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IDAS form 1 - 61 Morinda Circuit Noosaville · OPW16/0220

Attached to the e-mail Operational works application OPW16/0220.

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Department of Infrastructure, Local Government and Planning

IDAS form 1

(Sustainable Planning Act 2009 version 4.2 effective 3 August 2015)

This form must be used for ALL development applications.

You MUST complete ALL questions that are stated to be a mandatory requirement unless
otherwise identified on this form.

For all development applications, you must:
* complete this form (IDAS form 1—Application details)
* complete any other forms relevant to your application

° provide any mandatory supporting information identified on the forms as being
required to accompany your application.

Attach extra pages if there is insufficient space on this form.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009
(SPA) or the Sustainable Planning Regulation 2009.

This form and any other IDAS form relevant to your application must be used for
development applications relating to strategic port land and Brisbane core port land under
the Transport Infrastructure Act 1994 and airport land under the Airport Assets
(Restructuring and Disposal) Act 2008. Whenever a planning scheme is mentioned, take it
to mean land use plan for the strategic port land, Brisbane core port land or airport land.

PLEASE NOTE: This form is not required to accompany requests for compliance
assessment.

Mandatory requirements

Applicant details (Note: the applicant is the person responsible for making the application
and need not be the owner of the land. The applicant is responsible for ensuring the
information provided on all IDAS application forms is correct. Any development permit or
preliminary approval that may be issued as a consequence of this application will be issued
to the applicant.)

Name/s (individual or company name

in full) Keeto N (ra nclemange
For companies, contact name

Postal address

l&  Merma ih a vay

Suburb Moosa ville
State Q L D Postcode 45°64
Country Avs tra hay

Contact phone number O 4Q1 Ss SZ [os

 

 

Queensland
Government
Full text of the other 11 pages

Page 2

Mobile number (non-mandatory
requirement)

Fax number (non-mandatory
requirement)

0407 Sz 108
ENS 4ATAL4ATIZ

 

Department of Infrastructure, Local Government and Planning

 

Queensland *
Government

Page 3

Department of Infrastructure, Local Government and Planning

Email address (non-mandatory :
requirement) ie NAeMan qe
@ hotmail. com

Applicant's reference number (non-
mandatory requirement)

1. What is the nature of the development proposed and what type of approval is
being sought?

Table A—Aspect 1 of the application (If there are additional aspects to the application
please list in Table B—Aspect 2.) .

   

a) Whatis the nature of the development? (Please only tick one box.)

Material change of Reconfiguring a lot Building work
use

. —~
me mney

b) What is the approval type? (Please only tick one box.)

   

Preliminary approval — Preliminary Development >
under s241 of approval under permit “~
SPA $241 and s242 a

of SPA

c) Provide a brief description of the proposal, including use definition and number of
buildings or structures where applicable (e.g. six unit apartment building defined as a
multi-unit dwelling, 30 lot residential subdivision etc.)

Pri vate Ss Wg je (evel home te be |i veal
iN AS a permanent Resiolence, lanol neecb Fi (\
d) Whatis the level of assessment? (Please only tick one box.)

fe asuaseeesmeni 4 —
mpact assessment Code assessment.

Table B—Aspect 2 of the application (If there are additional aspects to the application
please list in Table C—Additional aspects of the application.)

&

a) Whatis the nature of development? (Please only tick one box.)

Material change of Reconfiguring a lot Building work Operational work
use

b) What is the approval type? (Please only tick one box.)

Preliminary approval — Preliminary Development
under $241 of approval under permit
SPA $241 and s242

of SPA

c) Provide a brief description of the proposal, including use definition and number of
buildings or structures where applicable (e.g. six unit apartment building defined as a
multi-unit dwelling, 30 lot residential subdivision etc.)

Page 4

Department of Infrastructure, Local Government and Planning

d) Whatis the level of assessment?

Impact assessment Code assessment

Table C—Additional aspects of the application (If there are additional aspects to the
application please list in a separate table on an extra page and attach to this form.)

