-sac, a bend in the waterway or other location where the side boundaries of the lot
     connect to the work and neighbouring lots are not at right angles to the waterway


     photos of any constructed neighbouring structures or information about                    D confirmed                ~IA       .




     approved but un constructed neighbouring structures
                                                                                               D not applicable

     Privacy-please refer to your assessment manager for further details on the use of information recorded in this form.



     OFFICE USE ONLY


      Date received                       <:’\:. ,<:_
                                                   ’                I   Reference numbers            c:;,~       ’-~-           ~9




     The Sustainable PlanningAct 2009(SPA)is administered by the Department of Infrastructure and Planning. This form and all
     other required application materials should be sent to your assessment manager and any referral agencies.




                        3                                                                      Prescribed tidal work-IDAS form 28
                                                                                                     Version 1.0 18December 2009

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