08/1704 - Operational Works - Prescribed Tidal Works - Transport Type 5 - Domestic Marine (Not Properly Made) [As Published] · 142008.1704

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

 

Common details

(OTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form for advice on how to complete this form.

 

Applicant details (the Applicant is the person responsible for making the application and need not be the owner of the land, The Applicants Fesponsibie for ensuring the
‘information provided on the IDAS Application Form is correct. This information is relied upon by the Assessment Manager and any referral agencies when assessing and

‘deciding this application, By lodging this application, the Applicant incurs the obligations and responsibitties prescribed by the IPA, any eveloprmest permit of preliminary
‘approval thal may be issued as a consequence of this application will be issued to the Applicant.)

 

 

 

 

 

Company/organisation name (if applicable) lEmanate |

 

Individual applicani/Contact person (if there is more than one applicant, provide additional applicant details on an attachment to this form)

Postal address [Po Box 1984, TOWNSVILLE QLD 4810 |
Contact telephone number (07) 4727 0100 Mobile phone number (Fl
Facsimile number (07) 4727 0150 e-mail address [email protected]

 

 

 

 

 

 

 

 

 

 

 

‘Details of the premises (ce. the land an which the development is proposed =reler 1a the advice at the end ofthe fom) "os sis 2s ae we ge
1. Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is given to identify the premises)
Table A If the application is for a mobile and temporary Environmentally Retevant Activity (ERA), complete Table A only. Then go to Q2.

 

 

 

 

[ me Name of each local goverment area in which the mobile and temporary ERA is Proposed to operate, = 2

| 1
OR
Table B Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each let in a separate row.)

 

 

 

 

 

(i) {[] Street address / lot on plan for the premises (Appropriate for most applications including building applications); oF

(ii) (2) Street address /ot on pian for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
pontoon etc) (Note: Loton plan details may be obtained from title documents, a ‘Rate’ notice, of from the local government, )

wt Street Address

 

pe ap aa

Lot on. plan description
Unit. Street

sa pe bye Plan type and
No.2] No. “* Sireet Name and oficial suburbocalty name. a | Post Code : | Pian Number:

1 30 | Noosa Parade 14 CPN21842 | SUNSHINE COAST

 

 

 

Local goverment area (e.g Logan:

     

 

 

 

 

 

 

 

 

 

AND/OR

Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lot, in water (e.g. channel dredging in Moreton
Bay) etc.)

 

x «  , , Coordinate:
“Wete: place.each set of coordinate

    
 
 

Local government area
= (f applicable)

 

     

J tongitude

1 ( ocpasa
( weses

(F) Otter -

 

 

 

 

 

 

 

 

 

 

 

 

2, _ Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: in most instances, the premises will not involve any of
the following characteristics, however Some applications may involve one or more of these characteristics - complete only if applicable)