OPW14/0307 - Application for Prescribed Tidal Works

     For prescribed tidal works, details of how the proposed work addresses                      I8l   Confirmed     Over the Counter
     the IDAS code for prescribed tidal work in the Coastal Protection and                       D Not applicable
     Management Regulation 2003, schedule 4A.

     If applicable, certification that the design of tidal works is suitable for                 I8l   Confirmed     Over the Counter
     intended use, signed by a Registered Professional Engineer of                               D Not applicable
     Queensland (or equivalent).
     For applications     involving       material     change of use

     Plans certified by a registered professional engineer of Queensland                         D Confirmed
     (RPEQ) or a registered surveyor showing:                                                    D Not applicable
     •    the real property description and boundaries of the land
     •    the proposed works in relation to the location of the coastal
          management district and coastal hazards.
     For applications     involving       reconfiguring       a lot

     Plans certified by a registered surveyor s~owing:                                           D Confirmed
                                                                                                 D Not applicable
     •    the real property description and boundaries of the land
     •    The location of the coastal management district and coastal hazards
          in relation to the land being reconfigured
     •    Any land being surrendered as a separate lot on the plan of
          subdivision.

     For applications     involving       building     works seaward     of a coastal building     line

     Plans certified by a registered professional engineer of Queensland                         I8l   Confirmed
     (RPEQ):                                                                                     D Not applicable
     •    the real property description and boundaries of the land
     •    the proposed works in relation to the location of the coastal building
          line.

    Notes for completing this form
                   .Please ensure all applicable fees are paid, noting that referral agency fees are to be paid to the
                         Department of Environment and Heritage Protection .
                   • For an application requiring referral to the Department of Transport and Main Roads (DTMR), it is
                         recommended that the applicant contact DTMR to ensure that required information for assessment
                        of the application is provided.

    Privacy-Please     refer to your assessment manager, referral agency and/or building certifier for further details on the
    use of information recorded in this form.



    OFFICE USE ONLY

      Date received        ____________                               1 Reference numbers


    The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
    Planning. This form and all other required application materials should be sent to your assessment manager and any
    referral agency.




lepartment of State Development,     Infrastructure   and Planning
'0 Box 15009 City East aid 4002
,113 aGOV (13 74 68)
                                                                                             IDAS form 23-Tidal works and development wit/lin
,fo@dsdip,gld.gov.au                                                                                             coastal managemenl disln'cls
                                                                                                                     Version 3.0-1 July 2013
lWW.dsdip.qld.gov.au