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BNreLenee                 Checklist - Applications Involving Land
      om                                 Development & Land Use Sections
                                         {DAS APPLICATION
       This checklist should be used for any IDAS application. Please check each of the following items before accepting an
        application at the counter.                                                            ,
       ASCSAPREICATION. FORMS Ere ie Ger                damon       na      gO wa    Rae ar enon Sue MeN
              1.1.   Form   PartA
                     1.1.1. Ensure that the form is fully compteted.
                     1.1.2 In the case of an MCU or Op Works below the high-water mark, owners consent is required.            .
                           1.1.2.1.  If there are multiple owners, the consent of each owner is required.
                           1.1.2.2   If the owner of the land is a company, either ACN No. or Company Seal required.
              4.2    Form1 Part B-O Supporting Information
                     1.4.2 Ensure that for each box checked on Form A, the relevant additional Forms B-O are attached.
                           1.1.2.1   Ensure that each of Forms B-O which are attached are fully completed.
       BYEREFERRAL INFORMATIONS ni tan cena Pee Gi                           DOM     nrc     bhe aa hae nie iotetecanen
              2.1    Ensure that items 1-23 have been checked and/or completed with regard to referrals.             7]
       SSSR ENVIRONMENTALLY-RECEVANT ACTIVITIES Catia ca                              hm cee UR otan ae                  pe
               a al NN Ne                              ere         Tare  F     a        nay  Lary 7     i     SEED ES [email protected].  Ensure that Part G is completed if EPA referral is required.
              3.2    Where EPA is delegated to Council (see * in ERA checklist), ensure that the correct application
                     fee is paid and recorded on the application.
       AHIRRORIMDS REQUEST OLCHANGE ARDROVAL SATE RS a                                                          EO
              4.1    Ensure that items 1-28 have been checked and/or completed including information regarding
                     applicant details and owners consent.
        ‘BS RANS ECB           eC   Se ER                          Es ea meee                            ree      UR
               5.1   Ensure that at least 6 sets of the Plan of Development (5 for Reconfiguration and Operationa!
                     Works) accompanies the application. in addition ensure that each set is complete.
         .     5.2   Ensure that 1 of the copies of the Plan of Development is in an A3 or A4 format and.is
                     unbound.                                          .
        GPA SUPRORTING INFORMATION Sect otc nie en ae ee a
               6.1.  Ensure that at least 6 copies of any report accompanies the application (5 for Reconfiguration [7k poverty
                     and Operational Works). If the application is accompanied by a covering letter, ensure that it is .        ue)
                     capable of reproduction.
               6.2 _ In the case of reports, ensure that 1 of the copies is in an A3 or A4 format and is unbound.
 @      TREES Ee a                                                         eee               oS
:     :        7.1   Ensure that the application fee, as determined from the Council's adopted scale of fees,
                     accompanies the application or has been paid.
               7.2.  Ensure that the fee which has been paid is recorded on the application form.
        Receiving Officer  Sant HEM                         oc csee     Date ATS OT
        Having completed this form and accepted the application, please deliver both to the following [DAS Application Receiving
        trays:-       uo                                                                      .
        ¢    If the application is for a Material Change of Use exclusively -AOP1’s desk in the Land Use Section.
        e    If the application is for an Material Change of Use & Reconfiguration - AOP1’s desk in the Land Use Section.
        e    Ifthe application is for Operational Works (for parking, access, sewerage or drainage) exclusively — AOD2 in the
             Land Development Section.
         e   Inali other circumstances - AOP1's desk in the Land Use Section.
         Please DO NOT leave the application at the counter and DO NOT deliver the application to Records.

        SEP g:\ant\forms\application checklist.doc                                     .
Full text of the other 19 sections

Section 2

oe            2 2                    artech
                                                           Aa                             PROPERTY
                     |                       MF      RE CE} VED       Yo
                                                     [17 May 2007 -               ARTECH PROPERTIES PTY LTD
                                               o    SHR SA,         fs}           ABN:  33 169 924 894
        16 May 2007                               >           Cit &               PROPERTY DEVELOPERS
                                                              tH                  REGISTERED AGENTS
                                                                                  LICENCED BUILDERS

                                                                                  37 KING WILLIAM ST
                                                                                  KENT TOWN SA _ 5067
        ATTENTION:      LAND USE SECTION                                          T   61 8 8362 1555
                        NOOSA COUNCIL                                             F   61 8 8362 1955

        RE: MCU APPLICATION FOR 33 DOLPHIN CRESCENT NOOSAVILLE
@       We write to advise that, pursuant to discussions with Daniel Smith of your Office, we are
        submitting the enclosed MCU Application for the above property as we are seeking relaxation
        with respect to site coverage inclusive of verandah area.                   .
        Please find enclosed a cheque in the amount of $575.00 for the lodgement fee.                     .
        Should you have any questions, please contact the writer by email or on 0414 866 717.
        Thank you,

        IAN OLIFENT
        M 0414 866 717
©       E [email protected]                                                         \

                                        /                                            Notes acc MCU Applic

Section 3

re x
        t
.                   INTEGRATED PLANNING ACT 1997                                                                                                Part A, Version 2.4, 29 May 2006
                      :           _
                        IU                       Form 1         Development Application                                                                          nee

                    + — The completion of all applicable questions on Part A is mandatory for all applications. Part A must be accampanied by the completed 1DAS Assessment Checklist if
                       i     requiféd, and by.one (1) or more other completed parts of the Fort as required.” For more information onthe parts of the Form réfer to www.iba.gid.gov.au,
                       Any information requested in the form riiay be prdvided in an, attachment:to the-application. For further information about completing the following details, refer to Guide:1. «
                    i Description of land             .       Tt. : Street address: {nclisdinghouse number, street name, suburb/locality name & postcode) (if       applicable)” 4
                    ; KMentified. However, a description of the fand Is not do 32 Bo.      CLFIL.      CRES          EL]         IMMOKALEE
                    a ey Rebrant Achy ER                     ..42,   Name. of water body or watercourse, within which the development is proposed: (itapplicable)          *
                    : development is proposed within a water body or“ :                    -                                   -           :             ———_—          ——!
                    Watecourge. "se 4".                   -  = }3,  -Loton plan description (eg. Lo! 123 on RP 4567) / GPS coordinates:                                 enn
                    ; Adyice for completing Q3-Mosttandcanbe                                             >              >                             -                     :
                    identified by alton plan description, These detais                                       W/O0S8                                                         :
                    can be obtained from-titte documents or through the - -         To                                                                        -
        @           \ocal govemment      ;            me        4,    wot description is for: (tick applicable box)                                4      Some       Eg
                     Hawes, the land on wich the development is .        ‘(i).. the land on which the development is proposed; or                                  2b   RY
                    io developer    propose  a wat Dodo fe      |     [-]\(ii) the land adjoining the water body or watercourse, within which the development is
                      FOI    O€s.           on     lescription {i.6.       v8  ‘i          PC)                                         tae     .   i
                    [NOISE Oe              idige          (ac PROposed;or                           =                               ys                       aa
                    *      Jot‘on plan description for the :             1 yey  ah,                          .                                           .      $        :
                    if adjnng/adjacet tnd: or mu                      [J (iii) the water body or watercourse.                                          pe       Fe
                    ” (il) GPS coordinates where there is no  :                     .          :      .               we                 .               tae
                     eo  pinnafadjpent and fn Moreton Bay)      5.    “Shop/tenancy number:         —  6.   Storey / level:              7.   Total area of land: (m? or ha):.
                    : development is within a.water body or watercourse. ,, | - -  -                              .                     :          _                        j
                    "Advice forcompletna Q8-Q8anpissi           |g    Lggal    government area in which the land is situated: (eg. Esk, Hervey Bay, W         i appticable
                     development i within a local goverment area, ee        go        3     e                      I           (eg. Esk, Hervey Bay, Woocoo efc.) (if applicable}
                    ; focal govemment’s area unless provided for under the }             re               ——                                                                y
                    \ Local Goweminent Act 1983.- |”   ’  .   .[9.   _Port authority forthe strategic port land or strategic port land tidat areaon which the       =»       j
                    "Advice for completing Q9*9 applles# —““  f                     j            * fe         ri             ’     iHle) (i        —             eof.
                    "development ison stalogi port land ora strategic} development is proposed: (eg. Port of Brisbane, Port of Townsville) (if appiicable);      ee          |
                    ;Proposaidétails     -     .   =             110, Existing use of the land: (eg. vacant, single house, shop etc.)          a          ca          age
                     provided in an attachment to the application: .       S/ v6 te            é      SE                                                 .     -            :
                     .            Lb    team                |    111. Proposed use of the larid: feg. 6 unit apartment building, 30 fot residential subdivision; ERA for aquaculture in
                    ‘     Co           ag             a!          _   ponds witha total area of 7 Ha for which wastes are released into watérs etc). ot   ;           ”     t
         eo         —                      oes         on op) L Sovecé                     (2 s7aee7) forse]
                     ‘Other applicable parts of Form1 —-|42. ‘Other parts of Form 1 completed as pait of this application; (eg. ParfD; Patel)                             sj
                    , completed. parts.of Form 1, For information about =| {7}         D>                               _—_.
                    » When’a part of Form 1.may apply refer to ide 4. . 7                          Oo                       ,    vos        Coe               He      le,
                      Applicant details          ,             113.   Applicant'sname:                                  15.  Contact person;                                 |
                     ; abplicant néad not be tia ower of the land. “|     oY           (TELL                           ,            AM       OWFE                _          |
                     : When slaning afd lodaing this application’ ~~ [14. Contactnumber,°                               16. . Facsimile number/e-mail address:           i   i
                     ‘information provided is corect. The assessment |     OYif        366          7)                       |/an ®@ arfechgrotp MOr4                        ass,
                     * manager, any referal agency & the Chief Executive                 :                          .     .                            -        .            4
                     "(where applicable) wilrely on this information when | 17. Postaladdress:                               (OP?)      &362        /9ss°                    ;
                              rege a                apecon |         LSD AINE WALL AM                                  sr      KENT Por                  SA                  S06)
                     ' [tthe aoplicant is a company - a contact person                        -        eof.            a a                      —            ed              {
                    mustbe shown.                                18.  Signature:                    ee                                 19. Dates

