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09/1658 - Operational Works - Jetty & Boatlift [As Published] · 142009.1658
INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, lake, canal)
Name of water body, watercourse or aquifer (if known) . 8
| 1 | Noosa Waters Canal
Table E Complete if the premises are on Strategic Port Land under the Transport infrastructure Act 1994
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Table F Complete if the premises are in tidal water
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3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)
Lot on plan description for strategic port land - Port Authority for the lot
Name of focal government for the tidal area (if applicable) Name of port authority for the tidal area (if applicable)
Total area of premises
863.00 m? {_]hectares (Tick applicable unit)
‘Existing use of the premises . , . : " }
4. Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming ete.)
| 1 House |
5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc)?
& No oO Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application
i ee . ron yee og ut o ry ° . uo“ :
[Proposal details . ve 1
6. Brief description of the proposal (e.g. 6 unit apartment building, 30 fot residential subdivision, a bore, aquaculture)
New timber jetty and pneumatic boat storage device
7. Does the poposal include new buildings or operational work (including any services) on the premises?
oO No XX Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
‘Resource entitlement (if applicable) ‘- further information is provided in the advice section af the ‘end of the form : : !
8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)
& No -Gotoag O Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
alfocation or entitlement must be submitted with the application. You do not need to answer Q9 - go to the next section.
\Owner's consent (if applicable) _- further information is provided in the advice section at the end of the form _|
9. Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coasta! Protection and Management Act 1995; or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an aftachment to this form if applicable,
Premises Owner's namé/s * Détails of the premises owned ng » _ | Date consent
Table H and postal address {street address or lot on plan description) Owner's signature was obtained
Qevhwales AY
1 Robert Tasker 7 Topeaile-Riace, Noosaville 4566 03/11/2009
Sa trick
2 4A “Sen TASKER Topesiie-Blace, Noosaville 4566 Lacie 1/2009
* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent mus! ipo wrovides to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company, 5127 of the Corporations Act 2001 (Cwealth) detais how a
company may sign as owner. Templates for the provision of awner's consent are available on the IPA website .
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