DA Form 1 - Secondary Crossover application · OPW20/0138

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PART 2 — LOCATION DETAILS

 

Street address AND lot on plan (ai ots must be listed), or

Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in water
but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).

Unit No. Street No. Street Name and Type Suburb
62 Crank Street Tewantin

8) Postcod Lot No. Plan Type and Number (e.g. RP. SP) Local Government Area(s)

e
j . t

A565 4 RP 124553 NOOSA Counc
Unit No. Street No. Street Name and Type Suburb

b)  Postcod Lot No. Plan Type and Number (e.g. RP. SP) Local Government Area(s)
e

 

Coordinates of premises by longitude and latitude

Longitude(s) Latitude(s)

Coordinates of premises by easting and northing

Easting(s) Northing(s) Zone Ref.

54
55
56

   

Additional premises

Datum | Local Government Area(s) (if applicable)

wess4
GDA94

Other: |

Datum | Local Government Area(s) (if applicable)

wess4 |
GDAQ4

Other:

Additional premises are relevant to this development application and the details of these premises have been
attached in a schedule to this development application

4) Identify any of the f

 

5 and provide any relevant detai

In or adjacent to a water body or watercourse or in or above an aquifer

Name of water body, watercourse or aquifer:

N/A

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DA Form 1 — Development application details
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Page 4

On strategic port land under the Transport Infrastructure Act 1994

Lot on plan description of strategic port land:
Name of port authority for the lot:

In a tidal area
Name of local government for the tidal area (if applicable):
Name of port authority for tidal area (if applicable):

On airport land under the Airport Assets (Restructuring and Disposal) Act 2008

Name of airport:

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

Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification:

 

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

PART 3 — DEVELOPMENT DETAILS

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DA Form 1 ~— Development application details
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Section 1 —- Aspects of development

Provide details about the first development aspect

 

a) What is the type of development? (tick only one box)

Material change of use Reconfiguring a lot Operational work Building work

. OE /
b) What is the approval type? (tick only one box) UNSURE

Development permit Preliminary approval Preliminary approval that includes a variation approval
c) What is the level of assessment?

Code assessment > 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):

Construct crossover for additional entryway.

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:
Belevant plans.

Relevant plans of the proposed development are attached to the development application

é details about the second lopment

 

a) What is the type of development? (tick only one box)

Material change of use Reconfiguring a lot Operational work Building work

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

Development permit Preliminary approval Preliminary approval that includes a variation approval
c) What is the level of assessment?

Code assessment 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
Jots):

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.

Relevant plans of the proposed development are attached to the development application

f development

 

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

Not required

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DA Form 1 - Dévelopment application details
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Section 2 — Further development details

 

7) Does the proposed development application involve any of the following?
p } rf ;

Material change of use Yes — complete division 1 if assessable against a local planning instrument
Reconfiguring a lot Yes — complete division 2

Operational work Cxes> complete division 3

Building work Yes — complete DA Form 2 — Building work details

Division 1 — Material change of use

Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a
focal planning instrument.

rial change of

 

Provide a general description of the Provide the planning scheme definition. Number of dwelling Gross floor
proposed use (include each definition in a new row) units (if applicable) area (m?)
(if applicable)

buildings on the premises?

 

Division 2 — Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.

  

 

Subdivision (complete 70) Dividing land into parts by agreement (complete 71))

Boundary realignment (complete 12)) Creating or changing an easement giving access to a lot from
a constructed road (complete 13))

 

Intended use of lots created Residential Commercial Industrial Other, please specify:

Number of lots created

 

Yes — provide additional details below .
No

How many stages will the works include?

What stage(s) will this development application
apply to?

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DA Form 1 ~ Development application details
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Page 8

 

11) Dividing land into parts by agreement — how many parts are being cr
Tie

ded use of the

   

Intended use of parts created —_ Residential Commercial Industrial Other, please specify:

Number of parts created

sae = rel larer-iammc=rl fern lances

12.1) What are the current and pro reas for each lot comprising the p

  

Current lot Proposed lot
Lot on plan description Area (m?) Lot on plan description Area (m?)