Section 4

ods

                   INTEGRATED PLANNING ACT 1997                                                                                                      Part A, Version 2.4, 29 May 2006
                   {Land owner's consent (if appicable)     |-20. ‘Land owner's consent to the making of this application:                       a                           wt
                   4 application must contain, or be supparted by, te *,                    Name                                            gture                     Date
                   written consent of thé land ownar/s, if the application .                                                     “dy       A                                      3
                   : involves:               °          ‘                 i                                                             hbesg
                   : (fl) . reconfiguration of a tot; tk & not within a | (i)                                              JAY 4               ~                                   .
                    (li): work on tand below high-water mark & not within a ii                                           by?                      /-                    t         :
                   _   canal as defined under the. Coastal Protection and we MRP                QAEDA,                     NABAT POS...                                ff
                   "Management Act 1995,0r                                 ~                                                                            .
                   : iv), work on rail corridor tand defined under the et ill)                                                                                                     i
                   ce _ Transport Infrastructure Act 1994... -                               lec eee ewe ee cece bec eee e ce ecw ee eden cece nee cawe esc f ens cwennnenee 1
                   { Section 3.8.1(2}(a) of the IPA providesthat =. |’ le                                                                                                         :
                   * landowner’s consent Is ngt required fora mobile or 1 (iv)                                                                                                    :
                   : tgmporaryERA.   ~*~    Ca                         Yee    nnn ee nn enn            ne cen ee ee pee wn eee nn ne ee ee       tee tener fone seen een
                   } For more information refer to Guide 1,      :        (v)                                                                                                     i
                   ¢         .    :                 .   :        a                                                                                                                rc:
                   { Resource entitlement (i appicable)        | 21.   Does this application involve a State resource prescribed under a regulation (other than invotving- §
                    Section 3.2.4(5) of tha IPA requires evidence of   quairy/material on State coastal tand under the Coastal Protection and Management Act 1995)?.. ©        sk
                   : resource entitlement be given for applications that, af                                                          os
                   involve a prescribed State resource.             :       NO - go to 024           .             [J YES-go0toQ22_                       .             Leon
                   - Section 3.2.4(10){a}{i) of the [PA prescribes that an ;      tg      a             .          .      wie        a,                    Lo          (oe
                   i applcaton cannot ie lken to be property made 22. This. application is accompanied by evidence: (tick applicable box)              ee                          ‘
                    ee     ee          oot ea            “~~     -P “= FE] (i)  ofthe allocation of, or entitlement t6, the resource - attach evidence and go to. Q23(vi)°
                   j Rete i sche   10 of te Integrated Planning ” | ° {_] (ii). thé chief executive of the department administering the résoutce is satisfied the,             . -.
                   1 Tetuied by the Staten support ofthe dging ofthis | +      development is consistent with an allocation of, or entitlement to, the resource                go
                   3 Regulation 1998 that prescribes the nature of evidence | Meg                 consistent      with an:     sation  (       ntitlerr      :       y            a
                   ; development application.     OT                        oe         ;                            .           .      cae:                Ces         es
                   :                  .                   ‘.     |     [[} (iii) the chief executive of the department administering the resource is satisfied the                -
                    BS                                                     “development application may procéed in the absence of an allocation of, or.
       ©            i                        ~     ,     7      J      ="      entitlement to, the resource - go to 023                                   -             ‘         4
                   4         ry        cen          ns   .      yl  :   * wot      #  aa  e   . _?    k .     +7 .                 .   .           .                 .
                   j Advice forcompleting 2323.                         Evidence ofthe resoutce.entitlement             =.                                 tp dl
                    eee Me @aee                                  |:    (i)  . Resource entitlement’ authority details           __._~  {vil)Official stamp of the department
                    ; The official stanip of the Department of Natural S                                                              _     administering the resource (fF «
                    1 Resources, Mines and Water is mandatory where the |, .                       -     -                                  appficable                          “s
                    : application involves any water of riverina quarry“ (ii) Name of delegated officer
                    { Section 3.2.1(5A) allows the resource manager to fimit
                    i the tIme the evidenca may be used,” 023 (vi) must be i)   Pasiti             y                    ‘
                    emi       tet is fo                               (ii).       eT of delegated officer
                    i                        ee        -         Liv)          Pe         ~ officer.                               :
                                           EP                           vy Date                    oe                                                                              |
                    .           :  —       a                     >»     (vi) « Expiry date of evidence (it     appficable)    f                                   Se              |
                    ; Assessment triggers      _                  124:  ts the IDAS Assessment Checklist completed and attached to this application?                  =. -.  =    «4
                    " This checklist does not apply if the application requires + YES. -    .   +     E) NO - the assessment manager may refuse fo accept this application on the’
                    ; must be completed for all other applications. -. b  :                    oa                grounds that the application has not bean properly made  By i
                    4 the completion of Parts A and B of the Form nly. It                                                         :     :                      ”
                    'Plans drawings {reports              -~—=—-|'25. ‘Planis/drawings/reports accompanying this application: =.                                                    |
                     An application should be. accompanied by detailsto. | ~                ;                                                                   |     Date      |
                    | support the proposal & enable the assessment. = |         Plan / Drawing / Report Number                            Title                        Date
                           er,  refefral agencies and any person viewing   :
                    j manages, tferalouenciss aN ry,      wg
                    ; Notification: to understand the scope of the proposal: 4. - PEO) EtE apes, Tana essceranenccsaseccecenenencs LF “ 2.
                    1 the application during public scrutiny or public :   (i)    Pe-o/        Et.                                                                                 i
                    "and any potent mpc.                   —_              ()   ~Lorm             tans                     |:                                      (94/2
                                  oo.                                                 OB.          LMOSAAE LAG ne                                                  MOG /O.
                                               -                           (y                                                                                                      |
                                ~_                 2                      :                                                     =            =      =    —          —_—            wo
                     PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide al! applicable information required by Part A
                                         and any other relevant part of Form 1.
                                                err
                     OFFICE USE ONLY {applicable to assessment manager's
                     eel          $76.00 (atin                          7-5-2007            Se uaee          Varnda             Haley      [ene           | 007/411
                                                           ‘Notification of Engagement of Private Certifier (Optional format):                              ot,
                     To                              :             en      =: |  Council, Lhave been engaged as the private certifier for the building work referred to in this application.
                       Date ofengagement    ./   / | Accreditation Number;        wk __ Name:;                  __-                   _. Signature:                       a

Section 5

INTEGRATED PLANNING ACT 1997                                                                                Part D, Version 2.0, 4 October 2004
           ,     VK            Form 1 Development Application                                                                           idas

            /                    Material                     change                    ofuse                              ‘Hy
           ;         assessable against a local government's planning scheme                                               < y              ay

         Le:            .     Completion of all applicable questions on Part: D is mandatory for all applications involving assessment ofa © =e  {
         i   .          eo            material change of-use (MCU) assessable against a local governments planning scheme. ~   Te  aS     Eee     i
         ' Nature of the application.”   "14.       This application is for: (lick 1 or both applicable) = Se                             pee    od
         [Adevelopment ermit authorises.     ') -—_["] Preliminary approval for a material change of use of prémises iricluding conceptual...   =;
          development to occur, while a préliminary’ “|? = > ‘design for’:   siatéd  works that requi        |   under the planning scheme
         | epprovalis.a step in the approval process |. =... » deSign for any associated works that require approval under the planning sc OMe. fhe. .
         "and does not authorise development to occur,   _- Consideration of the proposal concept):            me                        ae
         po                                     fg,    ANQFORD          ot,     ot                                    i
        [.       cs                            By      ff Development permit for a material change of use of premises including conceptual “*    |
         bes      co   ye                     |         design for any-associated works that require approval under the planning scheme. ~~
©        jThe subjectland            - “     “12.  How the subject land is identified in the planning scheme (name te zone, precinctetc) =.      4
          | the planning scherné against whichthe» =f      =      ti’         4G                =                                                 ;
          ' application will be assessed.    :        .     ee                                              oe                          cs
         .        a             a         a 3.      Existing gross floor area: {if applicable) 280~         MV                   |     _      } “
              FS                            4       neue any éxisting easements on the land?                                    rs
          Po                                           NO                                                  gk                og                -
          }        Se                                (1 YES - attach plans of the location and details of the purpose ofthe easeftient =  aos
          { Material change of use details % 15.    — Details.of the change to the use of the larid: (eg. vacant land to shopping centre, house to apartment building; 4
          ;        :     ao              “|        vacant land to industry (tyre manufacturing) etc.} “             .         oy          a       j
          P        te.          poe          RE     REAACE          E SS PAG        dL:    jCOUE RS        s   inte    WI          SOV OS PAE A.

