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Operational Works Application OPW18/0075 - DA Form1 and Plan -3 The Anchorage, Noosaville
Plans and drawings: the text below has words only, no drawings.
Department of Infrastructure. local Government and Planning
DA Form 1 - Development application details
Approved fonn (version 1.0 effective 3 July 2017) 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 building work.
For a development application involving building work only, use DA Form 2 - Building war!< details.
For a development application involving building work associated with any other type of assessable development,
use this form (DA Form 1) and parts 4 to 6 of DA Form 2 - Building war!< delails.
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.
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 nama) 41?-= •...••••
rAAN4~r P7Y ,,-r.£>
Contact name (only applicable for companies)
N~/C- jV"J c... 84/ A./
Postal address (P,O. Box or slreat address) Po B~ ..39,s
Suburb Vv H / T rl..JS~=-"
State V/~""'44
Postcode 57S7
Country 4us:,.
Contact number cy::;. I -"7 .~ 06/"
Email address (non-mandalory) /<,,1«::
'''- ';;;)A Rc=..vA /94,eJ< • =..v1-o
Mobile number (non-mandatory)
Fax number (non-mandatory)
Applicant's reference number(s) (if applicabla)
2) Owner's consent
2.1) Is written consent of the owner required for this development application?
o ~s - the written consent of the owner(s) is attached to this development application
[6"No - proceed to 3)
I Box: ,:3.1!.~."""""R: .p..~n,,1 ••
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Queensland
Government
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Page 2
Department of Infrastructure, Local Government and Planning
PART 2 - LOCATION DETAILS
3) Location of the premises (complete 31) or 321 and 3 3) as applicable)
Note ProVide deta/ls below and attach a site plan for any or all premIses part of the developmenr application For fll/ther mfnrmFltlnn ~ee~
~
3 1) Street address and lot on plan
[3'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 fordevelopmentin water
but adjoining or adjacent to land 6.g. jetty, pontoon; all lets must be listed).
Unit No. Street No. Street Name and Type Suburb
..3 --ru6A~~ ~V(~
a)
Postcode Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)
4Sb6. 81-s RP 9fOLLI q Alt==s;4 c.~-vG/e.-
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) Coordmates of premises (appropriate for development In remote areas over part of a fat or In water not adJommg or adjacent to land e 9
channel dredgmg In Moreton Bay)
Note Place each set of coordmates In a separate row Only one set of coordmates IS reqUired for thIS parl
o Coordinates of premises by longitude and latitude
Longitude(s) Lalitude(s) Datum Local Government Area(s) (if applicable)
OWGS84
OGDA94
o Other:
o Coordinates of premises by easting and northing
Easting(s) Northing(s) Zone Ref. Datum Local Government Area(s) (if applicabla)
054 OWGS84
055 o GDA94
056 o Other:
3.3) Additional premises
o Additional premises are relevant to this development application and their details have been attached in a schedule
to t~is application
[!(Not required
In or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer: ~ lA/Ar~
o 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:
o In a tidal area
Name of local government for the tidal area (if applicabla):
Name of port authority for tidal area (if applicable):
o On airport land under the Airport Assets (Restructuring and Disposal) Act 2008
Name of airport:
o Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EM R site identification:
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DA Form 1 - Development Application details
Version 1.0-3 JulY2017
Page 3
Department of Infrastructure, Local Government and Planning
o Listed on the Contaminated Land Register (CLR) under the Environmental ,---'-----'------------l
Profection Act 1994
CLR site identification: I
5) Are there any eXisting easements over the premises?
Note Easement uses vary throughout Queens/and and are to be Identified correctly and accurately For further mformatlon on easements and how
they may affect the proposed development see ~
DYes - All easement locations. types and dimensions are included in plans submitted with this development
application
c;rNo
PART 3 - DEVELOPMENT DETAILS
a) What is the type of development? (tick only one box)
o Material change of use 0 Reconfiguring a lot [2(Operational work o Building work
b) What is the approval type? (~ckonlyonebox)
~Development permit 0 Preliminary approval o Preliminary approval that includes
a variation approval
c) What is the level of assessment?
