Revised DA Form 1 220913 DA Form 1 OPW

 

C1 Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification: |
LJ 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?

  

Note: Easement uses vary throughout Queensiand and are to be identified correctly and accurately. For further information on easements and
how they may affect the proposed development, see DA Forms Guide.

C1 Yes - All easement locations, types and dimensions are included in plans submitted with this development
application

 

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)

   

 

 

 

 

 

 

L Material change ofuse [J Reconfiguring a lot XJ Operational work LC Building work
b) What is the approval type? (tick only one box)
If Development permit L Preliminary approval L Preliminary approval that includes a variation approval
c) What is the level of assessment?
Code assessment LC 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):

 

NEW CLOSSOVER +  PRIVEWAY Week

e) Relevant plans

Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms quide:
Relevant plans.

KJ 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?

 

 

    
 
 

  

i€k only one box)

 

 

 

 

 

LC Material change ofuse [ BéConfiguring alot CO Operational work C1 Building work

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

CL] Development permit LJ Preliminary approval C] Preliminary approval that includes a variation approval
c) What is the level ofAssessment?

(1 Code assessnfent LJ 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 DA Forms Guide:
Relevant plans.

LC Relevant plans of the proposed development are attached to the development application
6.3) Additional aspects of development

LC Additional aspects of development are relevant to this development application and the details for these aspects
on would be required under Part 3 Section 1 of this form have been attached to this development application
ot required

 

 

 

 

 

Page 3
DA Form 1 — Development application details
Version 1.3— 28 September 2020