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ECM_21884962_v1_OPW22 0100 Operational Works Application - 89 91 93 Eumundi Noosa Road, Noosaville.msg

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Subject: FW: OPW22/0100 Operational Works Application -  RE: SCG Ref: 31131 - Lots 80 & 81 RP71151, Lot 1 RP130594 @ 89, 91, 93 Eumundi Noosa Road, Noosaville
From: Admin @ SCG Consulting Engineers
Date: 2022-04-11T04:31:27+00:00
To: Mailbox Council Mail

CAUTION: This email originated outside of Council. Do not open links or attachments if the email is unexpected or unusual.


As requested in the email below received 11/04/2022, please find amended DA Form 1 attached

I also confirm as requested that this application is for LOTS 80 & 81 RP71151, LOT 1 RP130594 @ 89, 91, 93 EUMUNDI NOOSA ROAD, NOOSAVILLE

Please contact this office if further information or clarification is required

Regards

Jacqui

SCG Consulting Engineers

07 5455 5604

From: Justine Elder <[email protected]>
Sent: Monday, 11 April 2022 12:50 PM
To: Admin @ SCG Consulting Engineers <[email protected]>
Subject: OPW22/0100 Operational Works Application - RE: SCG Ref: 31131 - Lots 81, 81 RP71151 Lot 1 RP130594 @ 89, 91, 93 Eumundi Noosa Road, Noosaville

[cid:[email protected]]
Good morning,

Thank you for your application.   The DA Form 1 requires the following amendments.  Please update the form and return to [email protected]<mailto:[email protected]> at your earliest convenience.

Would you please clarify if this application is for Lots 89 & 91 as per the form or 89, 91 & 91 as per the subject line of this email, if it is the later, this will need to be amended on the form to reflect this.

[cid:[email protected]]
This is ‘No’ (owner’s consent is not required for Operational Works Applications)

[cid:[email protected]]

Please remove Signage, Water infrastructure and Sewage infrastructure, these are not covered under an OPW application and,  add the monetary $ value,.


[cid:[email protected]]

Please tick ‘No’.

[cid:[email protected]]

The MCU was under assessment, please remove the other details marked.

[cid:[email protected]]
Please tick ‘Yes’


The application has been processed with file no OPW22/0100. The fees outstanding are $6144.00 and these can be paid online by credit card following the link below or by cheque.


https://noo-web.t1cloud.com/T1PRDefault/WebApps/eProperty/P1/ePay/ApplicationPayment.aspx?r=P1.WEBGUEST&f=%24P1.EPY.APPS.ENQ

IMPORTANT NOTE
Please note that online payments have a delay in processing payments. Therefore, to capture payments within the specified timeframe and to avoid an Action Notice being issued, please respond to this email once you have completed your payment with a copy of your receipt.



Regards,

Justine Elder
Administration Officer
Development Assessment

Phone: 07 5329 6500
Email: [email protected]<mailto:[email protected]>
Website: www.noosa.qld.gov.au<https://aus01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprotect-au.mimecast.com%2Fs%2F_LYuC81VL4ixX28tn8Xwh%3Fdomain%3Dnoosa.qld.gov.au%2F&data=04%7C01%7C[email protected]%7C4aca0b9d0c734a7e46ea08da1b743ab9%7C99d9dd67b90f4999a44ef2d3700133b2%7C0%7C0%7C637852483427880604%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=3rgv2%2FuYW0thWHzIkXXKdOkDVT%2FU63klcEOs5UUi%2FCA%3D&reserved=0>
Location: Level 2, 9 Pelican Street, Tewantin
Mail: PO Box 141 Tewantin Qld 4565
Find Council on Facebook [cid:[email protected]] <https://aus01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprotect-au.mimecast.com%2Fs%2F1HKbC0YKzQClk70i2-8hr%3Fdomain%3Dfacebook.com&data=04%7C01%7C[email protected]%7C4aca0b9d0c734a7e46ea08da1b743ab9%7C99d9dd67b90f4999a44ef2d3700133b2%7C0%7C0%7C637852483427880604%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=4xp1Yz9i8yDm4FvRlXTLFSy2EMcnEUjMgQEuKlwXsA8%3D&reserved=0>
[cid:[email protected]]
Please consider the environment before printing this email









From: Admin @ SCG Consulting Engineers <[email protected]<mailto:[email protected]>>
Sent: Wednesday, 6 April 2022 3:19 PM
To: Mailbox Council Mail <[email protected]<mailto:[email protected]>>
Cc: Mailbox Building <[email protected]<mailto:[email protected]>>
Subject: SCG Ref: 31131 - Lots 81, 81 RP71151 Lot 1 RP130594 @ 89, 91, 93 Eumundi Noosa Road, Noosaville

CAUTION: This email originated outside of Council. Do not open links or attachments if the email is unexpected or unusual.

