Operational Works Application OPW17/0039

                                                                          Department of Infrastructure,   Local Government and Planning



• details of lighting levels .
Applications     for operational   work involving   public utility services

Drawings showing:                                                                         ~onfirmed
 •   any existing light poles and power poles                                                 Not applicable
 •   any existing underground services
 •   details of proposed services
 •   alteration to existing services .
Applications     for operational   work involving   landscaping   works

 Drawings showing:                                                                        ~onfirmed
 •   the location of proposed plant species                                                   Not applicable
 •   a plant schedule indicating common and botanical names, pot sizes and
     numbers of plants
 •   planting bed preparation details including topsoil depth, subgrade
     preparation, mulch type and depth, type of turf, pebble, paving and garden
     edge
 •   the location and type of any existing trees to be retained
 •   construction details of planter boxes, retaining walls and fences
 • the proposed maintenance period
 • irrigation system details .
Privacy-Please     refer to your assessment manager, referral agency and/or building certifier for further details on the
use of information recorded in this form.



OFFICE USE ONLY

 Date received                                           I Reference numbers
                      ------------
The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




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