00156B56.001

“         INTEGRATED PLANNING ACT 1997                                                                           IDAS Assessment Checklist, Version 20, 2 April 2007
          Contaminated tand                        17.  The application involves: (tick the applicable box/es)
          Applications involving material change of use LJ (i) reconfiguring a fot for which all of part of the premises are —
            d/          ring a lot may trigger this                        .          .     .
            ~~           ng alot may Kgger                       (a)  premises mentioned in the IPA, schedule 8, part 1, table 2 —
          For mare information refer to Guide §.                    « item 5, including the exemption otherwise provided for by paragraph (d);
          Unless you answered “none af the above” to                « item 6, including the exemption otherwise provided for by paragraph (e); or
          Q17, the application requires assessment by the           « item 7, including the exemption otherwise provided for a mining activity or petroleum
          Environmental Protection Agency (EPA). If an                   tivity; or
          agency other than EPA is the assessment                    ac      '          ,                              .               .
          manager for the application, EPA will be a             (b)  in an area for which an area management advice has been given for unexploded
          concurrence agency for the application in                              .
          vatsbon to this notier,                           ;         ordnance    complete Part N of Form 1
                                                        (] (ii) a material change of use -
                                                                 (a}  made assessable under the IPA, schedule 8, part 1, table 2, items 5 to 7; or
                                                                 (b)  assessable against the planning scheme and if all or part of the premises is in an area
                                                                      for which an area management advice has been given for unexploded ordnance -
                                                                      complete Part N of Form 1
                                                   _    Wii) noneoftheabove
          Electricity infrastructure               18.  The application involves: (tick the applicable box/es)
          for more information refer to schedule 2of the IP CI (i) reconfiguring a lot where any part of the lot is -
          Unless you    red ‘none of the above’ to                 subject to an easement in favour of a distribution entity or transmission entity under the
          018, the application triggers referral to the             Electricity Act 1994 and the easement is for a transmission grid or supply network under
         " agency to which the easement is granted in              that Act; or
    @ favour of as advice agency.                                + situated within 100m of a substation site;
                                                        CJ (ii)  a material change of use, assessable against a planning scheme and not associated
                                                                 with reconfiguring a lot if -
                                                                 e any part of the premises is subject to an easement in favour of a distribution entity or
                                                                   transmission entity under the Electricity Act 1994 and the easement is for a transmission
                                                                   grid or supply network under that Act; and
                                                                 e any structure or work that is the natural and ordinary consequence of the use is, or will be,
                                                                   located wholly or partly in the easement;
                                                        LJ (iii) a material change of use, assessable against a planning scheme and not associated
                                                                 with reconfiguring a lot if any part of the premises is situated within 100m of a substation
                                                                 site;
                                                        LJ (iv) operational work that is filling or excavation assessable against the planning scheme,
                                                                 not associated with reconfiguring a lot, if -
                                                                 e any part of the premises is subject to an easement in favour of a distribution entity or
                                                                   transmission entity under the Efectricity Act.1994 and the work is located wholly or partly in
                                                                   the easement;
                                                                 e the work is located wholly or partly within 10m of a substation site;
                                                  —    1)        none of the above.
   @      Land designated for community            19,  Does the application involve development assessable against the planning scheme and on land
          infrastructure                                designated for community infrastructure?
          _ Applications invotving development on land   ye                       :             .            Ha
          designated for community infrastructure may   (i)  intended to be supplied by a public sector entity; and
         _ trigger this referral.                       (ii) on land not owned by or on behalf of the State; and
            Re, refer to schedule 2 of the              (iii) other than development -
          Ifyou answered “YES” to Q19, the application      (a)  for the designated purpose; or
          requires assessment by the chief executive of                                                i
          the d        administering the Act authorising    (b)  carried out by, or on behalf of, the designator.
          the development for the designated purpose.   ] NO
          lf an agency other than the designator is the
          i assessment manager for the application, the 0 YES
          designating agency will be a concurrence
          agency for the application in relation to this
         matter.                                         .               .    /                                            -

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