Refer attached Not required

Page 5

Department of Infrastructure, Local Government and Planning

2. Location of the premises (Compiete Table D and/or Table E as applicable. Identify
each lot in a separate row.)

Table D—Street address and lot on plan for the premises or street address and lot on plan
for the land adjoining or adjacent to the premises (Note: this table is to be used for
applications involving taking or interfering with water.) (Attach a separate schedule if there
is insufficient space in this table.)

Street address and lot on plan (All lots must be listed.)

Street address and lot on plan for the land adjoining or adjacent to the premises
(Appropriate for development in water but adjoining or adjacent to land, e.g. jetty,
pontoon. All lots must be listed.)

Street address Lot on plan + Local government
description area
T - (e.g. Logan, Cairns)
Lot | Unit Street Street name and Post- Lotno. Plan type
no. no. | official suburb/ code and plan
locality name | no.
‘ Morinda Circui - al
» BL Mesias reste Ie Noosauille
ii)

iii)
‘Planning scheme details (If the premises involves multiple zones, clearly identify the
relevant zone/s for each lot in a separate row in the below table. Non-mandatory)
Lot Applicable zone / precinct Applicable local plan / precinct | Applicable overlay/s
) 7
ii)
iii)
| Table E—Premises coordinates (Appropriate for development in remote areas, over part of

a lot or in water not adjoining or adjacent to land e.g. channel dredging in Moreton Bay.)
(Attach a separate schedule if there is insufficient space in this table.)

Coordinates Zone Datum Local

(Note: place each set of coordinates ina referen government
separate row) ce area (if
. TT. . applicable)
Easting Northing Latitude Longitude
GDA94
WGS84
other

3. Total area of the premises on which the development is proposed (indicate square
metres)

lank GST me Howse BIA mt

4. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm
etc.)

Page 6

Department of Infrastructure, Local Government and Planning

 

Vacant Lancl

Page 7

Department of Infrastructure, Local Government and Planning

5. Are there any current approvals (e.g. a preliminary approval) associated with
this application? (Non-mandatory requirement)

No Yes—provide details below
List of approval reference/s Date approved (dd/mm/ Date approval lapses (dd/
yy) mm/yy)
6. Is owner’s consent required for this application? (Refer to notes at the end of this

form for more information.)

Mo

Yes—complete either Table F, Table G or Table H as applicable

Table F

Name of owner/s of the
land

I/We, the above-mentioned owner/s of the land, consent to the making of this application.

Signature of owner/s of the
land

Date

Table G

Name of owner/s of the
land

The owner’s written consent is attached or will be provided separately to the assessment
manager. .
Table H

Name of owner/s of the
land x

By making this application, |, the applicant, declare that the owner has given written consent to the
making of the application.
ie Identify if any of the following apply to the premises (Tick applicable box/es.)
Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—
complete Table |
On strategic port land under the Transport Infrastructure Act 1994—complete Table J
In a tidal water area—complete Table K

On Brisbane core port land under the Transport Infrastructure Act 1994 (No table
requires completion.)

On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no
table requires completion)

Page 8

Department of infrastructure, Local Government and Planning

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

Table J

Lot on plan description for strategic port land Port authority for the lot

Table K

Name of local government for the tidal area (if Port authority for the tidal area (if
applicable) applicable)

8. Are there any existing easements on the premises? (e.g. for vehicular access,
electricity, overland flow, water etc)

No \feeeneure the type, location and dimension of each easement is included in
the plans submitted

9. Does the proposal include new building work or operational work on the
premises? (Including any services)

No swiee—-mnaew the nature, location and dimension of proposed works are
included in plans submitted

10. Is the payment of a portable long service leave levy applicable to this
application? (Refer to notes at the end of this form for more information.)

