09/1247 - Prescribed Tidal Works [As Published] · 142009.1247

Page 2

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.9. river, creek, fake, canal)

 

Name of water body, watercourse or aquifer (if known)

 

[4 [Noosa Sound Canal

 

Table E Complete if the premises are on Strategic Port Land under the Transport infrastructure Act 1994

 

 

Lot on pian description for strategic port land j Port Authority for the lot
i

 

Table F Complete if the premises are in tidal water

 

Name of focal government for the tidal area (if applicable) Name of port authority for the tidal area (if applicable)

 

 

 

[1 | Sunshine Coast Regional Counci

 

 

3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)

 

Total area of premises

 

628.00 &)m? [hectares {Tick applicable unit)

 

 

 

 

 

‘Existing use of the premises |
4. Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

 

| 1 House

 

5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc.)?
& No O Yes - Ensure the type, focation and dimensions of each easement are included in plans, submitted with the application

 

[Proposal details

 

6. Brief description of the proposal (e.g. 6 unit apartment building, 30 tot residential subdivision, a bore, aquaculture)

 

Existing pontoon

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?
Oo No Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application

 

‘Resource entitlement (i applicable) - further information is provided in the advice section at the end of the form

 

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

Kl No - Goto a9 Oo Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitlement must be submitted with the application. You do not need to answer Q9 - go to the next section.

 

‘Owner’ 's consent (if appiicable} _- further information is provided in the advice section at the end of the form”

9. Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.

 

 

 

 

 

 

 

Premises Owner's name/s Details of the premises owned . Date consent
Table H and postal address (street address or lot on plan description) Ow {ure was obtained
Glen Francis Edward Bewley
4 C/- PO Box 299 Noosaville | 7 Wyuna Drive Noosaville. QLD 4566 . 02/09/2009
QLD 4566 t
Lynette Bewley
2 C/- PO Box 299 Noosaville | 7 Wyuna Drive Noosaville. QLD 4566 Ss2iosr2009
QLD 4566 A

 

 

 

 

 

 

 

 

 

* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent If the owner is a company, $127 of the Corporations Act 2001 (Cweatth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the IPA website .

Page 3

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

‘Attachments and supporting information (Complete Table | - Use a separate row for each type of attachment or information, including information required
lunder this Parl) Please ensure alf documentation submitted with this farm, including other Parts of Form 1, or owner's consent, etc, are securely attached lo this Part of the Farm.
Description of attachment or information Title (a i
, plicable) Method of delivery to
Fable | (95 Pat Co Fem 1 mers conser evince Of SNT® | (ag. Genera Auth. ames Steet Tate Report Date | assessment manager
1 Part P 02-Sep-2009 | over the counter
2 Checklist 02-Sep-2009 | over the counter
3 John Norden G & L Bewley 7 Wyuna Dr 02-Sep-2009 | over the counter
4 Photos 02-Sep-2009 | over the counter
5 RP Plan 02-Sep-2009 | over the counter
‘Portable Long Service Leave (PLSL) levy (Applicable for cerfain building and construction work valued over $60,000 only) ~~]

 

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)

(J the application seeks a preliminary approval only;

{] the application is not for building and construction work under the Building and Construction industry (Portable Long Service
Leave) Act 1991, section 3A (e.g. the application is only for a change of use, or for the following types of work carried out solely for
farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of

regrowth, thinning vegetation or controlling weeds or pests);
[X] all costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or
(1 the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -

Complete and submit a QLeave Notification and Payment Form (no payment required if owner-builder permit number stated). The receipted form must be
sighted by the assessment manager before a development permit can be given.

11. Is payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)?

No - End of Part A

LJ Yes - Answer Q12 below

 

OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier) (Optional)

Fee ($) GE? Date received | vt (aleq Recewing offer’ PS $ rae Reference call 1Uape-7

NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To: Council. | have been engaged as the private certifier for the building work referred to in this application.

