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Development Application part 1 of 2 - Application forms MCU12/0066

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                                               SCRC CORRESPONDENCE



                                              11111111111     1111111111
                                                       80474348



     THIS IS THE NEXT PART OF A
 MULTIPLE PART RECORD

              Part   _l_ Of _J_
Application number:            M LLL       ld-( (fj:)~


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       111111                     Integrated Development Assessment System form                                       [T! :_~ ",}’!,"4
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Application Details IDAS form 1                      -




(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)


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.
All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
Planning Regulation 2009.

Applicant details (note:the,applicant is th~ person responsible for making the application and need not be the
owner of the land..The       appli ant is responsible for ensuring the information provided on alllDAS application forms is
correct. Any development p rmit or preliminary approval that may be issued as a
                                                                                                   consequence of this application will
be     issued,to the applicant.)
Please note: If there is more than one applicant, provide additional applicant details by
                                                                                                         clicking the "Add another
applicant" button below.


Name/s (individual or company name in full)                         Robert Scanlan c/- Suncoast Building Approvals


For companies, contact name
                                                                    IJohn   Hill


Postal address
                                                                    IpoBox 1054 Maroochydore QLD 4558


Contact phone number                                                15443   7288


Mobile number (non-mandatory)


Fax number (non-mandatory)
                                                                    154438816
e-mail address (non-mandatory)
                                                                    [email protected]

1. What is the nature of development prop sed? (tick all applicable boxes)



[gJ         material change of use of
                                                     0evelopment Counter
[gJ building work
o operational work
o reconfiguring a lot
                                        premiS)b~-              .




                                                                     3 1 MAY 2012
                                                                                       .". ;.


                                             1----- r ~aroochydore                      .11   ",




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2. What type of approval is being sought?


t:8J development permit
o preliminary approval
o both provide details below
             -




3. Is the    applicatio~,,,!or a mobile and tem~prary enviropmentally relevant ,activity (ERA)?

t:8J    No

DYes complete table A and then go to question 5
             -




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

Table B      -   street addressllot for the premises or street addressllot on plan for the land adjoining or adjacent to the
premises

                                                                                   Lot on plan
                   Street Address
                                                                                   description
                                                                                                         Local government area
                    Unit    Street       Street name and official       Post              Plan type         (e.g. Logan,Cairns)
                                                                               Lot No.
                    No.      No.          suburbllocality name          code             and plan no.

                                     Evans Road,
             1              190                                                2         SP197585       SCC (Noosa)
                                     BLACK MOUNTAIN

t:8J Street address I lot on plan
       Street address I lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
owater
             e.g. jetty, pontoon)
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 (note: place each set of
                   coordinates in a separate row)                          Zone                                Local government
                                                                                             Datum
                                                                          reference                            area   (If applicable)
                        Easting      Northing    Latitude   Longitude

                                                                                         o GDA94
                                                                                         o WGS84
             1
                                                                                         o other



5. Total area of the premises on which the development is proposed (indicate hectares or m2)

40.64ha

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




           11 1    Vacant




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


 New Dwelling




                                                                                                      Application Details   -
                                                                                                                                IDAS form 1
                                                                                                        Version 1.0 18 December 2009

Page 4

                 .,


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


o No
[8] Yes complete either table D, table E or table F as applicable
           -




Table D (note: do not complete this table if lodging the application on-line using Smart
                                                                                                  eDA)


Name of owner/s of the land


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


Signature of owner/s of the land


Date



Table E



Name of owner/s of the land                R & K Scanlan


[8] 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


       By making this application, I, the applicant, declare that the owner has given written consent to the making of
o 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)



[8]No                                    DYes    -

                                                     complete table G


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



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




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




o       in a tidal water area      -

                                       complete table J

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


oNo [8]Yes            -
                          ensure the   type, location and dimension of each easement is included in the plans submitted




                                                                                                   Application Details   -
                                                                                                                             IDAS form 1
                                                                                                     Version 1.0 18 December 2009

