DA Form 1

 ☐ Road work                                                  ☐ Stormwater                              ☐ Water infrastructure
 ☐ Drainage work                                              ☐ Earthworks                              ☐ Sewage infrastructure
 ☐ Landscaping                                                ☐ Signage                                 ☐ Clearing vegetation
 ☐ Other – please specify:
 14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
 ☐ 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
 Noosa Council
 16) Has the local government agreed to apply a superseded planning scheme for this development application?
 ☐ Yes – a copy of the decision notice is attached to this development application
 ☐ The local government is taken to have agreed to the superseded planning scheme request – relevant documents
    attached
 ☒ No


PART 5 – REFERRAL DETAILS
 17) Does this development application include any aspects that have 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 Act 2016:
 ☐ Clearing native vegetation
 ☐ Contaminated land (unexploded ordnance)
 ☐ Environmentally relevant activities (ERA) (only if the ERA has not been devolved to a local government)
 ☐ Fisheries – aquaculture
 ☐ Fisheries – declared fish habitat area
 ☐ Fisheries – marine plants
 ☐ Fisheries – waterway barrier works
 ☐ Hazardous chemical facilities
 ☐ Heritage places – Queensland heritage place (on or near a Queensland heritage place)
 ☐ Infrastructure-related referrals – designated premises
 ☐ Infrastructure-related referrals – state transport infrastructure
 ☐ Infrastructure-related referrals – State transport corridor and future State transport corridor
 ☐ Infrastructure-related referrals – State-controlled transport tunnels and future state-controlled transport tunnels
 ☐ Infrastructure-related referrals – near a state-controlled road intersection
 ☐ Koala habitat in SEQ region – interfering with koala habitat in koala habitat areas outside koala priority areas
 ☐ Koala habitat in SEQ region – key resource areas
 ☐ Ports – Brisbane core port land – near a State transport corridor or future State transport corridor
 ☐ Ports – Brisbane core port land – environmentally relevant activity (ERA)
 ☐ Ports – Brisbane core port land – tidal works or work in a coastal management district
 ☐ Ports – Brisbane core port land – hazardous chemical facility
 ☐ Ports – Brisbane core port land – taking or interfering with water



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                                                                                                              DA Form 1 – Development application details
                                                                                                                            Version 1.6— 2 August 2024