Development application - 14 Grosvenor Tce, Noosa Heads

   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




□ Yes - show cause or enforcement notice is attached
□ No




□ 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.gld.gov.au. An ERA
requires an environmental authority to operate. See www.business.gld.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.                          ___________________________



□ Yes - Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
application
□ No
Note: See www.business.gld.gov.au for further information about hazardous chemical notifications.




□ Yes - this development application includes written confirmation from the chief executive of the Vegetation
Management Act 1999 (s22A determination)
□ No
Note: 1. Where a development application for operational work or material change of use requires a s22A determination and this is not included,
the development application is prohibited development.
2. See https://www.gld.gov.au/environment/land/vegetation/applving for further information on how to obtain a s22A determination.




□ 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.gld.gov.au for further information on
environmental offsets.




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