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Operational Works Application DA Form 1 OPW20-0033 · OPW20/0033

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DA Form 1 — Development application details
Approved form (version 1.1 effective 22 JUNE 2018) made under section-282 of the Planning Act 2016. |

This form must be used to make a development application involving code assessment or impact assessment,
except when applying for development involving building work.
For a development application involving building work only, use DA Form 2 - Building work details.

For a development application involving building work associated with any other type of assessable development
(i.e. material change of use, operational work or reconfiguring a lot), use this form (DA Form 1) and parts 4 to 6 of
DA Form 2 - Building work details.

Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
accompany the development application.

One or more additional pages may be attached as a schedule to this development application if there is insufficient
space on the form to include all the necessary information.

 

This form and any other form relevant to the development application must be used to make a development
application relating to strategic port land and Brisbane core port land under the Transport Infrastructure Act 1 994,
and airport land under the Airport Assets (Restructuring and Disposal) Act 2008. For the purpose of assessing a
development application relating to strategic port land and Brisbane core port land, any reference to a planning
scheme is taken to mean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core
port land, or a land use plan for airport land.

 

 

 

Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
Assessment Rules (DA Rules).

PART 1 — APPLICANT DETAILS

1) Applicant details
Applicant name(s) (individual or company full name) ANDREW ST LAKSK

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact name (only applicable for companies) —

Postal address (P.O. Box or street address) PO LOX AUSF

Suburb N@SA HSEAS
State BINS

Postcode Ss 67

Country POAST RON A—
Contact number OSS U2 ,4-5 §
Email address (non-mandatory) AVOs+hakeve COM-AM
Mobile number (non-mandatory) _—

Fax number (non-mandatory) —

Applicant's reference number(s) (if applicable) —_

 

2) Owner's consent

2.1) Is written consent of the owner required for this development application?

 

 

 

aie — the written consent of the owner(s) is attached to this development application
No

 

 

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Full text of the other 14 pages

Page 2

PART 2 — LOCATION DETAILS

 
    

3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable)
Note: Provide details below and attach a site plan for any or all premises part of the CLA He) ol alale diesel a ele ere information, see DA

Forms Guide: Relevant plans.
3.1) Street address and lot on plan

    
  

  
  

(1 Street address AND lot on plan (ail lots must be listed), or

(J 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

a) BH PARK RD AlooeS4- HE+DS
Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)
4567 | 108 SP ISBF¢US NoeosS* Couscic,
UnitNo. | StreetNo. | Street Name and Type Suburb

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

 

 

 

 

 

ote: P. ea =Fe of coordina re} parate ro O (ols) Of coordina equired fo fe)

(1 Coordinates of premises by longitude and latitude

 

 

 

 

 

 

 

 

Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)
C1 wess4
C1] GDA94
C Other:
(1 Coordinates of premises by easting and northing
Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
(54 C1 wese4
(155 C1 GDaA94
(156 (J Other:

 

 

3.3) Additional premises

 

C] Additional premises are relevant to this development application and their details have been attached in a
schedule to this application

(1 Not required

4) Identify any of the following that apply to the Premises and provide any relevant details
(J In or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer:
CJ 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:
C Ina tidal area
Name of local government for the tidal area (if applicable):

Name of port authority for tidal area (if applicable):
C On airport land under the Airport Assets (Restructuring and Disposal) Act 2008

Name of airport:

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2
DA Form 1 ~ Development Application details

Page 3

 

(J 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
application

CF No

   
 

   

plans submitted with this development

 

 

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)

    
 

   
  

 

 

C] Material change of use oO Reconfiguring a lot [¥] Operational work (J Building work
= is the approval type? (tick only one box)
Development permit oO Preliminary approval O Preliminary approval that includes

a variation approval

 

me, 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):

 

 

e) Relevant plans
pr piel plans are required to be submitted for all aspects of this development application. For further information, see DA Forms guide:

Relevant plans.
7 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)

 

CJ Material change of use [_] Reconfiguring a lot C] Operational work [7] 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 oO 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. as

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

 

 

 

Page 3
DA Form 1 — Development Application details
Mlarainn 4

nonin 499 WiInIe anda

Page 4

    

6:3) Additional aspects of development

CJ 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

      
      

Section 2 — Further development details
7) Does the proposed development application involve any of the following?

