0015062B.001

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

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