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Operational Works Application OPW19/0187 - DA Form 1- 101 Cooyar St Noosa Heads
DA Form 1 — Development application details
Approved form (version 1.1 effective 22 JUNE 2018) 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 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) I\/\ \ 6\A isrl•-i—
Contact name (only applicable for companies) •••.s.........___
Postal address (P.O. Box or street address) 1C-31 CAZY:=-9I il‘n.,
Suburb N) Cdts zpAc Vl T.
Thr)\--V_
State C3)-•\...",
Postcode 4921
Country
Contact number CAlj, i I 0 1(9
Email address (non-mandatory) -is:tc• .-7.
"-'
Mobile number (non-mandatory)
Fax number (non-mandatory)
Applicant's reference number(s) (if applicable)
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
[g No - proceed to 3)
Deve!opmcnt Counter
2 1 AUG 2019
Box: , L.40 13,12044f
Tewantin
Queensland
Government
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Page 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
IXIStreet address AND lot on plan (all lots must be listed), or
El Street address AND lot on plan for an adjoining or adjace property of the premises (appropriate for development in
water but adjoining or adjacent to land e g. jetty, pontoon; all lots must be Ii ed).
Unit No. Street No. Street Name and Type Suburb
a)
1 Di COOVAQ.-- - 1-12-
E-27— Noc.),S 4 14E A- b 5
Postcode Lot No. Plan Type and Numb: (e.g. RP, SP) Local Government Area(s)
4567 2,2:7 RP t 17‘iit-7 isioz.s.4 so ( p,_ a-.
Unit No. Street No. Street Name and T, pe Suburb
b)
Postcode Lot No. Plan Type and umber (e.g. RP, SP) Local Government Area(s)
3.2) Coordinates of premises (appropriate for deve:opment 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. Only one set of coordinates is required for this part.
El Coordinates of premises by longitude a • latitude
Longitude(s) Latitude(s) Datum • -. Government Area(s) (if applicable)
El WGS84
El GDA*4
a ether:
El Coordinates of premises by easti, g an. - • hing
Fasting(s) Northi LI : Zone Ref. Datum Local Government Area(s) (if applicable)
, El54 EWGS84
55 ElGDA94
El 56 El Other:
3.3) Additional premises
El Additional premises are r: levant to this development application and their details have been attached in a
schedule to this application
Not required
4) Identify any of the following that apply to the premises and provide any relevant details
El In or adjacent to water body or watercourse or i r above an aquifer
Name of water bod , watercourse or aquifer:
El On strategic p rt land under the Trans rt Infrastructure Act 1994
Lot on plan des9Iiption of strategic • land:
Name of port a thorityfor the I
El In a tidal 1ea
Name of I al gov ment for the tidal area (if applicable):
Name o port thority for tidal area (if applicable):
El On ai ort land under the Airport Assets (Restructuring and Disposal) Act 2008
Name of airport:
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DA Form 1 — Development Application details
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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
a)
l el i coc) Y A R r-rz_tE E-I-- No-c>E. 4 t+4- b
Postcode Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)
4.-56 7 Z2 7 R P 1.76 14i--7 wrosA s i-i-
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
e.g. channel dredging in Moreton Bay) or in water not adjoining or adjacent to land
Note: Place each set of coordinates in a separate row. Only one set of coordinates is required for this
part.
Coordinates of premises by longitude and latitude
Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)
A c 84
III GDA94
fl Other:
Coordinates of premises bye- g and northing
Easting(s) Nor'• g(s) Zone Ref. Datum Local Government Area(s) (if applicable)
54 LIWGS84
------
---------- 55 GDA94
56 El Other:
3.3) Additional premises
Additional premises are relevant to this development application and their details have been attached in a
schedule to this application
ISE Not required
4) Identify any of the following that apply to the premises and provide any relevant details
El In or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer:
1=1 On strategic port land under the Transport Infrastructure 994
Lot on plan description of strategic port land:
Name of port authority for the lot:
In a tidal area
Name of local government for the • area (if applicable):
Name of port authority for ti area (if applicable):
El On airport land un • - the Airport Assets (Restructuring and Disposal) Act 2008
Name of airport:
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LII Listed on the Environmental Management Register(.EMR) under the Environmental Protection Act 1994
EMR site identification:
111 Listed on the Contaminated Land Regi r (CLR) under the Environmental Protection Act 1994
CLR site identification:
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.
