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Council application DA form 1 for MCU

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DA Form 1 — Development application details
Approved form (version 1.2 effective 7 February 2020) made under section 282 of the Planning Act 2016.

 

This form must be used to make a development application involving code assessment or impact assessment,
except when applying for development involving only building work.

For a development application involving building work only, use DA Form 2 — Building work details.

For a development application involving building work associated with any other type of assessable development
(i.e. material change of use, operational work or reconfiguring a lot), use this form (DA Form 7) and parts 4 to 6 of
DA Form 2 — Building work details.

Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
accompany the development application.

One or more additional pages may be attached as a schedule to this development application if there is insufficient
space on the form to include all the necessary information.

 

This form and any other form relevant to the development application must be used to make a development
application relating to strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994,
and airport land under the Airport Assets (Restructuring and Disposal) Act 2008. For the purpose of assessing a
development application relating to strategic port land and Brisbane core port land, any reference to a planning
scheme is taken to mean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core
port land, or a land use plan for airport land.

 

 

 

Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
Assessment Rules (DA Rules).

PART 1 — APPLICANT DETAILS

Applicant name(s) (individual or company full name)

Contact name (only applicable for companies)

Postal address (P.O. Box or street address)
Suburb

State

Postcode

Country

Contact number

Email address (non-mandatory)

Mobile number (non-mandatory)

Fax number (non-mandatory)

Applicant's reference number(s) (if applicable)

 

2) Owner's consent

   

2.1) Is written consent of the owner required for this Peeeenea application?

x Yes — the written consent of the owner(s) is attached to this development application
LJ No - proceed to 3)

 

 

a y Queensland
se) Government
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Page 2

PART 2 —LOCATION DETAILS

3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable)
Note: Provide details below and attach a site plan for any or all premises part of the development application. For further information, see DA

FelatA M1016 =P ated We-10) oH

 

3.1) Street address and lot on plan

 

 

 

 

 

 

 

Street address AND lot on plan (ail lots must be listed), Or
LJ Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
water but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).
Unit No. | Street No. | Street Name and Type Suburb
a) Guy PHEASART LANG DION WS
Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)
4Sb? | Sle SP 120185 Nos
Unit No. | Street No. | Street Name and Type Suburb
b)
Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)

 

 

 

 

 

 

3.2) Coordinates of premises (appropriate for development in remote areas, over part of a lot or in water not adjoining or adjacent to land

e.g. channel dredging in Moreton Bay)
Note: Place each set of coordinates in a separate row.

C1 Coordinates of premises by longitude and latitude

 

 

r

 

Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable) |

L] wese4
L] GDA94

LJ Other:

 

 

CJ Coordinates of premises by easting and northing

 

 

 

Easting(s) | Northing(s) | Zone Ref. | Datum Local Government Area(s) (if applicable)
| ‘Os4 Cwese4
| (O55 ~—_| L)GDA94
(156 | C1 Other:

3.3) Additional premises

 

C Additional premises are relevant to this development application and the details of these premises have been
attached in a schedule to this development application

Q] Not required

 

4) Identify any of the following that apply to the premises and provide any relevant details

 

CJ In or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer: |

 

 

CJ On strategic port land under the Transport Infrastructure Act 1994
Lot on plan description of strategic port land:
Name of port authority for the lot:

 

 

 

CJ In a tidal area

 

Name of local government for the tidal area (if applicable):

 

 

Name of port authority for tidal area (if applicable):

 

 

CJ On airport land under the Airport Assets (Restructuring and Disposal) Act 2008
Name of airport:

 

 

 

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DA Form 1 — Development application details
Version 1.2— 7 February 2020

Page 3

 

CJ Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification: |
CJ Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification: |

 

 

 

 

 

 

5) Are there any existing easements over the premises?

Note: Easement uses vary throughout Queensland and are to be identified correctly and accurately. For further information on easements and
how they may affect the proposed development, see DA Forms Guide.

