DA Form 1

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:​
 ☐​ Clearing native vegetation
 ☐​ Contaminated land ​(unexploded ordnance)
 ☐​ Environmentally relevant activities (ERA) ​(only if the ERA has not been devolved to a local government)
 ☐​ Fisheries – aquaculture
 ☐​ Fisheries – declared fish habitat area
 ☐​ Fisheries – marine plants
 ☐​ Fisheries – waterway barrier works
 ☐​ Hazardous chemical facilities
 ☐​ Heritage places – Queensland heritage place ​(on or near a Queensland heritage place)
 ☐​ Infrastructure-related referrals – designated premises
 ☐​ Infrastructure-related referrals – state transport infrastructure
 ☐​ Infrastructure-related referrals – State transport corridor and future State transport corridor
 ☐​ Infrastructure-related referrals – State-controlled transport tunnels and future state-controlled transport tunnels
 ☐​ Infrastructure-related referrals – near a state-controlled road intersection
 ☐ Koala habitat in SEQ region – interfering with koala habitat in koala habitat areas outside koala priority areas
 ☐ Koala habitat in SEQ region – key resource areas
 ☐​ Ports – ​Brisbane core port land ​–​ near a State transport corridor or future State transport corridor
 ☐​ Ports – Brisbane core port land – environmentally relevant activity (ERA)
 ☐​ Ports – Brisbane core port land – tidal works or work in a coastal management district
 ☐​ ​Ports ​–​ Brisbane core port land – hazardous chemical facility
 ☐​ ​Ports ​–​ Brisbane core port land – taking or interfering with water
 ☐​ ​Ports ​–​ Brisbane core port land – referable dams
 ☐​ ​Ports ​–​ Brisbane core port land – fisheries
 ☐​ Ports – Land within Port of Brisbane’s port limits ​(below high-water mark)
 ☐​ SEQ development area
 ☐​ SEQ regional landscape and rural production area or SEQ rural living area – tourist activity or sport and
     recreation activity
 ☐​ SEQ regional landscape and rural production area or SEQ rural living area – community activity
 ☐​ SEQ regional landscape and rural production area or SEQ rural living area – indoor recreation
 ☐​ SEQ regional landscape and rural production area or SEQ rural living area – urban activity
 ☐​ SEQ regional landscape and rural production area or SEQ rural living area – combined use
 ☐​ Tidal works or works in a coastal management district
 ☐​ ​Reconfiguring a lot in a coastal management district or for a canal
 ☐​ ​Erosion prone area in a coastal management district
 ☐​ Urban design
 ☐​ Water-related development – taking or interfering with water
 ☐​ Water-related development – removing quarry material ​(from a watercourse or lake)
 ☐​ Water-related development – referable dams
 ☐​ Water-related development –levees ​(category 3 levees only)
 ☐​ Wetland protection area
 Matters requiring referral to the ​local government:
 ☐​ Airport land
 ☐​ Environmentally relevant activities (ERA) ​(o​nly if the ERA has been devolved to local government)


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