 

 

 

 

 

Material change of use 0 Yes - complete division 1 if assessable against a local planning instrument
Reconfiguring a lot oO Ygs ~ complete division 2

Operational work Yes ~ 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
local planning instrument.

8.1) Describe the proposed material change of use

 

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)

 

 

 

 

 

 

 
  

8.2) Does the proposed use involve the use of existing buildings on the premises?
C1 Yes
[J No

  

 

 

 

 

 

 

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.

CPD NUEVAS ate el eel intellect eters dit ate lors making up the premises?

   

 

9.2) What is the nature of the lot Teconfiguration? (tick all applicable boxes)
[] Subdivision (complete 10))

   

O Dividing land into parts by agreement (complete 11))

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

 

 

 

 

 

  
 

  
  

10) Subdivision
10.1) For this development, how many
Intended use of lots created

lots are being created and what is the intended use of those fos
Residential Commercial

 

  

     

Industrial Other, please specify:

   
 
 
 

 

 

Number of lots created
10.2) Will the subdivision be staged?
(-] Yes — provide additional details below

LINo

How many stages will the works include?

 

  
  

 

 

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

 

 

 

 

Page 4
DA Form 1 — Development Application details

Page 5

    

 

11) Dividing land into parts by agreement —
parts?

Intended use of parts created

how many parts are being created and what is the intended use of the

  
     

     
 
  
 

   

   

Residential Commercial Industrial Other, please specify:

 

 

 

Number of parts created

 

12) Boundary realignment
12.1) What are the current and proposed areas for each lot comprising the premises?

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

 

 

 

 

 

 

 

 

 

12.2) What is the reason for the boundary realignment?

 

 

 
   

13) What are the dimensions and nature of any existing easements
(attach schedule if there are more than two easements)

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

being changed and/or any proposed 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?

    
      

   

       

ae work [¥] Stormwater ] Water infrastructure
Se work (J Earthworks LO Sewage infrastructure
Landscaping O Signage C Clearing vegetation

 
     

 

   
 
  

C] Other — please specify: |

SOYA mntomo) elit (ela aol t 4 necessary to facilitate the creation of new lots? (e.g. subdivision)
C1 yes - specify number of new lots:
mi No

14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)

$FOK
PART 4 —- ASSESSMENT MANAGER DETAILS

 

 

  
    
 
   
  
 

15) Identify the assessment manager(s) who will be assessing this development application
NOGA Carne
16) Has the local government agreed to apply a superseded planning scheme for this development application?

C1 Yes-a copy of the decision notice is attached to this development application
(Local government is taken to have agreed to the superseded planning scheme request — relevant documents

la
No

    
       

Page 5
DA Form 1 — Development Application details
Vineni

Renin 44099 WIE Anan

Page 6

PART 5 — REFERRAL DETAILS

 
 

17) Do any aspects of the proposed development tequire referral for any referral requirements?
Note: A development application will require referral if prescribed by the Planning Regulation 2017.

[W 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 Regulation 2017:

(J Clearing native vegetation

(J Contaminated land (unexploded ordnance)

CJ Environmentally relevant activities (ERA) (only if the ERA have not been devolved to a local government)
(] Fisheries — aquaculture

1] Fisheries ~ declared fish habitat area

C1 Fisheries — marine plants

C] Fisheries — waterway barrier works

(J Hazardous chemical facilities

(] Queensland heritage place (on or near a Queensland heritage place)

(J Infrastructure — designated premises

[1] Infrastructure — state transport infrastructure

(J Infrastructure — state transport corridors and future state transport corridors

[_] Infrastructure — state-controlled transport tunnels and future state-controlled transport tunnels
(CJ Infrastructure ~ near a state-controlled road intersection

CJ On Brisbane core port land near a State transport corridor or future State transport corridor
(J On Brisbane core port land —- ERA

(J On Brisbane core port land — tidal works or work in a coastal management district

CJ On Brisbane core port land — hazardous chemical facility

C] On Brisbane core port land — taking or interfering with water

(] On Brisbane core port land — referable dams

[1] On Brisbane core port land - fisheries

(J Land within Port of Brisbane's port limits

(J 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
LC] 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

C1 SEQ regional landscape and rural production area or SEQ rural living area — combined use

(J Tidal works or works in a coastal management district

C1] Reconfiguring a lot in a coastal management district or for a canal

(J Erosion prone area in a coastal management district

[1] Urban design

CJ 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 — construction of new levees or modification of existing 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)
(J Local heritage places