 

C1 Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
ftNo

 

PART 3 —- DEVELOPMENT DETAILS

Section 1 — Aspects of development
6.1) Provide details about the first development aspect
a) What is the type of development? (tick only one box)

[Material change of use ~—_[_] Reconfiguring a lot CJ Operational work C Building work
b) What is the approval type? (tick only one box)

 

 

 

 

Development permit L] Preliminary approval LJ Preliminary approval that includes a variation approval
c) What is the level of assessment?

 

 

[4] Code assessment CJ Impact assessment (requires public notification)

 

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

 

wn, r Zz
DWELLING

House }

SE Fock F SHES pv BAP AAS BU FOL

 

e) Relevant plans

Note; Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms quide:
Relevant plans.

[4 Relevant plans of the proposed development are attached to the development application

 

a) What is the type of development? (tick only one box)

 

 

 

CJ Material change of use ~—_[_] Reconfiguring a lot (J Operational work C1 Building work
b) What is the approval type? (tick only one box)
CJ Development permit CJ Preliminary approval LJ Preliminary approval that includes a variation approval

 

c) What is the level of assessment?

 

(J Code assessment L] Impact assessment (requires public notification)

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

 

 

 

e) Relevant plans

Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
Relevant plans.

LJ Relevant plans of the proposed development are attached to the development application
6.3) Additional aspects of development

 

 

CJ Additional aspects of development are relevant to this development application and the details for these aspects
that would be required under Part 3 Section 1 of this form have been attached to this development application
I Not required

 

 

 

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DA Form 1 — Development application details
Version 1.2— 7 February 2020

Page 4

 

 

Section 2 — Further development details

7) Does the proposed development application involve any of the following?

 

 

 

 

 

Material change of use Yes — complete division 1 if assessable against a local planning instrument
Reconfiguring a lot CJ Yes — complete division 2

Operational work L] Yes — complete division 3

Building work LJ Yes — complete DA Form 2 — Building work details

 

 

Division 1 — Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a

local planning instrument.
8.1) Describe the proposed material change of use

 

Provide a general description of the Provide the planning scheme definition | Number of dwelling | Gross floor
proposed use (include each definition in a new row) units (if applicable) area (m?)
(if applicable)
WLIW G Howse Nweauince for se ( 23.0

 

 

 

 

 

8.2) Does the proposed use involve the use of existing buildings on the premises?

CJ Yes
LNo

 

 

 

 

 

Division 2 — Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.
9.1) What is the total number of existing lots making up the premises?

9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)

  
  
 

 

 

 

 

LJ Subdivision (complete 10)) LJ Dividing land into parts by agreement (complete 11))
LJ Boundary realignment (complete 12)) CJ Creating or changing an easement giving access to a lot
from a constructed road (complete 13))

 

10) Subdivision
10.1) For this development, how many lots are being created and what is the intended use of those lots:

 
   
         
 

Intended use of lots created Residential Commercial Industrial Other, please specify:

 

 

 

 

Number of lots created

10.2) Will the subdivision be staged?
LJ Yes — provide additional details below

[No

How many stages will the works include?

 

 

 

What stage(s) will this development application
apply to?

 

 

 

 

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DA Form 1 — Development application details
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Page 5

11) Dividing land into parts by agreement — how

 

y parts are being created and what is the intended use of the

 

ference

Intended use of parts created Residential Commercial Industrial Other, please specify:

 

 

 

 

 

 

 

 

Number of parts created

 

12) Boundary realignment

 

12.1) What are the current and proposed areas for ey lot comprising the premises?
Current lot Proposed lot
Lot on plan description Area (m?) Lot on plan description Area (m?)

 

 

 

 

 

 

 

 

12.2) What is the reason for the boundary realignment?

