DA Form 1 Crystal St · OPW20/0083

 

 

 

 

_] Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification:

[J Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994

CLR site identification:

 

 

 

 

      

5) Are there any existing easements over the premises?

Note: Easement uses vaty throughout Queensland and are to be identified correctly and accurately. For further Nelle e Monee Se-ILeE
how they may affect the proposed development, see DA Forms Guide

x Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
[No

        
 

 
  

  
 

 

PART 3 — DEVELOPMENT DETAILS

Section 1 — Aspects of development

       

6.1) Provide details about the first development aspect

 
 

a) What is the type of development? (tick only one box)

 

 

 

(J Material change of use (1 Reconfiguring a lot XL] Operational work XL] Building work
b) What is the approval type? (tick only one box)
XL] Development permit (1 Preliminary approval (Preliminary approval that includes a variation approval

 

c) What is the level of assessment?

 

XL] Code assessment C1 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):

 

New driveways and building works

 

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.

XC] Relevant plans of the proposed development are attached to the development application

 

 

6 ovide deta re} ele) e second development aspe

a) What is the type of development? (tick only one box)

 

 

 

 

 

C1 Material change of use (1 Reconfiguring a lot XL] Operational work XL] Building work

b) What is the approval type? (tick only one box)

XL Development permit (1 Preliminary approval (J Preliminary approval that includes a variation approval
c) What is the level of assessment?

XL] Code assessment (J Impact assessment (requires public notification)

 

d) Provide a brief descr iption of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

New driveways and building works
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

x
6.3) Additional aspects of development \

[5] 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

| xO Not required

 

 

 

Page 3
DA Form 1 — Development application details
Version 1.2— 7 February 2020