Page 5

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

oNo rgJ Yes          -
                         ensure the nature, location and dimensions of      proposed works are included in plans submitted

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


rgJ No   -
             Go to question 15                    DYes


15. Has the local government agreed to apply a supers ded planning scheme to this
                                                                                                          application under
      section 96 of the Sustainable Planning Act 2009?



rgJ    No

DYes provide details below
             -




16. List below all ofthe
                          f~rl1!s and supporting information,,,that accompany this applicatior (include alllDAS
forms, checklists, mandatory}~upporting information etc. that .xiII be submitted as part of this applcation. Note: this
question does not apply for applications made online using Smart eDA)

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


                 1   IDAS forms and checklist, plans, title & SP etc                                       over the counter




117. Applicant’s declartion                      >,? ~    ~w:
                                                            k’              "Iii




                         this
 ~ By making       application,            I declare that all information in this application is true and correct (note: it is
   unlawful to provide false    misleading information).
                                      or




                                                                                                      Application Details   -
                                                                                                                                IDAS form 1
                                                                                                         Version 1.0 18 December 2009

Page 6

         D
Notes for completing this form


Question 8:
      Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is
                                                                                                                 required
      for an application. Section 260(1 )(e) of the Sustainable Planning Act 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 agency, on request from QLeave, or can be completed on the QLeave website at
      www.gleave.gld.gov. au. For further information contact QLeave on 1800803481 or www.gleave.gld.gov.au.

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   f the IDAS process, except where required by legislation (including the
                                                                                          Right to Information Act
2009) or    required by Parliament. This information may be stored in a departmental database. The information
collecte will        ined as required by the Public Records Act 2002.




N



                                                         Council. I have been engaged as the private certifier for the
To:
                                                         building work referred to in this application.


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




                                                                                             Application Details   -
                                                                                                                       IDAS form 1
                                                                                               Version 1.0 18 December 2009

Page 7

       D

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



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


       11
The Sustainable Planning Act 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.




                                                                                        Application Details   -
                                                                                                                  IDAS form 1
                                                                                          Version 1.018 December 2009

Page 8

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    To Suncoast Building Approvals
    Phone: 07 5443 7288
    Facsimile 07 5443 8816
    e-mail: [email protected]
    PO Box W54
    MAROOCHYDORE                 QLD         4558




               OWNERS CONSENT TO LODGING DEVELOPMENT
                                                   APPLICATION FORMS

    PROPERTY DESCRIPTION:


    SiteAddress:.....(q.~.....~~.~.~.......~.~P........ .~.0:’.~.....0!’!?t!.0.FY’::!.........
    LotNo...............................                     PlanNo.............................


    To Whom It May Concern:


    The registered owners of the above site consents to the applicant or the engaged private building certifier submitting any
    development approvals including plumbing for the property as noted above in order to receive a permit to build on the said
    property and have signed below.

    It is also agreed by the owner to give authority for an agent from the engaged private certifier to lodge and sign any council
    or state   government forms necessary for submission for and on our behalf in order to obtain development approvals.

    REGISTERED OWNERlS AS PER DEPT.NATURAL RESOURCES RECORDS


    Name:...~.f?~~.....?..0r.~~.                                                    Name:.............................................


    Signature:.   gScp". .~...
                           ...
                                   .::-:-:   ........... Registered Owner
                                                        ..                         Signature:...    ..............................  Registered Owner
                                                                                                                                  ...




    Postal Address:.... .f.9....~.....$.":~.~......                         .
                                                                                                ~~~2..............................
                                                                                     !-:-t.......



    BUILDER / APPLICANT DETAILS:


    Name:...~.t?.~--v...f’..0.~y................... Signature: ...tC~~.................
    Postal   Address:....f....c:...~..~:..4!.....                     p..~.’1..........~.~........................................




                         NOTE: PLEASE USE BLOCK LETTERS WHEN COMPLETING TIDS FORM

Page 9

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Material change of use assessable against a planning
scheme               -
                          IDAS form 5
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)

This form must be completed for development applications for a material change of use assessable
                                                                                                                  against a
planning scheme.
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 Applicant 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.


