00154987.001

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                        INTEGRATED PLANNING ACT 1997                                                                                       IDAS Assessment Checklist, Version 20, 2 April 2007
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                           mes                        Form         1   Development Application                                                                       a          idas
                                oe                              IDAS                          Assessment
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                        /                                                               Checkli
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                      .                                                                  (Formerly the “Referrals Checklist”)
                        IMPORTANT NOTE FOR ALL APPLICANTS:                                                                                                .
                        1,   This checklist was formerly referred to as the “Referrats Checklist". Some of the ‘Guides’ to using the IDAS Application Forms continue to refer to this document as the
                             “Referrals Checklist’. The name of this checklist was changed from 25 July 2005 to more accurately describe its function.
                        2.   Under the IPA and IDAS framework, an application may require assessment by the local Council and/or certain Queensland State entities (e.g. Environmental Protection
                             Agency, Dept. of Natural Resources and Water, Queensland Heritage Council etc.).
          ,             3.   This checklist is provided to asslst applicants to determine whén an application requires assessment by a Queensland State entity and may also assist the applicant to
          :                  determine the assessment manager’ for the application.
                       4.    Therefore, the completion of all questions in section 4 of this checklist is mandatory for all applications (other than those requiring the completion of Parts A & 8 only).
         @             5.    It is the responsibility of the applicant to accurately comptete this checklist.
                       6.    Section 2 is mandatory onty if the proposed development is tocated in any part of a wild river area declared under the Wild Rivers Act 2005.
                       7.    Depending on the nature of the application, an applicable State entity may be either the assessment manager or an IDAS referral agency for the application.
                       8.    The assessment manager for the application will rety on the information provided in this checklist (as well as any material lodged in support of the application) to identify
.                            any applicable referral agencies for the application in the Acknowledgement Notice. The assessment manager will also rely on this information when identifying if the
.                            application tragers referral coordination?.
                       9.    To assist you in answering the foltowing questions a series of guides are available free from the IPA website www.ipa.gld.gov.au. Guide 25 explains the role of the IDAS      J
                             Assessment Checklist in the IDAS appiication process, and its relationship to tie Form 1 development application.
                        10,  Any other parts of Form 1 that this checklist requires to be completed are available from the Council or the applicable State entity, or can be downloaded free from
                            www.ipa.qld.gov.au.                                 :
                        11.  Section 3 provides advice about the referrals that can be required for applications tor building work assessable against the Building Regulation 2006.

                     FRPSER TERRIER               TPS SST RO                           Ee a aR eT hatae                             Oa           s BOON          A      FE RR       OR
                      BEC He               cuee       SECTION:|3 STATE ASSESSMENT, (Completion mandaion)pat Busan tabs
                       Fare E ae. gir          eg hl epee      a           AR     5        eg: Whe SP egy She Reape Bye oh - re git       det     ES     PS   ST AE SER ee             ag
                      {Note The folowiig stat assessment agers apply to development other than for bulldng work assessable against the Bulding Regulation 206                     EAE ty
                       Environmentally relevant activity” -         |1.   The application involves: (tick applicable box/es)
                       For more information refer to Guide 4...           7) (i)    an environmentally relevant activity (ERA) for which a code for environmental compliance
                       the aebcoton tenn “none of the oor    toQt,                  has not been made - complete Part G of       RT hs anlar                    .
                       ‘administering authority®: ’*  yy                      (ii) a mobile or temporary ERA for which’a obde hen rorithen                      mpliance has not been
                         @ application requires assessmen   e                  _        —                                   ”             .     _&                  .
                       tf an entity, other than the administering.”                Made - complete Part G of Form 1           %            aN                oO
                       authority, is the assessment manager for the *         (iii) none of the above           :                         pm                 .
                       application, the administering authority is a «+r                                                    »               at  V et         C
                       concurrence agency for the application in relation                                                   }     RE REI               -       \    3
                       to this matter.  oe,         wT          oe                                                         o          >                          pe
                       Note: An application involving ERA 19 and/or 20}                                                ~—         2 JUN 2007                    ke,
                       will also require completion of Part Ky of Form 1                                                                                \         2
                       for approval where an allocation under the Water’                                                                 h Sree coud             &
                      Act 2000is required,“                                    .                 .          a,                HOOSA            CQUNTER       2       /
                                                                                                                         Cre eee                             7              Continued overleaf

                             PLEASE NOTE:           The assessment manager may refuse to accept an application, which, at the time of lodgement, fails to provide the
                                                                           completed IDAS Assessment Checklist (if applicabie).
                      OFFICE USE ONLY (applicable to assessment manager)
                        “DATERECEIVED.-|                  == =|: REFERENCE NUMBERIS

                      1  The assessment manager is responsible for assessing and deciding an IDAS application, The assessment manager for an application is prescribed in schedule 8A of the !PA.
                      2  For additonal information refer to Guide 6 ‘Does my apphcation trigger the referral coordination process?’
                      3  The ‘administering authority’ may be either the Environmentat Protection Agency, the relevant local government (for a devolved ERA) or the Queensland Department of Primary Industies and
                         Fisheries (for a delegated ERA).
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