00155885.001

"0          AE GRATED PLANNING ACT 1997                                                                                 _IDAS Assessment Checklist, Version 20, 2 April 2007
               Acid sulfate soils                         5.   The application involves development on land situated in an identified’ local government area
            “For more information refer to Guide 10.           and where the surface of the land is: (tick appticable box)
             * Unless you answered ‘none of the above’ fo Q5,   (} (i)  below 20m AHDS and the development will involve the excavation of 1000m3or more of
              the appfication requires assessment by                ,      it       A       tor  below  5m  AHD                                                       Lo
 .            ‘Department of Natural R    and Water                     soil or sediment at or    below   5m      , or
        —      RW)                        ee           |        7 ii) ator below 5m AHD and the development will involve filling the site with 1000m3 or more
      . ___;ifan agency other than. NRW is the assessment               of material                                oe
              " manager for the application, NRW is an advice       .
   .          “agency for the application in rétation tothis =|     (ii) none of the above                                                                                       -7
              “Majot Hazard facilities of possible“       |6.  Does the application involve a material change of use for a major hazard facility or possible
               major hazard facilities.    =   =.       "| __ major hazard facility as defined under the Dangerous Goods Safety Management Act 2001?
    .         For more information refer to Guide:4?.               NO                                                           .           .
              :fyou artswered "YES" to Q6, the application     XX]
              " Fequires assessment by the Departnent of       LJ YES - complete Part L of Form?     -                                                                   an
             . Emergéney. Seivices (DES). ~      ,                                                           .
       _ .    ‘Ifanvagency ottier than OES is the assessment .                                            oo                                                          .
.            7 mariager-for the application; DESisa’ 6                        ,                              .                  Lo                                                :
             jeoncurrence:agency-for the application in-                  :                                                                                              co,
               elation tothismatier                        __.                  oe                                                  .                  oo    .
             ‘Water related development under the         |7.  The application involves:                                                  oS                                  vO
             “Water Act 2000                 ,                  (1 (i)  operational work, for taking or interfering with water under the Water Act 2000, that is:
             ‘For more information about items (a) — (f, refer          (tick applicable box/es)                 .
    ‘         ‘to Guide-15. Formoréinformation about item |.                    7                                 .                        .           .     —          ;
       .     Q), réfer to Guide +4: Does my application                 [[] (a)  in a watercourse, lake or Spring, (eg. a pump, gravity diversion, stream re-direction, weir or
             unvoNe assessment ofareferabiedam?       =)    -                    dam) - complete Part Kz, Ka, Ka, Ke, or Ka of Form 1 whichever is applicable;
        Q vie: you answered “hone. of the above" to:Q7,                 [J (b)   for an artesian bore anywhere in the State, no matter what the use - complete Part          °
             - the’ application: requires assessment bythe                     -             .                    .                                     .                     uo       :
             3 Debartiient of Natural Resourées and Water                        Ks of Form 1,                                .          -                  .
.        7    NRW)           ey.                     os                 [J (c)   fora subartesian bore, in declared subartesian area’, or in a certain area covered
             alfan agency other than NRW is the assessment         .             by a water resource plan, for use for purposes other than stock and/or domestic
             Smanagét for the application; NRWis'a                               us         fete Part K; of Form f:   .           .
    ____     #ebficufrénce’agency: for-the application in ,                         © - complete Pan  Kr of Form 7, .          .         *                  |
             “relation to tis matter.                                   (J (d)   for a subartesian bore, in certain declared subartesian areas, for use for stock
      «        ue                       a                    oe                  and/or domestic purposes - complete Part K; of Form f:
   .         Se                                                         [_] (e)  for taking overland flow water in certain areas covered by a water resource plan
             z  .        -                                                       — complete Part Ks of Form 1:
                                  ;                                     )(f}     for interfering with overland flow water in a drainage and embankment area -
                       ,           wo.                                           complete Part Kioof Form 1                                           .                        .
         ;                              .           an        ‘        (-] (g)   for constructing a referable dam® or works that will increase the storage capacity             =.
             ;             Lo          .                                         of-a referable dam by more than 10% - complete Part Ks of Form 1; or
             oO             oon                            _  §I (i)    none ofthe above.                                                   7
             "Removal of quarry thaterial froma        |8.    Does the application involve development for the removal of quarry material from a watercourse?
             swatercourse —                        .          requiring an allocation notice under the Water Act 2000?                                                "           ,
             “For mhdre iniformationrefer to Guide 16. .           NO -                                    ,                    :        .                            .
              you answered “YES” to'Q8, the application        MM                 Do.                                      .                       ;         :                          .
 us           réquires assessment by the Department of         (J YES - complete Parts Kr and G of Form 1                                                          :
 __. BH Natuial Resourves and Water (NRW).                                                                                                               cs
            “lf an-agency othér than NRW is the assessment |.                                                                        ae
         ' — :ffiatiager for the application,NRWisa =.
             ‘concurrence agency for the application in                                          ‘                               .                     oan
         "> Telation to this matter:   :          ’                                                     |                                       ‘
            é NGté: PartG of Form’ istequired tobe                                      :                            ,      :
   :         completed as thé activity of removing quany ~            -                .            ,       ;                                             .
  .         material from @ watercourse is also an                                                                                                                                 :
          _ Environmentally Relevant Activity (ERA):                ;                   -,          ‘        .                                    :
                   -                                                                    .      .       «     .                           . ;

    .       5 The identified local government areas are: Aurukun; Bowen, Brisbane, Broadsound, Bundaberg, Burdekin, Burke, Burnett, Caboolture, Cairns, Calliope, Caloundra, Cardwell, Carpentarla, Cook,
               Cooloola, Dounglas, Fitzroy, Gladstone, Gold Coast, Hervey Bay, Hinchinbrooke, tsis, Johnstone, Livingstone, Logan, Mackay, Maroochy, Maryborough, Mirium Vale, Momington, Noosa, Pine Rivers,
               Redcliffe, Redland, Rockhampton, Sarina, Thuringowa, Tiaro, Torres, Townsville, Whitsunday.
   .        6 Austratian Height Datum (AHO).           /                                                   mo             .           :                .
            7 The declared ground water areas are listed In Guide 13 Develooment in a dectared catchment area.                  .                                     ,         _
            8  Referable dam is defined under the Water Act 2000.                         .
           “9  Watercourse is defined in sch 10 of the IPA.                                      :
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