This form can also be used for development on strategic port land under the Transport Infrastructure Act 1994.



All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
                                                                                                                                 Planning
Regulation 2009.


1. How is the premises identified I zoned in the applicatlle planning scheme? (if the premises involves
multiple zones, clearly identify the relevant zone for each 101 in a separate row in the below table) Non mandatory


                   Lot description
                                                                         Applicable zone / precinct    Applicable overlays
                   (i.e. street address or lot on plan details)


            11      Lot 2 RP 197585                                      Rural
                                                                                                        bushfire, landslide etc
                                                                                                        N/A for MCU application




2. How is the proposed use/s defined in the applicable planning scheme?



                                                   Planning scheme
                                                                                   No. of dwelling / Days & hours         No. of
                   General explanation of          definition (include each
                   the proposed use                definition in a new row)
                                                                                   tenancy units     of operation         employees
                                                                                   (if applicable)   (if applicable)      (if applicable)
                                                   (non-mandatory)

            11      dwelling                       House                           1                  n/a



3. What type of approval is being sought for the material change of use?



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




4. Are there any current approvals associated with this application for the change of use of the premises? (e

g. a preliminary approval)


~No         DYes      -

                          provide details below




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5. Does the proposed use involve {tick ap licable     boxlesJ

the reuse of existing buildings on the premises            ~ No DYes
new   building work on the premises                        D No ~ Yes
the reuse of existing operational works on the premises    ~ No DYes
new   operational work on the premises                     ~ No DYes


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


                                                                                     Confirmation of       Method of
All applications
                                                                                     lodgement             lodgement
a site   plan drawn to scale (1:1 00, 1 :200 or 1 :500 are the recommended scales)
which shows the following:

.   the location and site area of the land to which the application relates
    (relevantland)
.   the north point
.   the boundaries of the relevant land
.
    any road frontages of the relevant land, including the name of the road
.   the location and use of any existing or proposed buildings or structures on
    the relevant land (note:where extensive demolition or new buildings are
    proposed, two separate plans (an existing site plan and proposed site plan)
    may be appropriate)                                                              ~    confirmed
.
    any existing or proposed easements on the relevant land and their function
.   the location and use of buildings on land adjoining the relevant land
.   all vehicle access points and any existing or proposed car parking areas on
    the relevant land. Car parking spaces for persons with disabilities and any
      service vehicle access and parking should be clearly marked.
.   for any new building on the relevant land, the location of refuse storage
.   the location of any proposed retaining walls on the relevant land and their
      height
.   the location of any proposed landscaping on the relevant land
.     the location of any stormwater detention on the relevant land



a statement about how theproposed development addresses the local
government’s planning schemes and any other planning documents relevant to           ~    confirmed
the application



a statement about the  intensity and scale of the proposed use (e.g. number of
employees, days and hours of operation, number of visitors, number of seats,         ~    confirmed
capacity of storage area etc.)

information that states:

.     the existing or proposed floor area, site cover, maximum number of storeys     ~    confirmed
      and maximum height above natural ground level for existing or new buildings
      (e.g. information regarding existing buildings but not being reused)
.     the existing or proposed number of on-site car parking bays, type of vehicle
      cross-over(for non-residential uses) and vehicular servicing                   D    not applicable
      arrangement (for non-residential uses)




                                                   Material change of use assessable against a planning scheme   -   IDAS form 5
                                                                                              Version 1.018 December 2009

Page 11

ODD
                                                                                       Confirmation of      Method of
                                                                                       lodgement            lodgement
When the application involves the reuse of existing buildings



plans showing the size, location, existing floor area, existing site cover, existing   D   confirmed
maximum number of storeys, and existing maximum height above natural
ground level of the buildings to be reused                                             ~   not applicable


When the application involves new building work (including extensions)


elevations drawn to scale (1:100, 1 :200 or 1 :500 are the recommended scales)
which show plans of all building elevations and facades, clearly labelled to           ~   confirmed
identify orientation (e.g. north elevation)

floor plans drawn to scale (1:50, 1:100 or 1 :200 are the recommended scales)
which show the following:

