DA Form 1 (004)

 ☐ Yes – specify number of new lots:
 ☐ No
 14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)




PART 4 – ASSESSMENT MANAGER DETAILS
 15) Identify the assessment manager(s) who will be assessing this development application
 Noosa Council
 16) Has the local government agreed to apply a superseded planning scheme for this development application?
 ☐ Yes – a copy of the decision notice is attached to this development application
 ☐ The local government is taken to have agreed to the superseded planning scheme request – relevant documents
   attached
 ☒ No

PART 5 – REFERRAL DETAILS
 17) Does this development application include any aspects that have any referral requirements?
 Note: A development application will require referral if prescribed by the Planning Regulation 2017.
 ☒ No, there are no referral requirements relevant to any development aspects identified in this development application –
   proceed to Part 6
 Matters requiring referral to the Chief Executive of the Planning Act 2016:
 ☐ Clearing native vegetation
 ☐ Contaminated land (unexploded ordnance)
 ☐ Environmentally relevant activities (ERA) (only if the ERA has not been devolved to a local government)
 ☐
   Fisheries – aquaculture
 ☐
   Fisheries – declared fish habitat area
 ☐
 ☐ Fisheries – marine plants
 ☐ Fisheries – waterway barrier works
 ☐ Hazardous chemical facilities
 ☐ Heritage places – Queensland heritage place (on or near a Queensland heritage place)
 ☐ Infrastructure-related referrals – designated premises
 ☐
   Infrastructure-related referrals – state transport infrastructure
 ☐
 ☐ Infrastructure-related referrals – State transport corridor and future State transport corridor
 ☐ Infrastructure-related referrals – State-controlled transport tunnels and future state-controlled transport tunnels
 ☐ Infrastructure-related referrals – near a state-controlled road intersection
   Koala habitat in SEQ region – interfering with koala habitat in koala habitat areas outside koala priority areas
   Koala habitat in SEQ region – key resource areas
 ☐ Ports – Brisbane core port land – near a State transport corridor or future State transport corridor
 ☐ Ports – Brisbane core port land – environmentally relevant activity (ERA)
 ☐ Ports – Brisbane core port land – tidal works or work in a coastal management district
 ☐ Ports – Brisbane core port land – hazardous chemical facility
 ☐ Ports – Brisbane core port land – taking or interfering with water
 ☐ Ports – Brisbane core port land – referable dams
 ☐ Ports – Brisbane core port land – fisheries
 ☐ Ports – Land within Port of Brisbane’s port limits (below high-water mark)
 ☐ SEQ development area
 ☐ SEQ regional landscape and rural production area or SEQ rural living area – tourist activity or sport and
    recreation activity


                                                                                                                                            Page 6
                                                                                                        DA Form 1 – Development application details
                                                                                                                      Version 1.6— 2 August 2024