00155885.001

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           - INTEGRATED PLANNING ACT 1997                                   ee                                 ___IDAS Assessment Checklist, Version 20; 2 April 2007
             Contaminated-land              ,         17.  The application involves: (tick the applicable boxes)           :                                     so.
             Applications involving material change of use      ;               ‘             hi                          i        _    -                .
    |       ‘andi of reconfiguring a lot may bigger this   LJ {i)  reconfiguring a fot for which all of part of the premises are
            _feferral,                                               (a)  premises mentioned in the IPA, schedule 8, part 1, table 2 -                 :
            For mare information refer to Guide 5.                  __» item 5, including the exemption otherwise provided for by paragraph (d);
             Unless you answered “none of the above" to                « item 6, including the exemption otherwise provided for by paragraph (e); or.   -
             Q17, the application requires assessment by the           ej         i     ing-the   exemption    wi        ‘           ini      ivi                    :
            “Envgonmental Protection Agenoy (EPA). tan                  os en 7, including the exemption otherwise provided for a mining activity or petroleum
             agency other than-EPA is the assessment                      ac ity, or        .       .                      .               .      ,     ,         :
            manager for the application, EPA willbe a                (b}  in an area for which an area management advice has been given for unexploded
            concurrence agenty for the ‘application in                    ordnance - complete Part N of Form 1                                               se
             relation to this matter.                           .            .                                       .                  a
                                                           C1 (ii)  a material change of use -
            .                               :      |                 {a)  made assessable under the IPA, schedule 8, part 1, table 2, items 5 to 7; or
            .                 .                                      (b)  assessable against the planning scheme and if all or part of the premises isin an area     -
                                                    |                   . for which an area management advice has been given for unexploded ordnance -
            mo                                                            complete Part N of Form 1                               a
           eo                 a                ed              (iii) none ofthe above
            “Electricity infrastructure —   "| 48.         The application involves: (tick the applicable boxes)
            Regulator         refer to schedule 2of the IP [J (i)   reconfiguring a lot where any part of the lot is —                       ;           me
            Wiiske  woe      re         “|                           « subject to an easement in favour of a distribution entity or transmission entity under the   =~
             Unless you-answered “none.of the above"to «.                    .            ;                   .                rere
         _  °Q18;the application triggers referral to the °””          Electricity Act 1994 and the easement is for a transmission grid or supply network under
             agency to which'the-easemientis granted in        ‘       that Act; or                   —_
            favour of as advice agency.”                             *' situated within 100m of a substation site;                                             6
                             ae 2 —                +       _] (ii)   a material change of use, assessable against a planning scheme and not associated                  ;
                          Phy          ee oy                        _ with reconfiguring a lot if -
                            mo               ys                   -  » any part of the premises is subject to an easement in favour of adistribution entity or
                                                 7  4.               _ transmission entity under the Electricity Act 1994 and the easement is for atransmission     —_-
                                                                .      grid or supply network under that Act; and  -                   ‘     :        .
                         ,                                           * any structure or work that is the natural and ordinary consequence of the use is, or will be,
                 ot                  .     -                     .     located wholly or partly in the easement; ©          ,               :
                  ;           -         i,      a          (1 (iii) a material change of use, assessable against a planning scheme and not associated
             .             oe          7                            with reconfiguring a lot if any part of the premises is situated within 100m of a substation
                       :       ,                                .   Site;                                                                .        .             —
                              _                        _   Cl (iv)  operational work that is filling or.excavation assessable against the planning scheme,
       .                                                            not associated with reconfiguring a fot, if -          ;                     |
                   :     _                                          * any part of the premises is subject to an easement in favour of a distribution entity or
    .             .       .           .             .                  transmission entity under the Efectricity Act 1994 and the work is located wholly or partly in
=                        -            oF                             _ the easement;                      .                 ,                                ,
                      Bee                         ‘                 e the work is located wholly or partly within 10m of a substation site;     ;
                       ee   Es                             [A (v)   none of the above.                                                 :                           a
   ,        ‘Land:designated'forcommunity’:: “119.         Does the application involve development assessable against the planning scheme and on any
       _    Infrastructure                                designated for community infrastructure?          =                                   ,
            Applications involving-developmenton land = |   ye                        :            ';           a                        .                     ‘     .
            designated for community infastucture may.     (i)  intended to be supplied by a public sector entity; and              .          .            .         .
            “liggerthisteferal,                            (ii) on land not owned by or on behalf of the State; and                              ue
            ‘For more information refer-to schedule 2 of the                                                            Se                   :               Lo          ,
      ;     IPReaulaton.                       ~~   |.     (iii) other than development ~                              a
           If you-answered “YES"to-Q19;ithe application -| _   (a)  for the designated purpose; or                   oa        Le              .         a,
    “     ”_ Fequires-assessment by ‘the. chief-executive of.           :               .            :     ‘                                                .
            the department administering the’Act authoring,    (b)  carried out by, or on behalf of, the designator.      Co               a,
            -the development for the designated purpose.       NO                                                                            ,             -
     '  *   lfani agency other than the designatoris the: ‘ ch
         ___ asSessmerit manager for the application,the   O Yes               .                            :                                            :
      .     “designating-agency-witl be a.concurence af?             .                       ‘           .       :                 _-      .
     ,      agency for the application in relation to this                                     -                         ;                        ,

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