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DA Form 1 - OPW25-0013

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   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?
    Yes – details of the heritage place are provided in the table below
    No
 Note: See guidance materials at www.desi.qld.gov.au for information requirements regarding development of Queensland
 heritage places.
 For a heritage place that has cultural heritage significance as a local heritage place and a Queensland heritage place, provisions
 are in place under the Planning Act 2016 that limit a local categorising instrument from including an assessment benchmark
 about the effect or impact of, development on the stated cultural heritage significance of that place. See guidance materials at
 www.planning.statedevelopment.qldgov.au for information regarding assessment of Queensland heritage places.
 Name of the heritage place:                                         Place ID:
 Decision under section 62 of the Transport Infrastructure Act 1994

 23.14) Does this development application involve new or changed access to a state-controlled road?
    Yes – 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
 Walkable neighbourhoods assessment benchmarks under Schedule 12A of the Planning Regulation
 23.15) Does this development application involve reconfiguring a lot into 2 or more lots in certain residential zones (except rural
 residential zones), where at least one road is created or extended?
    Yes – Schedule 12A is applicable to the development application and the assessment benchmarks contained in schedule 12A
 have been considered
    No
 Note: See guidance materials at www.planning.statedevelopment.qld.gov.au for further information.

PART 8 – CHECKLIST AND APPLICANT DECLARATION
 24) Development application checklist
 I have identified the assessment manager in question 15 and all relevant referral requirement(s) in
 question 17                                                                                                   Yes
 Note: See the Planning Regulation 2017 for referral requirements

                                                                                                                                 Page 10
                                                                                               DA Form 1 – Development application details
                                                                                                                  Version 1.6 2 Aug 2024
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