DA Form

PART 7 - FURTHER DETAILS

 20) Are there any associated development applicajiongor current approvals? Ye.g. a preliminary approval)
 O Yes - provide details below or include details in a schedule to this development application
 0 No
 List of approval/development              Reference number                      Date                                   Assessment
 application references                                                                                                 manager
 □ Approval
 □ Development application
 □ Approval
 □ Development application


 21) Has the portable long service leave levy been paiti? fanfy                          development applications involving building work or

 □ Yes - a copy of the receipted QLeave form is attached to this development application
 Q No — I, the applicant will provide evidence that the portable long service leave levy has been paid before the
   assessment manager decides the development apolication. 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
 0 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 (A, B or E)
 $

 22) Is, th is development application in response^p a show cause hotice or required as a result of an enforcement

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


 23) Further legislative requirements              /                              ’ ’                                                ■"Xj '
 Environmentally relevant activities                                               .4*- -
 23.1) Is this development applicatiomalsottaken to-be an application for an environmental authority tor an1                          1
 Envirojimentally Relevant Activity (ERA) undgr section IJS olthe Environmental Protection Act 1994?
 Q 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 lable below
 B No
 Note: Application for an environmental authority can be found by searching “ESR/20.15/1791" as a search term at www.uld.qov.au. An ERA
 requires an environmental authority to operate. See www.bt'siness.qld go'.:au for further information.
 Proposed ERA number:                                                 I Proposed ERA threshold
 Proposed ERA name:
 □ Multiple ERAs are applicable to this developpient application and the details have been attached in a schedule to
   this development application.
 Hazardous chemical facilities                 ;                                             ,
23.2) Is this development application for a hateardous chamical facility?
□ Yes - Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
  application
S No                                                   ►>
                                                                  >                  #



Note: See w^^busjness.q/d.gov.au for.further information about hazardous'Chemical notifications.




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