DA Form 1

PART 7 – FURTHER DETAILS

 20) Are there any associated development applications or current approvals? ​(e.g. a preliminary approval)
 ☐​ Yes – provide details below or include details in a schedule to this development application
 ☒​ No
 List of approval/development               Reference number                       Date                                   Assessment
 application references                                                                                                   manager
 ☐​ Approval
 ☐​ Development application
 ☐​ Approval
 ☐​ Development application


 21) Has the portable long service leave levy been paid? ​(only applicable to development applications involving building work or operational work)
 ☐​ 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)
 $


 22) Is this development application in response to a show cause notice or required as a result of an enforcement notice?
☐​ Yes – show cause or enforcement notice is attached
☒​ No


 23) Further legislative requirements
 Environmentally relevant activities
 23.1) Is this development application also taken to be an application for an environmental authority for an
 Environmentally Relevant Activity (ERA)​ under section 115 of the ​Environmental Protection Act 1994?     ​
 ☐​ 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
 ☒​ No
 Note​: Application for an environmental authority can be found by searching “ESR/2015/1791” as a search term at w
                                                                                                                 ​ ww.qld.gov.au.​ An ERA
 requires an environmental authority to operate. See ​www.business.qld.gov.au​ for further information.
 Proposed ERA number:                                                       Proposed ERA threshold:
 Proposed ERA name:
 ☐​ Multiple ERAs are applicable to this development application and the details have been attached in a schedule to
    this development application.
 Hazardous chemical facilities
 23.2)​ ​Is this development application for a ​hazardous chemical facility​?
 ☐​ Yes – ​Form 69: Notification of a facility exceeding 10% of schedule 15 threshold​ is attached to this development
    application
 ☒​ No
 Note​: See ​www.business.qld.gov.au​ for further information about hazardous chemical notifications.




                                                                                                                                           Page 8
                                                                                                        DA Form 1 – Development application details
                                                                                                                  Version 1.3— 28 September 2020