DA Form 1

 Note: By not agreeing to accept an information request I, 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 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.
 Further advice about information requests is contained in the DA Forms Guide.




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
 ☐ 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 – a 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
 ☒ 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?
☐ Yes – show cause or enforcement notice is attached
☒ 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 ESR/2015/1791) for an application for an environmental authority
   accompanies this development application, and details are provided in the table below
 ☒ No
 Note: Application for an environmental authority can be found by searching “ESR/2015/1791” as a search term 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


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