Please see Dropbox link below, this link to be forward to relevant persons/department for action

https://www.dropbox.com/t/tVIn6oKDO5SsrLYG<https://aus01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprotect-au.mimecast.com%2Fs%2FbPgACjZ14DskYB1c12Cvh%3Fdomain%3Daus01.safelinks.protection.outlook.com&data=04%7C01%7C[email protected]%7C4aca0b9d0c734a7e46ea08da1b743ab9%7C99d9dd67b90f4999a44ef2d3700133b2%7C0%7C0%7C637852483427880604%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=ZVV%2BAEPMMu9IE%2BWYuZcuNTN4MItyehf9yPnFZ%2BMV89A%3D&reserved=0>

This link contains DA Form 1 & DA Form 2 for the proposed project at the site above
Supporting documentation is also within this link as follows: -

  *   Owners Letter of Consent
  *   SCG OPW 2022.04.05 (SCG OP Works Drawings)
  *   Blackwood Architects – Architectural Plans

Regards

Jacqui



SCG Consulting Engineers
p: 07 5455 5604
w: www.scg-engineers.com<https://aus01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprotect-au.mimecast.com%2Fs%2FGEQ-Ck814EIZkK3S8-RkQ%3Fdomain%3Daus01.safelinks.protection.outlook.com&data=04%7C01%7C[email protected]%7C4aca0b9d0c734a7e46ea08da1b743ab9%7C99d9dd67b90f4999a44ef2d3700133b2%7C0%7C0%7C637852483427880604%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=Oi9rJ1XiUiv77UH8l5Y%2FgD5cJRy4cwYduQfZH%2BqTg30%3D&reserved=0>
PO Box 1661 Noosa Heads

[cid:[email protected]]

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[Attachment: DAForm1-Developmentapplicationdetails.pdf]
DA Form 1 – Development application details
Approved form (version 1.3 effective 28 September 2020) made under section 282 of the Planning Act 2016.


This form must be used to make a development application involving code assessment or impact assessment,
except when applying for development involving only building work.
For a development application involving building work only, use DA Form 2 – Building work details.
For a development application involving building work associated with any other type of assessable development
(i.e. material change of use, operational work or reconfiguring a lot), use this form (DA Form 1) and parts 4 to 6 of
DA Form 2 – Building work details.
Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
accompany the development application.
One or more additional pages may be attached as a schedule to this development application if there is insufficient
space on the form to include all the necessary information.

  This form and any other form relevant to the development application must be used to make a development
  application relating to strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994,
  and airport land under the Airport Assets (Restructuring and Disposal) Act 2008. For the purpose of assessing a
  development application relating to strategic port land and Brisbane core port land, any reference to a planning
  scheme is taken to mean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core
  port land, or a land use plan for airport land.
Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
      Assessment Rules (DA Rules).



PART 1 – APPLICANT DETAILS

  1) Applicant details
  Applicant name(s) (individual or company full name)         SCG CONSULTING ENGINEERS
  Contact name (only applicable for companies)                SEAN RICHARDSON
  Postal address (P.O. Box or street address)                 PO BOX 1661
  Suburb                                                      NOOSA HEADS
  State                                                       QLD
  Postcode                                                    4567
  Country                                                     AUSTRALIA
  Contact number                                              07 5455 5604
  Email address (non-mandatory)                               [email protected]
  Mobile number (non-mandatory)
  Fax number (non-mandatory)
  Applicant’s reference number(s) (if applicable)             31131

  2) Owner’s consent
  2.1) Is written consent of the owner required for this development application?
    Yes – the written consent of the owner(s) is attached to this development application
  X No – proceed to 3)

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Full text of the other 11 sections

Section 2

PART 2 – LOCATION DETAILS

 3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable)
 Note: Provide details below and attach a site plan for any or all premises part of the development application. For further information, see DA
 Forms Guide: Relevant plans.
 3.1) Street address and lot on plan
     Street address AND lot on plan (all lots must be listed), or
     Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
     water but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).
          Unit No.        Street No.         Street Name and Type                                      Suburb
                          89, 91, 93         EUMUNDI NOOSA ROAD                                        NOOSAVILLE
   a)     Postcode        Lot No.            Plan Type and Number (e.g. RP, SP)                        Local Government Area(s)
                          80 & 81 &          RP 71151 & RP 130594                                      NOOSA
          4566
                          1
          Unit No.        Street No.         Street Name and Type                                      Suburb

   b)
          Postcode        Lot No.            Plan Type and Number (e.g. RP, SP)                        Local Government Area(s)