 

 

 

 

ore

-Dateof |: mo . ou“ . nO cat "tars olieecin cag
engagement Name BSA Certification number Building classifications

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)

 

 

 

. oa ; Date receipted :
Description of the work QLeave Project Number |Amount paid (8)| Date paid form siied by Name of officer who sighted the
- manager *.
1

 

 

 

 

 

 

 

Privacy Statement

The information colfected on Form 1 will be used by the Department of infrastructure and Planning (DIP) in accordance with the processing and assessment of your Application.
Your personal details will not be disclosed for a purpose outside of the IDAS process, excep! where required by legislation {including the Freedom of information Act 1992) or as
required by Parliament. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.

 

 

Advice for completing Part A

 

Page 4

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

 

General advice

Part A of IDAS Development Application Form 1 must be completed and accompany alt development applications. The applicant is responsible
for answering all questions fully and correctly, unless following a response there is a statement to go directly to another question. The
Assessment Manger may refuse to receive an application that is not properly made.

The IDAS Assessment Checklist must also be completed for all development applications, other than those requiring assessment against the
Building Act 1975 only, i.e. those applications requiring the completion of Parts A and B only.

 

Applicant details

If the applicant is a company or organisation, a contact person must be nominated. The applicant's signature is not required to be provided
under the IPA.

 

Details of the premises

The term ‘premises’ is defined by the IPA, schedule 10 to mean a building or other structure, and land (whether or not a building or other

structure is situated on the land). The term ‘land’ is also defined to include the estate in, on, over or under the land.

Details of the land are not required if the application involves a mobile and temporary Environmentally Relevant Activity only. Instead complete

Table A.

The premises may be identified in a number of ways --

¢ Street address and lot on plan are most common and will apply to most applications.

¢ Coordinates may provide the best means of accurately identifying the location of development proposed in waters, or on a relatively small
development site distant from property boundaries on a large lot. Sufficient coordinates need to be provided to identify the boundary of the
premises the subject of the application. Eastings and northings using GDA94 datum is preferred, but longitude and latitude and other
(specified) datum such as Zone Reference or GS84 may be provided.

The definition of ‘water body’ and ‘watercourse’ can vary from Act to Act.

StrategicPortLandis within a local government area but a local government's planning scheme does not apply onStrategicPortLand.

StrategicPortLandis declared under the Transport Infrastructure Act 1994, For further information go to IDAS Guide 11 (Development on

strategic port land) and the Queensland Transport (Ports) website.

“Tidal water is defined in the Coastal Protection and Management Act 1995 (Schedule) and ‘tidal area’ for a local government and for strategic

port land is defined in the IPA (schedule 10). Generally, the area below “high-water mark’ (defined by the Coastal Act in relation to high water

mark at spring tides) establishes the boundary of a tidal area. Land below high water mark is not within a local govemment's area unless

provided for under the Loca! Government Act 1993. Unless otherwise provided for by legislation, a local government has no jurisdiction below

high water mark. A tidat area for strategic port land is within the jurisdiction of the relevant port authority, while the Environmental Protection

Agency generally has jurisdiction for a local government tidal area. However, the IPA gives local governments jurisdiction for assessing and

deciding applications for prescribed tidal works within the local government tidal area, and the planning scheme may be applied to that

assessment (to the extent provided for in the code for prescribed tidal work).

 

Resource entitlement

Section 3.2.1(5) of the IPA requires evidence of resource entitlement be given for applications if they involve taking or interfering with a
prescribed State resource. Schedule 10 of the Integrated Planning Regulation 1998 (IPR) prescribes the State resources, including State-
owned land, where evidence is required to be given, and the evidence required to support the application. Link to Integrated Planning
Regulation. Section 3.2.1(10)(a)(ii) states an application cannot be taken to be properly made without the required evidence.

For applications involving the taking or interfering with water under the Water Act, the development application may be made at the same
time as the request for resource entitlement, and the Department of Natural Resources and Water will accept the application as properly made.
For State-controlled roads, a resource entitlement is not required for an activity that is exempt ancillary works or encroachment (identified by
gazette notice under the Transport infrastructure Act 1994, section 50), or if the activity requires referral to the Department of Main Roads.
Evidence may be required from more than one Department responsible for a State-owned resource, e.g. from the Environmental Protection
Agency for quarry material below high water mark, and the Department of Natural Resources and Water in relation to the State-owned land
above high water mark.