 

13) What are the dimensions and nature of any existing easements being changed and/or any proposed easement?
(attach schedule if there are more than two easements)

 

Existing or Width (m) | Length (m) | Purpose of the easement? (e.g. Identify the land/lot(s)
proposed? pedestrian access) benefitted by the easement

 

 

 

 

 

 

 

 

 

Division 3 — Operational work

Note: This division is only required to be completed if any part of the development application involves operational work.
14.1) What is the nature of the operational work?
CJ Road work CI Stormwater C Water infrastructure
CJ Drainage work CJ Earthworks L] Sewage infrastructure
C Landscaping LO Signage CL Clearing vegetation
LJ Other — please specify:

  

 

14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
C1 Yes - specify number of new lots:
C1 No

14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)

 

PART 4 — ASSESSMENT MANAGER DETAILS

15) Identify the assessment manager(s) who will be assessing this development application

 

16) Has the local government agreed to apply a superseded planning scheme for this development application?
C1 Yes — a copy of the decision notice is attached to this development application

L The local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached

DANo

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DA Form 1 — Development application details
Version 1.2— 7 February 2020

Page 6

 

 

PART 5 — REFERRAL DETAILS

  

17) Does this development application include any aspects that have any referral requirements?
Note: A development application will require referral if prescribed by the Planning Regulation 2017.

   

 
  

fAINo, 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 Act 2016:

CO Clearing native vegetation

CJ Contaminated land (unexploded ordnance)

CJ Environmentally relevant activities (ERA) (only if the ERA has not been devolved to a local government)

(CJ Fisheries — aquaculture

CL] Fisheries — declared fish habitat area

(J Fisheries — marine plants

LJ Fisheries — waterway barrier works

LJ Hazardous chemical facilities

C Heritage places — Queensland heritage place (on or near a Queensland heritage place)

C Infrastructure-related referrals — designated premises

CJ Infrastructure-related referrals — state transport infrastructure

CJ Infrastructure-related referrals — State transport corridor and future State transport corridor

(J Infrastructure-related referrals — State-controlled transport tunnels and future state-controlled transport tunnels
CJ Infrastructure-related referrals — near a state-controlled road intersection

LO Koala habitat in SEQ region — interfering with koala habitat in koala habitat areas outside koala priority areas
LC Koala habitat in SEQ region — key resource areas

L] Ports — Brisbane core port land — near a State transport corridor or future State transport corridor
CL] Ports — Brisbane core port land — environmentally relevant activity (ERA)

CL Ports — Brisbane core port land — tidal works or work in a coastal management district

L] Ports — Brisbane core port land — hazardous chemical facility

CJ Ports — Brisbane core port land — taking or interfering with water

CJ Ports — Brisbane core port land — referable dams

CJ Ports — Brisbane core port land — fisheries

CJ Ports — Land within Port of Brisbane’s port limits (below high-water mark)

CJ SEQ development area

LJ SEQ regional landscape and rural production area or SEQ rural living area — tourist activity or sport and
recreation activity

C1 SEQ regional landscape and rural production area or SEQ rural living area — community activity
LJ SEQ regional landscape and rural production area or SEQ rural living area — indoor recreation
C1 SEQ regional landscape and rural production area or SEQ rural living area — urban activity

CO SEQ regional landscape and rural production area or SEQ rural living area — combined use
CJ Tidal works or works in a coastal management district

C Reconfiguring a lot in a coastal management district or for a canal

LC Erosion prone area in a coastal management district

(] Urban design

CL] Water-related development — taking or interfering with water

CL Water-related development — removing quarry material (from a watercourse or lake)

LJ Water-related development — referable dams

LJ Water-related development —levees (category 3 levees only)

LJ Wetland protection area

Matters requiring referral to the local government:

CJ Airport land
CJ Environmentally relevant activities (ERA) (only if the ERA has been devolved to local government)

 

 

 

 

 

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DA Form 1 — Development application details
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Page 7

LJ Heritage places — Local heritage places

Matters requiring referral to the Chief Executive of the distribution entity or transmission entity:
CJ Infrastructure-related referrals — Electricity infrastructure

 

 

Matters requiring referral to:

e The Chief Executive of the holder of the licence, if not an individual
e The holder of the licence, if the holder of the licence is an individual
CJ Infrastructure-related referrals — Oil and gas infrastructure

Matters requiring referral to the Brisbane City Council:

(] Ports — Brisbane core port land

 

 

Matters requiring referral to the Minister responsible for administering the Transport Infrastructure Act 1994:
CJ Ports - Brisbane core port land (where inconsistent with the Brisbane port LUP for transport reasons)
CJ Ports — Strategic port land

