0093_001

Department of Infrastructure, Local Government and Planning

PART 7 — FURTHER DETAILS

   

20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)
LO Yes — provide details below or include details in a schedule to this development application
KX No

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

 

 

LC Approval
LJ Development application

LC Approval
LJ Development application

 

 

 

 

 

    
 

  

21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or
operational work)
U1 Yes — the yellow local government/private certifier’s copy of the receipted QLeave form is attached to this
development application

LJ 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. | 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

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?

LO Yes — show cause or enforcement notice is attached

I 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?

CO Yes — the required attachment (form EM941) 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 “EM941” 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:

oO 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?

C1 Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
application

XI No

Note: See www.justice. g/d. gov. au for further information.

 

 

Clearing native vegetation

 

Page 8
DA Form 1 — Development Application details
Version 1.0—3 July 2017