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IDAS form 1 · OPW12/0427

Attached to the e-mail Development Application IDAS Forms 1 & 6 - OPW12/0427.

of 7

Text shows just the words. Original shows the document exactly as it was published.

Application details-IDAS form !
(Sustainabte PlanningAct 2oo9 version r.o effective r8 December zoog)


You MUST complete ALL questions unless the form indicates otherwise. lncomplete forms or forms without a[[ necessary
information and documentation witl result in your application not being a properly made application.

For all development applications, you must:
.     complete this form (Application details-IDAS form            il
.     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.

Alt terms used on this form have the meaning given in the Sustainable PlanningAct zoogorthe Sustainable Planning
Regulation zoo9.


This form can also be completed online using Smart eDA at www.smarteda.qld.gov.au

Appticant detaits (note: the applicant is the person responsibte for making the apptication 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 approvat that may be issued as a consequence of this apptication witt be issued to the
applicant.)

Name/s (individuat or company name in fu[[)

For companies, contact name


PostaI address                                                    {rz              Yl,],.n^,, el
                                                                   ),nu           J-{*,^L,^..       hn6
contact phone number                                                     I

Mobile number (non-mandatory)                                           ,r


Fax number (non-mandatory)                                                   ft

e-maiI address (non-mandatory)

                                                                                          0
Full text of the other 6 pages

Page 2

          [ii][i
r. What is the nature of development proposed? (tick all appticable box/es)

T material         change of use of premises

T building work
tr operationalwork
T reconfiguring lot      a


z. What type of approval is being sought?


I         development        permit I       preliminary approval
                                                                    e        both-provide details below




3. ls the apptication for a mobile and temporary environmentatly relevant activity (ERA)?


V       No


T Yes-complete            table A and then go to question 5


Table A-name of each local government area in which the mobile and temporary ERA is proposed to operate




4. Location of the premises (complete table B and/or table C as appticabte. ldentifu each lot in a separate row)


Table B-street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises
       pf street address/lot on the plan
       l-l street address/lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
              water e.g. jetty, pontoon)

Street address                                                     Lot on plan description        Local government area
                                                                                                  (e.g. Logan, Cairns)
Unit      Street     Street name and officialsuburb/     Post-     Lot no.      Plan type
no.          no.     locality name                       code                  and plan no.

                                                                                                      ,t/
              ?
                        fro furu S-/'nut                 ,.1b15-                                    -\l;n'ia14g (



                                                                                              App/ication details

Page 3

Tabte C-premises coordinates (appropriate for devetopment in remote areas, over part of a lot or in water e.g. channel
dredging in Moreton Bay)

Coordinates                                                              Zone        Datum                    Local government
(note: place each set ofcoordinates in a separate row)                   reference                            area (if appticabte)

Easting         Northing           Latitude          Longitude



                                                                                      I     GDA94

                                                                                      T     WGSs+

                                                                                      n     other




5. Total area of the premises on which the development is proposed
                                                                            (indicate hectares or m')


               L,e .{:{r nt -. -1,/.--r- g,^,*-. tt U &*J * Mf;&d} {€-- "'2,,'
6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)



   iL<z
7. Provide a brief description of the proposal (e.g. six unit apartment buitding, 30 lot residential subdivision etc.)




8. ls owner's consent required for this apptication? (refer to notes at the end of this form for more information)


V      No


tr Yes-complete       either table D, tabte E or table F as applicable



Table D

Name of owner/s of the land                   Nt,; L.j*, t,f,-,w*
l/We, the above-mentioned owner/s of the land, consent to the making of this application.

Signature of owner/s of the land



Date                                          irltuf tL

                                                                                             .:;;il,;: !j111 't'",':.:i,'--IDAS f1fm I
                                                                                             Version t,o t8 Decentber 2oag

Page 4

Tabte E

Name of owner/s of the land


f] fne owner's written consent is attached or will be provided separately to the assessment manager


Table F

Name of owner/s of the land

      By making this application, l, the applicant, declare that the owner has given written consent to the making of the
apptication.


                                                                                               land, or taking quarry materials.
9. Does the application involve a state resource? (e.g. the application involves state
Refer to the notes at the end of this form for more information)


                                            Yes-complete table G
VNo                                  tr

Tabte G-state owned resources (provide details for each state resource in a separate table)
                         ----..---------_
Nature of state-owned resource                     I




Nature of evidence required (tick the
applicable box and attach a copy ofthe                      Evidence of an allocation of, or an entitlement to, the resource
evidence to this form)
                                                       I

                                                            Evidence the chief executive of the department administering the
                                                       Ll   resource is satisfied the development is consistent with an allocation
                                                            of, or an entitlement to, the resource


