DA Form 1 21 Myles St

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ing native vegetation

development application involve clearing native vegetation that requires wrtt

executive of the Vegelabon Management Act 1999 is satisfied the c
elimina eee lie ane

(] Yes — this development appfication includes written confirmation from the chief executive of the Vegetation
Management Act 1999 (s22A determination)
[J No
Note: 1. Where a development appiicatian for operational work oy materiel! change of use requires 2 s22A determination and this i nol included,
the development zpplication is prohibited development.
2. Seo hips Jwww old gov meen vironment land vegetation 2pg ying for further information an how to obtain » $22A determination,

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EEE offsets

 

= Yes — | acknowledge that an environmental offset must be provided % for any prescribed activity assessed as
having a significant residual impact on a prescribed environmental matter
LI No

Note: The environmental offset section of the Queensland Govemmeant’s website can be sccessed af ww. lf new au for further Information ah

   

Koala habitat in SEQ Region

application involve 2 ma’

a ent under S .
Yes ~ the development application involves premises in the koala habitat area in the koala priority area j
(1) Yes — the development application involves promises in the koala habitat area outside the koala priority area |

  
   

Note: ifa koals habitat sree determination hiss been oblsined for this premises and Is Current over the land, & should be provided a5 part of this
development application See koale habitet ares guidance materials af wyew. oes. gil gov ay for further information.

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2

artesian or aaearaies aoe Seka or interfering with water in a watercourse, lake or spring, or taking
overland flow water under the Water Act 2000?

| C) Yes - the relevant template is completed and attached to this development application and | acknowledge that a
relevant authorisation or licence under the Water Act 2000 may be required prior to commencing development
C1No

Note: Contac! the Department of Natural Resources, Mines and Energy at ww dorine.gid.gov.au for further information

 

DA templates are avaiable trom https panning dsdimip.cid.gov.dul. if the development application invelves:
}° Taking or interfering with underground water through an ertesien or subertesion bure complete DA Form 1 Template 1
| + Taking or interfering with water in a watercourse, jake or spring. cdrnpiete DA Furmt Template 2

t

Taking overland flow water: campleté DA Fon 1 Template 2.

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VAM ON Oe RU ol eee Riri att Smo lis, Unis te

LJ Yes — the relevant template is completed and attachod to this development application
DA templates are avaiable from https panning dsomip alt goy.aer Fora develiement appticalion involving watenway barrier works, complete
| DA Form 1 Termpitate 4

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4

this development application involve aquaculture, works within a declared fish habitat area or
anne disturbance or pret ren of marine plants?

\ () Yes — an associated resource allocation authority is attached to this development application, if required under |
the Fisheries Act 1994
} CL) No

I
:
| Note: See guidance matevials at www.dar git’. gav.au for further information. [