Appendix A - DA Form 1 and Owner's Consent

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                                                                                                          Noosa Shire
                                           MCU15/0119                            11 March 2016                         Council
     Development application
     Approval                              MCU15/0111 and                                                              Noosa Shire
                                                                                 21 July 2016                          Council
     Development application               REC15/0031


 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
 $

 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
 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
 application
    No
 Note: See www.business.qld.gov.au for further information about hazardous chemical notifications.
 Clearing native vegetation




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