 3.2) Coordinates of premises (appropriate for development in remote areas, over part of a lot or in water not adjoining or adjacent to land
      e.g. channel dredging in Moreton Bay)
 Note: Place each set of coordinates in a separate row.
     Coordinates of premises by longitude and latitude
 Longitude(s)                      Latitude(s)                        Datum                          Local Government Area(s) (if applicable)
                                                                           WGS84
                                                                           GDA94
                                                                           Other:
     Coordinates of premises by easting and northing
 Easting(s)                Northing(s)               Zone Ref.        Datum                          Local Government Area(s) (if applicable)
                                                          54               WGS84
                                                          55               GDA94
                                                          56               Other:
 3.3) Additional premises
   Additional premises are relevant to this development application and the details of these premises have been
   attached in a schedule to this development application
 X Not required

 4) Identify any of the following that apply to the premises and provide any relevant details
     In or adjacent to a water body or watercourse or in or above an aquifer
 Name of water body, watercourse or aquifer:                                   N/A
     On strategic port land under the Transport Infrastructure Act 1994
 Lot on plan description of strategic port land:
 Name of port authority for the lot:                                           N/A
     In a tidal area
 Name of local government for the tidal area (if applicable):                  N/A
 Name of port authority for tidal area (if applicable):
     On airport land under the Airport Assets (Restructuring and Disposal) Act 2008



                                                                                                                                            Page 2
                                                                                                         DA Form 1 – Development application details
                                                                                                                  Version 1.3— 28 September 2020

Section 3

 Name of airport:                                                          N/A
     Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
 EMR site identification:                                                  N/A
     Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
 CLR site identification:                                                  N/A

 5) Are there any existing easements over the premises?
 Note: Easement uses vary throughout Queensland and are to be identified correctly and accurately. For further information on easements and
 how they may affect the proposed development, see DA Forms Guide.
    Yes – All easement locations, types and dimensions are included in plans submitted with this development
         application
 X No


PART 3 – DEVELOPMENT DETAILS

Section 1 – Aspects of development
 6.1) Provide details about the first development aspect
 a) What is the type of development? (tick only one box)
      Material change of use              Reconfiguring a lot              X Operational work                       Building work
 b) What is the approval type? (tick only one box)
 X Development permit                     Preliminary approval                 Preliminary approval that includes a variation approval
 c) What is the level of assessment?
 X Code assessment                        Impact assessment (requires public notification)
 d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
    lots):

 22 UNIT TOWNHOUSE DEVELOPMENT
 e) Relevant plans
 Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms guide:
       Relevant plans.
 X Relevant plans of the proposed development are attached to the development application
 6.2) Provide details about the second development aspect
 a) What is the type of development? (tick only one box)
     Material change of use               Reconfiguring a lot                  Operational work                     Building work
 b) What is the approval type? (tick only one box)
     Development permit                   Preliminary approval                  Preliminary approval that includes a variation approval
 c) What is the level of assessment?
     Code assessment                      Impact assessment (requires public notification)
 d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
 lots):


 e) Relevant plans
 Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
       Relevant plans.
     Relevant plans of the proposed development are attached to the development application
 6.3) Additional aspects of development
     Additional aspects of development are relevant to this development application and the details for these aspects
     that would be required under Part 3 Section 1 of this form have been attached to this development application


                                                                                                                                           Page 3
                                                                                                        DA Form 1 – Development application details
                                                                                                                 Version 1.3— 28 September 2020

Section 4

      Not required

Section 2 – Further development details
  7) Does the proposed development application involve any of the following?
  Material change of use                         Yes – complete division 1 if assessable against a local planning instrument
  Reconfiguring a lot                           Yes – complete division 2
  Operational work                         X Yes – complete division 3
  Building work                                 Yes – complete DA Form 2 – Building work details

Division 1 – Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a
      local planning instrument.
  8.1) Describe the proposed material change of use
  Provide a general description of the                  Provide the planning scheme definition                 Number of dwelling         Gross floor
  proposed use                                          (include each definition in a new row)                 units (if applicable)      area (m2)
                                                                                                                                          (if applicable)




