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DA Form 1 — Development application details
Approved form (version 1.6 effective 2 August 2024) made under section 282 of the Planning Act 2016.

 

This form must be used to make a development application involving code assessment or impact assessment,
except when applying for development involving only building work.

For a development application involving building work only, use DA Form 2 — Building work details.

For a development application involving building work associated with any other type of assessable development
(i.e. material change of use, operational work or reconfiguring a lot), use this form (DA Form 1) and parts 4 to 6 of
DA Form 2 - Building work details.

Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
accompany the development application.

One or more additional pages may be attached as a schedule to this development application if there is insufficient
space on the form to include all the necessary information.

 

This form and any other form relevant to the development application must be used to make a development
application relating to strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994,
and airport land under the Airport Assets (Restructuring and Disposal) Act 2008. For the purpose of assessing a
development application relating to strategic port land and Brisbane core port land, any reference to a planning
scheme is taken to mean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core
port land, or a land use plan for airport land.

 

 

 

Note: Ali terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
Assessment Rules (DA Rules).

PART 1 — APPLICANT DETAILS

Applicant name(s) (individual or company full name) EUMUN DY LANDSCARS + POLS
Contact name (only applicable for companies)

Postal address (P.O. Box or street address) (250A J UM
Suburb

State

Postcode

Country

Contact number A227 &t2 600

Email address (non-mandatory) Wo CUMUNAILand Scans . Cov
Mobile number (non-mandatory)

Fax number (non-mandatory)

Applicant's reference number(s) (if applicable)

CO Personal details to remain private in accordance with section 264(6) of Planning Act 2016

2) Owner's consent

2.1) Is written consent of the owner required for this development application?

 

[VY] Yes — the written consent of the owner(s) is attached to this development application
(No - proceed to 3)

# Queensland
Government

  
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Page 2

PART 2 — LOCATION DETAILS

   

 
     
     
     
  

CO Street address AND lot on plan (ai! lots must be listed), Or

C Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
water but adjoining or adjacent to land e.g. jetty, pontoon. Ail lots must be listed)

Unit No. Street No. | Street Name and Type
SG \ARQ\ a4
Lot No. Plan Type and Number (e.g. RP, SP)
33¢ \AVASS
Street No. Street Name and Type

     
    
  
  
  

       
   

Suburb
Notsé
Local Government Area(s)
Nova.
Suburb

 

    
   
   

 

      

Postcode
Agtd
Unit No.

       
  

     
 

    

Ca

 

        
     
   

 

      

       
  

Postcode | Lot No.

 

Plan Type and Number (e.g. RP, SP) Local Government Area(s)

    
      
 
      

CJ Coordinates of premises by longitude and latitude
| Longitude(s) Latitude(s)

    

    

Datum
OC wess4
|  epag4
CO Other:

Local Government Area(s) (if applicable)

  

 
 
  
  

  
  
 
 

0 Coordinates of premises by easting and northing

      
  
    
   
  
    
   

  

| Easting(s) Northing(s) | Zone Ref. | Datum Local Government Area(s) (if applicable)
| 0154 CJ wese4
| 155 CO GDA94

  

O56 OO Other:

C0 Additional premises are relevant to this development application and the details of these premises have been
ched in a schedule to this development application

ot required

  

4) Identify any of the following that apply to the premises and provide any relevant details
C In or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer: [

 

CJ On strategic port land under the Transport Infrastructure Act 1994
Lot on plan description of strategic port land:
Name of port authority for the lot:

0 Ina tidal area

 

 

 

 

Name of local government for the tidal area (if applicable):

 

 

 

 

Name of port authority for tidal area (if applicable)

 

Page 2
DA Form 1 — Development application details
Version 1.6— 2 August 2024

Page 3

 

OO On airport land under the Airport Assets (Restructuring and Disposal) Act 2008
Name of airport: [
CO Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification: |
C5 Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification: |

 

 

 

 

 

 

 

 

5) Are there any existing easements over the premises?
5 ary throughout Queensland and are to be identified correctly and accurately. For further information on easements and
the proposed development, see DA Forms Guide.
CO Yes - All easement locations, types and dimensions are included in plans submitted with this development
application
C1 No

    

 

 

 

PART 3 — DEVELOPMENT DETAILS

Section 1 -— Aspects of development

6.1) Provide details about the first development aspect

a) What is the type of development? (tick only one box)

 

 

 

 

 

 

CO Material change of use [[] Reconfiguring a lot [i Operational work O Building work

b) What is the approval type? (tick only one box)

M Development permit CO Preliminary approval C1 Preliminary approval that includes a variation approval

c) What is the level of assessment?