 

 

 

Page 6

DA Form 1 — Development Application details

Marian 44°99 WiKi anda

Page 7

 

Matters requiring referral to the chief executive of the distribution entity or transmission entity:
CJ 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
(J Oil and gas infrastructure

 

Matters requiring referral to the Brisbane City Council:

(J Brisbane core port land

Matters requiring referral to the Minister under the Transport Infrastructure Act 1994:
CJ Brisbane core port land (inconsistent with Brisbane port LUP for transport reasons)
[_] Strategic port land

Matters requiring referral to the relevant port operator:

(J Land within Port of Brisbane's port limits (below high-water mark)

 

 

 

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

 

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

 

Matters requiring referral to the Queensland Fire and Emergency Service:

 

(J Tidal works marina (more than six vessel berths)

 

 
    

18) Has any referral agency provided a referral response for this development application?

(1 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 the development application the subject of this form, or include details in a schedule to this
development application (if applicable).

 

 

 

 

PART 6 — INFORMATION REQUEST

  
 

 
 
  
 

19) Information request under Part 3 of the DA Rules

C1 Yagree to receive an information request if determined necessary for this development application

[MI 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.

 
    
   
         
      
 

 

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DA Form 1 — Development Application details

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PART 7 — FURTHER DETAILS

20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)

    

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

LI No

 

 

 

List of approval/development Reference number Date Assessment

application references manager

(Approval PACS
OO

[] Development application Aol Gob bb 24\o8 \nae BcR2

C1 Approval

(] Development application

 

 

 

 

 

    

   

21) Has the portable long service leave lev
operational work)

Le es — a copy of the receipted QLeave form is attached to this development application

[1 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. | acknowledge that the assessment manager may give

a development approval only if | provide evidence that the portable long service leave levy has been paid
Not applicable (e.g. building and construction work is less than $1 50,000 excluding GST)

y been Paid? (only applicable to development applications involving building work or

  

          

 

 

 

 

 

  

 

Amount paid Date paid (dd/mm/yy) QLeave levy number
$
22) |s 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?

 

L] Yes - the required attachment (form ESR/2015/1791) for an application for an environmental authority
a 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.qid.gov.au for further information.

Proposed ERA number: Proposed ERA threshold:
Proposed ERA name:

 

 

 

 

oO Multiple ERAs are applicable to this development application and the details have been attached in a
schedule to this development application.

 
 
   

  
  
  

Hazardous chemical facilities
23.2) Is this development application for a hazardous chemical Lele iiaaeg

CJ Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
application

No
Note: See www.business.gid.gov.au for further information about hazardous chemical notifications.

Clearing native vegetation

 

 

 

   

23.3) Does this development application involve clearing native vegetation that requires written confirmation that
the chief executive of the Vegetation Management Act 1999 is satisfied the clearing is for a relevant purpose under

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DA Form 1 — Development Application details

Page 9

section 22A of the Vegetation Management Act 1999?

C1 Yes - this development application includes written confirmation from the chief executive of the Vegetation
Maplagement Act 1999 (s22A determination)
YI No

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 https://www.qid.gov. au/environment/land/vegetation/applying for further information on how to obtain a s22A determination.

Environmental offsets

23.4) Is this development application taken to be a prescribed activity that may have a significant residual impact on
a prescribed environmental matter under the Environmental Offsets Act 2014?

OO Yes -1 acknowledge that an environmental offset must be provided for any prescribed activity assessed as
avj
N

ee g a significant residual impact on a prescribed environmental matter
°

Note: The environmental offset section of the Queensland Government's website can be accessed at www.qld.gov.au for further information on
environmental offsets.

Koala conservation

23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work
within an assessable development area under Schedule 10, Part 10 of the Planning Regulation 2017?

LlyYes

No
Note: See guidance materials at www.des.qid.gov.au 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?
C1 Yés — the relevant template is completed and attached to this development application and | acknowledge that a
rel i authorisation or licence under the Water Act 2000 may be required prior to commencing development
IWNo

Note: Contact the Department of Natural Resources, Mines and Energy at www. dnrme.gid.gov.au for further information.

DA templates are available from https:/planning.dsdmip.gid.gov.au/, If 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 Form1 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 httos:/planning.dsdmip.gld.gov.au/. 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?

