Form 1 - Development application details - 125 Cooroy Belli Creek Rd, Cooroy

 14.3) What is the monetary value of the proposed operational work? (include gst, materials and labour)


PART 4 - ASSESSMENT MANAGER DETAILS
 15) Identify the assessment manager(s) who will be assessing this development application
         Ki 3^3SA
 16) Has the local government agreed to apply a superseded planning scheme for this development application?
 □ Yes - a copy of the decision notice is attached to this development application
 □ The local government is taken to have agreed to the superseded planning scheme request - relevant documents
   attached
JZI No

PART 5 - REFERRAL DETAILS
 17) Does this development application include any aspects that have any referral requirements?
Note: A development application will require referral if prescribed by the Planning Regulation 2017.
 |Xl 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 Act 2016:.                               X
□ Clearing native vegetation
El Contaminated land (unexploded ordnance)
□ Environmentally relevant activities (ERA) (only if the ERA has not been devolved to a local government)
□ Fisheries - aquaculture
□ Fisheries - declared fish habitat area                                                 X
□ Fisheries - marine plants                                                         X
□ Fisheries - waterway barrier works                                           /
□ Hazardous chemical facilities                                       /
□ Heritage places - Queensland heritage place (on or near a Queenslpfa heritage place)
□ Infrastructure-related referrals - designated premises       /
□ Infrastructure-related referrals - state transport infrastructure
□ Infrastructure-related referrals - State transport corridpr and future State transport corridor
□ Infrastructure-related referrals - State-controlled trarfsport tunnels and future state-controlled transport tunnels
□ Infrastructure-related referrals - near a state-coptfolled road intersection
□ Koala habitat in SEQ region - interfering withXoala habitat in koala habitat areas outside koala priority areas
□ Koala habitat in SEQ region - key resourcdareas
□ Ports - Brisbane core port land - near/a/State transport corridor or future State transport corridor
□ Ports - Brisbane core port land - environmentally relevant activity (ERA)
□ Ports - Brisbane core port land -Xfoal works or work in a coastal management district
□ Ports - Brisbane core port lanjT- hazardous chemical facility
□ Ports - Brisbane core port land - taking or interfering with water
□ Ports - Brisbane core port land - referable dams
□ Ports - Brisbane core^ort land - fisheries
□ Ports - Land withiryPort of Brisbane’s port limits (below high-water mark)
□ SEQ development area
□ SEQ regional-landscape and rural production area or SEQ rural living area - tourist activity or sport and
  recreation^ctivity
□ 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
□ SEjQ 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
□ SEQ northern inter-urban break - tourist activity or sport and recreation activity



                                                                                                            Queensland
                                                                                                       lx? Government