EA Code assessment OC Impact assessment (requires public notification)

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

 

Ackel Second Crp sso —
e) Relevant plans
Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA
of Relevant plans
wa Relevant plans of the proposed development are attached to the development application
6.2) Provide details about the second development aspect

a) What is the type of development? (tick only one box)

 

 

ans,

 

 

 

 

CI Material change of use L] Reconfiguring a lot (CD Operational work 0 Building work
b) What is the approval type? (tick only one box)
CO Development permit CO Preliminary approval C Preliminary approval that includes a variation approval

 

c) What is the level of assessment?

 

CJ Code assessment C1 Impact assessment (requires public notification)

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

 

 

 

e) Relevant plans
Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see D

 

 

 

 

CL Relevant plans of the proposed development are attached to the development application

 

  

# Queensland
» Government

Page 4

  

   

6.3) Additional aspects of development

0 Additional aspects of development are relevant to this development application and the details for these aspects
that would be required under Part 3 Section 1 of this form have been attached to this development application
Not required

  
   
    

  
 
 
  

  
 
 
   

6.4) Is the application for State facilitated (eleW-lfeo)olantn ta

d
O Yes - Has a notice of declaration been given by the Minister?
No

 

Section 2 — Further development details

7) Does the proposed development application involve any of the following?

 

 

 

 

Material change of use 0 Yes - complete division 1 if assessable against a local planning instrument
Reconfiguring a lot OO Yes- complete division 2

Operational work WYes — complete division 3

Building work OJ Yes - complete DA Form 2 — Building work details

 

 

Division 1 — Material change of use

Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a
local planning instrument.

8.1) Describe the proposed material change of use

Provide a general description of the
proposed use

 
  

     
   

      

 

Provide the planning scheme definition
(include each definition in a new row)

Gross floor
area (m?)
(if applicable)

Number of dwelling
units (if applicable)

  

 

 

 

 

 

 

 

 
 

8.2) Does the proposed use involve the use of existing buildings on the premises?
OO Yes
C1 No
8.3) Does the proposed development relate to temporary accepted development under the Planning Regulation?
O Yes - provide details below or include details in a schedule to this development application

CI No

Provide a general description of the temporary accepted development Specify the stated period dates
under the Planning Regulation

 

 

 

 

 

 

 

 

Division 2 — Reconfiguring a lot
Note: This division is only required to be completed if an art of the development application involves reconfiguring a lot.

 

 

 

9 a e tota ber of e g lo Fe] g up the pre )
a e nature of the lot reconfiguratio
O Subdivision (complete 10) O Dividing land into parts by agreement (complete 11)
Oo Boundary realignment (complete 12) 0 Creating or changing an easement giving access to a lot
from a constructed road (complete 13)

 

 

Government

 

Page 5

10) Subdivision

 

10.1) For this development, how many lots are being eer] acy is the intended use of those om

Intended use of lots created Residential Commercial Industrial Other, please specify:

 

 

Number of lots created

 

 

 

 

 

10.2) Will the subdivision be staged?

0 Yes - provide additional details below
(No

How many stages will the works include?
What stage(s) will this development application

 

 

 

apply to?
Dividing land O pa 10)" ar- 10 | f—1—iaal 0 a pa 1h Oli ale) eated and re = =i ale | ie) eo e
Intended use of parts created Residential Commercial Industrial Other, please specify:

 

 

 

 

 

 

Number of parts created

 

 

Boundary realianme
at are = = and proposed areas for ea ot comp @ | e pre e
Current lot Proposed lot
Lot on plan description Area (m?) Lot on plan description Area (m?)

 

 

 

 

 

 

 

12.2) What is the reason for the boundary realignment?

 

 

       
  

  

13) What are the dimensions and nature of any existing easements being changed and/or any proposed easement?
(attach schedule if there are more than two easements)
Existing or Width (m) | Length (m) | Purpose of the easement? (e.g. Identify the land/lot(s)
proposed? pedestrian access) benefitted by the easement

         

 

 

 

 

 

 

 

 

 

Division 3 — Operational work
Note: This division is only required to be completed if any part of the development application involves operational work.
14.1) What is the nature of the operational work?

