DA Form 1.docx

☐ Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
☒ No
Note: Contact the Department of Environment and Science at www.des.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.dnrme.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.des.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.des.qld.gov.au for information requirements regarding development of Queensland heritage places.

Name of the heritage place:                                              Place ID:
Brothels
23.14) Does this development application involve a material change of use for a brothel?
☐ Yes – 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
☒ No
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?
☐ 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
23.16) 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.dsdmip.qld.gov.au for further information.




                                                                                                                                    Page 11
                                                                                                  DA Form 1 – Development application details
                                                                                                            Version 1.3— 28 September 2020