  8.2) Does the proposed use involve the use of existing buildings on the premises?
      Yes
      No

Division 2 – Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.
  9.1) What is the total number of existing lots making up the premises?
  THREE
  9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)
      Subdivision (complete 10))                                           Dividing land into parts by agreement (complete 11))
      Boundary realignment (complete 12))                                  Creating or changing an easement giving access to a lot
                                                                           from a constructed road (complete 13))

  10) Subdivision
  10.1) For this development, how many lots are being created and what is the intended use of those lots:
  Intended use of lots created               Residential               Commercial                Industrial             Other, please specify:


  Number of lots created
  10.2) Will the subdivision be staged?
      Yes – provide additional details below
      No
  How many stages will the works include?
  What stage(s) will this development application
  apply to?




                                                                                                                                                 Page 4
                                                                                                              DA Form 1 – Development application details
                                                                                                                       Version 1.3— 28 September 2020

Section 5

  11) Dividing land into parts by agreement – how many parts are being created and what is the intended use of the
      parts?
  Intended use of parts created              Residential              Commercial              Industrial              Other, please specify:


  Number of parts created

  12) Boundary realignment
  12.1) What are the current and proposed areas for each lot comprising the premises?
                                Current lot                                                                Proposed lot
  Lot on plan description               Area (m2)                             Lot on plan description              Area (m2)



  12.2) What is the reason for the boundary realignment?



  13) What are the dimensions and nature of any existing easements being changed and/or any proposed easement?
  (attach schedule if there are more than two easements)
  Existing or                Width (m)        Length (m)       Purpose of the easement? (e.g.                     Identify the land/lot(s)
  proposed?                                                    pedestrian access)                                 benefitted by the easement




Division 3 – Operational work
Note: This division is only required to be completed if any part of the development application involves operational work.
  14.1) What is the nature of the operational work?
  X Road work                                              X Stormwater                             Water infrastructure
  X Drainage work                                          X Earthworks                             Sewage infrastructure
  X Landscaping                                              Signage                              X Clearing vegetation
      Other – please specify:
  14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
      Yes – specify number of new lots:
  X No
  14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)
  $350,000

PART 4 – ASSESSMENT MANAGER DETAILS

  15) Identify the assessment manager(s) who will be assessing this development application
  NOOSA COUNCIL
  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
  X No




                                                                                                                                              Page 5
                                                                                                           DA Form 1 – Development application details
                                                                                                                    Version 1.3— 28 September 2020

Section 6

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.
     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:
     Clearing native vegetation
     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
     Fisheries – marine plants
     Fisheries – waterway barrier works
     Hazardous chemical facilities
     Heritage places – Queensland heritage place (on or near a Queensland heritage place)
     Infrastructure-related referrals – designated premises
     Infrastructure-related referrals – state transport infrastructure
     Infrastructure-related referrals – State transport corridor and future State transport corridor
     Infrastructure-related referrals – State-controlled transport tunnels and future state-controlled transport tunnels
     Infrastructure-related referrals – near a state-controlled road intersection
     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)
     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
     SEQ regional landscape and rural production area or SEQ rural living area – tourist activity or sport and
     recreation activity
     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
     SEQ 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
     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 levees only)
     Wetland protection area
 Matters requiring referral to the local government:
     Airport land
     Environmentally relevant activities (ERA) (only if the ERA has been devolved to local government)



                                                                                                                                           Page 6
                                                                                                        DA Form 1 – Development application details
                                                                                                                 Version 1.3— 28 September 2020

Section 7

     Heritage places – Local heritage places
 Matters requiring referral to the Chief Executive of the distribution entity or transmission entity:
   Infrastructure-related referrals – Electricity infrastructure
 Matters requiring referral to:
 • The Chief Executive of the holder of the licence, if not an individual
 • The holder of the licence, if the holder of the licence is an individual
   Infrastructure-related referrals – Oil and gas infrastructure
 Matters requiring referral to the Brisbane City Council:
   Ports – Brisbane core port land
 Matters requiring referral to the Minister responsible for administering the Transport Infrastructure Act 1994:
   Ports – Brisbane core port land (where inconsistent with the Brisbane port LUP for transport reasons)
   Ports – Strategic port land
 Matters requiring referral to the relevant port operator, if applicant is not port operator:
   Ports – Land within Port of Brisbane’s port limits (below high-water mark)
 Matters requiring referral to the Chief Executive of the relevant port authority:
   Ports – Land within limits of another port (below high-water mark)
 Matters requiring referral to the Gold Coast Waterways Authority:
   Tidal works or work in a coastal management district (in Gold Coast waters)
 Matters requiring referral to the Queensland Fire and Emergency Service:
   Tidal works or work in a coastal management district (involving a marina (more than six vessel berths))


 18) Has any referral agency provided a referral response for this development application?
    Yes – referral response(s) received and listed below are attached to this development application
 X No
 Referral requirement                                                    Referral agency                        Date of referral response



 Identify and describe any changes made to the proposed development application that was the subject of the
 referral response and this development application, or include details in a schedule to this development application
 (if applicable).