C1 Road work 0 Stormwater CO Water infrastructure
C Drainage work 0 Earthworks CJ Sewage infrastructure
C Landscaping O Signage OO Clearing vegetation
© Other — please specify: ada second CHOS30%r-
14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
C1 Yes - specify number of new lots:

| MINo

 
    

   
   
   
   

  
 

      
 
 

 

Queensland
Government

 

Page 6

14.3) What is the monetary value of the proposed operational work? (include GST, mat s and labour)
“TBA
PART 4 — ASSESSMENT MANAGER DETAILS

15) Identify the assessment manager(s) who will be assessing this development application

 

  

16) Has the local government agreed to apply a superseded planning scheme for this development application?

CI Yes —a copy of the decision notice is attached to this development application
CO The local government is taken to have agreed to the superseded planning scheme request — relevant documents

ittached
Eno

 

PART 5 — REFERRAL DETAILS

17) Does this development application include any aspects that have any referral requirements?

Note. A development application will require referral if prescribed by the Planning Regulation 2017

 

No, there are no referral requirements relevant to any development aspects identified in this development
application — proceed to Part 6

Matters requiring referral to the Chief Executive of the Planning Act 2016:

OO Clearing native vegetation

O Contaminated land (unexploded ordnance)

CH Environmentally relevant activities (ERA) (only if the ERA has not been devolved to a local government)

O Fisheries — aquaculture

C Fisheries — declared fish habitat area

C1 Fisheries - marine plants

CJ Fisheries — waterway barrier works

( Hazardous chemical facilities

oO Heritage places —- Queensland heritage place (on or near a Queensland heritage place)

C1 Infrastructure-related referrals — designated premises

(CJ Infrastructure-related referrals — state transport infrastructure

C Infrastructure-related referrals — State transport corridor and future State transport corridor

CO Infrastructure-related referrals — State-controlled transport tunnels and future state-controlled transport tunnels

CJ Infrastructure-related referrals — near a state-controlled road intersection

CO Koala habitat in SEQ region — interfering with koala habitat in koala habitat areas outside koala priority areas

O Koala habitat in SEQ region - key resource areas

O Ports — Brisbane core port land — near a State transport corridor or future State transport corridor

C Ports - Brisbane core port land - environmentally relevant activity (ERA)

C Ports — Brisbane core port land — tidal works or work in a coastal management district

O Ports - Brisbane core port land — hazardous chemical facility

CO Ports — Brisbane core port land - taking or interfering with water

C Ports - Brisbane core port land — referable dams

CI Ports — Brisbane core port land — fisheries

O Ports — Land within Port of Brisbane's port limits (below high-water mark)

CD SEQ development area

1 sEQ regional landscape and rural production area or SEQ rural living area — tourist activity or sport and
recreation activity

CJ SEQ regional landscape and rural production area or SEQ rural living area — community activity

CO SEQ regional landscape and rural production area or SEQ rural living area — indoor recreation

C SEQ regional landscape and rural production area or SEQ rural living area — urban activity

(J sEQ regional landscape and rural production area or SEQ rural living area — combined use

CJ SEQ northern inter-urban break — tourist activity or sport and recreation activity

 

 

 

 

2) Queensland
Government

  

Page 7

0 SEQ northern inter-urban break — community activity

C) SEQ northern inter-urban break — indoor recreation

O SEQ northern inter-urban break — urban activity

0 SEQ northern inter-urban break — combined use

O Tidal works or works in a coastal management district

oO Reconfiguring a lot in a coastal management district or for a canal
O Erosion Prone area in a coastal management district

CO Urban design

CO Water-related development — taking or interfering with water

OO Water-related development — removing quarry material (from a watercourse or lake)
C Water-related development — referable dams

CO Water-related development —levees (category 3 levees only)

CO Wetland protection area

 

Matters requiring referral to the local government:

0 Airport land

O Environmentally relevant activities (ERA) (only if the ERA has been devolved to local government)
OJ Heritage places — Local heritage places

 

Matters requiring referral to the Chief Executive of the distribution entity or transmission entity:
CO Infrastructure-related referrals — Electricity infrastructure

 

Matters requiring referral to:

