Development Application - Part 1 of 2 - Covering Letter, IDAS Forms 1 & 28 , Authority to Lodge Letter, DTMR Response letter · OPW11/0121

2. What type of approval is being sought?

® development permit
q preliminary approval
q both - provide details below


3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?

Z No
q    Yes - complete table A and then go to question 5




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)

Table B - street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises

                                                                              Lot on plan
                Street Address
                                                                              description
                                                                                                   Local government area
                Unit   Street       Street name and official       Post             Plan type        (e.g. Logan,Cairns)
                                                                          Lot No
                No.     No.          suburb/locality name          code            and plan no.

                                QUAMBY PLACE, NOOSA
            1          1                                           4567   0        BUP 4192       SUNSHINE COAST
                                HEADS
q Street address / lot on plan
® Street address / lot on plan for the and adjoining or adjacent to the premises (appropriate for development in
   water e.g. jetty, pontoon)
Table C - premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
channel dredging in Moreton Bay)

                Coordinates (note: place each set of
                coordinates in a separate row)                         Zone                            Local government
                                                                                       Datum
                                                                     reference                         area (If applicable)
                 Easting        Northing   Latitude    Longitude
                                                                                   q GDA94
                                                                                   q WGS84
            1
                                                                                   q other



5. Total area of the premises on which the development is proposed (indicate hectares or m2)
       N/A
6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)

        1       PRIVATE RESIDENCES


7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)

PONTOON FOR PRIVATE USE




                                                                                               App,;,     Details - IDAS form 1
                                                                                                 Version 1 0 18 December 2009