DA Form 1 -140 Shorehaven Dr Noosaville - Secondary crossover

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:
      □ if application involves prescribed tidal work)
        Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required

      □ A certificate of title
0 No
Note: See guidance materials at www. desi. qld. qov.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.cild.qov.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.
                                                                         | Place ID:
Name of the heritage place:
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)
g) 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.qov.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
If building work is associated with the proposed development, Parts 4 to 6 of DA Form 2 -                         □ Yes
Building work details have been completed and attached to this development application                                Not applicable
Supporting information addressing any applicable assessment benchmarks is with the
development application
Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report    pj Yes
and any technical reports required by the relevant categorising instruments (e.g. local government planning
schemes, State Planning Policy, State Development Assessment Provisions). For further information, see DA
Forms Guide: Planning Report Template.
Relevant plans of the development are attached to this development application
Note: Relevant plans are required to be submitted for all aspects of this development application. For further    •S^Yes
information, see DA Forms Guide: Relevant plans.
The portable long service leave levy for QLeave has been paid, or will be paid before a                           □ Yes
development permit is issued (see 21)                                                                             ES^Klot applicable



                                                                                                                            Queensland
                                                                                                                            Government