DA Form 1 Development Applicaiton Details

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 manager
 application references
     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 – the yellow local government/private certifier’s 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
 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 EM941) 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 “EM941” at www.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.justice.qld.gov.au for further information.


 Clearing native vegetation

                                                                                                                                        Page 8
                                                                                                     DA Form 1 – Development Application details
                                                                                                                       Version 1.0—3 July 2017