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

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