.   the north point
.   the intended use of each area on the floor plan (for commercial, industrial or
    mixed use developments only)                                                       ~   confirmed
.   the room layout (for residential development only) with all rooms clearly
    labelled
.   the existing and the proposed built form (for extensions only)
.   the gross floor area of each proposed floor area


plans showing the size, location, existing floor area, proposed site cover,            ~   confirmed
existing maximum number of storeys, and existing maximum height above
natural ground level of the buildings to be reused
                                                                                       D   not applicable


When the application involves the reuse of other existing works


plans showing the nature, location, number of on-site car parking bays, existing
area of
                                                                                       D   confirmed
        landscaping, existing type of vehicular cross-cover (non-residential
uses), and existing type of vehicular servicing arrangement (non-residential
uses) of the works to be reused                                                        ~   not applicable


When the application involves new operational work


plans showing the nature, location, number of new on-site car parking bays,
                                                                             D confirmed
proposed area of new landscaping, proposed type of new vehicle cross-cover
(non-residential uses), proposed maximum new vehicular servicing arrangement
(non-residential uses) of the proposed new operational works                 ~ not applicable




Notes for completing this form:
    This form can also be used for a material change of use assessable against the land use plan for Cairns airport
    land or Mackay airport land. Whenever a planning scheme is mentioned, take it to mean land use plan for the
    airport land.

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




                                                         umbers




                                                     aterial Change of use assessable against a planning scheme   -
                                                                                                                      IDAS form 5
                                                                                              Version 1.0 18 December 2009

Page 12

       D
The Sustainable Planning Act 2009 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.




                                                 Material change of use assessable against a planning scheme   -
                                                                                                                   IDAS form 5
                                                                                           Version 1.0 18 December 2009

Page 13

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Material Change of Use                                                                                           -   IDAS Checklist Part 2
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)

This checklist only applies when the development application seeks approval for a material change of use of premises,

You are not required to complete this checklist as part of your development application, however you
                                                                                                                                                                                                     may submit the
checklist with your application if you wish. The purpose of the checklist is to assist you in identifying:

                                       whether you need to make a development application for the proposed development
                                       if a development application is required, the relevant IDAS forms you need to complete as part of
                                                                                                                                                                                                                                  your
                                       application, and
                                       whether you need to give a copy of your application to any referral agencies.

Before completing this checklist, it is recommended that you complete Development Assessment Checklist IDAS                                                                                                               -




checklist part 1. If your development involves reconfiguring a lot or operational works, it is recommended that you also
complete Reconfiguring a lot                                                     -
                                                                                     IDAS checklist 3and Operational works                      -
                                                                                                                                                    IDAS checklist 4, as applicable.

If you are unsure how to answer any questions on this checklist, phone or visit
                                                                                                                                                                your local government, or go to the
Department of Infrastructure and Planning’s website at www.dip.qld.gov.au
All terms used in this checklist have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
Planning Regulation 2009.


Ipart                    1       -    General questions


1.1 ~Is~the propos~d ,,1I~e;~ssessable.c;ley~lopmel1~ un~t~rA~t,$tate plan{1ing,1regolatory provi!i’ip0n a,                                                                                                ’




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I~NO
DYes

1.2 Is the proposed use assessable development under the planning scheme?


                                        .                If the proposed use is not assessable development under a State planning regulatory provision and
                                                         a   planning scheme, go to question 1.17
DNo                                      .               Continue on to question 1.3 if the proposed use is assessable under a State planning regulatory
                                                         provision, but not a planning scheme.

