Driveway Crossover DA Form 1

 

(1 Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994

EMR site identification:
1 Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994

CLR site identification: [

 

 

 

 

5) Are there any existing e€

   

(Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
[J No

PART 3 — DEVELOPMENT DETAILS

Section 1 — Aspects of development
So ON]
a) What is the type of development? (tick only one box}

CL] Material change of use __[] Reconfiguring a lot [ Operational work C1 Building work

b) What is the approval type? (tick only one box)

(] Development permit (Preliminary approval ( Preliminary approval that includes a variation approval
c) What is the level of assessment?

[C Code assessment (J Impact assessment (requires public notification)

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

 
  

  

sree mUl-Rile

  

 

 

 

 

 

 

 

 

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.

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

 

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

 

 

 

 

 

( Material change of use [|] Reconfiguring a lot (2 Operational work LO Building work

b) What is the approval type? (tick only one box)

CZ Development permit (2 Preliminary approval ( Preliminary approval that includes a variation approval
c) What is the level of assessment?

C1 Cade assessment C1 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 Jot into 3
jots):

 

 

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.

 

(J Relevant plans of the proposed development are attached to the development application

  
 

  
   

 

6.3) Addi et of opment

CJ 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

(2 Not required

 

 

 

Page 3
DA Form 1 — Development application details
Version 1.4— 15 December 2023