Application form Sustainable Planning Act 2009 Owner’s consent A development application for tidal works, including prescribed tidal work that is at least partly on land below high water mark is required to be supported by the land owner’s consent 1 under s. 260 of the Sustainable Planning Act 2009 (SPA). This form is to be used when owner’s consent is required from the Department of Environment and Heritage Protection (EHP) for private marine development adjoining privately owned land. For more information about when owner’s consent is required for a development application, refer to the Department of State Development Infrastructure and Planning website’s fact sheet ‘Development assessment—owner’s consent’ www.dsdip.qld.gov.au/resources/factsheet/planning/da-owners-consent.pdf 1. Applicant details NAME OF APPLICANT (MUST BE LAND OWNER) CONTACT PERSON APPLICANT’S POSTAL ADDRESS TELEPHONE (BUSINESS HOURS) POSTCODE MOBILE FACSIMILE EMAIL ADDRESS 2. Location and purpose of proposed works STREET ADDRESS LOT PLAN NAME OF WATERWAY IN WHICH WORKS ARE PROPOSED LOCAL GOVERNMENT AREA Owner’s consent is evidence that the owner of land that is the subject of a development application has consented to the making of the application. The Department of Environment and Heritage Protection can provide owner’s consent for State owned land under tidal water on behalf of the Department of Natural Resources and Mines. 1 Page 1 of 3 • 131101 • EM2829 • Version 4 ABN 46 640 294 485 Application form Owner’s consent 3. Description of the proposed work Type(s) of structure(s) proposed: Jetty / pier / wharf Pontoon Boardwalk Boat ramp Deck Mooring structure Slipway Other (specify) Is the proposed work for marine access only? YES NO Is the proposed work for a private purpose2 only? YES NO Is the proposed work located outside of a canal? YES NO Is the proposed work partly or wholly within a Strategic Port Land tidal area? YES NO Is the proposed work partly or wholly within a marine park 3? YES NO Is the proposed work partly or wholly within a declared Fish Habitat Area? YES NO 4. Dimensions of the proposed work4 Distance (in metres) of mooring structure from high water mark (if applicable) m Distance (in metres) the proposed work extends from high water mark to, on or over tidal water m Width5 (in metres) of proposed structure or gangway m 5. Existing tidal works Are there existing tidal works on the land including land under tidal water? YES NO Are the existing works approved6 (if applicable)? YES NO Permit number for existing tidal works (if applicable) 2 Private purpose means a purpose related only to (a) use of a boat used only for recreation and/or (b) use of land, if the use is only for residential purposes (defined in the Coastal Protection and Management Act 1995). 3 A marine parks permit will be required from the relevant marine park office. Visit www.nprsr.qld.gov.au/marine-parks/ 4 Please specify distances and width in meters. Stating ‘refer to attached plans’ is not sufficient. 5 Width refers to the dimension of the structure parallel to the waterfront boundary of the lot to which it is connected. 6 The procedure for applicants to obtain details of approved tidal works is to contact the relevant local government. EHP has provided local governments with data on previous approvals. However for specific details of previous approvals applicants may need to search EHP’s records, fees apply. Application and payment can be made via the Smart Service Queensland website: www.qld.gov.au/dsitia/about-us/business-areas/smart-service-queensland/. Page 2 of 3 • 131101 • EM2829 • Version 4 Department of Environment and Heritage Protection Application form Owner’s consent 6. Declaration Note: If you have not told the truth in this application you may be liable for prosecution under the relevant Acts or Regulations. I declare that the information provided is true and correct to the best of my knowledge. I understand that all information supplied on or with this application form may be disclosed publicly in accordance with the Right to Information Act 2009 and the Evidence Act 1977. APPLICANT’S FULL NAME APPLICANT’S SIGNATURE 7. Applicant checklist IMPORTANT Please provide the following documents: One copy of supporting information and drawings certified by a registered professional engineer of Queensland (RPEQ) AND DATE Please return your completed application form and supporting information to: Permit and Licence Management Department of Environment and Heritage Protection GPO Box 2454 Brisbane QLD 4001 Enquiries: 13 QGOV (13 74 68) Fax: (07) 3330 5875 Email: palm@ehp.qld.gov.au One copy of Maritime Safety Queensland (MSQ) (Department of Transport and Main Roads) endorsed water allocation area plan7 OR One copy of Gold Coast Waterways Authority (GCWA) early concurrence advice stating that the water allocation area is suitable for the intended structure7. NOTE: EHP will retain these copies for reference. 7 It is a mandatory requirement to provide either of these documents where the proposed works would occupy water space within the navigable waterway, and could hinder navigable access between adjoining waterfront properties and between adjacent approved structures. Page 3 of 3 • 131101 • EM2829 • Version 4 Department of Environment and Heritage Protection