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					Planning Environment & Transport Directorate Phone: 55828052 Facsimile: (07) 55828241 Email: dcg@goldcoast.qld.gov.au PO Box 5042 GOLD COAST MC QLD 9729
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Infrastructure Charges Credit Request (Per Existing Lot)
Contact details Existing lot information Name Lot number Registered plan number Contact number

Impervious surface area Select one only of the following three choices. A. Existing lawful use credits Existing land use 1 Provide details of the use(s) of any existing structures on this lot. Refer to the Infrastructure Charges Land Use Category Tables - Material Change of Use (MCU) and Building Application (BA) to complete these sections. Existing land use 2 Provide details of any other use(s) of any existing structures on this lot.

1 100% of site Land use category

or

2 Relates to existing building or structure and does not increase Impervious Area

or

3 Total Impervious 2 Surface Area m

Assessment unit (transport) No. assessment units or area m
2

Assessment unit (recreation) No. assessment units or area m
2

Number of specified bedroom dwellings 1 bed dwelling 2 bed dwellings Is evidence supplied? Land use category Assessment unit (transport) No. assessment units or area m Number of specified bedroom dwellings 1 bed dwelling 2 bed dwellings Is evidence supplied? Yes 3 bed dwellings 4 bed dwellings No If yes, please specify
2

3 bed dwellings 4 bed dwellings Yes No If yes, please specify

5+ bed dwellings

Assessment unit (recreation) No. assessment units or area m
2

5+ bed dwellings

Existing land use 3 Provide details of any other use(s) of any existing structures on this lot.

Land use category Assessment unit (transport)
2

Assessment unit (recreation)
2

No. assessment units or area m No. assessment units or area m Number of specified bedroom dwellings 1 bed dwelling 3 bed dwellings 5+ bed dwellings If necessary, attach further sheets for more existing land uses. 2 bed dwellings Is evidence supplied? Yes 4 bed dwellings No If yes, please specify

Water/ Sewerage Credit Yes No B. Any other credits Recreation Yes No Stormwater Transport Office use only Yes Yes No No

Note: The applicant must complete part C Credits requested Reason Evidence provided Yes Yes Yes Application number Receipt number Fees paid $ No No No

Application received by

Date

Sundry debtor number

Sundry debtor name

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Working for our future - today

Planning Environment & Transport Directorate Phone: 5582 8052 Facsimile: 5582 8241 Email: dcg@goldcoast.qld.gov.au PO Box 5042 GOLD COAST MC QLD 9729

Infrastructure Charges Credit Request (Per Existing Lot)
C. Water/ Sewerage Credit Request The applicant must complete this part if you are requesting a Water/ Sewerage Credit 1 ET ‘as of right’ per lot with existing water / sewerage connection For Water/Sewerage in excess of 1ET per lot please provide:    Evidence of previous payments; or Itemised list of existing plumbing fixtures as outlined in table 12.1 of Policy 3A & 3B: and Average daily water consumption over previous 5 years ( this can be obtained from your rates Notice or GCCC customercontact@goldcoast.qld.gov.au).

Yes Yes Yes Yes

How to fill out this form
Use of this form Multiple properties Contact details Existing lot information Impervious surface area Use this form to request Council to take into account any existing infrastructure charge credits that may apply to the property(s) you wish to develop when calculating the infrastructure charges you must pay. If there are multiple properties involved in your development, you must complete a separate copy of this form for each existing lot for which you are requesting infrastructure charge credits. Provide your name, or the name of your organisation, and a daytime contact number. Provide the lot number and plan description of your proposed development site for which you wish to claim credits. If 100% of the proposed development site will be Impervious Area, tick this check box. If your proposed development relates to an existing building or structure and does not increase the Impervious Area of the site, tick this check box. 2 Otherwise, in the space provided, enter the total Impervious Surface Area in m for the proposed development site. A definition of what represents Impervious Area and information to help you calculate the value to include on the form can be found on the Infrastructure Charges Impervious Area Work Sheet provided with your application kit. Refer to the Land Use Category Tables – Material Change of Use (MCU) and Building Application (BA) provided with your application kit and fill in the name of the Land Use Category from column 1 that best describes the existing use of the lot. Use columns 2, 3 and 4 in the tables to fill in the Assessment Units that correspond to the Land Use Category 2 for each network. Then record the number of units or area in m that you are claiming as credit. If the cell in the Land Use Category Tables - Material Change of Use (MCU) and Building Application (BA) is shaded and blank, then there is no Assessment Unit for you to enter on the form, as it is either the same Assessment Unit for another network, or it is not required. 2 The Gross Floor Area m is the total floor and roofed areas that do not extend past the external walls of a building. 2 The Total Use Area m is the sum of all the areas (exclusive of all walls and columns) of all storeys of a building that are used for a particular purpose, plus any other area of a site that is used for the same purpose. The term does not include: areas (inclusive of all walls and columns) of any lift wells, lift motor rooms, air conditioning and associated mechanical or electrical plant and equipment rooms; areas of any staircases; areas of any common foyer where these are not being used for commercial or retail purposes; areas of any public toilets; areas of any staff toilets, washrooms, recreation areas and lunchrooms, provided that such areas are not open to persons other than staff; and areas used for the access, parking and associated manoeuvring of motor vehicles. 2 The Gross Lettable Area (GLA) m is the sum of the area of each floor of a building where the area of each floor is taken to be the area within the internal faces of the walls and includes stock storage areas, but excludes stairs, amenities, lifts, corridors and other public areas. If the required Assessment Unit is ‘Attached – Number of Bedroom Dwellings’, you will need to specify the number of units or dwellings that have the same number of bedrooms per unit or dwelling. Indicate whether you have attached evidence of the credits you are claiming and, if so, specify that evidence. Rates notices, photographs and previously approved development applications can all be used as evidence of an existing lawful use. Where there are additional existing land uses on the property for which you are claiming infrastructure charge credits, provide the same information for those additional existing land uses as provided for Existing Land Use 1. Attach additional copies of the form, if necessary. Indicate whether you will claim any other credits and if so, include the number of credits requested, the reason and a description of the supporting evidence. Water and Sewerage Network Credits are calculated according to clause 12.3.7 of Policies 3A and 3B respectively.
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Existing lawful use credits (existing land use 1)

Existing and use 2 or more Any other credits Water / sewerage credits

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