07/1409 - MCU - Domestic Marine [As Published] · 142007.1409

 

Part A, Version 2. 29 May 2006

 

The comptetion of all applicable questions on Part A ts mandatory for all applications. Part A must be accompanied by the completed IDAS Assessment Checklist if
Tequired, and by one (1) of more other completed parts of the Form as required. For more information on the parts of the Form refer to www.ipa.ald.gov,.su.
Any information requested in the form may be provided in an attachment to the application. For further information about completing the following details, refer to Guide 1,

 

Description of land

All land the subject of the application, must be
Identified. However, a description of the land Is not
Tequired in relation to @ moble or temporary
Environmentally Relevant Activity (ERA).
Advice for completing Q2 - 02 apples if
development is proposed within a water body or
watecourse,

Advice for completing Q3 - Most iand can be

identified by a lot on plan description. These details

can be obtained from title documents or through the

local goverment.

However, if the land on which the development is

proposed does not have a fot on plan description (i.e.

the development is proposed in @ water body or

watercourse) provide -

(i) the lot on plan description for the
adjoining/adjacent tand; or

(ii) GPS coordinates where there is no
adfoiningfadjacent land (eg, In Moraton Bay).

7 - Q7 does pot apply if the
development is within a water body or watercourse.
Advice for completing G8 - 08 apples if
development is within a local goverment area.
Note: Areas below high water mark are not within a
Jocal government’s area unless provided for under the
Local Government Act 1993.

‘Advice for completing Q9 - Q9 applies if
development is on strategic port land or a stratagic
port land tida! area. For more detaits refer to Guide 11.

4.

Street address: (ncludinghouse number, street name, suburtYiocality name & postcode) (if applicable)
‘Drive S66

Name of water body or watercourse, within which the development is proposed: (if applicable)

[Noosa Waters |

Lot on plan description (eg. Lot 123 on RP 4567)! GPS coordinates:

[4 RP BGS SOS

The above description is for: (tick applicable box)

(1(i) the land on which the development is proposed; or

Hii). the land adjoining the water body or watercourse, within which the development is
(7 (ili) the water body or watercourse.

proposed; or
6. Storey / level: 7. Total area of land: (m? or ha):
| LJeelnnz |

Local goverment area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo etc.) {if applicabte)

[Woesa Shire Comme] J

Port authority for the strategic port land or strategic port land tidal area on which the
development is proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable)

 

 

 

Shop / tenancy number:

 

 

 

 

Proposal details

if there is insufficient room available, detalis may be
Provided In an attachment to the application.

10.

11.

 

Existing use of the land: (eg. vacant, single house, shop etc.)

Lowgle LOUuse

Proposed'uge of the land: (ag. 6 unit apartment building, 30 lot residential subdivision, ERA for aquacutture in
ponds with @ total area of 7 ha for which wastes are released Into waters afc).

(Tiniber_ jy ¢ qlee? Leo SHAK DANG.

 

 

Other applicable parts of Form 4
Part A must always be accompanied by other
completed parts of Form 1. For information about
when a part of Form 1 may apply refer to Guide J,

12.

Other parts of Form 4 completed as part of this application: (eg. Part D, Part I, etc)

[é_ 2 Che hus |

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant details 13. Applicant's name: L 15. Contact person:
copia ooelnefbe De cme te ard Seat, WMA CECI.
ng. and lodal l 14. Contact number: 16. Facsimile number/e-mail address:
ieraton ods cred, Tre assent D4 1434-50 (SY 745450 _|
manager, any referral agency & the Chief Executive
(where apofcable) wil rely on this infomation when | 17, Postal address:
Tipeanateantepcompanyacortact exe [FO_BOx <t FT MUR Me FCC.
> 18. Signature: 19. Date: ,
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