01.5 - Da Form 1 · 132007.616.05

22) Is this development application in response to a show cause notice or required as a result of an enfi ment notice?

| C1 Yes — show cause or enforcement notice is attached

 

23) Further legislative requirements
Environmentally relevant act S

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?

 

| O Yes — the required attachment (form EM941) for an application for an environmental authority accompanies this
development application, and details are provided in the table below
O No

Note: Application for an environmental authority can be found by searching “EM941” at wwv
authority to operate. See www.b u for further information. eat pen A i oS teh 8 TAPS iu sient ESL Sy

| Proposed ERA number: — S| - Proposed ERA threshold:
| Proposed ERA name

au. An ERA requires an environmental

 

 

 

O

Multiple -ERAs are > applicable to this development application and the details have been attached ina a schedule
to this development application.

  

 

Hazardous chemical facilities
23.2) Is this development application for a hazardous chemical facility?

O1 Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
application

O No
Note: See wwv

u for further information
Clearing native vegetation

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

| O Yes — this development application is accompanied by written confirmation from the chief executive of the
Vegetation Management Act 1999 (s22A determination)

| O No
Note: See id.gov. r further information
En eae 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 20142

 

O1 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
O No

Note: The environmental offset section of the Queensland Government's website can be accessed at www.¢
environmental offsets

Koala conservation

‘ov_au for further information on

 
   

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

O Yes |
; O No

| Note: See guidance materials at www.ehp.qid.gov.au for further information
Water resources

23:6) Does this development application involve taking or interfering with artesian or sub artesian water, taking or
interfering with water in a watercourse, lake or spring, taking overland flow water or waterway barrier works?

 

| Yes — the relevant template is completed and attached to this development application |

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DA Form 1 — Development Application details