 

‘Owner's consent

 

Section 3.2.1(3) of the IPA prescribes that an application must contain, or be supported by, the written consent of the land owner/s, if the
application involves: a materiat change of use; reconfiguration of a lot; work on land below high-water mark and not within a canal as defined
under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the Transport infrastructure Act 1994.
Evidence of this consent may need to be provided before the application will be accepted as properly made by the Assessment Manager, during
the processes of the application or in the event of an appeal about the outcome of the application.

“Owner for the purpose of a lodging an IDAS development application means the person at the time of lodging the application, entitled to
receive the rent for the land (or would be entitled to receive the rent for it if it were let to a tenant at a rent).

Templates are available from the PA website for the provision of owner's consent as an attachment to this form. However other documentation
may be used for providing owner's consent provided it is clear the documentation relates to the development application for the premises.
Owner's consent, if required, must be provided even if the applicant is the owner. Owner's consent is not required for a mobile and temporary
ERA.

 

 

Page 5

 

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

 

Portable Long Service Leave (PLSL) Levy

The Building and Construction Industry Portable Long Service Leave Scheme provides long service leave entitlements to workers in the building
and construction industry who would be unlikely to accrue enough service with one employer to qualify for long service leave. To fund the
scheme, a Portable Long Service Leave Levy (PLSL levy) is collected on certain building and construction work carried out inQueensland.

The PLSL levy amount and other prescribed percentages and rates for calculating the levy are stated in the Building and Construction Industry
(Portable Long Service Leave) Regulation 2002. Included in the amount collected by QLeave is the Workplace Health and Safety Fee and the
Building and Construction industryTrainingLevy.

The Building and Construction Industry (Portable Long Service Leave) Act 1991 (PLSL Act) defines the building and construction work subject to
the PLSL levy and includes renovating, relocating, constructing, altering, demolishing, maintaining or repairing buildings, pools, roads, jetties,
pipelines, fences or earthworks, and works for subdividing, irrigating or draining land.

The PLSL levy need not be paid when the application is made, but the PLSL Act requires the levy to be paid before a development permit may
be issued.

The Assessment Manager must sight an approved form issued by QLeave advising of the status of the payment of the PLSL levy. Building and
Construction Industry Notification and Payment Forms are available from anyQueenslandpost office or agency, on request from QLeave, or can
be completed on the QLeave website at www.qleave.qid.gov.au. For further information contact QLeave (Tel: 1800 803 481 Web:
www.qleave.qid.gov.au )

 

 

Page 6

6

xf

INTEGRATED PLANNING ACT 1997 Part P, Version 2.1, 3 March 2008

idas}

 

 
 

 

Part P

Prescribed tidal work

iNature of the prescribed tidal works |

1. Whatis the nature of the proposed prescribed tidal work and the type of approval sought? (Tick applicable box/es)

 

Nature of use Estimated value of
{Tick applicable box) | completed works ($)

(7 Private use
(J Non-private use
J Private use
LJ Non-private use

Type of approval sought

 

Ow Jetty, pier or wharf

 

OO iti) Boat ramp or spillway

 

 

 

Private use
C1 (ii) Mooring pite 4 Non-private use [Xx] Development Permit
(J Private use _] Pretiminary approval
i Deck ‘dwalk
a) jack of boardwal [J Non-private use
Private use
Ow Pontoon M4 $15,000.00

{J Non-private use
(Private use
(1 Non-private use

 

O wi Revetment, sea wall or retaining wall

 

oO (vii) Other (e.g. abutment, basin, bridge, breakwater, dam,
dock, dockyard, embankment, groyne, pipeline or other |[—] Private use
underground service etc.) - Provide details below

 

([J Non-private use

 

 

 

 

 

 

 

 

 

2. ts the application within a cul-de-sac, a bend in a waterway or other location where the side boundaries of the lot connected to the
work and neighbouring lots are not at right angles fo the waterway?

 

a)
(11 Yes - Submit, with the application, photos of any constructed neighbouring structures, or information about approved but unconstructed
neighbouring structures.
(Adjoining property access and evidence of support |

 

3. __ Is the application supported by evidence that the proposed work will not prejudice the access rights of adjoining property owners?
LE] No — & Yes - Complete Q3(a)
3(a) What is the nature of the evidence?