 
  
  

y is attached to this development application, if required under

 
 
  

 

Note: See guidance materials at www. daf.qid.gov.au for further information.

Quarry materials from a watercourse or lake

23.9) Does this development application involve the removal of quarry materials from a watercourse or lake
under the Water Act 2000?

C1 Yes -| acknowledge that a quarry material allocation notice must be obtained prior to commencing development

 
     
    

 

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DA Form 1 — Development Application details

Page 10

[
[¥] No

Note: Contact the Department of Natural Resources, Mines and Energy at www. dnrme.qid.gov.au and www.business.gld.gov.au for further
information.

Quarry materials from land under tidal waters

23.10) Does this development application involve the removal of quarry materials from land under.tidal water
under the Coastal Protection and Management Act 1995?

Les - | acknowledge that a quarry material allocation notice must be obtained prior to commencing development

Icicle CMs Elie
23.11) Does this development application involve a referable dam required to be failure impact assessed under
SereilCol aR eM oN Unto el cesT 0) 01112 (Safety and Reliability) Act 2008 (the Water Supply Act)?

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

Note: See guidance materials at www. dnrme.gqid.gov.au for further information.
Tidal work or development within a coastal mana ement district

23.12) Does this development application involve tidal work or development in a coastal management district?

CJ 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
f application involves prescribed tidal work)

LIA certificate of title
No
Note: See guidance materials at www.des.qid.gov.au for further information.

Queensland and local heritage places

23.13) Does this development application Propose development on or adjoining a place entered in the Queensland
heritage register or on a place entered in a local government's Local Heritage Register?

Les - details of the heritage place are provided in the table below

 

Note: See guidance materials at www.des.qid.gov.au for information requirements regarding development of Queensland heritage places.
Place ID:

 

      
   

Name of the heritage place:

  
   
  
   

PIS
PPA) WOleL TM Ul Me (W{-\(o) oan et-lo) ol tere VER ET CTT ET change of use for a brothel?

0 Yés - this development application demonstrates how the proposal meets the code for a development
application for a brothel under Schedule 3 of the Prostitution Regulation 2014

Decision under section 62 of the Transport Infrastructure Act 1994

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

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

     
 
 
   

 

 

 

 

PART 8 —- CHECKLIST AND APPLICANT DECLARATION

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DA Form 1 — Development Application details
Vinentaie A'dl on

Page 11

    
 

24) Development application checklist
| have identified the assessment manager in question 15 and all relevant referral
requirement(s) in question 17

Note: See the Planning Regulation 2017 for referral requirements

fi
If building work is associated with the proposed development, Parts 4 to 6 of DA Form 2 — Yes
Building work details have been completed and attached to this development application (J Not applicable

 

 

Supporting information addressing any applicable assessment benchmarks is with
development application

Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report Yes
and any technical reports required by the relevant categorising instruments (e.g. local government planning
schemes, State Planning Policy, State Development Assessment Provisions). For further information, see DA

 

Forms Guide: Planning Report Template. .
Relevant plans of the development are attached to this development application i
Note: Relevant plans are required to be submitted for all aspects of this development application. For further Yes

information, see DA Forms Guide: Relevant plans.

The portable long service leave levy for QLeave has been paid, or will be paid before a Oy
development permit is issued (see 21)) ot applicable

 

 

 

25) Applicant declaration

orreéct
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 professional 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:

e 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

e required by other legislation (including the Right to Information Act 2009); or

e 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.

making this development application, | declare that all information in this development application is true and
Cc

 

 

 

 

PART 9 —- FOR OFFICE USE ONLY

Date received: [ Reference number(s): | |

Notification of engagement of alternative assessment manager

 

 

 

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

 

 

 

 

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DA Form 1 — Development Application details

Varcian 4499 WIN ANAO

Page 12

QLeave notification and payment

  

Note: For completion by assessment manager if applicable

 

Description of the work

 

QLeave project number
Amount paid ($)
Date paid

 

 

 

Date receipted form sighted by assessment manager

 

Name of officer who sighted the form

 

 

 

 

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DA Form 1 ~ Development Application details

Page 13

Consult Arborist
Pty Ltd

Wednesday, 4 December 2019

Brad Williams (Robilliard Building & Design)
On behalf of Mr A. St Baker (Property Owner)

By email: [email protected]

ARBORIST ADVICE

Site Address: 62 Park Road, Noosa Heads
Date of Attendance: 28/11/2019

Works: Assess Noosa Council verge tree
Dear Brad,

Further to our recent site meeting, | am pleased to provide you with the following information
and commentary relating to the Forest Red Gum tree located on the northern side of the
property within Noosa Council's vegetated road reserve.

