Operational Works Application OPW19/0284 - DA Form 1 & Plan

   No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.gld.qov.au and www.business.gld.qov.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
unde; the Coastal Protection and Management Act 1995?
     es - I acknowledge that a quarry material allocation notice must be obtained prior to commencing development

Note: Contact the Department of Environment and Science at www.des.gld.qov.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)?
D Yes - the ‘Notice Accepting a Failure Impact Assessment’ from the chief executive administering the Water
Supply Act is attached to this development application
  No
Note: See guidance materials at www.dnrme.gld.qov.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?
□ Yes - the following is included with this development application:
    Q Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required
     /tfapplication involves prescribed tidal work)
  / □ A certificate of title
   No
Note: See guidance materials at www.des.qld.qov.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
0 No
Note: See guidance materials at www.des.gld.qov.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?
D Yes - this development application demonstrates how the proposal meets the code for a development
api/lication for a brothel under Schedule 3 of the Prostitution Regulation 2014
    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?
□ Ye^ - 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)
    No




PART 8 - CHECKLIST AND APPLICANT DECLARATION

                                                                                                                                     Page 10
                                                                                                   DA Form 1 - Development Application details
                                                                                                                 Version 1.1— 22 JUNE 2018