PART 6 – INFORMATION REQUEST

 19) Information request under Part 3 of the DA Rules
 X I agree to receive an information request if determined necessary for this development application
    I do not agree to accept an information request for this development application
 Note: By not agreeing to accept an information request I, the applicant, acknowledge:
  •    that this development application will be assessed and decided based on the information provided when making this development
       application and the assessment manager and any referral agencies relevant to the development application are not obligated under the DA
       Rules to accept any additional information provided by the applicant for the development application unless agreed to by the relevant
       parties
  •    Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.
 Further advice about information requests is contained in the DA Forms Guide.




                                                                                                                                        Page 7
                                                                                                     DA Form 1 – Development application details
                                                                                                              Version 1.3— 28 September 2020

Section 8

PART 7 – FURTHER DETAILS

 20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)
 X Yes – provide details below or include details in a schedule to this development application
    No
 List of approval/development              Reference number                      Date                                 Assessment
 application references                                                                                               manager
     Approval                                                                                                         NOOSA COUNCIL
                                           MCU21/0156
     Development application
     Approval
     Development application

 21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or
     operational work)
    Yes – a copy of the receipted QLeave form is attached to this development application
 X 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 (A, B or E)
 $

 22) Is this development application in response to a show cause notice or required as a result of an enforcement
 notice?
   Yes – show cause or enforcement notice is attached
X No

 23) Further legislative requirements
 Environmentally relevant activities
 23.1) Is this development application also taken to be an application for an environmental authority for an
 Environmentally Relevant Activity (ERA) under section 115 of the Environmental Protection Act 1994?
    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
 X No
 Note: Application for an environmental authority can be found by searching “ESR/2015/1791” as a search term at www.qld.gov.au. An ERA
 requires an environmental authority to operate. See www.business.qld.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.
 Hazardous chemical facilities
 23.2) Is this development application for a hazardous chemical facility?
    Yes – Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
    application
 X No
 Note: See www.business.qld.gov.au for further information about hazardous chemical notifications.




                                                                                                                                        Page 8
                                                                                                     DA Form 1 – Development application details
                                                                                                              Version 1.3— 28 September 2020

Section 9

Clearing native vegetation
23.3) Does this development application involve clearing native vegetation that requires written confirmation that
the chief executive of the Vegetation Management Act 1999 is satisfied the clearing is for a relevant purpose under
section 22A of the Vegetation Management Act 1999?
  Yes – this development application includes written confirmation from the chief executive of the Vegetation
  Management Act 1999 (s22A determination)
X 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.qld.gov.au/environment/land/vegetation/applying for further information on how to obtain a s22A determination.

Environmental offsets
23.4) Is this development application taken to be a prescribed activity that may have a significant residual impact on
a prescribed environmental matter under the Environmental Offsets Act 2014?
  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
X No
Note: The environmental offset section of the Queensland Government’s website can be accessed at www.qld.gov.au for further information on
environmental offsets.

Koala habitat in SEQ Region
23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work
which is assessable development under Schedule 10, Part 10 of the Planning Regulation 2017?
  Yes – the development application involves premises in the koala habitat area in the koala priority area
  Yes – the development application involves premises in the koala habitat area outside the koala priority area
X No
Note: If a koala habitat area determination has been obtained for this premises and is current over the land, it should be provided as part of this
development application. See koala habitat area guidance materials at www.des.qld.gov.au for further information.


Water resources
23.6) Does this development application involve taking or interfering with underground water through an
artesian or subartesian bore, taking or interfering with water in a watercourse, lake or spring, or taking
overland flow water under the Water Act 2000?
  Yes – the relevant template is completed and attached to this development application and I acknowledge that a
  relevant authorisation or licence under the Water Act 2000 may be required prior to commencing development
X No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qld.gov.au for further information.
DA templates are available from https://planning.dsdmip.qld.gov.au/. If the development application involves:
•   Taking or interfering with underground water through an artesian or subartesian bore: complete DA Form 1 Template 1
•   Taking or interfering with water in a watercourse, lake or spring: complete DA Form1 Template 2
•   Taking overland flow water: complete DA Form 1 Template 3.
Waterway barrier works
23.7) Does this application involve waterway barrier works?
  Yes – the relevant template is completed and attached to this development application
X No
DA templates are available from https://planning.dsdmip.qld.gov.au/. For a development application involving waterway barrier works, complete
DA Form 1 Template 4.

