Change Application DA Form 5

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C1 Coordinates of premises by longitude and latitude

 

Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)

CO wess4
C1 Gpag4

C1 Other:

 

 

 

C1 Coordinates of premises by easting and northing

 

 

Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
O54 C1 wess4
0155 C1 Gpag4
(156 C1 Other:

 

 

 

 

   

3.3) Additional premises

L] Additional premises are relevant to the original development approval and the details of these premises have
been attached in a schedule to this application

L] Not required

 

PART 3 — RESPONSIBLE ENTITY DETAILS

4) Identify the responsible entity that will be assessing this change application
Note: see section 78(3) of the Planning Act 2016

 

 

PART 4 — CHANGE DETAILS

   
   

5) Provide details of the existing development approval subject to this change application

Approval type Reference number Date issued Assessment
manager/approval entity

 

(1 Development permit

(Preliminary approval OP W23 leo23
(1 Development permit y

(1 Preliminary approval

 

 

 

 

 

 

 

6) Type of change proposed

Provide a brief descrip of the changes proposed to the development approval (e.g. changing a development
approval for a five unit apartment building to provide for unit apartment building):

Lor aPpreve| +o Leep a \egh weight alininivnn hence installed jose eh nef
Wo rceveliwie lt wall
6.2) What type of change does this application propose?

fMinor change application — proceed to Part 5
CJ Other change application — proceed to Part 6

 

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Planning Act Form 5 - Change application form
Version 1.2 — 7 February 2020

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PART 5 — MINOR CHANGE APPLICATION REQUIREMENTS

7) Are there any affected entities for this change application

[No - proceed to Part 7

C1 Yes — list all affected entities below and proceed to Part 7

Note: section 80(1) of the Planning Act 2016 states that the person making the change application must give notice of the proposal and the
details of the change to each affected entity as identified in section 80(2) of the Planning Act 2016.

 

 

 

Affected entity Pre-request response provided? (where a pre- Date notice given (where no pre-
request response notice for the application has been request response provided)
given, a copy of the notice must accompany this change
application)
CI No

(1 Yes - pre-request response is attached to
this change application

CI No

(1 Yes — pre-request response is attached to
this change application

OONo

OO Yes — pre-request response is attached to
this change application

 

 

 

 

 

 

 

PART 6 — OTHER CHANGE APPLICATION REQUIREMENTS

Note: To complete this part it will be necessary for you to complete parts of DA Form 1 — Development application details and in some instances parts
of DA Form 2 — Building work details, as mentioned below. These forms are available at https://planning.dsdmip.gid.gov.au.

8) Location details - Are there any additional premises included in this change application that were not part of the
original development approval?

 

 

9) Development details

9.1) Is there any change to the re of development, approval type, or level of Peete change
application?

C1 No

LO Yes ~ the completed Sections 1 and 2 of Part 3 (Development details) of DA Form 1 — Development application
details as these sections relate to the new or changed aspects of development are provided with this application.

9.2) Does the change application involve building work?
C1 No

C1 Yes — the completed Part 5 (Building work details) of DA Form 2~ Building work details as it relates to the
change application is provided with this application.

   

10) Referral details - Does the change application require referral for any referral requirements?

Note: The application m cy triggered by the change application as if the change application was the original
development a; z c proposed change.

[No

C1 Yes — the completed Part 5 (Referral details) of DA Form 1 — Development application details as it relates to the
change application is provided with this application. Where referral is required for matters relating to building
work the Referral checklist for building work is also completed.

 

 

11) Information request under Part 3 of the DA Rules

(1 | agree to receive an information request if determined necessary for this change application

(1! do not agree to accept an information request for this change application
Note: By not agreeing to accept an information request |, the applicant, acknowledge:

 

 

 

 

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Planning Act Form 5 - Change application form
Version 1.2 — 7 February 2020

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* that this change application will be assessed and decided based on the information provided when making this change application and the
assessment manager and any referral agencies relevant to the change application are not obligated under the DA Rules to accept any
additional information provided by the applicant for the change application unless agreed to by the relevant parties

e 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 information requests is contained in the DA Forms Guide: Forms 1 and 2

 

 

  

12) Further details

C1] Part 7 of DA Form 1 - Development application details is completed as if the change application was a
development application and is provided with this application.

