Operational Works Application - DA Form 1 & Plans - 117 Woodhaven Way Coor

jTidal works or work in a coastal management district (in Gold coast waters)
 Matters requiring referral to the Queensland Fire and Emergency Service:
 Tidal works or work in a coastal management district (involving a marina (more than six vessel berths))




 Yes - referral response(s) received and listed below are attached to this development application
 No
 Referral requirement                            Referral agency                      Date of referral response




 Identify and describe any changes made to the proposed development application that was the subject of the referral
 response and this development application, or include details in a schedule to this development application (if applicable).




 PART 6 - INFORMATION REQUEST



 I agree to receive an information request if determined necessary for this development application
 I do not agree to accept an information request for this development application
Note By not agreeing to accept an informatbn request I, the applicant, acknowledge:
 • that this development application will be assessed and decided based on the information provided when making this development application and
      the assessment manager and any referral agencies relevant to the development application are not obligated under the DA Rules to accept
     any additional information provided by the applicant for the development application unless agreed to by the relevant parties
 • Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.
Further advice about informatbn requests is contained in the DA Forms Guide.




PART 7 - FURTHER DETAILS

                                                                                                                       n)
Yes - provide details below or include details in a schedule to this development application
No
List of approval/development                      Reference number             Date Assessment manager
application references
Approval
Development application
Approval
Development application




Yes - a copy of the receipted QLeave form is attached to this development application
No - I, the applicant will provide evidence that the portable long service leave levy has been paid before the
   assessment manager decides the development application. I acknowledge that the assessment manager may give
   a development approval only if I provide evidence that the portable long service leave levy has been paid
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)
$


                                                                                                                                               ?
Yes - show cause or enforcement notice is attached
No




Yes - the required attachment (form ESR/2015/1791) for an application for an environmental authority accompanies