Marine activities
23.8) Does this development application involve aquaculture, works within a declared fish habitat area or
removal, disturbance or destruction of marine plants?
  Yes – an associated resource allocation authority is attached to this development application, if required under
  the Fisheries Act 1994
X No
Note: See guidance materials at www.daf.qld.gov.au for further information.



                                                                                                                                            Page 9
                                                                                                         DA Form 1 – Development application details
                                                                                                                  Version 1.3— 28 September 2020

Section 10

Quarry materials from a watercourse or lake
23.9) Does this development application involve the removal of quarry materials from a watercourse or lake
under the Water Act 2000?
  Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
X No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qld.gov.au and www.business.qld.gov.au for further
information.

Quarry materials from land under tidal waters
23.10) Does this development application involve the removal of quarry materials from land under tidal water
under the Coastal Protection and Management Act 1995?
   Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
X 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
X 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
X 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
X 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
X 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)
X No




                                                                                                                                    Page 10
                                                                                                  DA Form 1 – Development application details
                                                                                                           Version 1.3— 28 September 2020

Section 11

 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.


PART 8 – CHECKLIST AND APPLICANT DECLARATION

 24) Development application checklist
 I have identified the assessment manager in question 15 and all relevant referral
 requirement(s) in question 17                                                                                        X Yes
 Note: See the Planning Regulation 2017 for referral requirements
 If building work is associated with the proposed development, Parts 4 to 6 of DA Form 2 –                            X Yes
 Building work details have been completed and attached to this development application                                  Not applicable
 Supporting information addressing any applicable assessment benchmarks is with the
 development application
 Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report       X Yes
 and any technical reports required by the relevant categorising instruments (e.g. local government planning
 schemes, State Planning Policy, State Development Assessment Provisions). For further information, see DA
 Forms Guide: Planning Report Template.
 Relevant plans of the development are attached to this development application
 Note: Relevant plans are required to be submitted for all aspects of this development application. For further       X Yes
 information, see DA Forms Guide: Relevant plans.
 The portable long service leave levy for QLeave has been paid, or will be paid before a                              X Yes
 development permit is issued (see 21)                                                                                  Not applicable

 25) Applicant declaration
 X By making this development application, I declare that all information in this development application is true and
 correct
 X Where an email address is provided in Part 1 of this form, I consent to receive future electronic communications
    from the assessment manager and any referral agency for the development application where written information
    is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001
 Note: It is unlawful to intentionally provide false or misleading information.
 Privacy – Personal information collected in this form will be used by the assessment manager and/or chosen
 assessment manager, any relevant referral agency and/or building certifier (including any professional advisers
 which may be engaged by those entities) while processing, assessing and deciding the development application.
 All information relating to this development application may be available for inspection and purchase, and/or
 published on the assessment manager’s and/or referral agency’s website.
 Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning
 Regulation 2017 and the DA Rules except where:
 • such disclosure is in accordance with the provisions about public access to documents contained in the Planning
      Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and
      Planning Regulation 2017; or
 • required by other legislation (including the Right to Information Act 2009); or
 • otherwise required by law.
 This information may be stored in relevant databases. The information collected will be retained as required by the
 Public Records Act 2002.




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

Section 12

PART 9 – FOR COMPLETION OF THE ASSESSMENT MANAGER – FOR OFFICE
USE ONLY

 Date received:                                   Reference number(s):

 Notification of engagement of alternative assessment manager
 Prescribed assessment manager
 Name of chosen assessment manager
 Date chosen assessment manager engaged
 Contact number of chosen assessment manager
 Relevant licence number(s) of chosen assessment
 manager

 QLeave notification and payment
 Note: For completion by assessment manager if applicable
 Description of the work
 QLeave project number
 Amount paid ($)                                                 Date paid (dd/mm/yy)
 Date receipted form sighted by assessment manager
 Name of officer who sighted the form




                                                                                                                          Page 12
                                                                                        DA Form 1 – Development application details
                                                                                                 Version 1.3— 28 September 2020

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