Application to Amend a Planning Permit - Shire of Yarra Ranges

Office Use Only Fee: $Application No.:Receipt No.:Date Lodged: / / Ward:Application toAmend a Planning PermitPlanning EnquiriesPhone: (03) 9294 6222Web:www.yarraranges.vic.gov.auUse this form to make an application to amend a planning permit or plans under section 72 and62 (3) (repealed) of the Planning and Environment Act 1987 and to apply for secondary consentchanges under a permit condition.Privacy notice! Information collected with this application will only be used to consider and determine the application. It willbe made available for public inspection in accordance with section 51 of the Planning and Environment Act 1987.Need help with the application?Contact Council’s planning Department to discuss the specific requirements for this application and obtain a checklist.Type of amendment proposedIndicate the type of amendment that is being proposed and pay theaplicable fee!Section 72 Amendment to permit and plans not issued at the! direction of Victorian Civil & Administrative Tribunal.$500,000 +Indicate additional cost ofdevelopment and obtain variable feeschedule from CouncilSection 62(3) amendments (repealed) to plans only of permits issuedprior to 23 August 2005.Secondary consent amendments to plans under a condition of thepermit1 st =$1102nd =$1403 rd + = $170$99.00 feeThe landAddress of the land. Complete the Street Address and one of the Formal Land Descriptions.Street AddressStreet No.: 527-529 Street Name: Maroondah HighwaySuburb/Locality: Coldstream Postcode: 3 7 7 0Formal Land DescriptionLot No.: 1 on Lodged Plan, Title Plan or Subdivision Plan No.: 613737Q! This information can beORfound on the certificate of title. Crown Allotment No.: Section No.: Parish Name:Title information (not requiredfor secondary consent)! ! Attach a full, current copy of title information for each individual parcel of land, forming the subject site.Describe how the land isused and developed now.Green Waste Transfer Station (Composting Facility)eg. single dwelling, partiallyconstructed dwellings, shop,factory, medical centre with twoRevised 201107Shire of Yarra Ranges Application to Amend a Planning PermitPage 1 of 4

The amendment proposal! You must give full details of the permit being amended and the amendment being applied for. If you do not give enough detailor an adequate description of the proposal you will be asked for more information. This will delay your application.a. What permit is beingamended?YR-2004/164 - Use and development of green waste transfer station (composting facility)Include the permit number andwhat the permit allows.b. What is the amendmentbeing applied for?Describe the changes proposedto the permit including allchanges to the plans or to anyother documents included in thepermit.Detail any changes sought to what the permit allows.Minor changes to site layout and associated buildings and worksDetail any changes sought to the current conditions of the permit.N/ADetail any changes sought to the plans or to any other documents endorsed under the permit.Refer to attached drawings (existing conditions plan, proposed site plan, in-ground aeration system diagrams,proposed elevations of the new and modified buldings)c. Why is the amendmentrequired?The amendment is sought to amend the endorsed plans under Condition 1 of YR-2004/164.State the reasons for the change.Additional informationabout the proposal.Contact council or refer tocouncil planning permitchecklists for more informationabout council’s requirements.! Attach additional information providing details of the proposal, including:Any information required by the planning scheme, requested by council or outlined in a council planning!permit checklist.A list and plans indicating the layout and details of the proposal.If required, a description of the likely effect of the proposal (eg. traffic, noise, environmental impacts).Encumbrances on title.Encumbrances are identified onthe certificate of title.Is the land affected by an encumbrance such as a restrictivecovenant, section 173 agreement or other obligation on titlesuch as an easement or building envelope?! No.Yes, ! Attach a copy of the document (instrument) specifyingthe details of the encumbrance.Does the proposal breach, in any way, theencumbrance on title?No.Yes, contact council for advice on how to proceed beforecontinuing with this application.! NoteCouncil must not grant anamendment to a permit thatauthorises anything thatwould result in a breach ofa registered restrictivecovenant (sections 61(4)and 62 of the Planning andEnvironment Act 1987).Contact council and/or anappropriately qualifiedperson for advice.Revised 201107Shire of Yarra Ranges Application to Amend a Planning PermitPage 2 of 4

Contact, applicant and owner details1ContactThe person you want Council tocommunicate with about theapplication.Name:Denise GreaneyOrganisation (if applicable):Postal address:GHD Pty LtdLevel 8, 180 Lonsdale Street, MelbournePostcode: 3 0 0 0Contact phone: 8687 8748 !Mobile phone:Email:N/ADenise.Greaney@ghd.comIndicate preferred contact methodFax: 8687 8111ApplicantSame as contact. If not, complete details below.The person or organisation who wantsthe amendment to the permit.Name:Tony FarricielloOrganisation (if applicable):Australian Native Landscape Pty LtdPostal address: PO Box 212Postcode: 3 7 7 0OwnerSame as contactSame as applicantThe person or organisation who ownsthe land.Where the owner is different from the applicant or contact, provide the name of the personor organisation who owns the land.Name (if applicable):N/AOrganisation (if applicable):Boral ResourcesPostal address:83 Riversdale Road, HawthornPostcode: 3 1 2 2DeclarationThis form must be signed.Complete one of A, B or C! Remember it is against thelaw to provide false ormisleading information, whichcould result in a heavy fine andcancellation of the permit.A Owner/ApplicantI declare that I am the applicant and owner of theland and all the information in this application is trueand correct.B OwnerI declare that I am the owner of the land and I haveseen this application.ApplicantI declare that I am the applicant and all ofthe informaton in this application is true andcorrect.SignatureDate D D / M M / Y Y Y YSignatureDate D D / M M / Y Y Y YSignatureDate D D / M M / Y Y Y YC ApplicantI declare that I am the applicant and:" I have notified the owner about thisapplication;" and all the information in this application istrue and correct.SignatureRevised 201107Shire of Yarra Ranges Application to Amend a Planning PermitPage 3 of 4See attached signed formDate D D / M M / Y Y Y Y

ChecklistHave you?Filled in the form completely?Paid or included the application fee?! Attached all necessary supporting information and documents?Completed the relevant council planning permit checklist?Signed the declaration above?LodgementLodge the completed andsigned form and all documentswith:Yarra Ranges Shire CouncilPO Box 105, LILYDALE VIC 3140Anderson Street, LILYDALE VIC 3140For help or more information Telephone: (03) 9294 6222Fax: (03) 9735 4249Email: mail@yarraranges.vic.gov.auDX: 34051Revised 201107Shire of Yarra Ranges Application to Amend a Planning PermitPage 4 of 4