12.2) What i

 

Existing or Width (m) Length(m) Purpose of the easement? (e.g. Identify the land/lot(s)
proposed? pedestrian access) benefitted by the easement

Division 3 — Operational work
Note: This division is only required to be completed if any part of the development application involves operational work.

  

14.1) What is the nature of the operational work?

Road work Stormwater Water infrastructure

Drainage work Earthworks Sewage infrastructure
Landscaping Signage learing vegetation

Other ~ please specify: CRTATE s3eCONOARY Cossoved

14.2).Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)

    
 

  
    

Yes — specify number of new lots:

No NIA

 

$ 4000 —

Seep aren i mato ee SSIS TO A

 

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DA Form 1 — Development application details
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16) Has the local governmen

 

Yes — a copy of the decision notice is attached to this development application
The local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached

No NIA

PART 5 — REFERRAL DETAILS

 
    

= No tate are no referral requirements relevant to any development aspects identified in this development
° pplication — proceed to Part 6

Matters requiring referral to the Chief Executive of the Planning Act 2016:

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DA Form 1 — Development application details

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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 mari)

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 has been devolved to local government)
Heritage places — Local heritage places

Matters requiring referral to the Chief Executive of the distribution entity or transmission entity:
Infrastructure-related referrals — Electricity infrastructure

Matters requiring referral to:

* The Chief Executive of the holder of the licence, if not an individual
* The holder of the licence, if the holder of the licence is an individual
Infrastructure-related referrals — Oil and gas infrastructure

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DA Form 1 — Development application details
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Matters requiring referral to the Brisbane City Council:
Ports — Brisbane core port land

Matters requiring referral to the Minister responsible for administering the Transport Infrastructure Act 1994:
Ports — Brisbane core port land (where inconsistent with the Brisbane port LUP for transport reasons)
Ports — Strategic port land

Matters requiring referral to the relevant port operator, if applicant is not port operator:
Ports — Land within Port of Brisbane's port limits (below high-water mark)

Matters requiring referral to the Chief Executive of the relevant port authority:
Ports — Land within limits of another port (below high-water mark)

Matters requiring referral to the Gold Coast Waterways Authority:
Tidal works or work in a coastal management district (in Gold Coast waters)

Matters requiring referral to the Queenstand Fire and Emergency Service:
Tidal works or work in a coastal management district (involving a marina (more than six vessel berths))

 

Yes — referral response(s) received and listed below are attached to this development application
No

Referral requirement Referral agency Date of referral response

Identify and describe any changes made to the proposed development application that was the subject of the referral
response and this development application , or include details in a schedule to this development application (it
applicable).

PART 6 — INFORMATION REQUEST

   

formation request un

vi agree to receive an information request if determined necessary for this development application
| do not agree to accept an information request for this development application
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

 

ations or current app

Yes — provide details below or include details in a schedule to this development application

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DA Form 1 — Development application details
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List of approval/development Reference number Date

Assessment
application references

manager
Approval
Development application

Approval
Development application

Iam erele tant

 

Yes — a copy of the receipted QLeave form is attached to this development application
No — |, the applicant will provide evidence that the portable long service leave levy has beén paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may

give a development approval only if | provide evidence that the portable long service leave levy has been paid
ot applicable (e°9, 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)

 

Yes — show cause or enforcement notice is attached
<No >

jon for an

 

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 An ERA
requires an environmental authority to operate. See 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

5

 

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
plication

N
' Note: See for further information about hazardous chemical notifications.

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DA Form 1 — Development application details
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Clearing native vegetation

learing native vegetation that uires written confirma that

t 1999 is satisfied the clearing is for a relevant purpose under

 

Yes ~ this development application includes written confirmation from the chief executive of the Vegetation

a oe 1999 (s22A determination)

Note: 1. Where a development application for operational work or material change of use requires a s22A determination and this is not included,
the development application is prohibited development.
2. See for further information an how to obtain a s22A determination.