111 Yes - All easement locations, types and dimensions are included in plans submitted with this development
application
jg No
PART 3- DEVELOPMENT DETAILS
Section 1 — As ects of develo ment
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 e 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?
FM Code assessment LII 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):
t) (--\ ci (Lk) P1,7 " '
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.
NCRelevant 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 E Building work
b) What is the approval type? (tick only one box)
Development permit Preliminary approval Pr - ' • inary approval that includes a variation
- a • royal
c) What is the level of assessment?
Code assessment Impact asse ent (requires public notification)
d) Provide a brief description Of the proposal -.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
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DA Form 1 - Development Application details
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6.3) Additional aspects of development
111 Additional aspects of development are relevant to this development application and ihe details for these aspects
that would be required under Part 3 Section 1 of this form have been attached to this/development application
O 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 assessab • against a local planning instrument
Reconfiguring a lot LI Yes — complete division 2
Operational work Yes — complete division 3
Building work LI Yes — complete DA Form 2 — : ilding work details
Division 1 — Material change of use
Note: This division is only required to be completed if any part of the developm t 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 pl ning scheme definition Number of dwelling Gross floor
proposed use (include each de inition 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?
LI Yes
No
Division 2 — Reconfiguring a lot
Note: This division is onl required to be complete if an part of the development application involves reconfi urin a lot.
9.1) What is the total number of existing lots making up the premises?
9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)
O Subdivision (complete 10)) ▪ Dividing land into parts by agreement (complete 11))
0 Boundary realignment (co plete 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 being created and what is the intended use of those lots:
Intended use of lots c ated Residential Commercial Industrial Other, please specify:
Number of lots creéted
10.2) Will the subdivision be staged?
• Yes — provi e additional details below
LII No
How many tages will the works include?
What st e(s) will this development application
apply tz2
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6.3) Additional aspects of development
E] 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
KNot required
Section 2 — Further develo m
7) Does the proposed development application involve any of the following?
Material change of use El Yes — complete division 1 if assessable against a local planning instrument
Reconfiguring a lot El Yes — complete division 2
Operational work IXYes — complete division 3
Building work El 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.
•. .- .1- - • ••• - • ma ena c ange o use
Provide a general description of the Provide the planning scheme defin*':.. Number of dwelling
proposed use Gross floor
(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?
El Yes
El No
Division 2 — Reconfiguring a lot
Note: This division is onl required to be completed if an 'art of the develosment a.. ication involves reconfi
urin a lot.
9.1) What is the total number of existing lots making up the premises?
9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)
E1 Subdivision (complete 10)) El Dividing land into parts by agreement •mplete 11))
['Boundary realignment (complete 12)) El Creating or changing an ease 10 t giving access to a lot
from a construction roa • omplete 13))
10) Subdivision
10.1) For this development, how many lots are being created a i id what is the intended use of those lots:
Intended use of lots created Residential • mmercial Industrial Other, please specify:
Number of lots created
10.2) Will the subdivision be staged?
El Yes — provide additiona .etails below
No
How many sta • will the works include?
What sta • s) will this development application
apply to.
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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 Cornmercial Industrial please spe :
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) • 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 th (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 onl re uired to be com leted if an art of the development a..lication involves o erational work.
14.1) What is the nature of the operational work?
LII Road work El Stormwater Water infrastructure
O Drainage work 10 Earthworks 0 Sewage infrastructure
▪ Landscaping Signage Ei Clearing vegetation
El Other — please specify:
iN2A kte-J A y
14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
ID Yes — specify number of new lots:
No
14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)
PART 4- ASSESSMENT MANAGER DETAILS
15) Identify the assessment manager(s) who will be assessing this development application
Co1/430C-1
16) Has the local government agreed to apply a superseded planning scheme for this development application?
