Georges River Council – Subdivision Certificate | www.georgesriver.nsw.gov.au | 9330 6400 Page 1 of 3

Subdivision Certificate Application

Office Use only: SC_ _ _ _ / _ _ _ _ Amount Paid: $ Receipt No:...............

Use this form when applying for a Subdivision Certificate. Prior to the issue of the Subdivision Certificate you must have obtained development consent, complied with all the conditions of the consent, including the completion of any works and received your final occupation certificate

Advisory Notes An incomplete form may result in rejection of your application. Please refer to the “Application Checklist” attached

to ensure all required documents are provided prior to submitting this application. Application form must be submitted with owner’s consent given by all owners. Application fee must accompany application. It is best to confirm fees before writing cheques– Refer to Schedule of

fees and chargesFor advice please contact Customer Service on (02) 9330 6400 (8.30am-5.00pm Monday to Friday)

Site Address

Street Address:

Suburb: Postcode:

Lot: Section: DP/SP:

Application Consent

Development Consent Reference: Date of Consent:

Construction Certificate (if applicable): Date of Issue:

Applicant Details CSO Checked

Name:

Street Name: Suburb

Phone: Mobile No: Postcode:

E-mail address: If Applicant is a Company: Application form must be signed by 2 directors or a director and the company secretary. In the case of a proprietary company that has a sole director, that director only must sign and must indicate that he/she is the sole director.

Signature: Date:

Position:

Signature: Date:

Position:

PRINT FORM

Georges River Council – Subdivision Certificate | www.georgesriver.nsw.gov.au | 9330 6400 Page 2 of 3

Subdivision Details CSO Checked

Select Type of Subdivision No. of Lots

Torrens Title

Strata Title

Boundary Adjustment

Easement

Other:

Owner Details CSO Checked

Company Name:

Name: Name

Postal Address: Postal Address:

Suburb: Suburb:

Contact Number: Contact number:

E-mail address: E-mail address: As the owner(s) of the property subject to this application I/we consent to the lodgement of this application and to Council entering the property for assessing the application and compliance with any approval which may be issued by Council.

If the Owner is a Company: The application form must be signed by 2 directors or a director and the company secretary. In the case of a proprietary company that has a sole director, that director only must sign and must indicate that he/she is the sole director.

Signature:

Position: Date:

Signature

Position: Date:

Printed form can be submitted in person at Hurstville or Kogarah Service Centres or it can be posted via the postal address Georges River Council, PO Box 205, Hurstville NSW 1481

Print form

Privacy Notice

Georges River Council is required under the Privacy and Personal Information Protection Act 1998 to collect, maintain and use your personal information in accordance with the Information Privacy Principles. Your personal information is being collected to process your application. Council may use your personal information for the purposes of processing your application. Council is regarded as the agency that holds the information and will not disclose your personal information without your consent unless authorised or required by law. You may apply to access or amend your information by contacting Council on 9330 6400 or at mail@georgesriver.nsw.gov.au.

Georges River Council – Subdivision Certificate | www.georgesriver.nsw.gov.au | 9330 6400 Page 3 of 3

Subdivision Certificate Application Lodgement Requirements Yes N/A Office Occupation Certificate – Occupation certificate issued by Council or private PCA. This includes any supporting documentation. Conditions of Development Consent - Ensure all conditions have been satisfied. Evidence must be provided when applicable. Administration Sheet of the Deposited Plan –

• Do not crease.• This document will be returned to applicant along with the Subdivision Certificate• Unless Development Conditions of Consent state otherwise. If an 88B instrument is

required then an original document is required also.Subdivision Plan (Torrens or (Strata) –

• Do not crease.• This document will be returned to applicant along with the Subdivision Certificate• 1 original & 3 copies

Sydney Water S73 Certificate- Subdivider/developer compliance certificate for subdivision

Electricity Authority Certificate (e.g. Integral Energy, Endeavour Energy, Origin, AGL etc) – • Strata - Compliance Certificate• Torrens - Notification of Arrangement

Copy of the registered Positive Covenant and Restriction on the Use of Land a) Buildingb) OSD ORAny relevant 88B –

This can be downloaded from the LPI website www.lpi.nsw.gov.au • 1 original & a copy

Creation of required easements Construction Certificate (when applicable)Detailed Subdivision - Detailed subdivision engineering plans endorsed Street address, Letter Boxes erected and numbered Car parking/garages/line marking completed Certification from a registered surveyor - All services including but not limited to stormwater drainage, gas, telephone, Electricity as constructed are appropriate for the proposed subdivision. COLOUR Works As- Executed on Plans: Unless structures do not exist Please ensure annotations are in colour and high resolution

Note 1: • If a subdivision is the subject of an order of the Land and Environment Court under section 40 of the Landand Environment Court Act 1979 evidence that required drainage easements have been acquired by therelevant council• For subdivision involving subdivision works evidence that:

i. the work has been completed, orii. agreement reached with the relevant consent authority regarding payment of the cost of work

or as to the time for carrying out the work, oriii. security given to the consent authority with respect to the completion of the work

Note 2: For information about registration of plans contact Land and Property Information: Tel: 9228 6666 www.lpi.nsw.gov.au

Applicants Signature: ________________________________ Date: _______________

Council Officer (Print name): _____________________________ Date: ________________