Amended DA Form 1

 

List of approval/development Reference number Date Assessment
application references manager

 

C1 Approval
(J Development application

 

 

C1 Approval
(1 Development application

 

 

 

 

 

 

 

C1 Yes ~ a copy of the receipted QLeave form is attached to this development application

(J No -1, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may
give a development approval only if | provide evidence that the portable long service leave levy has been paid

(1 Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E)

$
(1 Yes — show cause or enforcement notice is attached

LI No

 

 

 

 

 

 

 

 

 

(1 Yes — the required attachment (form ESR/2015/1791) for an application for an environmental authority
accompanies this development application, and details are provided in the table below

LI No

Note: Application for an environmental authority can be found by searching “ESR/2015/1791” as a search term at www.qld.gov.au. An ERA
requires an environmental authority to operate. See www.business.qid.gov.au for further information.

 

Proposed ERA number: | Proposed ERA threshold: L
Proposed ERA name:

(1 Multiple ERAs are applicable to this development application and the details have been attached in a schedule to
this development application.

 

 

 

  

L Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
application

LI No

Note: See www.business.gid.gov.au for further information about hazardous chemical notifications.

 

 

 

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DA Form 1 — Development application details
Version 1.2— 7 February 2020