[J Letters of support from adjoining property owner - Submit, with the application, the letters of support.
Plans illustrating a water allocation area - Submit, with the application, the plans illustrating the water allocation area,

Page 7

INTEGRATED PLANNING ACT 1997 Part P, Version 2.1, 3 March 2008

 

ICertification J

4. Has a Registered Professional Engineer of Queensland (RPEQ) or interstate equivalent certified that the works comply with the design
and safety provisions of the State IDAS code for Prescribed Tidal Works contained in the Coastal Protection and Management
Regulation 2003?

[1] No

[Xx] Yes - Provide details below

 

Name of RPEQ or equivalent John Norden
RPEQ No. or equivalent
Contact mailing address PO Box 205 Tewantin QLD 4565
Contact telephone number 107 5449 7137
Contact facsimile number . 107 5449 7172

 

 

 

 

 

Reference number of all plans to which this certification relates

 

 

 

 

[Mandatory information ]

 

5. Confirm the following mandatory information accompanies this application.

 

Confirmation of

lodgement Method of lodgement

 

Plans and written documentation

i) The location and dimensions of the proposed tidal work in relation to the lot/s abutting the proposed
work and the tidal land on which the work is proposed to be located

(ii) All other structures on the waterfront and within 20 metres of the proposed works & Confirmed over the counter

(iii) The current tocation of Lowest Astronomical Tide (LAT), Highest Astronomical Tide (HAT) and
Mean High Water Springs (MHWS)

(iv) The slope angles of the beds and banks of the tidal area [X] Confirmed over the counter

 

[X] Confirmed —_| over the counter

 

 

[x] Confirmed —_| over the counter

 

 

(v) Details of the proposed work in accordance with the IDAS code for prescribed tidal work in the
Coastal Protection and Management Regulation 2003, schedule 4A (e.g. physical appearance, lighting, |X] Confirmed over the counter
signage, earthworks, public access, infrastructure, structural components, engineering design standards)

 

 

 

 

 

 

 

 

 

 

(vi) The finished levels of the proposed works (XJ Confirmed over the counter
Confirmed
(vii) Details of the largest vessel, if any, to be moored at the structure over the counter
[_] Not applicable
(vii) — Evidence that the proposed work will not prejudice the access rights of adjoining property [Confirmed over the counter
owners {_] Not applicable
OFFICE USE ONLY

 

 

Date Received Reference Numbers [oF] EPA cost code | 433061

 

 

 

 

 

 

Page 8

INTEGRATED PLANNING ACT 1997 Part P, Version 2.1, 3 March 2008

Advice for completing Part P

 

General advice

* Part A must also be completed for all IDAS development applications.

The applicant is responsible for answering all questions fully and correctly, unless following a response there is a statement to go directly to another
question.

» When paying fees to the Environmental Protection Agency by electronic funds transfer (EFT) use the process from the information sheet Electronically
paying fees to the Environmental Protection Agency (EPA) and attach the form Electronic Funds Transfer (EFT) payment notification to the application.

» For further information about compteting this form go to:

 

. (DAS Guide 24 (Prescribed tidal work)
. Ecoaccess website
. EPA Guidelines and procedural guides
Qi A development permit authorises development to occur, while a preliminary approval is a step in the approval process and does not authorise
development to occur.

 

Q4 A Registered Professional Engineer of Queensland (RPEQ), or the interstate equivalent, may certify that the proposed work complies with the
design and safety provisions of the IDAS code for prescribed tidal work in the Coastal Protection and Management Regulation 2003, schedule
4A. The provision of the certification may reduce the applicable fee for assessment of the work by the local government.

 

 

 

Page 9

INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 22

idas)
IDAS

Assessment Checklist

     

 

 

IDAS Development Application Form 1 is the approved form for all development applications under the Integrated Planning Act
1997 IPA). Form 1 is made up of various Parts.

Part A (Common details) of Form 1 must be completed for all applications. The relevance of other Parts of Fortn 1 depends on
the nature of the application.

Form 1 also includes this IDAS Assessment Checklist, which is used to assist in determining State assessment and referral
requirements, and the Parts of Form 1 relevant to the application.

Section 1-and all-other relevant sections of the IDAS Assessment Checklist, as identified in the Table below, must-be--. —---
completed for all development applications except those proposed on land in an urban development area, or for building work
requiring assessment against the Building Act 1975 only.

