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Amended DA Form 1 OPW21-0068

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( Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification: |
C1 Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification: [

 

 

 

 

5) Are there any existing easements over the premises?

Note; Easement uses vary throughout Queensland and are to be identified correctly and accurately. For further information on easements and
how they may affect the proposed development, see DA Forms Guide.

L Yes — All easement locations, types and dimensions are included in plans submitted with this development

 

application

 

 

FRI No
PART 3 —- DEVELOPMENT DETAILS

 

Section 1 — Aspects of development
6.1) Provide details about the first development aspect
a) What is the type of development? (tick only one box)
LJ Material change of use —_[_] Reconfiguring a lot JX Operational work eh eeiteine-worke
b) What is the approval type? (tick only one box)
$<] Development permit 1 Preliminary approval C1 Preliminary approval that includes a variation approval
c) What is the level of assessment?
El Code assessment CJ Impact assessment (requires public notification)

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

CONSTAUCT A SECOMD GUTTER CROSSING
e) Relevant plans

Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms quide:
Relevant plans.

i<] Relevant plans of the proposed development are attached to the development application
6.2) Provide details about the second development aspect

a) What is the type of development? (tick only one box)

 

 

 

 

 

 

 

 

 

 

      
 
 
   

 

 

 

 

 

LC Material change of use [1] Reconfiguring aot LJ Operational work 1% Building work

b) What is the approval type? (tick only ongb6x)

‘2 Development permit C1 Préfiminary approval (Preliminary approval that includes a variation approval
c) What is the level of assesSrhent?

i Code assessment: y Ol Impact assessment (requires public notification)

 

d) Provide a briéfdescription of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

 

 

e) Relevant plans
Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
Relevant plans.

C] Relevant plans of the proposed development are attached to the development application

6.3) Additional aspects of development

L Additional aspects of development are relevant to this development application and the details for these aspects
that would be required under Part 3 Section 1 of this form have been attached to this development application

KJ Not required

 

 
   

 

 

 

Page 3
DA Form 1 — Development application details
Version 1.3— 28 September 2020
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