          * Associated building works details (if. |-g. ° site cover: C.s~S&Y                                   RESRIP,        AITACAED.          ;
          : applicable) . Kom   oo 8     weep                 .                                                   ° “pLAns                 ws     {
          ! For the definition of ‘site cover”, “gross Ror’ 1.9 - Gragg floor area: {[                                        eee                 i
@         area” and.‘storey” go to the plarining scheme rare        ,     -      ———                —         -         PO,                  ei   i
          - against which the application wil b foe                 on                         >                        aa
          i                         S144. Number of storeys / maximum height above natural ground:               [2/b0n Ate. }.
          ;  .     tes   Ce            a      SPiew *  ee amet       ; 3       é       a        oe      7     .     .      3  ae        “oy
          * Associated. operational works détails | 14. Details of associated operational works (eg. landscaping, cut and fil, drainage, road Works etc.) * 2 }

                                                                      PLEASE NOTE
                                         This application cannot be accepted unless accompanied by Part A of Form 1.
              The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information
                                                   requested by Part A and any other relevant part of Form 1.
           a
           OFFICE USE ONLY (applicable to assessment manager)
            Bomeseeve |                                                  ene
                ATE RECEIVED                                   ="   REFERENCE :

Section 6

ui     PF

                    INTEGRATED PLANNING ACT 1997                                                                                          IDAS Assessment Checklist, Version 20, 2 April 2007
                     .      .         cv
                            A        Ree ocneaeeleicen                                                                                                                            GES

                                                                                       (Formerly the “Referrals Checklist”)
                    IMPORTANT NOTE FOR ALL APPLICANTS:
                    1.    This checklist was formerty referred to as the “Referrals Checklist’. Some of the ‘Guides’ to using the IDAS Application Forms continue to refer to this document as the
                          "Referrals Checklist". Tha name of this checklist was changed from 25 Juty 2005 to more accurately describe its function,
                    2.    Under the iPA and IDAS framework, an application may require assessment by the local Council and/or certain Queensland State entities (e.g. Environmental Protection
                          Agency, Dept. of Natural Resources and Water, Queensland Heritage Council etc.).
                    3.    This checklist is provided to assist applicants to determine when an application requires assessment by a Queensland State entity and may also assist the applicant to
                          determine the assessment manager’ for the application.
                    4.    Therefore, the completion of all questions in section 1 of this checklist is mandatory for all applications (other than those requiring the completion of Parts A & B only).
                    5. _ (tis the responsibility of the applicant to accurately complete this checklist.                                                             .
                    6.    Section 2 is mandatory only if the proposed development is located in any part of a wild river area declared under the Wild Rivers Act 2005.    ;
                    7.    Depending on the nature of the application, an applicable State entity may be either the assessment manager or an IDAS referral agency for the application.
                    8.    The assessment manager for the application will rely on the information provided in this checklist (as well as any material lodged in support of the application) to identify
       @                  any applicable referral agencies for the application in the Acknowledgement Notice. The assessment manager will also rely on this information when identifying if the
                          application triggers referral coordination?,
                    9.    To assist you in answering the following questions a series of guides are available free from the IPA website www.ipa.qid.qov.au. Guide 25 explains the role of the IDAS
                          Assessment Checklist in the IDAS application process, and its relationship to the Form 1 development application.
                    10.   Any other parts of Form 1 that this checklist requires to be completed are available fram the Council or the applicable State entity, or can be downloaded free from
                          www.ipa.gid.qov.au.
                   11, Section 3 provides advice about the referrals that can be required fot applications for building work assessable against the Building Regulation 2006.

                      wee: loop SECTION|1i- STATE ASSESSMENT, (completion. mandatory) Save eee ol
                   PERL egies      RR SOR          at         engl             ml dap ala ot  RIN le lig         a      aid, * Mid pg,”                                 Se                 cane
                    Nate: 4 The following state assessment triggers apply to development other than for building work essassable against the Building Regulation 2006. a bon             ee
                   ; Environmentally relevant attivity®:          14.   The application involves: (tick applicable box/es)
                   ; For more information refer to Guided,              (1 (i)    an environmentally relevant activity (ERA) for which a code for environmental compliance
                   j Unless you answered “none of the above" to Q1,.)             has not been made - complete Part G of Form 1
                    the application requires assessment by the               os       eae                                  .                    .                    .
                   i administering authority®:          :       :       (1 (ii)   a mobile or temporary ERA for which a code of environmental compliance has not been
                   : If an entity, other than the administering ~~                made - complete Part G of Form 1
                   ; aulhority, is the. assessment manager for the         (iii) none of the above                                                        ,
                   | application, the administering authority isa
                   ; concurrence agency for the apptication in relation
                   ito this matter. -     .                 -                                                                                                  .
                   { Note: An application involving ERA 19 and/or 20
                   3 Will also require completion of Part Kr of Fotm 1.
                   } for approval where an allocation under the Weter
                   Act 2000 is required                                                                                           ee                                              penn
                                                                                                                                                                             Continued overieaf

                                                                                                                                                                                                         :
            i
                          PLEASE NOTE:            The assessment manager may refuse to accept an application, which, at the time of lodgement, fails to provide the
                                                                          completed IDAS Assessment Checklist (if applicable).
                   espe oe pe I es oem                    ee ee cn oe ee em                                                         =            a                               er
                    OFFICE USE ONLY (epplicable fo assessment manager)
                    RivaTeRECEEO “|                                              |, REFERENCE NUMBERIS.

                    1  The assessment manager is responsible for assessing and deciding an IDAS application. The assessment manager for an application is prescribed in schedula 8A of the IPA.
                    2. For additional information refer to Guide 6 ‘Does my application trigger the referral coordination process?" .
                    3  The ‘administering authority’ may be either the Environmental Protection Agency, the relevant local goverment (for a devolved ERA) or the Queensland Department of Primary Industries and
                       Fisheries (for a delegated ERA).
                                                                                                           Page 1

Section 7

INTEGRATED PLANNING ACT 1997                                                                        IDAS Assessment Checklist, Version 20, 2 April 2007
          , State-controlled road matters         2.   The application involves: (tick applicable box/es)
          ‘ For more information refer to Guide"... .. | [} j) development on land contiguous‘ to a State controlled road and for -                                   |
          : Unless you answered "none 6f the above’ to Q2,                   .                                  .             .
          _ the application triggers referral to the Department C1 (a) material change of use assessable against the planning scheme;                                -
          j  tain  as (OMA) as a referral agency:              (1 (b) reconfiguring a lot unless -                                                                    |
           $n certain circumstances DMR will ba an advice                                        .     :         .
           agency, while in other circumstances DMR will              « the total number of lots is not increased; and
          : be a concurrence agency.                                  « the total number of lots abutting the State-controlled road is not increased;
        See ee Re                     seek you to              (J (c) operational work (not associated with a material change of use assessable against the
           concurrence agericy for the application. .                  planning scheme or reconfiguring a lot mentioned in (b) above)-
          i                                                           * associated with access to a State-controlled road; or
          i    TE       ni aye          IE 7                          e for filling or excavation; or
          or See aie            a wes          an                     « involving the redirection or intensification of site stormwater from the land, through a
         he   rs                   ee                                    pipe with a cross-sectional area greater than 625 cm? that directs stormwater to a
          a       wate                    od                             State-controlled road.
          Bae         ey     ar:                       () (ii) development on land not contiguous to a State-controlled road and -
          per     Bre ae                Te                     CJ (a) material change of use -
            wo       a      a                                         e assessable against the local government's planning scheme; and
          \,    ee                                                    * mentioned in schedule 5 of the IP Regulation and exceeding the thresholds set by
           ryt     edi    choak ge wey        8                         that schedule;
           Se Be        Lange    on     Ro                      [7 (b) reconfiguring a fot for a purpose mentioned in schedule 5 of the IP regulation
                   ay      ee    ET eA                         ,       and exceeding the thresholds set by that schedule;
           es              .     .  .     ot    ‘     .         (J (c) operational work (not associated with a material change of use assessable against the
           Dt                    om  ee     _o                         planning scheme or reconfiguring a lot mentioned in (b) above)—
           whe        BF                    .                         « assessable against the local government's planning scheme; and                         .
@         oe          *                    mo                         « mentioned in schedule 5 of the IP Regulation and exceeding the thresholds set by
         2.               -      as       >    og                       that schedule.
          bos «                         ee       |      tii     none of the above
          {Clearing vegetation    . “13.               The application involves: (tick applicable bow/es)
          tin tore information refer to Guide 12° «|   [] (i)   material change of use -
           Uriless youafiswered “noite of the above” to Q3;: :                       .             :           .
          | the-application requires assessment by the.          (a) assessable against the planning scheme;
          + Department of Natural Resourges and Water                              Fr
          jw                                                     (b) on alot containing                                                         7
          -ifan agency other than NRW is.the assessment              * acategory 1, 2 or 3 area shown on a property map of assessable vegetation, or
          i manager for the applicatian, NRWiS a. 2. 3.              + if there is no property map of assessable vegetation for the lot - remnant vegetation,
          | orcarenne BOeney ie the application in relation    " (c)_ where the existing use of the land is a rural or environmental use; and
          a     :    a     st      , oe  * th   :                                .               .
           Ht you ticked Q3¢) or (i), your application requifes  (d) where the size of the land is 2 hectares or larger - complete Part J of Form 1
          i referral to NRW for assessment regardless-of *:;. CL {ii) reconfiguring alot-
          . whether vegetation, clearing is proposed or not... .                   _,
          ‘ Sorte            Ene                                (a)  ona lot containing a category 1, 2 or 3 area shown on a property map of
          j           a eo                                            assessable vegetation or, if there is no property map of assessable vegetation for
          poe               Bap te       won    4                     the lot, remnant vegetation;
          i  Bae de                 ae                           (b)  where the size of the lot before the reconfiguration is 2 hectares or larger;
          ee ae               ee            Seif                 (c)  where 2 or more lots are created; and
@         Dew          ig               a a     OB               (d)  where the size of any lot created is 25 hectares or smaller - complete Part J of Form 1
          -   to                      ms                [J (iti) operational work -
          pee       oe            ,            -                 (a)  for the clearing of native vegetation where the vegetation clearing is made
            ee                                                        assessable under Schedule 8 of the IPA; and
             eB            Pssst                                 (b)  not associated with a material change of use assessable against the planning
          |         oe 2                                              scheme mentioned in (i) or reconfiguring a lot mentioned in {ii) - complete Part J of
          i De             ty Se tage                   fs            vi
          jor              go           Sue 4               (iv) none of the above.
          j Strategic portland,”                 | 4.   The application involves:
           ; For mere information refer to ea vata      [1 (i) development on strategic port land as defined in the Transport infrastructure Act 1994 (TI
           1 If you Ucked (i) «the rélevant Port Authority is the   ;
           i assessment manager for the application: =         Act) - complete Pat of Form 1      ,       .       .       .
           "Ifyou ticked (i) Queeristand Transport isa: : C (ii) a material change of use that is inconsistent with the land use plan approved under the
           , Concurrence agency for the application,           TI Act for the strategic port land - complete Part ! of Form 1
           fom cw                oo          se] Diflijnone         ofthe above