Matters requiring referral to the relevant port operator, if applicant is not port operator:
CL Ports — Land within Port of Brisbane’s port limits (below high-water mark)

 

 

Matters requiring referral to the Chief Executive of the relevant port authority:
CJ Ports — Land within limits of another port (below high-water mark)

 

Matters requiring referral to the Gold Coast Waterways Authority:
LJ Tidal works or work in a coastal management district (in Gold Coast waters)

 

Matters requiring referral to the Queensland Fire and Emergency Service:
CJ Tidal works or work in a coastal management district (involving a marina (more than six vessel berths))

 

 
     

18) Has any referral agency provided a referral response for this development applicatio’
L Yes - referral response(s) received and listed below are attached to this development application
SSENo

Referral requirement Referral agency Date of referral response

 

 

 

 

 

 

Identify and describe any changes made to the proposed development application that was the subject of the

referral response and this development application , or include details in a schedule to this development application
(if applicable).

 

 

 

 

PART 6 — INFORMATION REQUEST

     
 
       
 
   
         
     

  

19) Information request under Part 3 of the DA Rules

kd | agree to receive an information request if determined necessary for this development application

(J | do not agree to accept an information request for this development application
Note: By not agreeing to accept an information request I, the applicant, acknowledge:

* _ that this development application will be assessed and decided based on the information provided when making this development
application and the assessment manager and any referral agencies relevant to the development application are not obligated under the DA
Rules to accept any additional information provided by the applicant for the development application unless agreed to by the relevant
parties

e Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.

Further advice about information requests is contained in the DA Forms Guide.

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DA Form 1 — Development application details
Version 1.2— 7 February 2020

Page 8

PART 7 — FURTHER DETAILS

20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)

 

C1 Yes — provide details below or include details in a schedule to this development application

EENo

List of approval/development Reference number Date Assessment
application references manager

CL] Approval
(J Development application

LC Approval
CJ Development application

 

 

 

 

 

 

 

21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or

operational work)

CJ Yes — a copy of the receipted QLeave form is attached to this development application

(No -|, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may
give a development approval only if | provide evidence that the portable long service leave levy has been paid

{Z] Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E)
$

 

 

 

 

 

 

22) Is this development application in response to a show cause notice or required as a result of an enforcement
notice?

 

LJ Yes - show cause or enforcement notice is attached

[X No

 

 

 

23.1) Is this development application also taken to be an application for an environmental authority for an
Environmentally Relevant Activity (ERA) under section 115 of the Environmental Protection Act 1994?

LJ Yes — the required attachment (form ESR/2015/1791) for an application for an environmental authority
accompanies this development application, and details are provided in the table below
[Al No

Note: Application for an environmental authority can be found by searching “ESR/2015/1791” as a search term at www.qld.gov.au. An ERA
requires an environmental authority to operate. See www.business.g/d.gov.au for further information.

 

 

Proposed ERA number: Proposed ERA threshold:
Proposed ERA name:

 

 

 

LJ Multiple ERAs are applicable to this development application and the details have been attached in a schedule to
this development application.

Hazardous chemical facilities

    

23.2) Is this development application for a hazardous chemical facility?

L Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
application ,

[TENo

Note: See www.business.qld.gov.au for further information about hazardous chemical notifications.

 

 

 

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DA Form 1 — Development application details
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Page 9

    
     

   

 

   
    

 

Clearing native vegetation

23.3) Does this development application involve clearing native vegetation that requires written confirmation that
the chief executive of the Vegetation Management Act 1999 is satisfied the clearing is for a relevant purpose under
section 22A of the Vegetation Management Act 1999?

 
 
 

LJ Yes — this development application includes written confirmation from the chief executive of the Vegetation
Management Act 1999 (s22A determination)

[4 No

Note: 1. Where a development application for operational work or material change of use requires a s22A determination and this is not included,
the development application is prohibited development.
2. See https:/www.gld.gov.au/environment/land/vegetation/applying for further information on how to obtain a s22A determination.