 

 

PART 7 — CHECKLIST AND APPLICANT DECLARATION

 

13) Change application checklist
| have identified the:

e responsible entity in 4); and
° fora minor change, any affected entities; and Wes

® for an other change all relevant referral requirement(s) in 10)
Note: See the Planning Regulation 2017 for referral requirements

 

 

For an other change application, the relevant sections of DA Form 1 — Development 0 Yes
application details have been completed and is attached to this application Dot applicable
For an other change application, where building work is associated with the change Cyes
application, the relevant sections of DA Form 2 — Building work details have been AN ‘ licabl
completed and is attached to this application ot applicable

 

Supporting information addressing any applicable assessment benchmarks is attached to

this application

Note: This includes any templates provided under 23.6 and 23,7 of DA Form 1 — Development application details mes
that are relevant as a result of the change application, a planning report and any technical reports required by the

relevant categorising instrument(s) (e.g. the local government planning scheme, State Planning Policy, State

Development Assessment Provisions). For further information, see DA F: ide: Planning report temple

Relevant plans of the development are attached to this development application

Note: Relevant plans are required to be submitted for all relevant aspects of this change application. For further O Yes
information, see DA Forms Guide: Relevant plans.

14) Applicant declaration

'y making this change application, | declare that all information in this change application is true and correct.
Where an email address is provided in Part 1 of this form, | consent to receive future electronic communications
from the responsible entity and any relevant affected entity or referral agency for the change application where
written information is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions
Act 2001.

Note: it is unlawful to intentionally provide false or misleading information.

Privacy — Personal information collected in this form will be used by the responsible entity and/or chosen

assessment manager, any relevant affected entity or referral agency and/or building certifier (including any

professional advisers which may be engaged by those entities) while processing, assessing and deciding the

change application.

All information relating to this change application may be available for inspection and purchase, and/or published on

the assessment manager's and/or referral agency's website.

Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning Regulation 2017

and the DA Rules except where:

e — such disclosure is in accordance with the provisions about public access to documents contained in the Planning
Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and
Planning Regulation 2017; or

© — required by other legislation (including the Right to Information Act 2009); or
e — otherwise required by law.

This information may be stored in relevant databases. The information collected will be retained as required by the
Public Records Act 2002.

 

 

 

 

 

 

 

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Planning Act Form 5 - Change application form
Version 1.2 — 7 February 2020

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PART 8 —- FOR COMPLETION OF THE ASSESSMENT MANAGER — FOR OFFICE

USE ONLY

Date received: [ Reference number(s): [

QLeave notification and payment

Note: For completion by assessment manager if applicable
Description of the work

 

 

 

QLeave project number

 

Amount paid ($)

Date paid (dd/mm/yy)

|

 

Date receipted form sighted by assessment manager

 

 

Name of officer who sighted the form

 

 

 

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Planning Act Form 5 - Change application form
Version 1.2 — 7 February 2020

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News? CONSULTING
ENGINEERS

17 February 2023
SCG Ref: 30128(L2}

By emalt: [email protected]
Chris Smith Constructions

Dear Chris

Ba: Revetment Wall — 12.8altwater Avenue Noosa Waters,
in accordance with Council's request we have assessed the impact of the fenca constructed along the rear
of the revetment wall. Our assessment has been conducted with respect fo Council's requirement for
Revelment wall stablity and Flood storage retention.

The completed works has an aluminium pool fence built along the rear of the existing canal revetment wall.
The fence posts have been sel inte concreta pads independent from the wall,

Council's requirement is for certification that the compleled work hata’ reduced the stability of tha revetment
wall or reduced the fiood storage volume Lhat previously existed in the sear of your property.

For the stability of the revatment walis Council requires ratenca to be made to the report commissionad by
Council (GHD-Noosa Waters Investigation of Revetment Stabiity — April 2014).

‘We have considered the as-built condition of the fence against the criteria for revetment wail siabiiily and can
certify that the fence has not reduced the wails stability. Nor has it reduced the canals flood storage or
impacted any waterproofing membranes that might exist at the rear of the wail.

SCG Consulting Engineers can therefore certify the following facts: -

* The completed fence has not reduced the existing canal revetment wall stability

= The completed fence has not reduced the flood storage volume available at the rear of the
allotment

‘This letter should be issued to your cartier such that ii con form a reply to Council's information request.
1 you hava any further questions, please don’ hesitate to contact the undersigned.
Yours faithfully

SEAN HICHARDSON - RPEQ 5835
For and on behalf of
SCG CONSULTING ENGINEERS

p 07 5455 5604

F 07 5455 5696

@ atmin@scg engineers.com

Ww yoww.stg-engneers.com

PO Box 1661 Noosa Heads Qi 4567

Unit 1711 Proyent Ave troosaville Ole 4566 STRUCTURAL CIVIL GEOTECHNICAL

Dohul Ply Ott trading as AHN 40 OG 481 Raa