           4  Land confiquous fo a State-controlled mad is defined in scheduta 14 of the IP Regutation to mean land - if part of the fand is within 100m of the State-controlled road; or that is part of a future State-
              controlled road.
                                                                                      Page 2

Section 8

*     ft

                 INTEGRATED PLANNING ACT 1997                                                                                 IDAS Assessment Checklist, Version 20, 2 April 2007
                i Acid sulfate soils            «  =   s    15.   The application involves development on land situated in an identified’ local government area                            .
                j For more information refer o Guide 10, ;        and where the surface of the land is: (tick applicable box}
                : Unless YOU eset nan ho 008,                     71 (i)  below 20m AHDS and the development will involve the excavation of 1000m? or more of
                + Deparment of Natural Resources and Waler                soil or sediment at or below 5m AHD, or
                (NRW).                             ae             ([] (ii) at or below 5m AHD and the development will involve filling the site with 1000m: or more
                  {fan agenéy other than NRW is the assessment            of material
                } manager for the application, NRW isan advice         -                                              .
                 “ agency for the application in rélation to this Evi     none of the above
                 | Major hazard facilities or possible      |6.   Does the application involve a material change of use for a major hazard facility or possible
                 i Major hazard facilities         ae             major hazard facility as defined under the Dangerous Goods Safety Management Act 2001?
                 } For: more information refer to Guide 17.       of
                 - if you answered "YES" to Q6; the application       NO                                                                                          .
                 | fequires assessment by the Departmentof. .     1 YES - complete Part L of Form 4
                 ; Emergency Services (DES);
                 bes     :      Tie atta           ie EE
                 Lf an agency'ather than DES is the assessment
                 j Manager for thé application; DES isa“: ~”-
                 “concurrence agency-for the-application.in: -.. .                                 .
                 ‘ relation to this matter. wg               enecpeenee ee pepe meter papentegctte eee epenmemime peu ye   en         pon
                 j Water related: development undér the |7.       The application involves:
                 (Water Act 2000.0 0                               C1 (i)  operational work, for taking or interfering with water under the Water Act 2000, that is:
                 j For moré information about items (a) — (fh. refer       (tick applicable box/es)
                 : to Guide 18... For more‘information about item *                 .                               .
 .               1 (g), eter to Guide 14 Does my application” -* .         (J (a)   in a watercourse, lake or spring, (eg. a pump, gravity diversion, stream re-cirection, weir or
                 l volve assessment of a referable dam? =                           dam) - complete Part Ke, Ks, Ks, Ks, or Ks of Form 1 whichever is applicable,
                 "Unless you answered “noné of frie above" to Q7,                                i                    i                                        ;
                 "the apblicalich requires asséssmant by the.              [] {b) for an artesian bore anywhere in the State, no matter what the use - complete Part
                 | Department of Natural Resources and Water                        Kr of Form 1,
      ©          INR                                                       L] (c)   for a subartesian bore, in declared subartesian area’, or in a certain area
                 if an agency other than NRW is the assessment                      covered by @ water resource plan, for use for purposes other than stock and/or                      4
                 ; manager forthe application, NRW is @ . =<                        domestic use - complete Part K; of Form  1;
                 ‘ concurrence agency forthe application in. =                                      -    comp       1 Orrom 1,                                   .
                 j felation to his matter.”               ‘                (J (d) for a subartesian bore, in certain declared subartesian areas, for use for stock
                 i    7       Le                  ae                                and/or domestic purposes - complete Part K: of Form 1;
                 ‘-  So                                                    (] (e)   for taking overland flow water in certain areas covered by a water resource plan
                 pe                            ce                                   - complete Part Ke of Form 1;
                 po.         Meee        ge     Sie                        [1] (f}  for interfering with overland flow water in a drainage and embankment area -
                      a     Mass Ede        wey                                     complete Part Kioof Form 4                                                  .
                  pe Be we RE                      han ap                  (1) (g)  for constructing a referable dam® or works that will increase the storage capacity
                 i    Re                                                            of a referable dam by more than 10% - complete Part Ks of Form 1; or
                 L            sop tee               vs          —    Wii)   none of the above.                          /                                    7             ae
                 {Removal of quarry material froma        .|8.     Does the application involve development for the removal of quarry material from a watercourse®
                 ywatercoutse     .              Se               reqyiring an allocation notice under the Water Act 2000?
                 j For more information refer to Guide 16." -          NO
                 j If you anéweted “VES" to-8, the pplication =
                 ‘ fequires assessment by the Depaftmentof "         J YES - complete Parts Ky and G of Form 1
                 | Natural Resourees-and Water (NRW).
                  | if an agency other than NRW is the assessment
                  ! manager for the application, NRW isa*"'s"
      @            concurrence agency forthe‘appiication.in,                                                                               :
                 * relation to this matter, “ + 4     .
                * | Note: Part G of Forth 1 is requiéd'to be ~
                   completed as the activity of removing. quarry *
                  : material from a, watercourse is also an .. .
                 *t Environmentally Relevant Activity (ERA). Cds       .       oes           sone       bog                         pees coe ta epee           ce    tae eet

                             —_                                            r=",                                                                                                         ;
                  5 The Kentifled local goverment areas are: Aurukun, Bowen, Brisbane, Broadsound, Bundaberg, Burdekin, Burke, Bumett, Cabootture, Cairns, Calliope, Caloundra, Cardwell, Carpentaria, Cook,
                     Cooloola, Dounglas, Fitzroy, Gladstone, Gold Coast, Hervey Bay, Hinchinbrooke, Isis, Johnstone, Livingstone, Logan, Mackay, Maroochy, Maryborough, Mirlum Vale, Momingtan, Noosa, Pine Rivers,
                     Redcliffe, Redland, Rockhampton, Sarina, Thuringowa, Tiaro, Tomes, Townsville, Whitsunday.
                  6 Austraflan Height Datum (AHD).
                  7  The declared ground water areas are listed in Guide 13 Development ip a declared catchment ama.
                  6  Referable dam is defined under the Water Act 2000.
                  3  Watercourse is defined in sch 10 of tha IPA.
                                                                                                   Page 3

