27.05 UPDATED - Form1

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
X 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
X 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
X 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
X 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
X No
Note: See www.justice.qld.gov.au for further information.


Clearing native vegetation
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                                                                                                      DA Form 1 – Development Application details
                                                                                                                    Version 1.1— 22 JUNE 2018