LI Yes — a copy of the decision notice is attached to this development application
El Local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached
X No
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PART 5- REFERRAL DETAILS
17) Do any aspects of the proposed development require referral for 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 i his development
application — proceed to Part 6
Matters requiring referral to the Chief Executive of the Planning Regulation 2017:
El Clearing native vegetation
O Contaminated land (unexploded ordnance)
O Environmentally relevant activities (ERA) (only if the ERA have not been devolved ia local government)
▪ Fisheries — aquaculture
• Fisheries — declared fish habitat area
Ej Fisheries — marine plants
O Fisheries — waterway barrier works
O Hazardous chemical facilities
O Queensland heritage place (on or near a Queensland heritage place)
O Infrastructure — designated premises
LI Infrastructure — state transport infrastructure
O Infrastructure — state transport corridors and future state ansport corridors
O Infrastructure — state-controlled transport tunnels and f ure state-controlled transport tunnels
O Infrastructure — near a state-controlled road intersectirn
O On Brisbane core port land near a State transport c• ridor or future State transport corridor
O On Brisbane core port land — ERA
El On Brisbane core port land — tidal works or work 'n a coastal management district
El On Brisbane core port land — hazardous chemi al facility
El On Brisbane core port land — taking or interfe ng with water
LI On Brisbane core port land — referable dam
El On Brisbane core port land - fisheries
LI Land within Port of Brisbane's port limits
LI SEQ development area
LI SEQ regional landscape and rural pr•duction area or SEQ rural living area — tourist activity or sport and
recreation activity
LI SEQ regional landscape and rur production area or SEQ rural living area - community activity
LI SEQ regional landscape and r al production area or SEQ rural living area — indoor recreation
El SEQ regional landscape and ural production area or SEQ rural living area - urban activity
LI SEQ regional landscape a a rural production area or SEQ rural living area - combined use
LI Tidal works or works in a oastal management district
O Reconfiguring a lot in . oastal management district or for a canal
O Erosion prone area i a coastal management district
El Urban design
0 Water-related d elopment — taking or interfering with water
•
0 Water-related evelopment — removing quarry material (from a watercourse or lake)
El Water-relat development — referable dams
LI Water-rel ed development — construction of new levees or modification of existing levees (category 3 levees only)
El Wetla • protection area
Matter equiring referral to the local government:
O Airport land
O Environmentally relevant activities (ERA) (only if the ERA have been devolved to local government)
El Local heritage places
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PART 5- REFERRAL DETAILS
17) Do any aspects of the proposed development require referral for 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 Regulation 2017:
0 Clearing native vegetation
0 Contaminated land (unexploded ordnance)
O Environmentally relevant activities (ERA)
(only if the ERA have not been devolved to a local government)
0 Fisheries — aquaculture
0 Fisheries — declared fish habitat area
EJ Fisheries — marine plants
O Fisheries — waterway barrier works
El Hazardous chemical facilities
0 Queensland heritage place (on or near a Queensland heritage place)
0 Infrastructure — designated premises
0 Infrastructure — state transport infrastructure
O Infrastructure — state transport corridors and future state transport corridors
0 Infrastructure — state-controlled transport tunnels and future state-controlled transport tunnels
0 Infrastructure — near a state-controlled road intersection
CI On Brisbane core port land near a State transport corridor or future State transport corridor
0 On Brisbane core port land — ERA
O On Brisbane core port land — tidal works or work in a coastal management district
0 On Brisbane core port land — hazardous chemical facility
O On Brisbane core port land — taking or interfering with water
O On Brisbane core port land — referable dams
O On Brisbane core port land - fisheries
El Land within Port of Brisbane's port limits
O SEQ development area
SEQ regional landscape and rural production area or SEQ rural living area — tourist activity or sport and
recreation activity
fl 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
0 SEQ regional landscape and rural production area or SEQ rural living area — combined use
0 Tidal works or works in a coastal management district
0 Reconfiguring a lot in a coastal management district or for a canal
0 Erosion prone area in a coastal management district
0 Urban design
0 Water-related development — taking or interfering with water
0 Water-related development — removing quarry material (from a watercourse or lake)
0 Water-related development — referable dams
0 Water-related development — construction of new levees or modification of existing levees (category 3 levees only)