¢ The Chief Executive of the holder of the licence, if not an individual
* The holder of the licence, if the holder of the licence is an individual
C Infrastructure-related referrals — Oil and gas infrastructure

 

Matters requiring referral to the Brisbane City Council:
CO Ports — Brisbane core port land

 

Matters requiring referral to the Minister responsible for administering the Transport Infrastructure Act 1994:
CO Ports - Brisbane core port land (where inconsistent with the Brisbane port LUP for transport reasons)
CO Ports — Strategic port land

 

Matters requiring referral to the relevant Port operator, if applicant is not port operator:
CO Ports — Land within Port of Brisbane's port limits (beiow high-water mark)

 

Matters requiring referral to the Chief Executive of the relevant port authority:
O Ports - Land within limits of another Port (below high-water mark)

 

Matters requiring referral to the Gold Coast Waterways Authority:
O Tidal works or work in a coastal management district (in Gold Coast waters)

 

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

 

18) Has any referral agency provided a referral response for this development application?
ae — 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)

 

 

 

 

Page 7
DA Form 1 - Development application details
Version 1.6— 2 August 2024

Page 8

PART 6 — INFORMATION REQUEST

19) Information request under the DA Rules

 

NJ | agree to receive an information request if determined necessary for this development application
(| do not agree to accept an information request for this development application
Note: By not agreeing to accept an information request |, 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 under Chapter 1 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules or
° Part 2under Chapter 2 of the DA Rules will still apply if the application is for state facilitated development
Further advice about information requests is contained in the DA Form J¢

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

CO Approval
C1 Development application

CO Approval
C1 Development application

 

 

 

 

 

 

 

 

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

 
   

operational work)

CO Yes — a copy of the receipted QLeave form is attached to this development application

(No -1, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may
give a development approval only if | 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?

 

(1 Yes — show cause or enforcement notice is attached

EA/No

 

 

 

Page 8
DA Form 1 - Development application details
Version 1.6— 2 August 2024

Page 9

   

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Page 10

Water resources

23.6) Does this development application involve taking or interfering with underground water through an

artesian or subartesian bore, taking or interfering with water in a watercourse, lake or spring, or taking
overland flow water under the Water Act 2000?

 

C1 Yes — the relevant template is completed and attached to this development application and | acknowledge that a
elevant authorisation or licence under the Water Act 2000 may be required prior to commencing development

No —

Note: Contact the Department of Resources at 90v.au for further information

DA templates are available from ted . 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 Form1 Template 2

* Taking overland flow water: complete DA Form 1 Template 3.

Waterway jer works
23.7) Does this application involve waterway barrier works?

ig — the relevant template is completed and attached to this development application
No

DA templates are available from g For a development application involving waterway barrier works,
complete DA Form 1 Template 4.

Marine activities

23.8) Does this development application involve aquaculture, works within a declared fish habitat area or
removal, disturbance or destruction of marine plants?

OU Yes - an associated resource allocation authority is attached to this development application, if required under
an Fisheries Act 1994

No
Note: See guidance materials at www.d. 1.9 u for further information.

Quarry materials from a watercourse or lake

23.9) Does this development application involve the removal of quarry materials from a watercourse or lake
under the Water Act 2000?

OyNes - | acknowledge that a quarry material allocation notice must be obtained prior to commencing development
No

Note: Contact the Department of Resources at es. qid.gi and b u for further information.
Quarry materials from land under tidal waters

23.10) Does this development application involve the removal of qu materials from land under tidal water
under the Coastal Protection and Management Act 1995?

C1 Yes - |! acknowledge that a quarry material allocation notice must be obtained prior to commencing development
No

Note: Contact the Department of Environment, Science and Innovation at y si.gid.g for further information.

Referable dams

23.11) Does this development application involve a referable dam required to be failure impact assessed under
section 343 of the Water Supply (Safety and Reliability) Act 2008 (the Water Supply Act)?

CO Yes - the ‘Notice Accepting a Failure Impact Assessment’ from the chief executive administering the Water
chien Act is attached to this development application

No
Note: See guidance materials at ¢ for further information.

 

   

? Queensland
Government

Page 11

Tidal work or development within a coastal management district

23.12) Does this development application involve tidal work or development in a coastal management district?