Environmental offsets

23.4) Is this des ent application taken to be a females Maria v | mat aren coca eles 1M na] e=1e me) p|
a prescribed environmental matter under the Environ 4

  

Yes —| acknowledge that an environmental offset must be provided for any prescribed activity assessed as having a
significant residual impact on a prescribed environmental matter

Note: The environmental offset section of the Queensland Govemment's website can be accessed at for further information on
environmental offsets.

Koala habitat in SEQ Region

»plication involve a material change of figuring a lot or ope
nt under Schedule 10, Part 10 of the Planning Reguiatio va

   

tional work

  

Yes — the development application involves premises in the koala habitat area in the koala priority area
Yes — the development application involves premises in the koala habitat area outside the koala priority area
No

“Note: if a koala habitat area deterinination has been obtained for this premises and is current over the land, it should be provided as part of this
development application. See koala habitat area guidance materials at for further information.

Water resources

23.6) Does this development application involve taking or interfering with underground water through an
artesian or subartesian bore, taking or interfering with water in a watercourse, lake or spring, or taking
overland flow water under the Water Act 2000?

 

Yes — the relevant template is completed and attached to this development application and | acknowledge that a
relevant authorisation or licence under the Water Act 2000 may be required prior to commencing development
No
Note: Contact the Department of Natural Resources, Mines and Energy at for further information.
DA templates are available from . [f the development application involves:
* — Taking or interfering with underground water through an artesian or subartesian bore: complete DA Form 1 Template 1
* — Taking or interfering with water in a watercourse, lake. or spring: complete DA Form? Template 2
* Taking overland flow water: complete DA Form 1 Template 3.

Waterway barrier works
23.7) Does this application involve waterway barrier works?

; — the relevant template is completed and attached to this development application

 

DA templates are available from . For a development application involving waterway barrier works, complete
DA Form 1 Template 4.

Marine activities

 

23.8) Does this development application involve aquaculture, works within a declared fish habitat area or
removal, disturbance or destruction of marine plants?

 

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DA Form 1 — Development application details
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erica Me ea
Siri laren ree

ee ei ee

 

Page 16

Yes — an associated resource allocation authority is attached to this development application, if required under the
isheries Act 1994

Note: See guidance materials at for further information.

uarry materials from a watercourse or lak

 

Yes — | acknowledge that a quarry material allocation notice must be obtained prior to commencing development
No
Note: Contact the Department of Natural Resources, Mines and Energy at and for further
information.

 

Yes — | acknowledge that a quarry material allocation notice must be obtained prior to commencing development

Note: Contact the Department of Environment and Science at for further information.

Referable dams

eo icleclolicmel-la0

 

Yes — the ‘Notice Accepting a Failure Impact Assessment’ from the chief executive administering the Water Supply
Act is attached to this development application

No
Note: See guidance materials at for further information.

Tidal work or development within a coastal management district

) Does this plication inve tidal work or development in a coastal management district?

 

Yes — the following is included with this development application:
Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required if
application involves prescribed tidal work)
Acettificate of title
No
Note: See guidance materials at for further information.

Queensland and local ge places

oes this on propose nton or adjoining ap Queenslan
heritage register orona i E Local Heritage Register?

 

Yes — details of the heritage place are provided in the table below

No
Note: See guidance materials at for information requirements regarding development of Queensland heritage places.
Name of the heritage place: Place iD:

Brothels

ve a material change of use for a brothel?

 

Yes — this development application demonstrates how the proposal meets the code for a development application

Crd a brothel under Schedule 3 of the Prostitution Regulation 2014

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DA Form 1 — Development application details
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Page 17

 

 

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Page 18

) Does this development application involve new or changed access to a state-controlled road?