0 Wetland protection area
Matters requiring referral to the local gover iment:
0 Airport land
0 Environmentally relevant activities (ERA) (only if the ERA have been devolved to local government)
0 Local heritage places
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Matters requiring referral to the chief executive of the distribution entity or transmission entity:
Li 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
Li Oil and gas infrastructure
Matters requiring referral to the Brisbane City Council:
Li Brisbane core port land
Matters requiring referral to the Minister under the T insport Infrastructure Act 1994:
Li Brisbane core port land (inconsistent with Brisbane port LUP for transport reasons)
Li Strategic port land
Matters requiring referral to the releva port operator:
Li Land within Port of Brisbane's eirt limits (below high-water mark)
Matters requiring referral to P Chief Executive of the relevant port authority:
Li Land within limits of . • other port (below high-water mark)
Matters requiring r- -rral to the Gold Coast Waterways Authority:
Li Tidal works .r work in a coastal management district in Gold Coast waters
Matters r- 0 iring referral to the Queensland Fire and Emergency Service:
Li Teal works marina (more than six vessel berths)
18) Has any referral agency provided a referral response for this development application?
Li Yes — referral response(s) received and listed below are attached to this devjp.prrent application
Mo
Referral requirement Referral agenc Date of referral response
Identify and describe any chag made to the proposed development application that was the subject of the
referral response and th velopment application the subject of this form, or include details in a schedule to this
development app . ion (if applicable).
PART 6 - INFORMATION REQUEST
19) Information request under Part 3 of the DA Rules
I agree to receive an information request if determined necessary for this development application
I=1 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.
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PART 7- FURTHER DETAILS
20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)
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
III Approval
111 Development application
LI Approval
Development application
21) Has the portable long service leave levy been paid? (only applicabla to development applications involving building work or
operational work)
El Yes — a copy of the receipted QLeave form is attached to thk development application
El No — I, the applicant will provide evidence that the portabl long service leave levy has been paid before the
assessment manager decides the development applicatio I acknowledge that the assessment manager may give
a development approval only if I provide evidence that th portable long service leave levy has been paid
al Not applicable (e.g. building and construction work i less than $150,000 excluding GST)
Amount paid Date paid (dd/mm/y QLeave levy number
22) Is this development application in response to a show cause notice or required as a result of an enforcement
notice?
O Yes — show cause or enforcement nice is attached
RI No
23) Further legislative requirements
Environmentally relevant actiyities
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?
O Yes — the required att. hment (form ESR/2015/1791) for an application for an environmental authority
accompanies this devel ment application, and details are provided in the table below
O No
Note: Application for an e vironmental authority can be found by searching "ESR/2015/1791" as a search term at www.q1d.gov.au. An ERA
requires an environmen 1 authority to operate. See www.business.q1d.gov.au for further information.
Proposed ERA nj mber: Proposed ERA threshold:
Proposed ERA ame:
Multi le ERAs are applicable to this development application and the details have been attached in a
sc dule to this development application.
Hazardous chemical facilities
23.2) Is this development application for a hazardous chemical facility?
• Ys — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
app cation
N te: See www.business.q1d.gov.au for further information about hazardous chemical notifications.
'.3Iearing native vegetation
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PART 7- FURTHER DETAILS
20) Are there any associated development applications or current approvals? (e. g. a preliminary approval)
-.1k.,vir vi ttikAulAC UCtrillS lil
a scneauie to tms development application
ti No ,
List of approval/development Reference number Date Assessment
application references
manager
Approval
fl Development application
LI Approval
LI Development application
21) Has the portable long service leave levy been paid?
operational work) (only applicable to development applications involving building work or
fl Yes — a copy of the receipted QLeave form is attached to this development application
Ej 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
22) Is this development application in response to a show cause notice or required as a result of an enforcement
notice?