For more information about development applications on land in an urban development area, refer to www.ulda.qid.gov.au.
For more advice about building applications refer to Part B of the IDAS Application Form.

 

 

Answering the following questions will assist you in determining which sections of the checklist must be completed for your application. If
unsure, phone or visit your local government or log onto the DIP website www.dip.qld.gov.au for help

 

For all {OAS development applications (except those for building work requiring assessment against the Building Act 1975 only) - complete Section 1 of this
checklist

 

Does the application seek approval to make a material change of use of the premises?
ifyes - complete Section 2 of this checklist

(Yes |fXJNo

 

Does the application seek approval to reconfigure a lot?
If yes - complete Section 3 of this checklist and Part F of IDAS Application Form 1. If the premises are completely within a single |_]Yes |DXJNo
local government area assessment is by the local government.

 

Does the application seek approval to carry out operational work?
if yes - complete Section 4 of this checklist Byes |LIJNo

 

Does the application seek approval to carry out building work requiring assessment against the Fisheries Act 1994?
ifyes - complete Section 5 of this checklist

C1Yes |INo

 

Have you received a referral agency response under section 3.3.2.0f the IPA, in relation to this development application?
if yes - complete Section 6 of this checklist (Yes |JNo

 

Does the application seek approval to carry out building work requiring assessment against a local government planning

scheme? DYes |JNo
if yes - complete Form 1 Part E of IDAS Application Form 1. Assessment is by the local government.

 

Does the application seek approval to carry out building work requiring assessment against the Building Act 1975?
if yes - go to Appendix 1 of this checklist for advice on building referrals. Complete Part B of IDAS Application Form 1. DYes |JNo
Assessment is by a building certifier

 

Do you wish the application fo be assessed against a superseded planning scheme?
If yes - complete Form 1 Attachment 1 (Yes |BQNo

 

\s the application for development completely or partly on Cairns and Mackay airport land under the Airport Assets
(Restructuring and Disposal) Act 2008?

/f yes - Assessment is by the Department of infrastructure and Planning. Complete Form 1 Part D of IDAS Application Form 1 if the (Yes |INo
application is for a material change of use, and Part E if for building or operational work. Also. the application must be referred to the
local government as Advice Agency.

 

 

 

 

 

Page 10

INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 22

 

 

 

iS SECTION T section 1 must be completed for all applications that require completion of the IDAS Assessment Checklist.

 

 

‘HERITAGE

“4A {s any part of the proposal intended tobe canfed out on a Queensland heritage place under the Queensland Heritage Act 19927
DX] No-Goto1.18 [_] Yes
IPA senedute E part‘ table § tem 2 iP Reguiaten schedu'e 2 iable 2 item 79.
1.1B Does the proposal involve development intended to be carried out on a place entered in a local heritage register under part 11 of
the Queensland Heritage Act 1992, other than if the place is on Caims or Mackay airport land?

[KX] No-Gotoo12 [_] Yes
IPA schedule 8. part 1. table 5, item 2A. iP Regulation. schedule 1. part 2 fable 5. item 2.

 

[REMOVING QUARRY MATERIAL; WILD RIVER AREA |

 

1.2 Does the proposal involve removing quarry material from a watercourse or lake as defined under the Water Act 2000?
[X] No-Gotoar3z {[] Yes

IPA, schedule 8, part 1. table 5, item 1: IP Regulation, schedule 2. table 2, item 11: IP Regulation. schedule 1. table 5, item 2 (wild river area}: Water Act 2000,
section 966C; Wid Rivers Act 2005, section 434

 

 

‘ENVIRONMENTALLY RELEVANTACTIVITY;WILDRIVERAREAts—~—=<C=s‘SSSC~™ Oo 4

 

 

1.3 Does the proposal involve an environmentally relevant activity (ERA), other than a mining activity or a petroleum activity?

[IX] No-Gotoar4 [_] Yes

IPA, schedule 8, part 1. table 2, item 1; IPA. schedule 8, part 1, table 5. items 3 and 4: IP Regulation, schedule 2. table 2. items 1 and 23; Environmental Protection Act 1994, section
73AA (wild river area); Wild Rivers Act 2005, section 434; relevant wild river declaration: Wild Rivers Code.

