Appendix A - DA Form 1 and Owner's Consent

PART 5 – REFERRAL DETAILS
 17) Do any aspects of the proposed development require referral for any referral requirements?
 Note: A development application will require referral if prescribed by the Planning Regulation 2017.
    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:
    Clearing native vegetation
    Contaminated land (unexploded ordnance)
    Environmentally relevant activities (ERA) (only if the ERA have not been devolved to a local government)
    Fisheries – aquaculture
    Fisheries – declared fish habitat area
    Fisheries – marine plants
    Fisheries – waterway barrier works
    Hazardous chemical facilities
    Queensland heritage place (on or near a Queensland heritage place)
    Infrastructure – designated premises
    Infrastructure – state transport infrastructure
    Infrastructure – state transport corridors and future state transport corridors
    Infrastructure – state-controlled transport tunnels and future state-controlled transport tunnels
    Infrastructure – near a state-controlled road intersection
    On Brisbane core port land near a State transport corridor or future State transport corridor
    On Brisbane core port land – ERA
    On Brisbane core port land – tidal works or work in a coastal management district
    On Brisbane core port land – hazardous chemical facility
    On Brisbane core port land – taking or interfering with water
    On Brisbane core port land – referable dams
    On Brisbane core port land - fisheries
    Land within Port of Brisbane’s port limits
    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 – 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)
     Local heritage places




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                                                                                                        DA Form 1 – Development Application details
                                                                                                                      Version 1.1— 22 JUNE 2018