   

 
    

Environmental offsets

23.4) Is this development application taken to be a prescribed activity that may have a significant residual impact on
a prescribed environmental matter under the Environmental Offsets Act 2014?

 

CJ 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

GENo

Note: The environmental offset section of the Queensland Government's website can be accessed at www.gid.gov.au for further information on
environmental offsets.

Koala habitat in SEQ Region

23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work
which is assessable development under Schedule 10, Part 10 of the Planning Regulation 2017?

  

 
 
    

 

LJ Yes - the development application involves premises in the koala habitat area in the koala priority area
CJ Yes - the development application involves premises in the koala habitat area outside the koala priority area

KJ No

Note: /f a koala habitat area determination has been obtained for this premises and is current over the land, it should be provided as part of this
development application. See koala habitat area guidance materials at www.des.q/d.gov.au for further information.

    
   

 

Water resources

23.6) Does this development application involve taking or interfering with underground water through an
artesian or subartesian bore, taking or interfering with water in a watercourse, lake or spring, or taking
overland flow water under the Water Act 2000?

 

 

  
   

C1 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

No
las Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qid.gov.au for further information.
DA templates are available from https://planning.dsdmip.gid.gov.au/. If the development application involves:

e Taking or interfering with underground water through an artesian or subartesian bore: complete DA Form 1 Template 1
e — Taking or interfering with water in a watercourse, lake or spring: complete DA Form1 Template 2

e Taking overland flow water: complete DA Form 1 Template 3.
Waterway barrier works

23.7) Does this application involve waterway barrier works?

(J Yes - the relevant template is completed and attached to this development application
[A.No

DA templates are available from https://planning.dsdmip.gid.gov.au/, For a development application involving waterway barrier works, complete
DA Form 1 Template 4.

Marine activities

23.8) Does this development application involve aquaculture, works within a declared fish habitat area or
removal, disturbance or destruction of marine plants?

C1 Yes - an associated resource allocation authority is attached to this development application, if required under
the Fisheries Act 1994

LNo

Note: See guidance materials at www.daf.qid.gov.au for further information.

 

 

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DA Form 1 — Development application details
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Page 10

  
   
   

  

Quarry materials from a watercourse or lake

23.9) Does this development application involve the removal of quarry materials from a watercourse or lake
under the Water Act 2000?

(1 Yes — | acknowledge that a quarry material allocation notice must be obtained prior to commencing development
EI No

Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qid.gov.au and www.business.gld.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?

      
  
     

  

  

      

C1 Yes — | acknowledge that a quarry material allocation notice must be obtained prior to commencing development
iF No

Note: Contact the Department of Environment and Science at www.des.g/d.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)?

LJ Yes — the ‘Notice Accepting a Failure Impact Assessment’ from the chief executive administering the Water
Supply Act is attached to this development application

[x] No

Note: See guidance materials at www.dnrme.gid.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?

  

 
  
     
 
 
 
 
      

C1 Yes — the following is included with this development application:

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

C1 Acertificate of title
KI No
Note: See guidance materials at www.des.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?

C1 Yes — details of the heritage place are provided in the table below

[dl No

Note: See guidance materials at www.des.qid.gov.au for information requirements regarding development of Queensland heritage places.

 
   
 

Name of the heritage place:

 

Brothels

  

23.14) Does this development application involve a material change of use for a brothel?

CI Yes — this development application demonstrates how the proposal meets the code for a development
application for a brothel under Schedule 3 of the Prostitution Regulation 2014

[No
Decision under section 62 of the Transport Infrastructure Act 1994
23.15) Does this development application involve new or changed access to a state-controlled road?

OO 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)

DFNo

   
  
       
   

 
   

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DA Form 1 — Development application details
Version 1.2— 7 February 2020

Page 11

PART 8 — CHECKLIST AND APPLICANT DECLARATION

24) Development application checklist

| have identified the assessment manager in question 15 and all relevant referral ,
requirement(s) in question 17 es

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 Lilyés
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 [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 CJ Yes
development permit is issued (see 27) ENot applicable

 

25) Applicant declaration

Pt By making this development application, | declare that all information in this development application is true and
correct
Where an email address is provided in Part 1 of this form, | consent to receive future electronic communications
from the assessment manager and any referral agency for the development application where written information
is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001

Note: It is unlawful to intentionally provide false or misleading information.