 

Yes - this application will be taken to be an application for a decision under section 62 of the Transport Infrastructure
Act 1994 (subject to the conditions in section 75 of the Transport Infrastructure Act 1994 being satisfied)

No

PART 8 — CHECKLIST AND APPLICANT DECLARATION

 

24) Development application checklist

| have identified the assessment manager in question 15 and all relevant referral go
requirement(s) in question 17 Yes
Note: See the Planning Regulation 2017 for referral requirements

If building work is associated with the proposed development, Parts 4 to 6 of far es
have been completed and attached to this development application ot applicable »
— —

Supporting information addressing any applicable assessment benchmarks is with the

development application

Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report Yes N | A
and any technical reports required by the relevant categorising instruments (e.g. local gavernment planning

schemes, State Planning Policy, State Development Assessment Provisions). For further information, see

Relevant plans of the development are attached to this development application

Note: Relevant plans are required to be submitted for all aspects of this development application. For further Or es J)
information, see - ~

The portable long service leave levy for QLeave has been paid, or will be paid before a Yes
development permit is issued (see 27) lot applica!

25) Applicant declaration

 

By making this development application, | declare that all information in this development application is true and
correct
Where an email address is provided in Part 1 of this form, | consent to receive future electronic communications
from the assessment manager and any referral agency for the development application where written information
is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001
Note: It is unlawful to intentionally provide false or misleading information.

Privacy — Personal information collected in this form will be used by the assessment manager and/or chosen
assessment manager, any relevant referral agency and/or building certifier (including any professignal advisers
which may be engaged by those entities) while processing, assessing and deciding the development application.
All information relating to this development application may be available for inspection and purchase, and/or
published on the assessment manager's and/or referral agency's website.

Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning

Regulation 2017 and the DA Rules except where:

* such disclosure is in accordance with the provisions about public access to documents contained in the Planning
Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and
Planning Regulation 2017; or

* — réquired by other legislation (including the Right to Information Act 2009); or

* otherwise required by law.

This information may be stored in relevant databases. The information collected will be retained as required by the

Public Records Act 2002.

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DA Form 1 — Development application details
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PART 9 —- FOR COMPLETION OF THE ASSESSMENT MANAGER — FOR OFFICE
USE ONLY

Date received: Reference number(s):

Notification of engagement of alternative assessment mar

 

Prescribed assessment manager

Name of chosen assessment manager

Date chosen assessment manager engaged
Contact number of chosen assessment manager

Relevant licence number(s) of chosen assessment
manager

fj

QLeave notification and payment

  
   

Description of the work
QLeave project number

Amount paid ($) Date paid (dd/mm/yy)
Date receipted form sighted by assessment manager

Name of officer who sighted the form

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DA Form 1 — Development application details
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Page 20

 

 

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62 CRANK sTReeET, TEWANTIN QO 45

Lor 1, RP 124553

OWNERS: NICHOLAS ABGOT + SLC AoAIS (APPLICANTS)
PROPOSED SELONDARY CROSSOVER.

Page 21

 

 

ALLOWABLE NUVBER AND WIOTH GF SESISENTIAL DRIVEWAYS

 

 

 

 

LEGEND

 

 

 

 

 

 

 

 

 

 

 

 

 

  

   
 
   
 

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ALLOWABLE | mae WIDTH mae WOTH SPECIAL CONDITIONS APPLICASLE "EWAY is)
THe SES SIPTION kes a ‘a2 aT beer {All driveways sublect *s ralevart counsil CORWEWAY PROHIBITED LOCATIONS)
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SETGUT REQUIREVENTS

 

 

 

INSTITUTE GF PLZLIG WORKS ENGINEERING 4 .STRALASIA
STANDARD ORAWINGS

 

 

 

  
  
   
 

These dravinga tie keer developed in consultation between: the participating Ce inci
SEFSRE USE, tha user stall con‘irr thet the drawing has keer adopted by the appropriate Ccuncil

  
 

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DRIVEWAY PROHIGITED LOCATIONS

DAIVEWAYS:
RESIDENTIAL ORIVEWAYS
PLAN 1 OF 2