180373 - DA Form 1 · OPW18/0304

 ☐ Other – please specify:

 14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)

 ☐ Yes – specify number of new lots:
 ☑ No
 14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)
 $30,000-00

PART 4 – ASSESSMENT MANAGER DETAILS
 15) Identify the assessment manager(s) who will be assessing this development application
 JDBA Certifiers for PC18/1317 for the new dwelling
 16) Has the local government agreed to apply a superseded planning scheme for this development application?

 ☐ Yes – a copy of the decision notice is attached to this development application
 ☐ Local government is taken to have agreed to the superseded planning scheme request – relevant documents
 attached
 ☑ No



PART 5 – REFERRAL DETAILS
 17) Do any aspects of the proposed development require referral for any referral requirements?
 Note: A development application will require referral if prescribed by the Planning Regulation 2017.

 ☑ No, there are no referral requirements relevant to any development aspects identified in this development
 application – proceed to Part 6
 Matters requiring referral to the Chief Executive of the Planning Regulation 2017:

 ☐ Clearing native vegetation
 ☐ Contaminated land (unexploded ordnance)
 ☐ Environmentally relevant activities (ERA) (only if the ERA have not been devolved to a local government)
 ☐ Fisheries – aquaculture
 ☐ Fisheries – declared fish habitat area
 ☐ Fisheries – marine plants
 ☐ Fisheries – waterway barrier works
 ☐ Hazardous chemical facilities
 ☐ Queensland heritage place (on or near a Queensland heritage place)
 ☐ Infrastructure – designated premises
 ☐ Infrastructure – state transport infrastructure
 ☐ Infrastructure – state transport corridors and future state transport corridors


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                                                                                                        DA Form 1 – Development Application details
                                                                                                                      Version 1.1— 22 JUNE 2018