 

WITHIN THE LIMITS OF A PORT

Wace em ee enemas ok nen ak emeen ohote omaD comet

 

 

14 Is any part of the premises within the limits of a port under the Transport infrastructure Act 1994?
No - Goto 01.5

Yes

IP Requiation, schedule 2, table 2, items 15 and 16

 

[DECLARED FISH HABITAT AREA |

 

15 Does any part of the premises adjoin a declared fish habitat area under the Fisheries Act 19947
[X] No - Goto a1.6
(J Yes - if answers to questions in other sections of this checklist indicate that the proposed development is assessable under IPA, schedule
8, this application requires assessment by the Department of Primary Industries and Fisheries (DPI&F). If DPI&F is not the
Assessment Manager for the application, the agency has jurisdiction as Advice Agency.
IP Regulation, schedule 2, table 2, tem 26

‘COMMUNITY INFRASTRUCTURE ~ —

 

 

 

16 Is any part of the premises designated for community infrastructure?

KK] No - Goto. 01.7
LJ Yes

IP Regulation, schedule 2, table 3, tem 7

 

WASTE WATER MANAGEMENT _ J}

17 Does the proposal involve the establishment or expansion of a waste water disposal system?

S<] No -Endof Section? [_] Yes
ip scion schedule 2, table 3, item 5

Page 11

INTEGRATED PLANNING ACT 1997

IDAS Assessment Checklist, Version 22

 

 

SECTION 4 + Section 4 must be completed when the application seeks approval to carry out operational work.

 

 

 

 

PLANNING SCHEME . —
41 Is the proposed operational work assessable under any State planning regulatory provisions?
KI) No [] Yes
If no, is the proposed operational work assessable under the planning scheme?
KX] No - Goto 04.2 (71 Yes - Complete Form 1, Part € and answer 04.1.1 - 4.1.7 below

‘KSSOCIATED WITH RECONFIGURING A LOT; RESIDENTIAL,

‘AREA
42

 

 

Is any of the proposed operational work associated with reconfiguring a lot and the reconfiguration is also assessable?
[X] No -Gotoas3 (_] Yes
IPA, schedule 8, part 1, table 4. item 2: IP Regulation, schedule 1, part 2, table 5, item 1(c)

Wild Rivers code (Note: the code does not currently contain applicable provisions for residential, industrial or commercial development inside a designated urban

area}

COMMERCIAL OR INDUSTRIAL DEVELOPMENT INA WILD RIVER |
d

 

|KOALA CONSERVATION (Inside SEQ urban footprint)

4.3A

ls any part of the premises in an interim koala habitat protection area?

{X] No -Gotoa43a ((] Yes
IP Regulation, schedule 2, table 2. item 34A

_I

 

‘VEGETATION CLEARING; KOALA CONSERVATION; WILD RIVER AREA

4.3B

\s any of the proposed operational work for the clearing of native vegetation to which the Vegetation Management Act 1999
applies?

[X] No -Gotoas4 (] Yes

IPA. schedule 8, part 1, table 4, items 14-1G; IP Regulation, schedule 2, table 2, item 5 (vegetation clearing): IP Regulation, schedule 2, table 2. item 34 (koala

conservation); IP Regulation, schedule 1, part 3, table 4, tem (vegetation clearingAvild river area); Vegetation Management Act 1999, section 22A (vegetation
clearing’wild river area); Wild Rivers Act 2005, sections 31F and 43A

 

TAKING OR INTERFERING WITH WATER; WILD RIVER AREA

44

45

ls any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking or

interfering with water from a watercourse, lake or spring (other than using a water truck to pump water, and other than under
the Water Act 2000, section 20(2), (3) or (5), or ftom a dam constructed on a watercourse or lake?

{XJ No -Gotoas5 [_] Yes - Answer (a) and (b) below

IPA, schedule 8, part 1, table 4, items 3(a); 1P Regulation, schedule 2. tabie 2. item 8: IP Regutation, schedule 1. part 3, table 4, items 3 and 34; Water Act 2000, section 966A (wild river

area); Wild Rivers Act 2005, section 434; relevant wild river declaration: Wild Rivers Code

ls any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking or

interfering with artesian water (other than using a water truck to pump water)?