LI Yes — show cause or enforcement notice is attached
gi 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?
Ej Yes — the required attachment (form ESk2015/1791) for an application for an environmental authority
accompanies this development application, and details are provided in the table below
1KiNo
Note: Application for an environmental authority can be found by searching "ESR/2015/1791" as a search term at www.q1d.qov.au
requires an environmental authority to operate. See www business.qld.qov.au for further information. . An ERA
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?
fl Yes — Form 69: Notification of a facility eXceeding 10% of schedule 15 threshold is attached to this development
application
Note: See www business.q1d.qov.au for further information about hazardous chemical notifications.
Clearing native vegetation
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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)
jS(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.q1d.gov.aulenvironment/land/veqetation/applyinq 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?
ID 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
No
Note: The environmental offset section of the Queensland Government's website can be accessed at www.q1d.qov.au for further information on
environmental offsets.
Koala conservation
23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work
within an assessable development area under Schedule 10, Part 10 of the Planning Regulation 2017?
LII Yes
No
Note: See guidance materials at www.des.q1d.qov.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?
El 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
No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.q1d.gov.au for further information.
DA templates are available from https://planninq.dsdmip.cild.qov.aut 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 Fermi Template 2
• Taking overland flow water: complete DA Form 1 Template 3.
Waterway barrier works
23.7) Does this application involve waterway barrier works?
O Yes — the relevant template is completed and attached to this development application
XNo
DA templates are available from https://planninq.dsdmip.qld.qov.aut 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?
O Yes — an associated resource allocation authority is attached to this development application, if required under
the Fisheries Act 1994
ytNo
Note: See guidance materials at www.daf.q1d.qov.au for further information.
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?
Page 9
DA Form 1 — Development Application details
Version 1.1-22 JUNE 2018
Page 14
11 Yes — I acknowle e that a quarry material allocation notice must be obtained prior to commencing development
O No
Note: Contact the Department f Natural Resources, Mines and Energy at www.dnrme.old.gov.au and www.business.old.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?
O Yes — I acknowledge that a qu rry material allocation notice must be obtained prior to commencing development
No
Note: Contact the Department of Environmen 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)?
O Yes — the 'Notice Accepting a Failure Im ct Assessment' from the chief executive administering the Water
Supply Act is attached to this development ap lication
O No
Note: See guidance materials at www.dnrme.old.qov.au for fu her information.
Tidal work or development within a coastal manvqement district
23.12) Does this development application involve tidal work or development in a coastal management district?
O Yes — the following is included with this development pplication:
Evidence the proposal meets the code for assess ble development that is prescribed tidal work (only required
if application involves prescribed tidal work)
E] A certificate of title
111 No
Note: See guidance materials at www.des.q1d.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 F!eritage Register?
O Yes — details of the heritage place are provided in the table below
LI No
Note: See guidance materials at www.des.q1d.qov.au for information requirements regarding de lopment 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?
O Yes — this development application demonstrates how the proposal meets the code f r a development
application for a brothel under Schedule 3 of the Prostitution Regulation 2014
I] 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?
O Yes - this application will be taken to be an application for a decision under section 62 of ffie-T;ansport
Infrastructure Act 1994 (subject to the conditions in section 75 of the Transport Infrastructure Act 1994 being
satisfied)
O No
Page 10
DA Form 1 — Development Application details
Version 1.1-22 JUNE 2018
Page 15
E Yes — I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
No
Note: Contact the Department of Natural Resources, Mines and Energy at www dnrme.old.00v.au and www business.old.gov.au
information. for further
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?
0 Yes — I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
rj No
Note: Contact the Department of Environment and Science at www.des.qaqov 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
KNo
Note: See guidance materials at www.dnrme.old oov 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?
fl Yes — the following is included with this development application:
0 Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required
if application involves prescribed tidal work)
0 A certificate of title
No
Note: See guidance materials at www des.q1d.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
><No
Note: See guidance materials at www.des.old.ciov 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?
