Revised_DA Form 1

PART 7 — FURTHER DETAILS

   

20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)
CO Yes — provide details below or include details in a schedule to this development application

[A No

List of approval/development Reference number Date Assessment
application references manager

CD Approval
LJ Development application
CO Approval
CO Development application

 

 

 

 

 

 

 

      

21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or
Operational work)

(C1 Yes ~a copy of the receipted QLeave form is attached to this development application

(No 1, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may
give a development approval only if | 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? :

[4 Yes — show cause or enforcement notice is attached

1 No

  

 

 

 

 

 

 

 

 

 

her 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?

(1 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.gid.gov.au. An ERA
requires an environmental authority to operate. See www.business.gid.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 fora hazardous chemical facility?

OO Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
application
No

 

 

 

 

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