                                         .               You must complete Material change of use assessable against a planning scheme -IDAS
~Yes                                                     form 5
                                         .               Continue on to question 1.4


1.3 Is any part of the land part of a future !tate-controlled road or within 100 metres of a State-controlled road?


    ~No
                                        .                 If your application is assessable development under a planning scheme, the Department of
                                                          Transport and Main Roads is a concurrence agency for your application. You must give a copy of
    DYes                                                  the application to the Department of Transport and Main Roads.
                                        .                 It is recommended that you complete part 2 of this checklist


    1.4                                      2/02: Planning and Managing
                 Do!~(State Planning Policy                              Deve/opm nt.lnvolving ~pid Sulfate Soils apply to                                                   ,.


the deye                          opment~"
                                        !#)l                         ..;"
                                                                                                                 ’,It




    ~No
    DYes                                .                 It is recommended that you complete part 3 of this checklist


                                                                                                                                                                                                                                              H




    >
                 Department of Infrastructure and Planning                                                                      QPlan                                        (t~~;QueenShmd
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Page 14

ODD
1.5 Is any part of the premises located in a coastal management district?


IZI No
DYes         .        It is recommended that you complete part 4 of this checklist




1.6 Is the size of the lot two hectares or larger?


DNo
IZI Yes      .        It is recommended that you complete part 5 of this checklist


1.7 Is any part of the premises in an area for which an area managemenf dvice"has been
                                                                                       given for unexploded
ordnance?


IZI No
             .       You must complete Contaminated land -IOAS form 24.
             .       This application requires assessment by the administering authority (either the chief executive
DYes
                      administering the Environmental Protection Act 1994, or the local government) as a concurrence
                      agency.

Section reference:
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 11


1.8 Is the proposed use of the premises listed in schedule 12 of the Sustainable
                                                                                         Planning Regulation 2009 and
does it meet the specified threshold?


IZI No
             .        This application requires assessment by the Department of Transport and Main Roads as a
DYes
                      concurrence agency


Section reference:
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 14


1.9 Is the proposed use of the premises listed in schedule 13 of the Sustainable
                                                                                         Planning Regulation 2009 and
does it m~et the specified threshold?


IZI No
              .       This application requires assessment by the Department of Transport and Main Roads as a
DYes
                      concurrence agency



Section reference:
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 15


1.10 Is any part of the premises in an interim koala habitat protection area to which the provisions of the South
East Queensland koala State planning regulatory provisions apply?


IZI No
DYes          .       It is recommended that you complete Part 6 (starting from question 6.1) of this checklist


1.11 Is any part of the premises in a koala conservation area or koala sustainability
                                                                                             area, which is located
outside the current SEQ urban footprint area?


IZI No
DYes          .       It is recommended that you complete Part 6 (starting from question 6.3) of this checklist




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                        __"                 .’
                            -""’1f"""   -




ODD
1.12 Is the proposed use associated with a reconfiguration of a lot?


lZl No       .       It is recommended that you complete Part 7 of this checklist

DYes

1.13 Is any part of the premises in a wild river area declared under the Wild Rivers Act 2005?


lZl No
DYes         .       It is recommended that you complete Part 8 of this checklist


1.141s the proposed use for a domestic           housing activity?

DNo          .       It is recommended that you complete Part 9 of this checklist

lZl Yes

1.15 Does the use of the premises include a lot sharing a common boundary with a Queensland
                                                                                                           Heritage place
under t.he Queensland Heritage Act 19921


lZl No
             .       This application requires assessment by the Department of Environment and Resource
DYes                 Management as an advice agency
             .       You must also complete Queensland Heritage Place     -
                                                                              IDAS form 3


Section reference:
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 23


1.16 Is preliminary approval sought for the application under the Sustainable
                                                                                       Planning Act 2009, section 242?

lZl No
             .       This application requires assessment by the Department of Infrastructure and Planning as a
                     concurrence agency
DYes         .       You must complete Preliminary approval varying the effect of the local planning instrument --IOAS
                     form 31


Section reference:
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 24


1.171s the proposed use for a brothel as defined under the Prostitution Act 1999?


lZl No
DYes          .       It is recommended that you complete Part 10 of this checklist


1.18 Is any part of the proposed use on strategic port land under the Transport Infrastructure Act 1994?


lZl No
DYes          .       It is recommended that you complete Part 11 of this checklist


1.19 Is any part of the proposed use on airport land under the Airport Assets (Restructuring and Disposal Act
2008?


lZl No
DYes          .       It is recommended that you complete Part 12 of this checklist




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ODD
1.20 Is the proposed use a major hazard facility or possible major hazard facility under the Dangerous Goods
Safety Management Act 2001?

