OPERATIONAL WORK DEVELOPMENT APPLICATION FORM– VERSION 1
Operational Work
Development Application Form
This document is to be completed in conjunction with the Planning Scheme Policy – Operational Works Application and Construction Requirements and the Mackay Region Planning Scheme 2017. Please submit your completed request with all the required supporting material to [email protected].
1. APPLICANT DETAILS:
Applicant:
Contact Name:
Company
Phone: Mobile:
Email Address:
2. SUPERVISING ENGINEER (IF DIFFERENT TO ABOVE):
Contact Name:
Company:
Phone: Mobile:
Email:
Name of Certifier:
RPEQ/AILA No:
3. OPERATIONAL WORKS DETAILS:
4. STATEMENT OF COMPLIANCE Compliance with conditions
of approval, Mackay Region Planning Scheme 2017 and Planning scheme policies
Statement of compliance with reference to Drawing Numbers
Plan presentation
Geotechnical requirements Geometric road design Pavements
Structures / bridges Subsurface drainage
Development / Estate
Name: Stage:
Street Address:
Property Description:
Description of Works:
OPERATIONAL WORK DEVELOPMENT APPLICATION FORM– VERSION 1
Compliance with conditions of approval, Mackay Region Planning Scheme 2017 and Planning scheme policies
Statement of compliance with reference to Drawing Numbers
Stormwater drainage Site re-grading
Erosion and sediment control Stormwater management Pest plant management Cycleway / pathways Landscaping
Water source and disinfection / treatment infrastructure Water reticulation, pump stations and water storages Sewer reticulation and pump stations
Electrical reticulation and street lighting
Public transport
Associated documentation / specification
Priced schedule of quantities Referral agency conditions Supporting information (in accordance with Council’s D20 Drawings and Documentation Guidelines)
5. DESIGN SUBMISSION -NON-COMPLIANCES:
Description and justification of design elements that do not comply with planning scheme requirements, planning scheme policies, conditions of approvals, standards, specifications or any other relevant requirements.
Relevant Drawing Number/s
OPERATIONAL WORK DEVELOPMENT APPLICATION FORM– VERSION 1
Description and justification of design elements that do not comply with planning scheme requirements, planning scheme policies, conditions of approvals, standards, specifications or any other relevant requirements.
Relevant Drawing Number/s
6. MANDATORY DOCUMENTS TO BE SUBMITTED:
☐
Cover Letter (which must include a statement of compliance with development approval conditions)☐
Payment of application fees based on Council’s Schedule of Fees and Charges☐
DA Form 1 or PDA Development Application Form☐
Estimated value of relevant works relating to this application (including GST)☐
Engineering Drawings certified by an RPEQ or relevant qualified person☐
Engineering Report certified by an RPEQ or relevant qualified personConscientiously believing the above statements to be true and correct, signed on behalf of:
Name of Certifier:
RPEQ / AILA No:
Signature: Date:
Mackay Regional Council is collecting your personal information to process your application. This information will only be disclosed to any other third party with your written authorisation or as we are required to by law.
