DAForm1.pdf

Clearing native vegetation
23.3) Does this development application involve clearing native vegetation that requires written confirmation that
the chief executive of the Vegetation Management Act 1999 is satisfied the clearing is for a relevant purpose under
section 22A of the Vegetation Management Act 1999?
    Yes – this development application includes written confirmation from the chief executive of the Vegetation
    Management Act 1999 (s22A determination)
    No
Note: 1. Where a development application for operational work or material change of use requires a s22A determination and this is not included,
         the development application is prohibited development.
      2. See https://www.qld.gov.au/environment/land/vegetation/applying for further information on how to obtain a s22A determination.

Environmental offsets
23.4) Is this development application taken to be a prescribed activity that may have a significant residual impact on
a prescribed environmental matter under the Environmental Offsets Act 2014?
    Yes – I acknowledge that an environmental offset must be provided for any prescribed activity assessed as
    having a significant residual impact on a prescribed environmental matter
    No
Note: The environmental offset section of the Queensland Government’s website can be accessed at www.qld.gov.au for further information on
environmental offsets.

Koala habitat in SEQ Region
23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work
which is assessable development under Schedule 10, Part 10 of the Planning Regulation 2017?
    Yes – the development application involves premises in the koala habitat area in the koala priority area
    Yes – the development application involves premises in the koala habitat area outside the koala priority area
    No
Note: If a koala habitat area determination has been obtained for this premises and is current over the land, it should be provided as part of this
development application. See koala habitat area guidance materials at www.des.qld.gov.au for further information.


Water resources
23.6) Does this development application involve taking or interfering with underground water through an
artesian or subartesian bore, taking or interfering with water in a watercourse, lake or spring, or taking
overland flow water under the Water Act 2000?
    Yes – the relevant template is completed and attached to this development application and I acknowledge that a
    relevant authorisation or licence under the Water Act 2000 may be required prior to commencing development
    No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qld.gov.au for further information.
DA templates are available from https://planning.dsdmip.qld.gov.au/. If the development application involves:
•   Taking or interfering with underground water through an artesian or subartesian bore: complete DA Form 1 Template 1
•   Taking or interfering with water in a watercourse, lake or spring: complete DA Form1 Template 2
•   Taking overland flow water: complete DA Form 1 Template 3.
Waterway barrier works
23.7) Does this application involve waterway barrier works?
    Yes – the relevant template is completed and attached to this development application
    No
DA templates are available from https://planning.dsdmip.qld.gov.au/. For a development application involving waterway barrier works, complete
DA Form 1 Template 4.

Marine activities
23.8) Does this development application involve aquaculture, works within a declared fish habitat area or
removal, disturbance or destruction of marine plants?
    Yes – an associated resource allocation authority is attached to this development application, if required under
    the Fisheries Act 1994
    No
Note: See guidance materials at www.daf.qld.gov.au for further information.



                                                                                                                                            Page 9
                                                                                                         DA Form 1 – Development application details
                                                                                                                  Version 1.3— 28 September 2020


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Clearing native vegetation
23.3) Does this development application involve clearing native vegetation that requires written confirmation that

the chief executive of the Vegetation Management Act 1999 is satisfied the clearing is for a relevant purpose under
section 22A of the Vegetation Management Act 1999?

LJ Yes — this development application includes written confirmation from the chief executive of the Vegetation
Management Act 1999 (s22A determination)

XX] No
Note: 1. Where a development application for operational work or material change of use requires a s22A determination and this is not included,
the development application is prohibited development.
2. See https://www.qid.gov.au/environment/land/vegetation/applying for further information on how to obtain a s22A determination.

 

Environmental offsets

23.4) Is this development application taken to be a prescribed activity that may have a significant residual impact on
a prescribed environmental matter under the Environmental Offsets Act 2014?

 

LC Yes — | acknowledge that an environmental offset must be provided for any prescribed activity assessed as
having a significant residual impact on a prescribed environmental matter

KX] No

Note: The environmental offset section of the Queensland Government's website can be accessed at www.qld.gov.au for further information on

environmental offsets.

Koala habitat in SEQ Region

23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work
which is assessable development under Schedule 10, Part 10 of the Planning Regulation 2017?

LJ Yes — the development application involves premises in the koala habitat area in the koala priority area

LJ Yes — the development application involves premises in the koala habitat area outside the koala priority area
XI No

Note: If a koala habitat area determination has been obtained for this premises and is current over the land, it should be provided as part of this
development application. See koala habitat area guidance materials at www.des.qld.gov.au for further information.

 

 

 

AEN Te ETT Ce

23.6) Does this development application involve taking or interfering with underground water through an
artesian or subartesian bore, taking or interfering with water in a watercourse, lake or spring, or taking
overland flow water under the Water Act 2000?

L Yes — the relevant template is completed and attached to this development application and | acknowledge that a
relevant authorisation or licence under the Water Act 2000 may be required prior to commencing development
XX] No

Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qid.gov.au for further information.

 

DA templates are available from https.//planning.dsdmip.qld.gov.au/. If the development application involves:

e — Taking or interfering with underground water through an artesian or subartesian bore: complete DA Form 1 Template 1
e Taking or interfering with water in a watercourse, lake or spring: complete DA Form1 Template 2

e Taking overland flow water: complete DA Form 1 Template 3.

AWE

 

23.7) Does this application involve waterway barrier works?
LJ Yes — the relevant template is completed and attached to this development application

XI No

DA templates are available from https.//planning.dsdmip.qld.gov.au/. For a development application involving waterway barrier works, complete
DA Form 1 Template 4.

 

Marine activities

23.8) Does this development application involve aquaculture, works within a declared fish habitat area or
removal, disturbance or destruction of marine plants?

LJ Yes — an associated resource allocation authority is attached to this development application, if required under
the Fisheries Act 1994

XI No

Note: See guidance materials at www.daf.gld.gov.au for further information.

 

 

 

 

Page 9
DA Form 1 — Development application details
Version 1.3— 28 September 2020