The information has been requested in response to a Noosa Council email in which they
request an arborist assessment be undertaken to determine the impact which may have
occurred to the tree’s roots during recent works on council land.

Should you have any queries or wish to discuss the information contained in this advice,
please do not hesitate to contact me.

Yours sincerely,

Matthew Duncan

Director / Principal Arborist
Level 5 AQF Arborist

 

[email protected]

Page 14

Consult Arborist

COPYRIGHT

This report/document is subject to copyright laws and penalties @280c per word per incident, no part may be reproduced or
used without the written permission of Consult Arborist Pty Ltd. No responsibility will be accepted by Consult Arborist Pty Ltd for
unauthorised or partial use of this report.
General Permission of use as subject to Consult Arborist Pty Ltd copyrights:
1. Customer permission:

No more than three hard copies to exist at any one time.
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DISCLAIMER

This information contained in this report has been prepared on an independent basis, free of any bias and represents the honest
opinion of the consulting arborist. All data is based on visual inspection of the tree/s and its/their location at the time of writing,
unless otherwise stated, and contains opinions, advice and recommendations based on information and data gathered from site
inspections carried out by the author and information supplied by the Client (Brad Williams). All information received from the
Client shall be deemed to be true, accurate and up to date.

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arising out of or related to your use of that information, even if the author has been advised of the possibility of such a loss or
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without the supervision of Consult Arborist.

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The information contained in this report refers only to the tree/s that were inspected on 28/11/2019 and reflects the condition of
the tree/s at the time of the inspection. There is no warranty or guarantee, expressed or implied, that the problems or deficiencies
of the plants or property in question may not arise in the future. Likewise, remedial treatments cannot be guaranteed.

Arboriculturalists cannot detect every condition that could possibly lead to the structural failure of a tree. Trees are living
organisms that fail in ways we do not fully understand. Conditions are often hidden within trees and below ground. Consult
Arborist Pty Ltd and the author cannot guarantee that a tree will be healthy or safe under all circumstances, or for a specified
period of time.

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Ltd has no control.

Treatment, pruning and removal of trees may involve considerations beyond the scope of the Arboriculturalists services, such as
property boundaries and ownership, disputes between neighbours, sight lines, landlord-tenant matters and related. Consult
Arborist Pty Ltd cannot take such issues into account unless complete and accurate information is given to them. Likewise,
Consult Arborist Pty Ltd cannot accept any responsibility for the authorization or non-authorization of any recommended treatment
or remedial measure.

Arboriculturalists are tree specialists who use their education, knowledge, training and experience to examine trees, recommend
measures to enhance the beauty and health of trees and attempt to reduce the risk of living near trees. Trees can be managed,
but they cannot be controlled. To live or work near a tree involves some degree of risk. The only way to eliminate all risks
associated with a tree is to eliminate the tree.

Clients may choose to accept or disregard the recommendations of Consult Arborist Pty Ltd or to seek additional advice.

4 9_12_04_ AA St Baker_62 Park Rd Page 3 of 3

Page 15

From
Subject
Date: 10 December 2019 at 12:44 pm
To: Sean @ SCG Consulting Engineers en

Cc: Tom [email protected] Robilliard steven

[email protected]

Thank you for recently updating the hydraulics plans with unity water to site their underground sewer line within the Park Rd road
reserve and to specify requirements for any building over.

Andrew St Baker

 
  
  

 

  
 
   

   

 
   

rocinoosa.com, Frank Macchia Studio stud: kmacchia com, Don Grehan

We have decided not to build over and to adopt a landscaping solution for the NW embankment running out along the upper
driveway.

This drive way is to be closed off and landscaped, with the kerb replace with standard kerb in line with profile above and below drive
entry. Additionally the driveway surface water drainage pipe from the above property is to be discharged to the new section of kerb.

As part of our application council has asked us to obtain an.

 

r the following:

 

Draft Plan attached.
Please undertake this work as an extension to your current project brief asap.
Regards

Andrew St Baker

 

 

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