Amended DA Form 1

PART 2 – LOCATION DETAILS
3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable)
Note: Provide details below and attach a site plan for any or all premises part of the development application. For further information, see DA Forms
Guide: Relevant plans.
3.1) Street address and lot on plan
    Street address AND lot on plan (all lots must be listed), or
    Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in water
but adjoining or adjacent to land e.g. jetty, pontoon; all lots must be listed).
          Unit No.        Street No.         Street Name and Type                                      Suburb
          -               216                Black Mountain Road                                       Black Mountain
  a)
          Postcode        Lot No.            Plan Type and Number (e.g. RP, SP)                        Local Government Area(s)
          4563            9                  RP131369                                                  Noosa Shire Council
          Unit No.        Street No.         Street Name and Type                                      Suburb

  b)
          Postcode        Lot No.            Plan Type and Number (e.g. RP, SP)                        Local Government Area(s)


3.2) Coordinates of premises (appropriate for development in remote areas, over part of a lot or in water not adjoining or adjacent to land e.g.
channel dredging in Moreton Bay)
Note: Place each set of coordinates in a separate row. Only one set of coordinates is required for this part.
    Coordinates of premises by longitude and latitude
Longitude(s)                         Latitude(s)                       Datum                         Local Government Area(s) (if applicable)
                                                                           WGS84
                                                                           GDA94
                                                                           Other:
    Coordinates of premises by easting and northing
Easting(s)                    Northing(s)            Zone Ref.         Datum                         Local Government Area(s) (if applicable)
                                                          54               WGS84
                                                          55               GDA94
                                                          56               Other:
3.3) Additional premises
    Additional premises are relevant to this development application and their details have been attached in a schedule
to this application
    Not required

4) Identify any of the following that apply to the premises and provide any relevant details
    In or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer:
    On strategic port land under the Transport Infrastructure Act 1994
Lot on plan description of strategic port land:
Name of port authority for the lot:
    In a tidal area
Name of local government for the tidal area (if applicable):
Name of port authority for tidal area (if applicable):
    On airport land under the Airport Assets (Restructuring and Disposal) Act 2008
Name of airport:
    Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification:
                                                                                                                                               Page 2
                                                                                                            DA Form 1 – Development Application details
                                                                                                                              Version 1.0—3 July 2017