Section 9

a     %

                 INTEGRATED PLANNING ACT 1997                                                          _                 IDAS Assessment Checklist, Version 20, 2 April 2007
                { Operational work that.is tidal work or. }9.  The application involves operational work that is: ( tick the applicable box/es)
                “workin COasta) manager eae |                 LI (i)   tidal work’? as defined under the Coastal Protection and Management Act 1995 (the
                * snore information about prescribed tidal work in     Coastal Act) that is not prescribed tidal work - complete Part M of Form 1, of                              .
                focal government tidal areas refer to Guide 24. C1 (ii) tidat work that is prescribed tidal work" other than in a canal’? -complete Part P of Form 4;
                ¢ Unlass you answered ‘none of the above" to 9,       or                                '
                “the application requires assessment by thay |. 5  a                    .
                * Envirorimental Protection Agency (EPA): =   (J {iti) carried out within a coastal management district under the Coastal Act and for - complete
                {If an agency other than EPA is the assessment”        Part M of Form 1 if any box/es (a) to (i) below are ticked.
                 Haetslbhdeaatetr          cation ns                   (J (a)    constructing or installing works in a watercourse between MHWS and HAT (ie.
                       or for thé ai i      iSah  7 GMs                 -                 .      .     .          .          .
                ‘relationtothismatier.                                           other than those works in fidal water) where the development has been determined not
                 bocal government is the assessment managér                      to be assessable against the Water Act 2000 ;
                , all prescribed tidal work,                           [1 (b)    constructing a canal intended to be connected to tidal waters;                  .
                1.         ns          ae                              [] (ce)   constructing an artificial waterway;
                i                                   7                  [1] (d)_  reclaiming land under tidal water;
                [   a                                                  Ci (e)    disposing of dredge spoil or other solid waste material in tidal water;
                i            Pes            oe      oe                 C1 (f) _ interfering with quarry material on State coastal land above high-water mark;
                 Be tee                             iy                 (1) (g)   draining or allowing drainage or flow of water or other matter across State
                 Poe                    eg                                       coastal land above high-water mark;
                 ets        oe Be   gp ae ee            Y                               .     .       .    '
                 Pe         bk     ee      eRe      gE                LI (h)     removing or interfering with coastal dunes on land, other than State coastal land,
                        coat    geal’ eadbeg de    ae                            that is in an erosion prone area and above high-water mark;
                             A, 1 , -       ere                         (J (i)   constructing a bank or bund wall to establish a ponded pasture on land, other
                 a                    “a            ee,           /              than State coastal land, above high-water mark; or                                 :             ‘
                 ee          sbotig’ OB     ta   3  a              .
      @          aatt - &    ee       et    at     oth   Lapeer (iv) none of the above. _ esse er                                        ee es Seen
                | Operational work below high water; °) 10.    The application involves operational work that is: ( tick the applicable box/es)
                43           .             .        .  .                       .                                             .            .                                      ”
                  es t rick alisn reer   Gis i a Fo             (1 (i) tidal work's as defined under the Coastal Protection and Management Act 1995 (the
                | more information about prescribed tidal work in|      Coastal Act) that is not prescribed tidal work - complete Part Mof Form 1;0r
                local goverment el ae’ ah ‘0 et                 [71 (ii) tidal work that is prescribed tidal work" - complete Part P of Form 1; oF
                 Unless you answered. “none of the above’ to. - *   ess     :        wpe                             eyes
                 ai,      psa     tigers referral to" Me        (] (iii) carried out within a coastal management district under the Coastal Act and for -
                /Queensiand Transport (QT).{Maritimg Safety ~: «                  ‘     :                 ;              ;              ore               _
                | Qld) as aconcurence agency. “=e                       (J (a)   disposing of dredge spoil or other solid waste material in tidal water ~ complete Part
                | Local government is thé assessment manager _                   Mot Fam ¢,
                ‘ for all prescribed tidal work:     an                 (J (b)   reclaiming tand under tidal water - comptete Part M of Form 1; or
                Po            +4                    oe                  (J (c)   constructing a canal, if the canal is associated with reconfiguring a lot - complete
                    po      Te                        Th                         Part M of Form 1;
                 8           i                          -       Hin      none of the above.
                j Coastal management;       ”..4...     | 14.  The application involves: (tick the applicable box/es)
                 ‘For more information refer to Guide 18...     [7] (i)  a material change of use assessable under a planning scheme involving operational
                [Uns ou sna a of he abv by ine                           work carried out completely or partly in a coastal management district
                  Environmental Protéction’ Agency (EPA)...     1 (ii)   a material change of use assessable under a planning scheme involving building
                 { if an agéricy other than EPA Is the:agsessment        work, carried out completely or partly in a coastal management district that is -
      @          Hee emai           te apstcabon in erga                 » the construction of a new premises with a GFA" of at least 1000m?
                 f relation to.this maiter. *,       rs                   « the enlargement of the GFA of existing premises by more than 1000m?
                 me            RONG              a   i a             aa               :                                                                    is  SI
                                 en  re                         (J (ili) reconfiguring a fot assessable under schedule 8 of the IPA where the land is situated
                  Sg            a     A       ee                         completely or partly in a coastal management district
                  ey      Ae  ae aT                  UD              ;                .                                                           .          .     .
                  a           gay        ap Lt   sy             C) (iv)   reconfiguring a fot’ assessable under schedule 8 of the IPA and in connection with
                              OR                     ™                   the construction of a canal - complete Part M of Form 1
                  pe          Haye       So,      a,    :
                  Ro          ahd                      |      LM    (W)  mone ofthe above                                           eg

                 10 Tidal work is dafined in sch 10 of the IPA.
                 11 Prescribed Uda! work is defined in the Coastal Protection and Management Regulation 2003 and includes certain tidal works completely or partly within 2 local government tidal area.
                 12 Canal means canal as defined under the Coastal Protection and Management Act 1995
                 13 Tidal work is defined in sch 10 of ihe IPA.                                       .
                 14 Preserbed tidal work is defined in the Coastal Protection and Management Regulation 2003 and inctudes certain tidal works completely or partly within a local government tidal area.
                 15 Coastal management district is defined In sch 10 of the IPA and means a coastal management district under the Coastal Protection and Management Act 1995, other than an area declared as a
                    coastal management district under section 47(2) of that Act.
                 16 GFA Is defined in sch 14 of the IPA to mean the gross floor area. For a definition of how to calculated GFA, go to the planning scheme against which the application is being assessed.
                 47 Under $117 of the Coastaf Protection and Management Act 1995, an application for reconfiguration, where the reconfiguration is associated with the construction of an artificial waterway, must ba
                    accompanied by the application for the operational works to construct the artificial waterway.
                                                                                               Page 4

Section 10

_   INTEGRATED PLANNING ACT 1997                                                                                IDAS Assessment Checklist, Version 20, 2 April 2007
           ' Development within the limits of a       12.  Does the application involve development below high water mark'® and within the limits of a port                        |
          | port:          fo                   ,          under'the Transport Infrastructure Act 1994?                                                                           |
           i Fos more information rafér to Guide 18, For,      NO
          “information about prescribed tidal work referto
           Guide 2b      he         a         ah           (J YES - complete Part M of Form 1, or Part P of Form 1 if the work is prescribed tidal work
           | ff you answered “YES to Q12, the application’ |                                                                                                                      :
           , triggers referral'to the Port Authority.
           , Thé Port Authority Is'a concurrence agency if ihe
           development §—               Se                                                                              .
           "© within 200m of a shipping channel or an entry                                                                .
           qe- and:exit shipping corridor for thé port ©
           1 &, within. 1000m of a swing basin, a commercial
             ” shipping wharf, a mooring, anchorage of spoll                                                                         .
             « grounds;          ye
           te. within 1000m of @ planned port facility |.
             _. Identified in a land use plan approved under                     :
           I “the Transport Infrastricture Act 1994, “? >
           * In all other situation the: Port Authority is an. «:.                               .
           Jadvioe agency                    Bd             ee enna te ge                    ey                   ee ee pee meen
           {Marinas     sy                    ",. ”:]13.    Does the application involve operational work that is tidal work for a marina’? with more than 6
           | For more information refer-to Guide 18. For - vessel berths?
           | ififormation about whether a Marina is prescribed me
           ' tidal work refer to Guide'24. The'local, =’        NO
           * goverfifrient is the asséssmient manager for all. -      .                                           .    .        ,       a   ae
            prescribed ial Work                             (1 YES - complete Part M of Form 1, or Part P of Form 1 if the tidal work is prescribed tidal work
          ‘| if you answered“YES" to Q13,‘the application
            triggers referral to Queensland Fire arid Restire . .
           7 Servioe as anadvice agency. a                  eee    peng           pe     re              ee                         ne      enn
           ; Tidal works in. strategic port land tidal] 14. Doeg’the application involve tidal works within a strategic port land tidal area20?
@          areas                     tm                         NO
           [Fer more informal er refer to Guge 8            [7] YES - complete Part M of Form 1                                       :
           | Uniess you answered."NO*.to Q14; the relevant
           é Port Authority is ihe-assessment manager for-the
           ( application and the Environmental Protection -
           { Agéney (EPA) and Queensland Transporl (QT)
           are conicurence agéncles for the Application.) |          na eee een i                        ppg ee ec                                  ee eee
           {Heritage =<       FFs = 42'-145,                Does the application involve development in a heritage registered place as defined under the
           { For further information refér to’ Gulde.t9.- < * Qugénsiand Heritage Act 1992?
           | Ifyou answered“YES’ to.015; the application « -    NO
           i (ggers referral to the Queensland Heritage ...
           + Council as concurrétide agency for the ,      (_] YES - complete Part C of Form 1
           ‘application.             Ne He    gw
           “Unless you answered ‘fone ofthe, above! to ee       application involves: (het applicable boxes)
           * Q48(6), ‘the applicalién involves referral to the ‘(i)   a material change of use assessable against the planning scheme and the lot shares a
           {Environmental Protection Ageficy as an advice             common boundary with a protected area or registered place under the Queensland
           , agency for the application,                              Heritage Act 1992;
                  en  ea           ee                      [J (i)     reconfiguring a lot if the lot shares a common boundary with a protected area or
             Soe          pe Cenme ee         od                      registered place under the Queensland Heritage Act 1992;
                      we,                                   Hii       none of the above.
              o        ao     eet     ee
            r   Lo     .  mr        .         a
©           Pde ee                       PPE                                                                               .
            i Eo   : te        tot      ee     : e seen          weenie sy une eg                 Sere ee                        ee               ao
             Declared catchment areas = _         x:   |16, The application is in an area declared to be a catchment area under the Water Act 2000 and
             For rffota Information; including a list‘of. th .... involves: (tick the applicable box/es)
            | declared catchment areas within Queenstand,        .            oe            :                .                          we
            ete o Guido fos}                                CA)       reconfiguring a fot     any lot resulting from the reconfiguration is    less than 16 hectares,
            | ues you answered ‘none of the'ébove" to“      [1 (ii)   development assessable against the planning scheme involving the establishment or
            | 16; the application requtes assessment OY ite           expansion of a waste water disposal system, other than a disposal system for carrying
            iw         Bp      BMa    Fosse    rd                     out an environmentally relevant activity under the Environmental Protection Act 1994;
             fan agency other han NRW-is'the assessment     Ais       none of the above
            | manager for the application, NRWis@
            ; concurrence agericy for the application in» | <*
             felation to this matter.              .     ;         ol.             -                              ,       oo                     ge               eens