  
 
  

 

CI Yes - the following is included with this development application:

OO Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required
if application involves prescribed tidal work)

/U Acertificate of title
No
Note: See guidance materials at y C for further information.

Queensland and local heritage places

23.13) Does this development application propose development on or adjoining a place entered in the Queensland
heritage register or on a place entered in a local government's Local Heritage Register?

(Yes - details of the heritage place are provided in the table below

No
Note: See guidance materials at www desi.gid g U for information requirements regarding development of Queensland heritage places.
For a heritage place that has cultural heritage significance as a local heritage place and a Queensland heritage place, provisions are in place

 

 

 

Name of the heritage place: Place ID:

ion under section 62 of the Transport Infrastructure Act 1994

XPM Plea ee elon e application involve new or changed access to a state-controlled road?

O Yes - this application will be taken to be an application for a decision under section 62 of the Transport
Infrastructure Act 1994 (subject to the conditions in section 75 of the Transport Infrastructure Act 1994 being

dno
N
Walkable neighbourhoods assessment benchmarks under Schedule 12A of the Planning Requla

es this development application involve reconfiguring a lot into 2 or more lots in certain residential zones
Gs late c-leseat Naira Caen net is created or extended?

  
 
  

 

 

C1 Yes - Schedule 12A is applicable to the development application and the assessment benchmarks contained in
ae 12A have been considered

No
Note: See guidance materials at w

 

 

for further information

 

 

PART 8 — CHECKLIST AND APPLICANT DECLARATION

24) Development application checklist
| have identified the assessment manager in question 15 and all relevant referral

 
  

    

  

 

/
requirement(s) in question 17 Yes
Note: See the Planning Regulation 2017 for referral requirements
If building work is associated with the Proposed development, Parts 4 to 6 of D/ Form 2- (Yes

 

Buil

 

ding \ have been completed and attached to this development application Not applicable

 

Supporting information addressing any applicable assessment benchmarks is with the

development application

Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report mM Yes
and any technical reports required by the relevant categorising instruments (e.g. local government planning

schemes, State Planning Policy, State Development Assessment Provisions). For further information, see

 

Relevant plans of the development are attached to this development application /
Note: Relevant plans are required to be submitted for all aspects of this development application. For further Yes
information, see DA Forms Guide: Releva plans,

The portable long service leave levy for QLeave has been paid, or will be paid before a Oyres
development permit is issued (see 27) Not applicable

 

 

 

 

   

? Queensland
Government

Page 12

 

A Titles Registration Confirmation
em QUEENSLAND Statement

Queensland Titles Registry Pty Ltd
ABN 23 648 568 101

Lodger Code: CS 707

Title Referen 16564238,
Lodgement No: 5187622
ia teh

O'REILLY STEVENS LAWYERS Office: CAIRNS

CAIRNS QLD 4870 38

   

This is the current status of the title as at 09:37 on 28/09/2021
Pear
Estate in Fee Simple

LOT 339 REGISTERED PLAN 191935
Local Government: NOOSA

Gees kein iaad
Dealing No: 721123281 27/09/2021

GILES DOUGLAS SMITH
ANGELA JANNETTE SMITH JOINT TENANTS

(SST MSE ese ean ckes)

1. _ Rights and interests reserved to the Crown by
Deed of Grant No. 10777073 (POR 1653)

ADMINISTRATIVE ADVICES

Zz
e

NIL

721106764 RELEASE
721123281 TRANSFER

** End of Registration Confirmation Statement *
Registrar of Titles and Registrar of Water Allocations

TITLES QUEENSLAND - CONTACT CENTRE:

L www.titlesqid.com.au
Email: [email protected] / Phone: 1300 255 750

Page 1/1

Page 13

TO WHOM IT MAY CONCERN:

 

Giles and Angela Smith,
36 Tarina Street,

Noosa Heads,

4567

Ph: 0406 989 454

[email protected]

This letter is giving Thomas Knight, the principle of “Eumundi Landscapes and Pools consent
to act on our behalf for the landscaping, retaining walls and fencing to our property. The
property is located at 36 Tarina Street, Noosa Heads, QLD, 4567. LOT 339.

Please see attached title

Regards,

(ILE

Giles Douglas Smith
+61 406 989 454
G

  

[email protected]

@myh3.com

Regards,

l 1
Pr} J we
Angela Jannette Smith
+61 418 877 695

[email protected]
[email protected]

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