Development Application part 1 of 2 · OPW11/0409

Table G - state owned resources (provide details for more than one state-owned resource click on add another
resource button below)


Nature of state-owned resource               Unallocated State Land



                                            q Evidence of an allocation of, or an entitlement to, the resource


                                              Evidence the chief executive of the department administering the
Nature of evidence required (tick the
applicable box and attach a copy of the     q resource is satisfied the developments is consistent with an allocation
                                              of, or an entitlement to, the resource
evidence to this form)

                                                  Evidence the chief executive of the department administering the
                                                  resource is satisfied the development application may proceed in the
                                                  absence of an allocation of, or an entitlement to, the resource




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

       adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H
q      on strategic port land under the Transport Infrastructure Act 1994 - complete table I
       in a tidal water area - complete table J


Table H       Name of water body, watercourse or aquifer

              Noose River

              Name of local government for the tidal area           Port authority for the tidal area
Table J
              (if applicable)                                       (If applicable)

          1   N/A


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

®No       q Yes - ensure the type, location and dimension of each easement is included in the plans submitted

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

q No ® Yes - ensure the nature, location and dimensions of proposed works are included in plans submitted

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

® No - Go to question 15                   q Yes




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