DA Form 1

DA templates are available from planning.statedevelopment.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.

Quarry materials from a watercourse or lake
23.9) Does this development application involve the removal of quarry materials from a watercourse or lake
under the Water Act 2000?
   Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
   No
Note: Contact the Department of Resources at www.resources.qld.gov.au and www.business.qld.gov.au for further information.
Quarry materials from land under tidal waters
23.10) Does this development application involve the removal of quarry materials from land under tidal water
under the Coastal Protection and Management Act 1995?
   Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
   No
Note: Contact the Department of Environment, Science and Innovation at www.desi.qld.gov.au for further information.

Referable dams
23.11) Does this development application involve a referable dam required to be failure impact assessed under
section 343 of the Water Supply (Safety and Reliability) Act 2008 (the Water Supply Act)?
   Yes – the ‘Notice Accepting a Failure Impact Assessment’ from the chief executive administering the Water
   Supply Act is attached to this development application
   No
Note: See guidance materials at www.resources.qld.gov.au for further information.

Tidal work or development within a coastal management district
23.12) Does this development application involve tidal work or development in a coastal management district?
    Yes – the following is included with this development application:
          Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required
            if application involves prescribed tidal work)
           A certificate of title
    No
Note: See guidance materials at www.desi.qld.gov.au for further information.
Queensland and local heritage places
23.13) Does this development application propose development on or adjoining a place entered in the Queensland
heritage register or on a place entered in a local government’s Local Heritage Register?
    Yes – details of the heritage place are provided in the table below
    No
Note: See guidance materials at www.desi.qld.gov.au for information requirements regarding development of Queensland heritage places.
For a heritage place that has cultural heritage significance as a local heritage place and a Queensland heritage place, provisions are in place
under the Planning Act 2016 that limit a local categorising instrument from including an assessment benchmark about the effect or impact of,
development on the stated cultural heritage significance of that place. See guidance materials at www.planning.statedevelopment.qldgov.au for
information regarding assessment of Queensland heritage places.

Name of the heritage place:                                               Place ID:
Decision under section 62 of the Transport Infrastructure Act 1994
23.14) Does this development application involve new or changed access to a state-controlled road?



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                                                                                                      DA Form 1 – Development application details
                                                                                                                    Version 1.6— 2 August 2024