DA Form 1

DA templates are available from planning.statedevelopment.qld.gov.au. 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 Form1 Template 2
●​ Taking overland flow water: complete DA Form 1 Template 3.


Waterway barrier works
23.7) Does this application involve waterway barrier works?
☐ Yes – the relevant template is completed and attached to this development application
☒ No
DA templates are available from planning.statedevelopment.qld.gov.au. 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?
☐ Yes – an associated resource allocation authority is attached to this development application, if required under
  the Fisheries Act 1994
☒ No
Note: See guidance materials at www.daf.qld.gov.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?
☐ Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
☒ No
Note: Contact the Department of Resources at www.resources.qld.gov.au and www.business.qld.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?
☐ Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
☒ No
Note: Contact the Department of Environment, Science and Innovation at www.desi.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)?
☐ 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.resources.qld.gov.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:
    ☐ Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required
            if application involves prescribed tidal work)
   ☐ A certificate of title
☒ No
Note: See guidance materials at www.desi.qld.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?


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