                                                       n    Evidence the chief executive of the department administering the
                                                            resource is satisfied the development application may proceed in the
                                                            absence of an atlocation of, or an entittement to, the resource


 ro. ldentify if any of the fottowing appty to the premises (tick applicable box/es)


 u      adiacent to a water body, watercourse or aquifer (e.g. creek, river, [ake, canal)-comptete table H

 tr     on strategic port land under the Transport lnfrastructure Act 1g94-complete table I


 n        in a tidal water area-complete table J



Tabte H         Name of water body, watercourse or aquifer




                                                                                                               .'   .' ,-IDAS form t
                                                                                                     Version t.a t8 DecemLter 2oo9

Page 5

Table I        Lot on plan description for strategic port [and                  Port authority for the [ot




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




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

A         No I       yes-ensure the type, location and dimension of each easement is included in the plans submitted




V         No I       yes-ensure the nature, location and dimension of proposed works are included in plans submitted


r3. ls the payment of a portabte long service leave levy applicabte to this application? (refer to notes at the end of this
form for more information)


 M        No-go to question r5         f]    Yes



 r4. Has the portable long service leave levy been paid? (refer to notes at the end of this form for more information)


 M No
 T yes-complete table         K and submit with this application the yetlow locaI government/private certifier's copy
          receipted Qleave form
                                                                                                                          of the




Table K         Amount paid                  Date paid              Qleave Proiect Number (6 digit number starting with A, B,
                                                                    E,LorP)




                                                                                                                                    of
 r5. Has the [oca[ government agreed to apply a superseded ptanning scheme to this apptication under section 96
 the Sustainable PlanningAct zooy'?


 V        No


 n        Yes-please provide details below


 Name of local government                             Date of written notice given    Reference number of written notice given
                                                      by tocal government             by local government (if applicable)




                                                                                               Version t.o tB December 2cog

Page 6

 16. List betow att of the forms and supporting information that accompany this application (inctude atl IDAS forms,
 checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this question
 does not appty for applications made on-line using Smart eDA)


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




 r7. Applicant's declaration


 E tU making this application, I declare that alt information in this application is true and correct (note: it is untawful to
 provide false or misleading information).


Notes for completing this form

Question 8:
. Section 253 of the Sustainable PlanningAct2oogselsoutwhen the consentof the ownerof the land is required foran
    application.sectionz6o(rXe) of theSustainablePtanningActzoogprovidesthatiftheowner'sconsentisrequired
    under section 263, then an application must contain, or be accompanied by, the written consent of the owner, or
    include a dectaration by the appticant that the owner has given written consent to the making of the application.
o   Owner's consent is not required for a mobile and temporary ERA.

Question 9:
. Section 264 of the Sustainable Planning Act zoog provides that if a development involves a state resource, a
  regulation may require the application to be supported by certain evidence prescribed under the regutation. Schedule
  14 of the Sustainable planning Regulation zoog prescribes the state resources for which evidence is required to
                                                                                                                  be
  given, and the evidence required, to support the application.


Question r3:
. The Buitding and Construction lndustry (Portable Long Service Leave) Act r99r prescribes when the portable long
    service leave levy is payabte.
. The portabte long service leave levy amount and other prescribed percentages and rates for calcutating the levy are
    prescribed in the Building and Construction lndustry (Portable Long Service Leave) Regulation zooz.


Question r4:
. The portable long service leave levy need not be paid when the application is made, but the Buitding and Construction
  lndustry (Portabte Long Service Leave) Act 1991 requires the levy to be paid before a development permit is issued.
. Building and Construction lndustry 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.qld.gov.au. For further
    information contact Qleave on r8oo 8o3 48r or www.qleave.qld.gov.au.



                                                                                                               *lllAS forn t
                                                                                               Version i.o t8 !)ecenbet 2aog

Page 7

Privacy-the information coltected in this form will be used by the Department of lnfrastructure and Planning (DlP) in
accordance with the processing and assessment of your application. Your personal detaits will not be disclosed for a purpose
outside of the IDAS process, exceptwhere required by legislation (includingthe Rightto lnformationActzoog) oras required
by Parliament. This information may be stored in a departmental database. The information collected will be retained as
required by lhe Public Records Act zooz.



OFFICE USE ONLY
 Date received                                             Reference numbers


NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER
 To                                        Council. I have been engaged as the private certifier for the buitding work referred
                                           to in this application


                                                                                                          Buitding
Date of engagement        Name                                         BSA Certification license number
                                                                                                          classification/s




QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certitier it applicable)
                                                                                        Date receipted
                                 Qleave Project          Amount paid                    form sighted by Name of officer who
Description of the work                                                    Date paid
                                 Number                  ($)                            assessment      sighted the form
                                                                                        manager




 The Sustainable PlanningAct zoog(SPA) is administered by the Department of lnfrastructure and Planning. This form and
 all other required application materials should be sent to your assessment manager and any referral agencies.


                                                                                           j:    ': :     ,.-IDASformt
                                                                                           L/ersian i.a tB Decenlter 2cog

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