o Code assessment 0 Impact assessment (requires public notification)
d) Provide a brief description of the proposal (e.g. 6 unil apartment building defined as multi-unit dwelling, reconflguretion of 1 lot into 3
lots):
e) Relevant plans
Note: Relevant plans Bfe required to be submmed for all aspects of this development application. For further information, see DA forms guide"
Relevant olans
o 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? (lick only one box)
o Material change of use o Reconfiguring a lot o Operational work o Building work
b) What is the approval type? (~ck only one box)
o Deveiopment permit o Preliminary approval o Preliminary approval that includes a variation
approval
c) What is the level of assessment?
o Code assessment o Impact assessment (requires public no/if/Cation)
d) Provide a brief description of the proposal (e.g. 6 und apartment building defined as multi-unil dwelling, reconfigure~on of 1101 into 3 lots)
e) Relevant plans
Note.' Relevant plans are required to be submitted for a/I aspects of this development application. For further information. see DA forms Guide:
Be'eyant plans
o Relevant plans of the proposed development are attached to the development application
6 3) Additional aspects of development
ditional aspects of development are relevant to this development application and the details for these aspects
tha ould be required under Part 3 Section 1 of this form have been attached to this development application
~ Not required
Page 3
DA Form 1 - Development Application details
Version 1.0-3 JulY 2017
Page 4
Department of Infrastructure, local Government and Planning
Material change of use o Yes - complete division 1 if assessable against a local planning instrument
Reconfiguring a lot oyes - complete division 2
Operational work oYes - complete division 3
Building work o Yes - complete DA Form 2 - Building work details
Division 1 - Material change of use
•I .
Note: This division is only required to be completed if any part of the development applfcstion involves a material change of use assessable against a local
tru t
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 8 new row) units (if applicable) area (m')
(if applicable)
8 2) Does the proposed use Involve the use of eXlstmg bUlldmgs on the premises?
o Yes
ONo
o Subdivision (complate 10)) o Dividing land into parts by agreement (complete 11))
o Boundary realignment (complete 12)) o Creating or changing an easement giving access to a lot from
a construction road (complete 13))
10) SubdiVIsion
10 1) For thiS development. how many lots are bemg created and what IS the mtended use of those lots
Intended use of lots created Residential Commercial Industrial Other, please specify:
Number of lots created
102) Will the subdiVIsion be staged?
o Yes - provide additional details below
ONo
How many stages will the works include?
What stage(s) will this development application
apply to?
11) Dlvldmg land Into parts by agreement - how many parts are bemg created and what IS the mtended use of the
parts?
Intended use of parts created Residential Commercial Industrial Other, please specify:
Number of parts created
Page 4
OA Form 1 - Development Application details
Version 1.ll-3 Julv 2017
Page 5
Department of Infrastructure, Local Government and Planning
12) Boundary realignment
12 1) What are the current and proposed areas for each lot comprising the premises?
Current lot Proposed lot
2 2
Lot on plan description Area (m ) Lot on plan description Area (m )
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 {((hale are more than two easements)
Existing or Width (m) Length (m) Purpose of the easement? (e.g. Identify the landllot(s)
proposed? pedestrian access) benefitted by the easement
o Road work o Stormwater o Water infrastructure
o Drainage work o Earthworks o Sewage infrastructure
o Landscaping o Signage o Clearing vegetation
o Other - please specify: ;A.JS'rA<:- .51SG P6"J z::t==<.. 70~;~ ,,~
PART 4 - ASSESSMENT MANAGER DETAILS
DYes - a copy of the decision notice is attached to this development application
o Locai government is taken to have agreed to the superseded planning scheme request- relevant documents
attached
ILr'No
PART 5 - REFERRAL DETAILS
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 Regulation 2017:
o Clearing native vegetation
o Contaminated land (unexploded ordnance)
Page 5
DA Form 1 - Development Application details
Version 1.11-3 Julv 2017
Page 6
Department of Infrastructure, local Government and Planning
o Environmentally relevant activities (ERA) to a
(only if the ERA hava not been devolved local government)
o Fisheries - aquaculture
o Fisheries - declared fish habitat area
o Fisheries - marine plants
o Fisheries - waterway barrier works
o Hazardous chemical facilities
o Queensland heritage piace (on or near e Queenslend heritage place)
o Infrastructure - designated premises
o Infrastructure - state transport infrastructure
o Infrastructure - state transport corridors and future state transport corridors
o Infrastructure - state-controlled transport tunnels and future state-controlled transport tunnels
o Infrastructure - state-controlled roads
o Land within Port of Brisbane's port limits
o SEQ development area
o SEQ regional landscape and rural production area or SEQ Rural iiving area - community activity
o SEQ regional landscape and rural production area or SEQ Rural living area - indoor recreation