No—go to question ites '

12

11. Has the portable long service leave levy been paid? (Refer to notes at the end of
this form for more information.)

No

Yes—complete Table L and submit with this application the yellow local government/
private certifier’s copy of the receipted QLeave form

Table L

Amount paid Date paid QLeave project number (6 digit
(dd/mm/ Number starting with A, B, E, L
yy) or P)

$ 1, 401.00 yore Ezz7 &48

Page 9

Department of Infrastructure, Local Government and Planning

12. Has the local government agreed to apply a superseded planning scheme to
this application under section 96 of the Sustainable Planning Act 2009?

whic

Yes—please provide details below

Name of local government Date of written notice Reference number of written
given by local notice given by local
government (dd/mm/ government (if applicable)

yy)

Page 10

Department of Infrastructure, Local Government and Planning

13. List below all of the forms and supporting information that accompany this
application (Include all IDAS forms, checklists, mandatory supporting information
etc. that will be submitted as part of this application)

Description of attachment or title of attachment Method of lodgement
to assessment
manager

Tdas Forms 1&6 Email

Enaineer clravings— Retainig walls, ee Ema\ |
Honse Plans , Site Plan with Contours Emel
Sewer Pipe Drowing Details : Email

14.  Applicant’s declaration

By making this application, | declare that all information in this application is true and correct
(Note: it is unlawful to provide false or misleading information) EEE

Notes for completing this form

* Section 261 of the Sustainable Planning Act 2009 prescribes when an application is a
properly-made application. Note, the assessment manager has discretion to accept an
application as properly made despite any non-compliance with the requirement to provide
mandatory supporting information under section 260(1)(c) of the Sustainable Planning Act
2009

Applicant details
° Where the applicant is not a natural person, ensure the applicant entity is a real legal
entity.

Question 1 :

* Schedule 3 of the Sustainable Planning Regulation 2009 identifies assessable
development and the type of assessment. Where schedule 3 identifies assessable
development as “various aspects of development’ the applicant must identify each aspect
of the development on Tables A, B and C respectively and as required.

‘ ;

Question 6 .

* Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner

of the land is required for an application. Section 260(1)(e) of the Sustainable Planning Act
2009 provides that if the owner’s consent is required under section 263, then an
application must contain, or be accompanied by, the written consent of the owner, or
include a declaration by the applicant that the owner has given written.consent to the
making of the application. If a development application relates to a state resource, the
application is not required to be supported by evidence of an allocation or entitlement to a
state resource. However, where the state is the owner of the subject land, the written
consent of the state, as landowner, may be required. Allocation or entitlement to the state
resource is a separate process and will need to be obtained before development
commences.

Question 7

° If the premises is listed on either the Contaminated Land Register (CLR) or the
Environmental Management Register (EMR) under the Environmental Protection Act
1994 it may be necessary to seek compliance assessment. Schedule 18 of the
Sustainable Planning Regulation 2009 identifies where compliance assessment is
required.

Page 11

Department of Infrastructure, Local Government and Planning

Question 11

* The Building and Construction Industry (Portable Long Service Leave) Act 1997 prescribes
when the portable long service leave levy is payable.

The portable long service leave levy amount and other prescribed percentages and rates

for calculating the levy are prescribed in the Building and Construction Industry (Portable
Long Service Leave) Regulation 2002.

Page 12

Department of Infrastructure, Local Government and Planning

Question 12

* The portable long service leave levy need not be paid when the application is made, but
the Building and Construction Industry (Portable Long Service Leave) Act 1991 requires
the levy to be paid before a development permit is issued.

* Building and construction industry notification and payment forms are available from any
Queensland post 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 on
1800 803 481 or visit www.qleave.qid.gov.au.

Privacy—The information collected in this form will be used by the Department of
Infrastructure, Local Government and Planning (DILGP), assessment manager, referral
agency and/or building certifier in accordance with the processing and assessment of your
application. Your personal details should not be disclosed for a purpose outside of the IDAS
process or the provisions about public access to planning and development information in the
Sustainable Planning Act 2009, except where required by legislation (including the Right to
Information Act 2009) or as required by Parliament. This information may be stored in relevant
databases. The information collected will be retained as required by the Public Records Act
2002.

 

OFFICE USE ONLY

Date Reference
received numbers

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

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

Date of Name BSA Certification Building

engagement a license number classification/s

QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or
private certifier if applicable.) -
- —+

Date
QLeave - receipted Name of
Description of the Amount paid Date form sighted officer who
work Se ($) paid by sighted the
number assessment form
manager

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.

Department of State Development, Infrastructure and Planning
PO Box 15009 City East Qid 4002

tel 13 QGOV (13 74 68)

info@dsdi

www.dsdip.qid.gov.au

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