Operational Works Application OPW17/0039

                                                                                        Department of Infrastructure,   Local Government and Planning




Table B
 a)    What is the nature of the operational work? (Tick all applicable boxes.)
       D          Road works                         D      Stormwater         D        Water infrastructure


       D          Drainage works                     D      Earthworks         D        Sewerage infrastructure


       D          Landscaping                        d'     Signage            D        Clearing vegetation under the planning scheme


       D          Other-provide         details


 b)       Is the operational work necessary to facilitate the creation of new lots? (E.g. subdivision.)


      ~        No       D Yes-specify               the number of lots being created          1================================
 c)     Are there any current approvals associated with this application? (E.g. material change of use.)

      if       No       D Yes-provide               details below


      List of approval reference/s                                  Date approved (dd/mm/yy)              Date approval lapses (dd/mm/yy)




 2.        What is the dollar value of the proposed                 building   work?                                          $
           (Inc GST, materials and labour.)

 3.        What is the dollar value of the proposed                 operational       work?                                   $ 31$\ oa"tl • O(
           (Inc GST, materials and labour.)

I Mandatory supporting              information

 4.        Confirm     that the following           mandatory   supporting      information     accompanies      this application


 Mandatory         supporting       information                                                         Confirmation     of       Method of
                                                                                                        lodgement                 lodgement

All applications            involving    building    work or operational       work

 A site plan drawn to an appropriate scale (1:100, 1:200 or 1:500 are                                   EJ Confirmed
 recommended scales) which shows the following:

 • the location and site area of the land to which the application relates
      (relevant     land)
 •    the north point
 •    the boundaries of the relevant land
 •    the allotment layout showing existing lots, any proposed lots (including the
      dimensions of those lots), existing or proposed road reserves, building
      envelopes and existing or proposed open space (note: numbering is
      required for all lots)
 •    any existing or proposed easements on the relevant land and their
      function
 •    any access limitation strips
 •    all existing and proposed roads and access points on the relevant land .



                                                                                               IDAS form 6-Building     or operational work assessable
                                                                                                                            against a planning scheme
                                                                                                                           Version 3.1-3 August 2015