[gJ No
            .        This application requires assessment by the Department of Justice and Attorney-General (JAG). If
                     JAG is not your assessment manager for the application, the role of the
DYes                                                                                              agency will be as
                     concurrence agency.
            .        You must also complete Major hazard facility   -
                                                                        IDAS form 22.

Section reference:
         Sustainable Planning Regulation 2009, schedule 3, part 1, table 2, item 5
         Sustainable Planning Regulation 2009, schedule 7, table 2, item 8


1.21 Is all or part of the premises on the environmental management register or
                                                                                           cpntaminated land register
under the Environmental Protection Act 1994?


[gJ No
DYes         .       It is recommended that you complete Part 13 of this checklist


1.22 Is all or part of the land forming the premises currently used for a notifiable
                                                                                     activity or if there is no
existing use, was it last used for a notifiable activity?

[gJ No
DYes         .       It is recommended that you complete Part 14 of this checklist


1.23 Is all or part of the land forming the premises currently used for an industrial activity (otherthan for a
mining activity or petroleum activity) or if there is no existing use, was it last used for an industrial activity
(other than for a mining activity or petroleum activity)?

[gJ No
DYes         .       It is recommended that you complete Part 15 of this checklist


1.24 Is any part of the premises in an area for which an area management advice has been given for natural
mineralisation or industrial activity (other than for a mining or petroleum activity)?


[gJ No
DYes         .       It is recommended that you complete Part 16 of this checklist


1.251s the proposed use for aquaculture defined under the Fisheries Act 1994?


[gJ No
DYes         .       It is recommended that you complete Part 17 of this checklist


1.26 Is any part of the premises in a wild river area declared under the Wild Rivers Act 2005?


[gJ No
DYes         .       It is recommended that you complete Part 18 of this checklist


1.27 Is any part of the premises within the South East Queensland designated region?



[gJ No
DYes             .     It is recommended that you complete Part 19 of this checklist




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                          _,....
                                   -,..._____,__. ,~"   ~-




                 .




ODD
1.28 Is any part of the premises within the Far North Queensland (FNQ)designated region?


IZJ No
DYes                 .     It is recommended that you complete Part 20 of this checklist



1.29 Is the proposal for urban purposes, as defined under the Sustainable Planning
                                                                                                             Regulation 2009?

DNo
IZJ Yes          .       It is recommended that you complete Part 21 of this checklist



1.30 Can the proposed use be pe                              ormed without the removal, destruction or damage of marine plants under
the Fisheries Act 1994?


D No             .       It is recommended that you complete Part 22 of this checklist

IZJ Yes


1.31 Is any part of the premises within the Wide Bay Burnett (WBB)
                                                                                            designated region?

IZJ No
DYes             .       It is recommended that you complete Part 23 of this checklist




Ipart    5   -
                 Vegetation clea ng                                                                                                  w




15.1 Does    the lot contain the following?


category A or B shown on a property map of assessable vegetation                                      DYes               ~No

if there is no property map of assessable vegetation for a lot, native vegetation
shown as remnant vegetation on a regional ecosystem or remnant map.                                   DYes               ~No


          If no to both of the above then end of part of the checklist.


5.2 Is the application for a preliminary;approval under section 242 of the Sustainable Planning Act 2009?


IZJNo
                 .       You must complete Clearing native vegetation --IDAS form 11
DYes             .       This application requires assessment by the Department of Environment and Resource
                         Management as a concurrence agency

5.3 Is the application for a sole or community residence clearing only (asdefined in Schedule 26 of the
Sustainable Planning Regulation 2009)?




