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Cover Letter, DA Form 1
PART 7 — FURTHER DETAILS 20) Are there any associated development applications or current approvals? (e.g. a preliminary approval) C1 Yes — provide details below or include details in a schedule to this development application No List of approval/development Reference number Date Assessment application references manager CJ Approval CJ Development application C1 Approval LJ Development application 21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or operational work) [J Yes — a copy of the receipted QLeave form is attached to this development application LJ No =|, the applicant will provide evidence that the portable long service leave levy has been paid before the assessment manager decides the development application. | acknowledge that the assessment manager may give a development approval only if | provide evidence that the portable long service leave levy has been paid LJ Not applicable (e.g. building and construction work is less than $150,000 excluding GST) Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E) $7 b689-ss (- Fo SLT 3IS. 22) Is this development application in response to a show cause notice or required as a result of an enforcement notice? LJ Yes — show cause or enforcement notice is attached No 23) Further legislative requirements Environmentally relevant activities 23.1) Is this development application also taken to be an application for an environmental authority for an Environmentally Relevant Activity (ERA) under section 115 of the Environmental Protection Act 1994? C1 Yes — the required attachment (form ESR/2015/1791) for an application for an environmental authority accompanies this development application, and details are provided in the table below No Note: Application for an environmental authority can be found by searching “ESR/2015/1791” as a search term at www.qid.gov.au. An ERA requires an environmental authority to operate. See www.business.qid.gov.au for further information. Proposed ERA number: Proposed ERA threshold: Proposed ERA name: LJ Multiple ERAs are applicable to this development application and the details have been attached in a schedule to this development application. Hazardous chemical faci 23.2) Is this development application for a hazardous chemical facility? C1 Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development ae No Note: See www.business.qld.gov.au for further information about hazardous chemical notifications. Page 8 DA Form 1 — Development application details Version 1.3— 28 September 2020
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