            18 High water mark is defined in the Coastal Protection and Management Act 1995 and means the ordinary high water mark at spring tide.
            49 Marina is defined in the Transport Operations (Maritime Pollution) Regulation 1995.
            20 Strategic port land {idal areas are the areas generalty 50 metres seaward of high water mark adjacent fo strategic port land.
                                                                                             Page §

Section 11

INTEGRATED PLANNING ACT 1997                                                                       IDAS Assessment Checklist, Version 20, 2 April 2007
          { Contaminated land          =. .4417. The application involves: (tick the applicable box/es)
          aaa        gaa ot may phone use      3]     (1 (i)  reconfiguring a lot for which all of part of the premises are -                                       |
          i aferral,   SR                                       (a) premises mentioned in the IPA, schedule 8, part 1, table 2 -                                    )
          | For more information réfer to‘GuideS; +               e item 5, including the exemption otherwise provided for by paragraph (d);
          | Uniéss you answered “tione of the above" to».         « item 6, including the exemption otherwise provided for by paragraph (e}; or
           a7, the applcatn a       EPA Tat                       * item 7, including the exemption otherwise provided for a mining activity or petroleum
                   :        -          ,     :                       activity; or-
          ‘ agency other than EPA‘is.the assessment: ° «.            ‘     1          .
          | manager for the application, EPA will bea,”         (b)  in an area for which an area management advice has been given for unexploded
          | Conctrtance agency fore Eppa     os                __    Ofdnance - complete Part N of Form 4
          :               Sue     nn G                CJ (ii)  a material change of use -
                   owe Doe                   ee                 (a)  made assessable under the IPA, schedule 8, part 1, table 2, items 5 to 7; or
            a          gh     we    yt     OY             ;     (b) assessable against the planning scheme and if all or part of the premises is in an area
           ca. am              dw          Lt,                       for which an area management advice has been given for unexploded ordnance -
          be       ee                                                complete Part N of Form 1
          Co                                          Aili nome of the above                                                      ee
          ‘Electricity infrastructure’.     < 2118.    The application involves: (tick the applicable box/es)
          ie     4 int  ii       v   J   tag                               .                                 .
          For more Information refer to Schedule 2of the 1P C1 (i) reconfiguring a fot where any part of the lot is -
          t Unteds youn swered ‘none of the-above! to oP        * subject to an easement in favour of a distribution entity or transmission entity under the
          eo the application tigge?s referral to the “=           ectry Act 1994 and the easement is for a transmission grid or supply network under
           agency to which thé easement is aranted in-. £           at  Act; or
           pea as advice. agency.             8                 « situated within 100m of a substation site;
          pe       BT                          om    (1 (ii)    a material change of use, assessable against a planning scheme and not associated
          ci     ge           BO                                with reconfiguring a lot if-
©         |          eed                                        * any part of the premises is subject to an easement in favour of a distribution entity or
          i      ec     ae ee         ET        en                transmission entity under the Electricity Act 1994 and the easement is for a transmission
          eg                                                      grid or supply network under that Act; and                              :
                       a      Ba le                             ° any structure or work that is the natural and ordinary consequence of the use is, or will be,
            =    ee           SO                                  located wholly or partly in the easement;                                :
            “       wes       "est                     Ci) a material change of use, assessable against a planning scheme and not associated
          he                       rn           ,               with reconfiguring a lot if any part of the premises is situated within 100m of a substation
          a         woe          Se                             site;
           po                 ee 1                     EF] (iv) operational work that is filing or excavation assessable against the planning scheme,
          fo                   Be              Y                not associated with reconfiguring a lot, if -
            4       ee                     ag                   ° any part of the premises is subject to an easement in favour of a distribution entity or
            De                              ee                    transmission entity under the Electricity Act 1994 and the work is located wholly or partly in
          {            aS or                                      the easement;
          i      eg                      oe                     e the work is located wholly or partly within 10m of a substation site;
           fe                                LAA                none of the above.                                       ee
          | Land designated for community ....:|19.    Does the application involve development assessable against the planning scheme and on land
           i infrastructure     PB                     designated for community infrastructure?
           : Seated Wremtramiy Rrastucke may    d       (i) intended to be supplied by a public sector entity; and
@           figgor tis referral: ee   le PO al          (ii) on land not owned by or on behalf of the State; and
           ilpRenetor       refentoschedule2ofthe';|    (ii) other than development —
           {if you answered "YES to QI9, the application   (a)  for the designated purpose; or            .
            requires assessment by the chief executive of   b)  carried out by, or on behalf of, the designator.
           ithe départient adrilnisterinia the Act authorising                ,              '
           Ir  development for the designated purpose.      NO                                                                   ;
            It an agency olher than the designator is the
           j Assessment manager for the ‘application; the: ** 0) YES
           ; designating agency will be a concurrénce |. -
           agency for the application if rélation to this
            matter?                                               ec                                     ee oe

                                                                                     Page 6

Section 12

INTEGRATED PLANNING ACT 1997                                                                      IDAS Assessment Checklist, Version 20, 2 April 2007
         {SEQ Regional Plan,                 3/20. The application involves (tick applicable boxes) -
          |For more information refer to Schedule 2 of the CL) (i) amaterial change of use of premises -                                                          .
          PR                ee      eect   ane                       in a Major Development Area in the Urban Footprint for                                       .
          | Refét to Chapter 2, part SA and schedule 10,of ©   (a)   ina . jo          p    io  rea                   p       -
          ; tie Integrated Planning Act 1997, arid schedule -       LJ   (i)   anurban activity -                                                                 |
                     latory Provisions for relevant =                            .              a    as                                    ;                      |
          pani       Be eee                                                [1]   in an area included in a structure plan where the IPA, section 3.1.6
          * Untess you answered "none of the abave". to”                        applies;
          02   the:application requires on by the                          (]_   in an area not included in a structure plan where -
          Ofigaot Urban Mananement oat" ee     :                                e the IPA, section 3.1.6 applies to the application for the material change
          .                           .    ‘                                                   +            i.            .  .               .
                   Ce gh      oe     ae                                            of use; or
          | ge Re, :           Dow      Sys                                     e the premises exceeds 10,000m2; or
                    ee     er ee                                                « the gross floor area (GFA) on the premises will exceed 10,000m2; or
           eo        SR       OF :   7     +    7                                  .                  :     .                           :
           .                               re                                   « impact assessment is required under the relevant planning scheme
                      espn    a             ae                      C (ii)     intensive animal husbandry, or
                eb    teh     SB            ty                      C)   (iii) residential development involving a rural residential purpose
               me         woh      ey         &                  (b) in the Regional Landscape and Rural Production Area for -
           eh   Be    RR NT Ry         Sag  Te                      (1    (i)  anurban activity and not specified in section 2.4(2); or
           SR A             ae gh                                   L)    (ii) residential development involving a rural residential purpose and not
               ee hay ag                    tet                                specified in section 2.6(2)
               oe ee        wt    _—    .   * .                   (c) in the Rural Living Area for an urban activity and not specified in section 2.8(2);
          |        TG ps             Se                           (d) in the Investigation Area for -
     SR               eS ESET               arrest                  {)   (i)  an urban activity and not specified in section 2.10(2);
©           ots BR                        ahs                       ([]  (ii) residential development involving a rural residential purpose and not
           /    Nd key        Bb Se                                      specified in section 2.12(2); or
            Dog       Mee    a Pa os                                CO)  (ili) intensive animal husbandry                                ;
                         ne          os                ("]   (ii) reconfiguring a lot-                                                   :
                Re                                             On land in a Major Development Area in the Urban Footprint thatis:        —;
            og         BEE   Po             .                     (a)  not included in a structure plan; and
            BR                                                ~   {b)  not specified in section 3.1(2).
           ve    ee SMR                      "|                none ottne stove                     np           a ey
            fess  ait   Best, eg Sa om      Re
          : Fisheries matters. eee    eg 21. The application involves: (tick the applicable box/es)                  ,
          + Formore information rater i schedule 2of the IP (J (i) an assessable material change of use for aquaculture - complete Part O; of Form 1;
          (Regulation: =        me                         .                       .               .              .       .e                      ‘ar.
          ' Unless you ariswerdd “none of the above" to: (J (ii) assessable operational work that is the construction or raising of a waterway barrier
          joe  the application réquifes assessment by the       complete Part O3 of Form 7;
          | Denar tnent of Porat sties and Fstetes     CJ (iii) assessable operational work completely or partly within a declared fish habitat area-
          po        eg RB et                                   complete Part O2 of Form 1;
          { Ifan agency ottier than DPI&F is the assessment                                       .                       .                      ;
          j manager forthe application, OPIEF is 3 ‘ad  J (iv) assessable operational work that is the removal, destruction or damage of a marine
           cohcutrence agency for the application in:                .                       .        .
          fre ation 10 items ().~ (wy and an advice agericy     plant - complete Part O2 of Form 1;                                       -
          jin relation toitem (ypc 8                  (1) {v)  development assessable under the IPA, schedule 8, part 1, on fand that adjoins a
©            OY Seah                  ar                  /     declared fish habitat area;
          oe                                 ah            (vi) none of.the above.         eg