I~NO I.
DYes                     End of part 5 of the checklist




                                                                                                     Material Change of Use   -
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Page 18

 ODD
f5.iWiiith;;Ppl~~~i~~-;eg~ion clearing that is operational works made assessabl~-unnder-;~h;dule
                                                                                                                                    .




                                                                                                                                        I
i3, part 1, table 4, item 1, of the Sustainable Planning Regulation 2009, other than operational work that is only
                                                                                                                                        i
~tthe     clearing of regulated regrowth vegetation on freehold land, indigenous land or land the subject of a lease
  issued under the Land Act 1994 for agricultural and grazing purposes?
                                                                                                                                  .-
                                                                                                                                        I
   IZlNo
                        .    You must complete Clearing native vegetation --IDAS form 11
   DYes                 .    This application requires assessment by the Department of Environment and Resource

                             Management as concurrence agency


  5.5 Will the application enable additional exempt operational work as defined in schedule 26 of the Sustainable
  Planning Regulation 2009, other than op,~rational work that is only the clearing of regulated regrowth
  vegetation on freehold land, indigenous land, or land the subject of a lease issued under the Land Act 1994 for
  agricultural and grazing purposes?


   IZlNo
                        .    You must complete Clearing native vegetation --IDAS form 11
       DYes             .    This application requires assessment by the Department of Environment and Resource
                             Management as a concurrence agency

  Section reference:
                Sustainable Planning Regulation 2009, schedule 7, table 3, item 10




[part           7   -
                        Easements and substations


  7.1 Is, or will there be any part of any structure or work that is the natural and ordinary
                                                                                                      consequence of the use
   located completely or partly in the easement?


                             Go to question 7.4

I~NO [,DYes

17.41;any part of the premises situated within 100 metres of a substation site under the EI;ctri~ity Act 1994?
:ill      __
                                                                                                                _I!II!II__




       IZl No
                        .    This aplication requires assessment by the entity responsible for the substation as an advice
       DYes
                             agency


       Section reference:
                Sustainable Planning Regulation 2009, schedule 7, table 3, items 8,9 and 16




                                                                                          Material Change of Use   -
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                                                                                                    Version 1.0 18 December 2009

Page 19

                      ’.




     ODD

     Ipart       21   -
                          Conservation estate


     !21".1 st’h-epr~posed use on a lot situated in, or within 100 metres of, any ofit;;foi;;ing?
     i     ___
                                                                                                                             ._~~
     a    protected area, forest reserve, critical habitat or area of major interest under the
     Nature Conservation Act 1992                                                                 ~No       DYes
     a state forest or timber reserve under the    Forestry Act 1959                              ~No       DYes
     a marine     park under the Marine Parks Act 2004                                            ~No       DYes
     a recreation area under the Recreation Area       Management Act 2006                        ~No       DYes
     a world heritage area listed under the World Heritage Convention
                                                                                                  ~No       DYes
     Brisbane forest park under the Brisbane Forest Park Act 1977                                 ~No       DYes

                 If you answered yes to any of the above, then this application needs to be referred to the Department of
                 Environment and Resource Management as advice agency.


     Section reference:
     Sustainable Planning Regulation 2009, schedule 2, table 2, item 45


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


     Disclaimer:

     While the Department of Infrastructure and Planning (DIP)believes that the information contained on this checklist and
     provided as part of this process will be of assistance to you, it is provided on the basis that you will not rely on the
     information without first making your own enquiries regarding the interpretation and application of the applicable
     legislation to your circumstances.
".




     To the full extent permitted by law DIP expressly disclaims all liability (including but not limited to liability for negligence)
     for errors or omissions of any kind or for any loss (including direct and indirect losses), damage or other
                                                                                                                       consequence
     which may arise from your reliance on this process and the information contained on this form.



     OFFICE USE ONLY



         Date received                                          Reference numbers



     The Sustainable Planning Act 2009 is administered by the Department of Infrastructure and Planning.




                                                                                                 Material Change of Use -IDAS checklist 2
                                                                                                           Version 1.018 December 2009

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