Idas Form 1 · OPW15/0072

 
 

  

oO Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
the Environmental Protection Act 1994 (no table requires completion)

 

 

Table |
Name of water body, watercourse or aquifer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

| Port authority for the tidal area (if applicable)

 

Table K
Name of local government for the tidal area (if applicable)

 

 

 

 

 

 

Table J — |
Lot on plan description for strategic port land Port authority for the lot |

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  
 

 

  
   
   
 
 
 

No Cl Yes—ensure the type, location and dimension of each easement is included in the plans submitted

  
  

 

 

No xX Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

 

 

 

No—go to question 12 (Yes

   

 

 

 

 

LL] No
CI Yes—complete Table L and submit with this application the y'

ellow local government/private certifier’s copy of the

5

| Date paid QLeave project number (6 digit number

receipted QLeave form

 

 

 

 

 

 

 

 

 

 

Table L
Amount paid

 

 

 

 

 

 

(ddimm/yy) starting with A, B, E, Lor P)

[__ 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  
 

 

 

 

 

 

 

 

 

— No

[[] Yes—please provide details below

IDAS form 1—Application details
Version 4.1—4 July 2044

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