180373 - DA Form 1 · OPW18/0304

☐ Infrastructure – state-controlled transport tunnels and future state-controlled transport tunnels
☐ Infrastructure – near a state-controlled road intersection
☐ On Brisbane core port land near a State transport corridor or future State transport corridor
☐ On Brisbane core port land – ERA
☐ On Brisbane core port land – tidal works or work in a coastal management district
☐ On Brisbane core port land – hazardous chemical facility
☐ On Brisbane core port land – taking or interfering with water
☐ On Brisbane core port land – referable dams
☐ On Brisbane core port land - fisheries
☐ Land within Port of Brisbane’s port limits
☐ SEQ development area
☐ SEQ regional landscape and rural production area or SEQ rural living area – tourist activity or sport and
recreation activity
☐ SEQ regional landscape and rural production area or SEQ rural living area – community activity
☐ SEQ regional landscape and rural production area or SEQ rural living area – indoor recreation
☐ SEQ regional landscape and rural production area or SEQ rural living area – urban activity
☐ SEQ regional landscape and rural production area or SEQ rural living area – combined use
☐ Tidal works or works in a coastal management district
☐ Reconfiguring a lot in a coastal management district or for a canal
☐ Erosion prone area in a coastal management district
☐ Urban design
☐ Water-related development – taking or interfering with water
☐ Water-related development – removing quarry material (from a watercourse or lake)
☐ Water-related development – referable dams
☐ Water-related development – construction of new levees or modification of existing levees (category 3 levees only)
☐ Wetland protection area
Matters requiring referral to the local government:

☐ Airport land
☐ Environmentally relevant activities (ERA) (only if the ERA have been devolved to local government)
☐ Local heritage places
Matters requiring referral to the chief executive of the distribution entity or transmission entity:
☐ Electricity infrastructure
Matters requiring referral to:
 The Chief executive of the holder of the licence, if not an individual
 The holder of the licence, if the holder of the licence is an individual
☐ Oil and gas infrastructure

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