DA Form 1.docx

☐ Yes – I acknowledge that an environmental offset must be provided for any prescribed activity assessed as
  having a significant residual impact on a prescribed environmental matter
☒ No
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 habitat in SEQ Region
23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work
which is assessable development under Schedule 10, Part 10 of the Planning Regulation 2017?
☐ Yes – the development application involves premises in the koala habitat area in the koala priority area
☐ Yes – the development application involves premises in the koala habitat area outside the koala priority area
☒ No
Note: If a koala habitat area determination has been obtained for this premises and is current over the land, it should be provided as part of this
development application. See koala habitat area guidance materials at www.des.qld.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?
☐ Yes – the relevant template is completed and attached to this development application and I acknowledge that a
  relevant authorisation or licence under the Water Act 2000 may be required prior to commencing development
☒ No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qld.gov.au for further information.
DA templates are available from https://planning.dsdmip.qld.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?
☐ Yes – the relevant template is completed and attached to this development application
☒ No
DA templates are available from https://planning.dsdmip.qld.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?
☐ Yes – an associated resource allocation authority is attached to this development application, if required under
  the Fisheries Act 1994
☒ No
Note: See guidance materials at www.daf.qld.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?
☐ Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
☒ No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qld.gov.au and www.business.qld.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?




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                                                                                                        DA Form 1 – Development application details
                                                                                                                  Version 1.3— 28 September 2020