                                                                                    Page7

Section 13

INTEGRATED PLANNING ACT 1997                      :                             .               IDAS Assessment Checklist, Version 20, 2 April 2007
          | integration of fand use and public “| 22. The application involves: (tick the applicable box/es)—
          Pee       raaion refet 10 Guide 23, schadulle (1 (i) a material change of use assessable against the planning scheme for a purpose
          1 8A of the IPA, & schedul6.2 of the [P Regulation. mentioned in schedule 43C of the IP Regulation and exceeding the thresholds set by that
          | Unless you afiswered “none of the above", the    schedule.
           application triggers referral toOQT asa = **
          concurrence: agency.    .          an       (-] (ii) reconfiguring a lot—                                                 .
              -        can ee      Ce                          [1] (a)  on land that is completely or partly within a public transport corridor, and the
                    Me             a                                    total number of lots increases;
                                  re                           C)(b)    on land that is completely or partly within a future public transport corridor or
          re                                                            an airport's public safety area;
                                    rn                         (J (c)   on land that is within 400m of a public passenger transport facility or a future
          i          mem                  “                             public passenger transport facility, and the total site area is 5000m? or greater;
           pe                                                 (1) (d)  for a residential purpose within the 25 ANEF contour for an airport;
          ia          cS                     :                 LJ (e)   for a residential purpose resulting in 100 or more allotments.
             Bes     ee                                [7 (ii) operational work assessable against the planning scheme, but not associated with a
           a                ee ae                             material change of use mentioned in (i) above or reconfiguring a lot mentioned in (ii)
            AME RE ofa nS                                     above, on land that—
           Pomeg Swat or                 oe                    [1 (a) _ is completely or partly within a public transport corridor or a future public
             ee                                                         transport corridor;
           hag cet         ee                 gt               (J (b)   will result in work that encroaches into an airport's operational airspace.
           [ ee                            EL        Aw none ote above            ce                                               oe      ee
           Railway safety and efficiency oo   ' 23. The application involves: (tick the applicable box/es)—
           ; For mote information refer to Guide 23, schedule (J (i) a material change of use assessable against the planning scheme for a purpose
 @         Bhar te IPA & seheaus 2of he (E Raauiaton <s 7     mentioned in schedule 13D of the IP Regulation and exceeding the thresholds set by that
           {Unless you afiswefed “none of the above’, the. ;
           * application triggers refeiral to QT-asa          schedule.
           concurrence agency. ~                      C1] (ii) reconfiguring a fot—
           ie        DE         on,        7                   (J (a)   on land that is completely or partly within a future public transport corridor,
:          yo               Lo        Ste                               future railway land or a railway tunne/ easement;
              Coe    Beeb       we                             (C1) (b) — on land that is within 400m of a Citytrain passenger railway station or a future
           :        cee             te Bae                               Citytrain passenger railway station, and the total site area is 000m? or
           |                        cue     wa                           greater;
              eo         Son         TS                   ~    (1) _ onland that abuts rail corridor land, commercial corridor land or future railway
           : *                nn     OO                                  land, and the total number of jots increases,                              .
           ;        CEE Nee                                    [J (4)    on land that abuts rail corridor land, commercial corridor land or future railway
           Bo                   wee          es                          land and an easement abutting the corridor or future railway tand is created;
                               a                               CJ (e)    on land that is completely or partly within 100m of, and abutting an approach
           Sw                              wo                            to, a railway level crossing, and the total number of lots increases;
           poo        ete                   aes                CJ (f}    for aresidential purpose resulting in 100 or more allotments.
           L      woe tte            :     “a             (ili) operational work assessable against the planning scheme, but not associated with a
           | oe ty 5        Be     iy      ett                material change of use mentioned in (i) above or reconfiguring a lot mentioned in (ii).
           i  tg eg                                           above, involving extracting, excavating or filling greater than 50m*, on land that—
           pO                                                  [J (a)    is completely or partly within rail corridor land or commercial corridor land, and
 @         pP         ONE                                                the work is not for rail transport infrastructure or other rail infrastructure;
           pF         Re            Mes                        (1) (b) _ is completely or partly within future railway land, or a railway tunnel easement,
           oe             *     a                              [1 (c)    abuts rail corridor land, commercial corridor land or future railway land, and .
           Poe        aR                               di                the work is within 25m of the railway boundary.
           po            RE                                (iv) none of the above.
           !Moonié:to Brisbane pipeline     °  |  24. The application involves the easement for the construction or operation of the Moonie to
           ‘ For mofe information refer ta schedule 2of the IP Brisbane strategic pipeline, and involves: (tick the applicable box/es)—
           jReaudion                                   C1 (i) a material change of use assessable against the planning scheme and not associated
           | Ure. a         ere enaorat                       with reconfiguring a lot, and any structure or work will be located wholly or partly in the
           { pipeline licence No‘1 issuéd under'thie Petfoleum easement.
           { Act 1923, currently Santos QNT Ply Lid, for: } (ii) reconfiguring a lot
           — ee               er            aos        (1 (ii) operational work assessable against the planning scheme, that is filling, excavation,
           Bo                 we  gf                          compaction, drilling, boring or piling not associated with a reconfiguring a lot, and the
           i                                  «         , work is located wholly or partly in the easement.
                         CS                                (iv) none of the above.                                                      oe

                                                                                   Page 8

Section 14

h    a                                                                                                 .

               INTEGRATED PLANNING ACT 4997                                                                     IDAS Assessment Checklist, Version 20, 2 April 2007
               iKoalahabitatarea               .   | 25. The application involves: (tick the applicable box/es)—                                                     |
               akeit      he Pheniek euee 2822     |  ~—   L1¢i) a material change of use of premises in a koala conservation area or koala                          .
                Unless you ansivered ‘‘ione of the above", tha     sustainability area made assessable under a planning scheme, that is not for a domestic
               ' application requites referral to the Environmental activity and will result in -                                                                    =
               | Protection Agency as a concurrence agency.        (1 (a)  clearing of native vegetation over an area greater than 2500m?,
               PR                               oo                 (J (b)  anew building and any reasonably associated structure with a total footprint
               foot                    SEE                                 greater than 1000m2;
               Sa                                                  [-] (c) an extension to an existing building and any reasonably associated structure if
               meee           oO     Np       Se                            the extension has a total footprint greater than 1000mz2,
              t.    Seog         gt  eB      wg                    (J (d) extracting gravel, rock or sand from an area greater than 5000m2;
               Pop      row le Fons              :                (J (e) excavating or filling an area greater than 5000m?;
               ' .              ae pee          es                 C (f)   additional traffic in a koala conservation area or koala sustainability area,
                 Cong eaye     e        age                                 between 6p.m. on a day and 6a.m. on the following day.
                fe ok! “BE Pi        Wed     _   bs        CJ {ii) reconfiguring a fot in a koala conservation area or koala sustainability area that will
                pre     ee      Ce    wk     tS                    result in -
               Se             eta                    |             C) (a)   an increased number of lots;
               i                                                 () (b)     clearing of native vegetation over an area greater than 2500m?.
               Pa      ye      ate           pees   ot     7 (iii) operational work in a koala conservation area or koala sustainability area made
                ee                    ae                           assessable under Schedule 8, Part 1, Table 4, items 1A to 1G (not associated with
                               ne            es”                   reconfiguring a lot mentioned in (ii) above) that will result in the clearing of native vegetation
                Ne ew                    wee                       over an afea greater than 2500m?.
                 meee             eRe. ae                  C1 (iv) operational work in a koala conservation area or koala sustainability area made
               i       ure        ee                               assessable under a planning scheme (not associated with a material change of use
     @         ,!           -      »      se                       mentioned in (i) or reconfiguring a lot mentioned in (ii) above) that is not for a domestic activity
                 we       RE                                       and will result in -
                 po             Be            se                   C (a)    clearing of native vegetation over an area greater than 2500m?;
               Bow                           aye                  (-] (b) extracting gravel, rock or sand from an area greater than 5000m2;
               } —         a Pe          Te, oe                    {1 (c) excavating or filling an area greater than 5000m?.
                           ae  a                     __Alurnone ofthe above,                     ae ee                                     gm
               iwi   fiverarea.™”  =.  “<"" *    ~    “126, Does the application involve development in a wild river area declared under the Wild Rivers Act
         .     { For mate information, refér to Guide 27 Je 2005                                                .
                If you answered YES:to'26, you ‘must also”     NO
                complet section 2 of this checklist, This'wiil :: ‘
               [erable you to determin #f your afpicatin can [Yes
                pioceed in a wild river area and which referral ”
               , agency will assess your application against the                     ‘
               , Wild Rivets Code, or if the proposed,
               I development is ‘prohibited’ if d wild river afea.
               ! Note: Devélopment can bé ‘prohibited’ ia wild
               { river area because the application cannot be .
               accepted bythe assessment manager.   fg ee                                          a
               {Preliminary Approval. -    ~  °   |27.     Does the application involve a development for which preliminary approval is sought under
               | If you answered: YES to 027, the application ., Section 3.1.6 of the Integrated Planning Act 1997?
       :        triggers referral to the Department of Local ©”
               | Governmerit, Planning: Sport and Recreation as- NO
     ©         ” aoe 2aeny. "at not, #22 ae a               O YES                                                                                       :
                | Wetlands. ae od gp =        «: Ss}   28, The application involves: (tick the applicable boxes) -
                 Sa       ah                on isa         C1 (i)    amaterial change of use, other than for a domestic activity, assessable against the
                Domestic activity means thé construction or use -         :               we       wa                      :
                "ofa single residence ona lt and any reasciiably ___ Planning scheme that is in or within 100m of a wetland,
                | associated building or structure. Examples of a D iii reconfiguring alot-              .     a
                building oe Stuctre tat‘could be reasonably .        In or within 100m of a wetland that will result in
                "arelakers residence, granny fa, buking oF            1] (a) more than 10 lots being created; or
                | associatéd'with a’singlé residence include:                                   :           .
                | structure used for'a home business ©               (1 (b) lots less than 5 hectares;
                 pte  Ea ee             ee)                    (iii) none of the above
                 Note: Wetland.s defined in tha,Integrated =,
               {| Planning Regulation 1968." = +  .
                ; Unless you answered “none of the above’ to                                                                                                     :
                i Q28,.the application involves referralio thet ~
                :-Envifofiniental Protection Agency as.an advice :.
                gagencyforthe application, =.                        eet           pe iat                                                   Leet eae