o SEQ regional landscape and rural production area or SEQ Rural living area - residential development
o SEQ regional landscape and rural production area or SEQ Rural living area - urban activity
o Tidal works or works in a coastal management district
o Urban design
o Water-related development- taking or interfering with water
o Water-related development- removing quarry material a (from watercourse or lake)
o Water-related development- referable dams
o Water-related development- construction of new levees or modification of existing levees (category 2 or 3 levees only)
o Wetland protection area
Malters requiring referral to the local government:
o Airport land
o Environmentally relevant activities (ERA) (only if the ERA have been devolved to local government)
o Local heritage places
Matters requiring referral to the chief executive of the distribution entity or transmission entity:
o Electricity infrastructure
Malters 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
o Oil and gas infrastructure
Matters requiring referral to the Brisbane City Council:
o Brisbane core port land
Matters requiring referral to the Minister under the Transport Infrastructure Act 1994:
o Brisbane core port land
o Strategic port land
Matters requiring referral to the relevant port operator:
o Brisbane core port land (below high-water mark and within port limits)
Matters requiring referral to the chief executive of the relevant port authority:
o Land within limits of another port
Malters requiring referral to the Gold Coast Waterways Authority:
o Tidal works, or development in a coastal management district in Gold Coast waters
Malters requiring referral to the Queensland Fire and Emergency Service:
o Tidal works, or development in a coastal management district
Page 6
DA Form 1 - Development Application details
Version 1.0-3 Julv 2017
Page 7
Department of Infrastructure, Local Government and Planning
18) Has any referral agency provided a referral response for this development appllcalion?
DYes - referral response(s) received and listed below are attached to this development application
ONo
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 the development application the subject of this form, or include details in a schedule to this development
application (if applicable).
PART 6 -INFORMATION REQUEST
I agree to receive an information request if determined necessary for this development application
o 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 wilf 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 appfication listed under section 11.3 of the DA Rules.
Further advice about information requests is contained in the DA founs GU;de.
PART 7 - FURTHER DETAILS
o s - 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
o Approval
o Development application
o Approval
o Development application
71) HAs. thp portable long service leave levy been pOId? (on/y ~PlJfll .•dblf;;! to ur;w/up",ent app/lcatfons inVOlVing bw/dmg work or
operational work)
DYes - the yellow local government/private certifier's copy of the receipted QLeave form is attached to this
development application
o 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
~opment approval only if I 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)
$
o 'j€s - show cause or enforcement notice is attached
[;2(No
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DA Form 1 - Development Application details
Version1.()-3 July 2017
Page 8
Department of Infrastructure, Local Government and Planning
23) Further legislative requirements
Environmentall 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 19947
DYes - the required attachment (form EM941) for an application for an environmental authority accompanies this
de~opment application, and details are provided in the table below
[Zf No
Note: Application for an environmental authority can be found by searching "EM941- at wwwald gov au. An ERA requires an environmental authority
to operate. See wwwbusiness ald.goy au for further information.
Proposed ERA number: Proposed ERA threshold:
Proposed ERA name:
D Multiple ERAs are applicable to this development application and the details have been attached in a schedule
to this development application.
Hazardous chemical facilities
232) Is this development application for a hazardous chemical facility?
DYes - Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
apJ3lication
I2fNo
Note: See www iustice qId gOY BU for further information.
~
23 3) Does thiS development application Involve clearing native vegetation that reqUires wntten confirmation 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?
DYes - this development application is accompanied by written confirmation from the chief executive of the
Vegytation Management Act 1999 (s22A determination)
GYNo
Note: See www aId goy au for further information.
Environmental offsets
234) Is thiS development application taken to be a prescnbed activity that may have a Significant residual Impact on a
prescribed environmental matter under the Envlfonmental Offsets Act 2014?
DYes - I acknowledge that an environmental offset must be provided for any prescribed activity assessed as having a
significant residual impact on a prescribed environmental mailer
ciNo
Note: The environmental offset section of the Queensland Government's website can be accessed at www.qfdgoyau for further information on
environmental offsets.
