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DA Form 5 - 9 Dwyer St

of 12

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(1 Yes — this development application includes written confirmation from the chief executive of the Vegetation
Management Act 1999 (s22A determination)
{El No
Note: 1. Where a development application for operational work or material change of use requires a s22A determination and this is not included,
the development application is prohibited development.
2. See https:/www.qid.gov.au/environment/and/vegetation/applying for further information on how to obtain a s22A determination.

L] Yes - | acknowledge that an environmental offset must be provided for any prescribed activity assessed as
having a significant residual impact on a prescribed environmental matter
[NLNo

Note: The environmental offset section of the Queensland Government's website can be accessed at www.qld.gov.au for further information on
environmental offsets.

   
   

(J Yes - the development application involves premises in the koala habitat area in the koala priority area
(J Yes - the development application involves premises in the koala habitat area outside the koala priority area

[No

Note; /f a koala habitat area determination has been obtained for this premises and is current over the land, it should be provided as part of this
development application. See koala habitat area guidance materials at www.des. qid.gov.au for further information.

 

Water resources

23.6) Does this development application invalve taking or interfering et underground water tht ta)
artesian or subartesian bore, taking or interfering with water in a watercourse, LCs} rely spring, or a .
overland flow water under the Water Act 2000?

 
 

(1 Yes - the relevant template is completed and attached to this development application and | ackneweane that a
relevant authorisation or licence under the Water Act 2000 may be required prior to commencing development

Kd No

Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.gid.g

  

DA templates are available from https://planning.dsdmip.qid.gov.au/. If the development application involves

* Taking or interfering with underground water through an artesian or subartesian bore: complete DA Form 1 Template 1

¢ Taking or interfering with water in a watercourse, lake or spring: complete DA Form? Template 2

¢ Taking overland flow water: complete DA Form 1 Tempiate 3.

Waterway barrier works : ae hare

PERO nee R ules ee eM e MoM CIR CN Lee (els cen ae 2 ee

(J Yes - the relevant template is completed and attached to this develop t application |
|

fd No |

DA templai
| DA Form 4

|
|
u for further information. |

 

 
 
   

s are available from https://pianning.dsdmip.gid.gov.au/. For a develor fing waterway barrier works, complete |
Template 4.

  

(] Yes — an associated resource allocation authority is attached to this development application, if required under
the Fisheries Act 1994

 

 
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