                                                                                        Page 9

Section 15

f                INTEGRATED PLANNING ACT 1997                                                                   IDAS Assessment Checklist, Version 20, 2 April 2007
                iConservation Estate        —  "__,,.| 29. The application involves: (tick the applicable box/es}—                                                  :
                hae purposes le defined inthe riegroled     [1] (i) a material change of use for urban purposes that is in or within 100m of any of the            ;
                } Planning Act 1997 as “purposes for which land is  following -                                 .
                 used i sno Soo     on ad commsral -                (J (a)   aprotected area, forest reserve, critical habitat or area of major interest under     4
                 puposes, but not including ervitonmental,                   the Nature Conservation Act 1992;                                                      :
                 { conservation; rural, natufal or wildemess area“.  ["] (b) a State forest or timber reserve under the Forestry Act 1959;
                 purposes®. Fe                  ee                   [1 (c)  amarine park under the Marine Parks Act 2004;
                 { Unless you answered ‘none of the above to         (1) (a) arecreation area under the Recreation Area Management Act 1988;
                 1029, the application involves referral tothe       (1 (e)  a world heritage area listed under the World Heritage Convention;
                 + Environmental Protection Agency as an advice                .                             .
                 { agency forthe application. = wee                  (J (f)  8risbane forest park under the Brisbane Forest Park Act 1977.
                 Bg                      Po        ews       CD (ii) reconfiguring a lot if -
                 i ints    tn Oa         wo       tN                 [7 (a)  any part of the lot is situated in, or within 100m of, any of the following —
                 | eee     oe a          see    atk                         Ll (i)   aprotected area, forest reserve, critical habitat or area of major
                 Bolen           Fag     eg                                          interest under the Nature Conservation Act 1992;
                 bo    eo            ge  eS                            *    (J(i)    aState forest or timber reserve under the Forestry Act 1959;
                 tots                Se                                     C1 (iii) a marine park under the Marine Parks Act 2004;
  ;              foo                             re                         (J (iv)  a recreation area under the Recreation Area Management Act 1988;
    .            i.            eo                                           (J) (v)  a world heritage area listed under the World Heritage Convention;
                    Se                   ee                                          Brisbane forest park under the Brisbane Forest Park Act 1977; and
                  eS                  BO                             (J (b)  the reconfiguration involves more than 10 lots being created, or any lot
                  i ok                                      ° di,            resulting from the reconfiguring is less than Sha;       .
                 Pees                sn                |      dlfiynone ofthe above.                                                              ee

                                                                                        Page 10

Section 16

*
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                                 ct |                                                                                                                                       Ground Floor                                                         HT                                                 AU         ett.       ay   apt         si                        ae  jes       F (06) O32 tS
             oe                                                                                                                                                                                                                                                                                                 “395            Ose                                  ey            WONta BOTT?
                                                                                                                                                                        a,  Level                                            eee   FE                                             SS          ee ee ef         Spel   H =:     aged         aS                                     E [email protected]
                                                                                                                                                                                                                                                                                                       rai td                                              at  BS
                                                                                                                                                    ey

     SECTION A-A                                                                                                                                  4      ~    S3)                                                   FRONT FENCE ELEVATION                                   powder coated metal fencing,                 smooth rendered masonry
   SCALE 4:100                                                                                                                                      NS SS.                                                           SCALE 1:100                                            metallic charcoal grey’         Vi           wall with rebates, paint finish Proposed Residential development
                                                                                                                                                  Ro       Srna                                                                                                                                                          Dutux ‘Self Destruct
                                                                                                                                                                                                                                                                                                                                                        Sts address
                                                                                                                                                                                                                                                                                                                                                         Lot 84 Dolphin Cres., Noosaville, Qld
                                                                                                                                                                                                                                                                                                                                                         Dreving
                                                                                                                                                                                                 |                                                                                                                                                       Elevations
                                                                                                                                                                                                 fy

Section 17

i

                                                                                                |

                             DOLPHIN CRESCENT
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                               GROUND FLOOR PLAN
                                                                                                                                                                             Proposed Residential development
                              SCALE 1:100
                                                                                                                                                                            Sta address
                                                                                                                                                                            Lot 84 Dolphin Cres., Noosaville, Qld
                                                                                                                                                                             Prawing
                                                                                                                                                                             Pians

Section 18

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                                     LANDSCAPE PLAN                              Site Area        607me
                                                                                  Site Cover (enclosed)                                                                                                              18
                                     SCALE 1:100                                        Living    192.9me                                                                                                 h      STRING WLLAM ST
                                                                                        Garage     39.4m2                                 SOFT LANDSCAPE PLAN             i                                     KENT TOW BA 5087
                                                                                       - Total    232.3m2                                                                                                        POR) ee a
                                                                                                                                                                                                                 Fe) 02 198
                                                                                  % Site Cover     38.3%                                 SCALE 1:10                                                              M0814 068 TT?
                                                                                  Ground Floor Verandah Area 37.3ma                                                                                              Eatch@stdguponn
                                                                                                                                                                          i
                                                                                 First Floor Area
                                                                                       ~ Enclosed 213.6me                                                                 ha                      Proposed Residential development
                                                                                        Balcony    40,.8me                                                                (
                                                                                                                                                                                                  Sp adtes
                                                                                 Landscaped Area                                                                                                   Lot 84 Dolphin Cras., Noosaville, Qld
                                                                                       - Soft     182.0m2
                                                                                        Total     291.0me                                                                 tl                      Landscape Plans
                                                                                                              cl                                                          :
                                                                                                                                                                          a

Section 19

AGE                                     7       LAND USE SECTION FEES                                 oo
    Zig         NOOSA                                              :                                            |
                                                                 oo                   RECEIPT TYPE
  SALE OF DOCUMENTS
             Superseded Planning Scheme’Documentation                                       §20              ,
             Copy of Permit/Approval Letter                                                 110
  ,          The Noosa Plan Documentation                                           ;       1114.               :
  APPLICATION FEES:               "                      oo           |                                      .
 sO          Material Change. of Use - Coselimpact
a                  Consistent                                              476.00           521
                   Inconsistent                                -                            521
           . Assessment under Superseded Planning Scheme                                    521°
     .       Modification to a Development Permit            .                              §21   -       Oe
       :     Extension of a Currency Period                        .              .         521
             Operational Works - Landscaping                        -                       521         -
             Bidg Work assessable against the Planning Scheme                               §21
  PRELODGEMENT REVIEW          ~                  ,                                                     :
             Half Hour                                                                      522
             One Hour                                                                       522
  ADVERTISING                        :                                       Oo                       a
             Purchase Advertised Applications —                                             523
  JETTIES                                                      -
             Jetty Application Fee                                                          524
          ~ Jetty Bond                                       ,                               51            ,
                         :                                                              (Category 4)
  BONDS                                    :
             Performance Bond                                                                §1
                                                                                        (Category 9)                 -
  SIGNS                                                        oo                               L
             Registration Fee        mo,               a       a                            222
  SEARCHFEE                                                               :                |
             Search of Land Use Section file                                                112
     @       Liquor Licensing Request                                                       113                Oo
                            —                |            __TOTAL.      $  476.0
  NAME:           LoD    Ihpen ft                _                                  _                .
  ADDRESS:        _47  arn    winaM        Steet                     |                  |                -        .
a           |       pvt                   A     hb                                             |       |
  FILENO:    Z00         Aly                       DATE:   /7-S-0                                               .
  RECEIPT NO::            AK        a.             Signature of TP Officer: /.H                        Oo
  AUTHORITY NO:                 -                            So

                                      13] go07/au/ 3

Section 20

:         ~                             GALGULATION OF FEES                                      oe         |        |
                         APPLICATION                            FEE                      TOTAL              -
                                                                 |               :       FEES
   MCU - CODE ASSESSMENT                   |        ]        |          5          |                           oo
   Details of Development                                            oe               .                                    .

-|Consistent 1.0°          .          .           .     .                                                         _
   Inconsistent 3.0                          ,
_|FEE CALCULATION          —       |          -                                                              7          |

   MCU - IMPACT ASSESSMENT
   Details of Development                                                                                      .      .

  Consistent 1.0
 ‘tInconsistent 3.0
  FEE CALCULATION                           .                                                            m,          ,

  OPERATIONAL WORKS                        SS
  Details of Development                                                                                       De

  FEE CALCULATION

  TOTAL FEES                                                    oo                      5.                             |

                                                                                                 om                        {

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