Amended DA Form 1 (003)

17) Do any aspects of the proposed development require referral for 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 have 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 corridors and future State transport corridors
☐    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) (only if the ERA have been devolved to local government)
☐    Heritage places – Local heritage places



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                                                                                                        DA Form 1 - Development application details
                                                                                                                  Version 1.3 - 28 September 2020