0014CBAC.001

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    "INTEGRATED PLANNING ACT 1997,                  _                     ne    __.          IDAS Assessment Checklist, Version 18.0, 10 November 2006 -
            habitat ane      “gic gev iy vag) 20: The application involves: (tick the appicabie boxes) —   |                                  oF
    >  gies 2a te    Reauote ee “ ie   aes        [J (i) a material change of usé of premises in a koala conservation area or koala’.
       Hee on BORE PEEL aE                            -. Sustainability area made assessable under a-planni  scheme, that is not for a. domestic -
       a   mie nr ane i ga ete et ee aed poms pee See iat                                               ing   :          :
        epee aseeatineieetbe mee)                      activity and     willresultin-                     ~                            _
        Rice     ne eee          ae                      CJ (a) clearing of native vegetation over an ared greater than 2500m?:
       BAAS Gab s eFol n Sh sal oi Gah EN PR LY ff     .               ;                                .         -     .              :
 so    ERAS SoS             pee ens                   -  OJ) anew building and any reasonably associated structure with a total footprint         .
       Bay fer REE PR cle           aie Sere      oo              reaterthan1000m2,                    a            So            ;
       Mabie ccrahol    Bipy hale) eee               .         - oF      onal        "or       .                                          oe
       ie Be lp       gtk   te BSE eke                   Oe an extension to an existing building and any reasonably associated structure if
  vo   geass ae sh Bagger         BSP RSS         ,      .       the extension has a total footprint greater than 1000m2,
 .     ee Gar OUEA Pnes ces ciel Ape ee Eee Ty at ncaa           .     a          :                      .        .             .       .
.      Ke Wiech onecde ieee                   _  ~~      (1 (@) extracting gravel, rock or sand from an area greater than 5000m2,..             .
 .     Paracas Sa gai              a gaee               ‘C1 (e) excavating oF filing an area greater than 5000m?;          oO
  a    oa eo        Ste ea ac i -                        [-1{)   additional traffic in a-koala conservation area or koala sustainability area,
       GE i onboroorste an SIMA AB OE aba                     _  between 6p.m. on a day and 6a.m. on the following day.             .             .
      aoe ee ed   TERS Sek Dt eS TALES Cay cre apads| . .         :      .     °        °                         .     '
 :    YS ere       note.      avs Sasi;       :      .             °       .                  .                     rae                      oa
      fe  oo. be                Rees 8].        (qi) reconfiguring a lot in-a koala conservation area or koala sustainability area that will       ,
       EM cub tn came ae      hy adic                -. resultin                                  .                    7
       ae THR SS ORO teserer          ee]                                       ;
      REPOS                  ee       ae      :       _ Cl fa)   anincreased number of lots;       -           :            oo,
      BS Be      oe ek Foal Pees                        [} (b} clearing of native vegetation over an area greater than 2500m?.
      DR ootoad hoop an ae eo        ee             fo        :          .            wa,             :         befehitt. oc:          :
       GSES ESI SHS RECA RE                    _ C1 (il) operational work in a koala conservation area or koala Sustainability areamade =~
    ORR    ie                SE Shee                    assessable under Schedule 8, Part 1, Table 4, items 1A to 1G (not associated with    Bt
        est se Segd at     gee een                           figuring @ fot mentioned in (ii) above} that will result in the clearing of nati tation
      Bi i ade Se bing ha eg                            JFeconfiguring a k mentioned in (i) above) that will result.in the eanng of nai ve vege'      :
oy SAS CS                                           .   OVer an area greater than 2500m?.                                              ;
      ee                                        [1 {iv) operational work in a.koala conservation area or koala sustainability area made
          oP AE TROIS       SES ke EY              1 ye       .          .      .    _                        eee     as            .        :        :
      DE Re eS RGR Se a            ee               "Assessable under a planning scheme (not associated with @ material change afuso |  =
      Bee ea VERE                                       mentioned in {?) or reconfiguring a lot mentioned in (if) above) that is not for a domestic activity
          re (aT Shaner!              es                and willresultin--                 So                    .         oo            ,
    ae    fey wh SS RAN Boe Sines                       [_] (a) clearing of native vegetation over an area greater than 2500m?;
      Bree     meee . we ee OED                         ED) ‘extracting gravel, rock or-sanid from an area greater than 5000m?,.
      PGA Sues a)                                          (c) excavating or fing an area greater than 5000m?.                       |
          es                                   ld funmeotinedoe ss                                                                      |
     Referral coordination“.        *"° "126.  Does the application trigger referral coordination?                         -
    - (Aalitiaon ruts von   tera esaiatoh|                     oO                :                                 eT                              :
    4 a atte cere pes or                ap      EAVES,      the application: (tick the applicable box/es) —-
       the application invowes rcs s EP                          ee                                               °
    or stating see ad feed           Le              -  Cf)      tigers 3 or more concurrence agencies:                                 oo
     ,     schedule? of 8 of tha [P-Redutation: « .         Meg                  ee   eg,          .    .       no                .           .
        (ii) development which is subséet to ‘ari a “fo * (1) (i) involves a material change of use made assessable under a planning
 "|        application tor pretimiixany-approwal <3) "  ".       scheme and prescribed in schedule 7 of the IP Regulation;                   .
     |.    Tineronied in 83.26 ot the las sy                oS                             ss                           re
     “Fog rhore tikirmaticiy go t6 Guided bad Gunga 6 3 ; C) {iii) - involves a material change of use (ather than a dwelling house, outbuilding
     pe          RISES SSE                                      ge farm building) made assessable under a  plannin scheme, or
                                                                              1g)  Mme                   'p      g
           ;          Co                                        reconfiguring a lot, in an area prescribed in schedule 8 of the IP Regulation;
                                                          Gy stra retina sorovl merionedina46cfhePA
  . ‘Referral agency responses priorto:” “] 27. Did.a referral agency give a referral agency response under $3.3.2 ofthe IPA before the
     ‘Todgement        oe.         ee:        application was made to the. assessment manager?    _- ;             ,                              :
 .. _» Féferraf-agency resporise ofS miattbr. within its” ” :                .                   :      -       .        ‘                 .
     -{uristfiction shout & propisal:betore any dpphicatior ication: . - ;                            So
    “fore propose is hades Oe sSsessrient.          ES attach 2 copy ofte referral agency/s responsels
    manager                         a                 uo                                                  :          ,                          :
    Old Fire aitd Rescue Service):" wt ES wi reg yy —_ wh ates on Wi igen cde, set oh Ih eet tad li aeuteties y . 1 = Ae ie wepstiees resdscare dats pee me MSE . :
     PLEASE NOTE:       The assessment manager may refuse to accept an application, which, at the time of lodgement, fails to provide the      So
            '    "completed IDAS Assessment Checklist (if applicable). ..          .             —              :           *             .
    OFFICE USE ONLY (applicable to assessment   manager) -    ;                          oe                                            OG

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