DA Form 1 - Amended 27.2.20 · MCU16/0099.01

     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:

 5) Are there any existing easements over the premises?
 Note: Easement uses vary throughout Queensland 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.
     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)
     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
    lots):
 Change application to the approved telecommunications facility. Changes include:
    • Amended access to be obtained from the adjoining lot to the south
    • Changes to total vegetation clearing (minimised)
    • Amended power supply route

 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
 6.2) Provide details about the second development aspect
 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
 lots):

      •    Application for a Development Permit for a Reconfiguration of a Lot for an access easement from a public
           road to the approved facility.
      •    Application for a Development Permit for Operational Works involving a proposed secondary driveway to
           provide access to proposed easement over Lot 46 RP136461

 e) Relevant plans


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                                                                                                       DA Form 1 – Development application details
                                                                                                                    Version 1.2— 7 February 2020