Operational Works Application - OPW21-0012 - 2nd driveway at 33 Hay St Tewantin · OPW21/0012

                                                                                                                               Il)
       Yes - provide details below or include details in a schedule to this development application
       No
       List of approval/development                       Reference number            Date Assessment manager
       application references
      Approval
      Development application
      Approval
      Development application




       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. 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)
       $


                                                                                                                                                        !?
      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 authonty can be found by searching ''ESR/2015/1791" as a search term at www.ald.aov.au. An ERA requires
       an environmental authority to operate. See www. business, aid, aov a» 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 mvw.business.ald.aov.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 httbs:/Av\i%v,ald aov aij/environnient/land/veaetation/aBhlvina 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


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