46

47

48

kK No Goto 04.6 oO Yes - (Complete Form 1, Part K,) This application requires assessment by the Department of Natural Resources and Water
(NRW). IF NRW is not the Assessment Manager for the application, the agency has jurisdiction as Concurrence Agency.

IPA, schedule 8, part 1, table 4, item 3(b); JP Regulation, schedule 2, table 2. item 8; IP Regulation, schedule 1, part 3, table 4, item 3

Wild Rivers code (Note: the code does not currently contain applicable provisions for taking or interfering with artesian water}

Is any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking
overland flow water (other than using a water truck to pump water)?

No -Gotoa47 [] Yes - Answer (a) and (b) below

IPA, schedule 8. part 1, table 4, item 3{c}{i): IP Regulation. schedule 2, table 2. item 8: iP Regulation, schedule 1, part 3. lable 4, item 3. Water Act 2000 section 966A (wild river area);

Wild Rivers Act 2005. section 434, relevant wild nver declaration Wild Rivers Code.

Is any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for taking or
interfering with subartesian water (other than using a water truck to pump water)?
BX] No -Gotoose ((] Yes

IPA, schedule 8, part 1, table 4. item 3fc)(ii): IP Regulation, schedule 2, table 2, item 8: IP Regulation, schedule 1. part 3, table 4, item 3
Water Act 2000, section 966A (wild river area)(Note: no current Wild River declaration identifies taking or interfering with subartesian water as assessable}
Wild River code (Note: the code does not currently contain applicable provisions for sub artesian water)

Does any of the proposed operational work for any thing constructed or installed that allows, under the Water Act 2000, for
interfering with overland flow water (other than using a water truck to pump water)?

[EX] No -Gotoaa9 [_] Yes - Answer both (a) and (b) below

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INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 22

IPA, schedule 8. part 1 table 4 items 3ic)ij and 3/d) IP Regulation scheaute 2. iable 2 em 9 IP Regulation scheduie 1. part 2 table 4 item 34 Water Act 2000. section 9668 (wild
fiver area). relevant wild nver declaration, Wild Rivers Code

49 \s the proposed operational work for the following?
()} For the construction of a referable dam as defined under the Water Supply (Safety and Reliability)
® No (7 Yes
Act 2008
(ii) To increase the storage capacity of a referable dam by more than 10% KI No (1 Yes

if yes to either or both (i} or (ji) above - (Complete Form 1, Part Ks) This application requires assessment by the Department of Natural Resources and
Water (NRW). if NRW is not the Assessment Manager for the application, the agency has jurisdiction as
Concurrence Agency.

IPA, schedule 8. part 1. table 4, item 4: IP Regulation. schedule 2, fable 2. item 10

 

(TIDAL WORK; WILD RIVER AREA ]

 

4.10 Is any of the proposed operational work tidal work, other than excluded work defined under the IPA?
(J No -Gotoaat1 Yes - Answer (a) and (b) below

(a) 1s any of the proposed tidal work prescribed tidal work?
&X] Yes [_J No

If yes, is any of the proposed prescribed tidal work to be carried out in a wild river area declared under the Wild
Rivers Act 2005?

>] No ([[] Yes
If no, is the work proposed in a canal?
L.INo —& Yes
If yes, is any of the proposed tidal work for a marina with more than 6 vessel berths?

No - (Complete Form 1, Part P). This application must be referred to Queensland Transport (Maritime
Safety Qid) as Concurrence Agency.

C1 Yes- {Complete Form 1, Part P). This application must be referred to QueensiandTransport (Maritime
Safety Qld} as Concurrence Agency, and Qld Fire and Rescue Service as Advice Agency.

(b) Is any of the proposed tida! work to be carried out in one or more of the following tidal areas?

(0) One only tocai government tidal area [I No XX Yes
(ii) Starting in one local government tidal area and extending into another local 1 No Yes
government tidal area (but in no strategic port tidal area)
(iii) In two or more local government tidal areas but not starting in either local
government tidal area CL] No [] Yes
(iv) One only strategic port tidal area CI No CO Yes
(vy) Ata area that is not a strategic port tidal area or a local government tidal [1 No Cl Yes

Note: The answers you provide in (i) - (v) above may affect who the Assessment Manager is for the application.