El 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
CI 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)
XNo
Page 10
DA Form 1 — Development Application details
Version 1.1-22 JUNE 2018
Page 16
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 '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 —IIJ Yes
Building work details have been completed and attached to this development application KNot 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 XYes
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 e 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 Yes
development permit is issued (see 21)) IKNot applicable
25) Applicant declaration
K 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.
PART 9- 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
Page 11
DA Form 1 - Development Application details
Version 1.1— 22 JUNE 2018
Page 17
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
Date receipted form sighted by assessment manager
Name of officer who sighted the form
Page 12
DA Form 1 — Development Application details
Version 1.1-22 JUNE 2018
Page 18
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
Date receipted form sighted by assessment manager
Name of officer who sighted the form
Page 12
DA Form 1 — Development Application details
Version 1.1-22 JUNE 2018
Page 19
STREET
COOYAR
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|
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a
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af “ie N32 Concrete on Bitumen & Concrete Footpath a 8
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e 0.188 0.075 | | 5 &
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us ; ae z eve *
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ee Se 3. Sarees ee ae toe , 100 mm To remain & < g 5S
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| —_fe—------ a [fp-a- arr 8200mm_—- — Ss ee ee | — See eS ES SS SS ee i Ge
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igo Cone) between footpath and Boundary i
8 125 mm | & 125 thick, SL72; CJ at 2 m max ctrs. S
3s oO
8 100mm isting? | a = 8
A Bitumen aa 2 a
Existing Trees | © ~~ Fooipal a a =
a Si y= iS
e B te
. { 5
Drive Way Plan Qsttm |
le &D |
bx jin gener teem
3
(3) Longitudinal Section
Le
1:50
Seg
J Garage FFL. 102.856 (Nom)
‘ 1 ' ' 1 ‘ ' ¥ikr8 ‘ i ‘ . 1 H ' e ' 1 1 ' | em eee
: ; : es : pe : ‘ ‘ : ' : ‘ 71800 Wide Footpath ——7 : :
/ = - t
i q ‘ % 8 ‘ a ; ; ‘ : i
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‘ Cooyar Street : veg 8
ee nooo | eee 1in 14.78 1in8.78 ——\—
& : ue ores ar : ee : 3 4 rng s j 2c puree iE
Peso cee 8 8 g 8 8 be & s s g & 3 5 5 S 5 a 8 S 8 s a8
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ie ee eee ee eee acu eae ore ase) Ee ete vee ad
ee s s ss g S S 3 zg 5 5 5 5 5 5 5 5 a a a a a as Ph: 0412 536 911
+ * $+ 7 i + + ae: ———-}-—— + + + 7_———+ + { SS t Ee ae: PO Box 205 Tewantin
Chainage & 2g & 8 3 3 L Lt g ae g b é L 3 3 3 5 8 8 8 e & 8 QLD. 4565
Distance (Meters) °? qi ot eS 8 2s a 3 = 6 oS nN 3 a = = si x 2 i 3 3 gs a
M Rattenbury Address: 101 Cooyar St Noosa Heads Noosa Shire Council Accolade Building Designs Plan 1 of 2 Project No. o819RM
RPD: Lot 227 on Bae
Site A
rea : 625.2 m?
Wind Classificatio
Proposed Vehicular Access ( Concrete Driveway )
nN3
Steven Horn
QBCC Lic. No. 54806
Mob. Ph. 0407 693 018
PO Box 250 Cooroy QLD 4563
K
| Drawn by S.Horn Checked by
J.A.Norden Print Date 19/08/2019 4:28:06 PM
Issue Date 19 - August - 19
Sheet Size A2
Scale
Current Revision
Final Plans for Council Approval
Used in these records
Operational Works Application OPW19/0187 - DA Form 1- 101 Cooyar St Noosa HeadsRelated documentApplication case desk ↗
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