Koala conservation
235) Does thiS development application Invoive a matenai change of use, reconflgunng a lot or operational work Within
an assessable development area under Schedule 10, Part 10 of the Planning Regulation 20177
Dyes
[Zf No
DYes - I acknowledge that a relevant water authorisation under the Water Act 2000 may be required prior to
Page 8
DA Form 1 - Development Application details
Version 1.0-3 JuN 2017
Page 9
Department of Infrastructure, Local Government and Planning
c0r0lencing development
[;tNo
Note: Contact the Department of Natural Resources and Mines at www do"" aId gov au for further information.
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?
D Ves - an associated resource allocation authority is attached to this development application, if required under the
Fisperies Act 1994
I2f No
Note: See guidance materials at www cia' gJd. goy BU for further information.
~
239) Does thiS development application Involve the removal of quarry materials from a watercourse or lake under
the Water Act 2000?
D;fes - I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
bZI No
Note: Contact the Department of Natural Resources and Mines at wwwdorm.qld.govau for further information.
~
2310) Does thiS development application Involve the removal of quarry materials from land under tidal water under
the Coastal Protection and Management Act 1995?
Dyes - I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
gNo .
Note: Contact the Department of Environment and Heritage Protection at wwwehp old goy BU for further information.
Referable dams
23 11) Does thiS development appIJcatlon 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)?
D Ves - the 'Notice Accepting a Failure Impact Assessment' from the chief executive administering the Water Supply
Acys attached to this development application
[2f No
Note: See guidance materials at wwwdews.oldgovau for further information.
~
23 12) Does thiS development appIJcalion Involve tidal work or development in a coastal management district?
D Ves - the following is included with this development application:
D Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required if
application involves prescribed tidal work)
/ D A certificate of title
gNo
Note: See guidance materials at wwwehQ q/d.oov au for further information.
~
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?
g,.ves - details of the heritage place are provided in the table below
blJ No
Note: See guidance materials at wwwehp qld.aoy au for information requirements regarding development of Queensland heritage places.
Brothels
2314) Does thiS development application Involve a material change of use for a brothel?
DYes - this development application demonstrates how the proposal meets the code for a development application
for 7 brothel under Schedule 3 of the Prostitution Regulation 2014
~No
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DA Form 1 - Development Application details
Version 1.()-3 July 2017
Page 10
Department of Infrastructure, Local Government and Planning
~
23 15) Does this development application Involve new or changed access to a state-controlled road?
DYes - this application will be taken to be an application for a decision under section 62 of the Transport
It1fI;1structure Act 1994 (subject to the conditions in section 75 of the Transport Infrastructure Act 1994 being satisfied)
[2f No
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 ~es
Note: See the Planning Regulation 2017 for referral requirements
If building work is associated with the proposed development, Parts 4 to 6 of Form 2- DYes
Building work details have been completed and attached to this development application 0"Not applicable
Supporting information addressing any applicable assessment benchmarks is with
development application
Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report ITYes
and any technical reports required by the relevant categorising instruments (e.g. local government planning
schemes, State Planning Po/icy, State Development Assessment Provisions). For further information, see Qd
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 ~es
information, see DA Forms Guide' Relevant plans
The portable long service leave levy for QLeave has been paid, or will be paid before a DYes
development permit is issued (see 21)) 0Not applicable
By making this development application, I declare that all information in this development application is true and
coyect
IZI 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 andlor chosen
assessment manager, any relevant referral agency andlor 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, andlor published
on the assessment manager's andlor 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 10
DA Form 1 - Development Application details
Version 1.0-3 JulY 2017
Page 11
Department of Infrastructure, Local Government and Planning
PART 9 - FOR OFFICE USE ONLY
Date received: ________ 1 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,f applicable
Description of the work
QLeave project number
Amount paid ($)
Date paid
Date receipted form sighted by assessment manager
Name of officer who sighted the form
The Planning Act 2016, the Planning Regulation 2017 and the DA Rules are administered by the Department of
Infrastructure, Local Government and Planning. This form and all other required development application materials should
be sent to the assessment manager.
Page 11
DA Form 1 - Development Application details
Version 1.0-3 July 2017
Page 12
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7500 -----------------~
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Used in these records
Operational Works Application OPW18/0075 - DA Form1 and Plan -3 The Anchorage, NoosavilleRelated documentApplication case desk ↗
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