IPA, schedule 8, part 1, table 4, item 5; IP Regulation, schedule 2, table 2. dems 12. 14 and 17; IP Regulation, schedule 1, part 3, lable 4, tems 4A and 5
Coastal Protection and Management Act 1995, section 104A (wild river area)

COASTAL MANAGEMENT DISTRICT; WILD RIVER AREA : |

 

 

411 1s any of the operational work proposed to be carried out within a coastal management district?
[DX] No -Gotoas72 [_] Yes

IPA, schedule 8, part 1, table 4, item 5; iP Regulation, schedule 2, table 2, items 12 and 14; IP Regulation, schedule 1, part 3, table 4, items 4A and 5
Coastal Protection and Management Act 1995 Ac! 1995, section 104A (wild river area): Wild Rivers Act 2005, section 43A

iWATERWAY BARRIER WORKS; WILD RIVER AREA |

 

 

4.12 |s any of the proposed operational work for constructing or raising waterway barrier works under the Fisheries Act 1994?

DX] No -Gotoaa13 [7] Yes

JPA, schedule 8. part i, table 4. item 6. IPA. schedule 8, part 2, table 4, item 2: Fisheries Regulation 1995 $1124 (self-assessable codes}: IP Regulation. schedule 2, table 2. item 28; 1P
Reguiahan, schedule 1. part 3. iable 4, tem 6; Fisheries Act 1994, section 76D (wild river area): Wild Rivers Act 2005, section 43A.

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INTEGRATED PLANNING ACT 1997 IDAS Assessment Checklist, Version 22

 

 

|DECLARED FISH HABITAT AREA; WILD RIVER AREA |
4.13 Is any of the operational work proposed to be carried out completely or partly within a declared fish habitat area under the

Fisheries Act 1994?

DX] No - Goto Q4.14

LJ Yes

IPA schedule 8 part 1 table 4 tem 7 IPA schedule 8 part 2. table 4. item 3. Fisher'es Regulation 1995 511A (sel-assessable codes). 1P Regulaton, schedule 2 table 2. stem 25. /P
Pegulaton scheaule 7. part lave 4. cem 7, Wid Rivers Act 2005 secuens 424 Fisheres Act secon 76DC {wild aver areal.

 

[REMOVAL, DESTRUCTION OR DAMAGE OF A MARINE PLANT; WILD RIVER AREA |

 

4.14 Is any of the proposed operational work removing, destroying or damaging marine plants under the Fisheries Act 1994?

[KJ No -Gotoas15 [(] Yes

IPA, schedule 8, part 1, table 4, item 8. IPA, schedule 8, part 2. table 4, item 4: Fisheries Regulation 1995 s113A (self-assessable codes): iP Regulation, schedule 2. table 2, item 29: IP
Regulation, schedule 1, part 3, table 4, item 8: Fishenes Act 1994, section 760B (wild aver area): Wild Rivers Act 2005, secon 434; relevant wild river declaration; Wild Rivers Code,

 

{WILD RIVER AREA §

 

4.15 Is any of the operational work proposed to be carried out in a wild river area declared under the Wild River Act 2005?

No -Gotoa4.16 [] Yes
IPA, schedule 8, part 1, table 4, item 10; IP Regulation, schedule 2, table 2. item 37; Wild Rivers Act 2005, sections 42, 43A

 

 
  
 

[STATE:CONTROLLED-ROAD:

 

4.16 Is any part of the premises located in part of a future State-controlled road, or within 100m of a State-controlled road?
[XJ No -Endofsection4 [_] Yes

IP Regulation, schedule 2, table 2. item 3

 

Disclaimer:
While the Department of Infrastructure and Planning (DIP) believes that this information contained on this form and provided as part of
this process will be of assistance to you, it is provided on the basis that you will not rely on the information without first making your own
enquiries regarding the interpretation and application of the applicable legislation to your circumstances.

To the full extent permitted by law DIP expressly disclaims alll liability (including but not limited to liability for negligence) for errors or
omissions of any kind or for any loss (including direct and indirect losses), damage or other consequence which may arise from your
reliance on this process and the information contained on this form.

 

 

 

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