DA Form 1

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?
☐ Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
☒ No
Note: Contact the Department of Environment, Science and Innovation at www.desi.qld.gov.au for further information.

Referable dams
23.11) Does this development application involve a referable dam required to be failure impact assessed under
section 343 of the Water Supply (Safety and Reliability) Act 2008 (the Water Supply Act)?
☐ 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 www.resources.qld.gov.au for further information.


Tidal work or development within a coastal management district
23.12) Does this development application involve 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)
   ☐ A certificate of title
☒ No
Note: See guidance materials at www.desi.qld.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?
☐ Yes – details of the heritage place are provided in the table below
☒ No
Note: See guidance materials at www.desi.qld.gov.au for information requirements regarding development of Queensland heritage places.
For a heritage place that has cultural heritage significance as a local heritage place and a Queensland heritage place, provisions are in place
under the Planning Act 2016 that limit a local categorising instrument from including an assessment benchmark about the effect or impact of,
development on the stated cultural heritage significance of that place. See guidance materials at www.planning.statedevelopment.qldgov.au for
information regarding assessment of Queensland heritage places.

Name of the heritage place:                                               Place ID:
Decision under section 62 of the Transport Infrastructure Act 1994
23.14) 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
Walkable neighbourhoods assessment benchmarks under Schedule 12A of the Planning Regulation
23.15) Does this development application involve reconfiguring a lot into 2 or more lots in certain residential zones
(except rural residential zones), where at least one road is created or extended?
☐ Yes – Schedule 12A is applicable to the development application and the assessment benchmarks contained in
schedule 12A have been considered
☒ No
Note: See guidance materials at www.planning.statedevelopment.qld.gov.au for further information.




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                                                                                                      DA Form 1 – Development application details
                                                                                                                    Version 1.6— 2 August 2024