DA Form

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PART 5 - REFERRAL DETAILS

 17) Does this development application include any aspects that have any reftlrral requirements?
Note A development application will require referral if prescribed by the Planning Relation 2017.
 H No, there are no referral requirements re^vant to any development aspects identified in this development
   application - proceed to Part 6
                                                                                                                                             _J
 Matters requiring referral to the Chief Executive of the Planning Act 2016:
 □ Clearing native vegetation
O Contaminated land (unexploded ordnance)
Q Environmentally relevant activities (ERA) (only if the ERA has not been devolved to a local government)
□ Fisheries - aquaculture
□ Fisheries - declared fish habitat area
□ Fisheries - marine plants                                 t

□ Fisheries - waterway barrier works
□ Hazardous chemical facilities
□ Heritage places — Queensland heritage place (ex . or naai a Queensland heritage place)
□ Infrastructure-related referrals - designated premises
□ Infrastructure-related referrals - state transport infrastructure
□ Infrastructure-related referrals - State transport corridor and future State '-ansport corridor
□ Infrastructure-related referrals - State-controlled transport tunne’s and future state-controlled transport tunnels
□ Infrastructure-related referrals - near a state-contrclled road intersection
Q Koala habitat in SEQ region - interfering with koala habitat in koala habitat areas outside koala priority areas
□ Koala habitat, in SEQ region - key resource areas
□ Ports - Brisbane core port land - near a State transport corridor or future State transport corridor
□ Ports - Brisbane core port land - environmentally relevant activity (ERA)
EJ Ports - Brisbane core port land — tidal works or work in a coastal management district
□ Ports - Brisbane core port land - hazardous chemical facility
□ Ports - Brisbane core port land - taking or interfering with water
□ Ports - Brisbane core port land - referable dams
□ Ports - Brisbane core port land - fisheries
□ Ports - Land within Port of Brisbane's port limits (below high-water mark)
□ SEQ development area
rj SEQ regional landscape and rural production area or SEQ rural living area — tourist activity or sport and
   recreation activity
□ SEQ regional landscapeand rural production area or S^Q rural living area - community activity
□ SEQ regional landscapeand rural production area or SEQ rural living area — indoor recreation
□ SEQ regional landscapeand rural production area or ?EQ rural living area - urban activity
□ SEQ regional landscapeand rural production area or SEQ rural living area - combined use
□ Tidal works or works in a coastal management district
□ Reconfiguring a lot in a coastal management district or for a canal
□ Erosion prone area in a coastal management district
□ Urban design
□ Water-related development - taking or interfering with water
□ Water-related development - removing quarry material (from a watercourse or lake)
□ Water-related development - referable dams
□ Water-related development -levees (category 3 !o\-eee only)
□ Wetland protection area
Matters requiring referral to the local government:
□ Airport land
EJ Environmentally relevant activities (ERA) {only if the ERA has been devolved to local government)




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