08/0529 - Op Works - Road works & Stormwater [As Published] · 142008.529

 

 

INTEGRATED PLANNING ACT 1997 Part A, Version 3; 1,3 Maret 2008

2. Identify if any of the following apply to the premises by completing Tables D, E, or F. (vote: 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)

 

    
 
 

Table D Complete if the premises are adjacent to or associated with a water tbody, watercourse or aquifer (e. 9 fiver, creek, lake, e cana)

   

 

1

 

 

 

  
 

[1
Table F Comp!

[1

3. __ Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)

 

 

 

 

 

 

 

 

 

 

   

1,519.70 {)m? - hectares (Tick applicable unit}

 

 

 

 

 

 

4. Current use/s of the premises: (e.g. vacant ‘and, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

 

| 1 | Detached Houses

 

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

&) No oO Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application
Proposal details, “ cS
6. Brief description of the proposal (e.g. 6 unit apartment building, 30 fot residential subdivision, a bore, aquaculture)

 

        

 

2 x New Detached Houses

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?

(] No Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application

 

Resource entitlement:aappicahie) «= lunher inonnation. Wprovided iiiie aduice section atthe end of etorm 3

 

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. she application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

No - Got a9 oO Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitlement must be submitted with the application. You do not need to answer Q9 - go to the next section.

    

 

: Ie IOTMaOR Ts proved i in thesadvice Se

9. Complete Table H for applications involving a material change of use; reconfiguration of a it work on land below high-water mark and
not within a canal as defined under the Coasta/ Protection and Management Act 1995; or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.

 

CONSENT -(Fapon

 

 

Table H

 

 

 

 

 

 

 

 

 

 

* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company, 8127 of the Corporations Act 2001 (Cwealth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the |PA website .