Privacy — Personal information collected in this form will be used by the assessment manager and/or chosen

assessment manager, any relevant referral agency and/or building certifier (including any professional advisers

which may be engaged by those entities) while processing, assessing and deciding the development application.

All information relating to this development application may be available for inspection and purchase, and/or

published on the assessment manager's and/or referral agency’s website.

Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning

Regulation 2017 and the DA Rules except where:

e such disclosure is in accordance with the provisions about public access to documents contained in the Planning
Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and
Planning Regulation 2017; or

e required by other legislation (including the Right to Information Act 2009); or

e otherwise required by law.

This information may be stored in relevant databases. The information collected will be retained as required by the

Public Records Act 2002.

 

 

 

 

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DA Form 1 — Development application details
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Page 12

PART 9 —- FOR COMPLETION OF THE ASSESSMENT MANAGER — FOR OFFICE

USE ONLY

 

 

Date received: [ssid Reference number(s): | |

Notification of engagement of alternative assessment manager

Prescribed assessment manager

 

 

Name of chosen assessment manager

 

Date chosen assessment manager engaged

 

Contact number of chosen assessment manager

 

Relevant licence number(s) of chosen assessment
manager

 

Description of the work

QLeave notification and payment
Note: For completion by assessment manager if applicable

 

QLeave project number

 

Amount paid ($) |

Date paid (dd/mm/yy) |

 

Date receipted form sighted by assessment manager

 

 

Name of officer who sighted the form

 

 

 

: re a
Site , FLovk , E LIA T ho

NY ov D in

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DA Form 1 — Development application details
Version 1.2— 7 February 2020

Page 13

       
   
   
  

50-984

5-6
(89-774)

35
SPIB9ISS
(t Shed 164
26 Jone Over Bdy
LP.
Le

 

OPS
O.Nail Hole
in Kb

36

4010 m?

CALC & ORIG

PHEASANT

REINSTATEMENT REPORT

— Plans searched : SP139155 & SP139161.
— Datum established between stations |—5 (Vide SP 139155).

— Station 8 fixed at original bearing & distance from station 3 (Vide SP139155).

Notification issued to the owner(s) of

Loaded i

 

 

 

 

 

 

REFERENCE MARKS.
SIN 70 ORIGIN: BEARING OIsT
/ O.Nail in Kb 21/SPI39IS5 | 48°43 473
2 OIP Gone 6/SPI39IB! | 169°52’40" | 4182
5 | ONailHole inkb | 32/SPI39I55 | 178°52°30° | 5-137
7 op S/SPI39161 90°18" 0834
PARK
100
SPIISIEL

  

i 1 1 i

Scale |: 400 — Lengths are in Metres.
4 1

 

 

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Lots 35 & 36 on SP/139155 on 16/7/20. 5 0 5 0 5 20 BS 30 35 40 45 50
ered pap lpia oaed for Ola 12 MAPLE STREET COOROY 4563 agen] note
WATSON, surveying groducte, for whose work I accept
responsibility, and that the plon is accurate, that the TELEPHONE 07) 5442 612) oP Original Comer Peg
Sra Mapp inttostucture Act 2000 ond curveyors MAX WATTERSON & ASSOCIATES | EAX 07) 5442 5125 e Toeeeg ure
Act 2009 one cewactated Reguictions end Stender ds and CONSULTING SURVEYORS & PLANNERS EMAIL [email protected] or Cara es ra Reference ree

Wf te PROJECT vOBNO 20/5187 Center | Cantre Reond Fence Post

LES LM Oe SET ivsseves Gon SFP__| Centre Square Fence Pos!
oote.6 7 2028 Codastrol Surveyor PLAN OF IDENTIFICATION SURVEY [cate 400 Gan GFP | Goire Gavonion ron Fe
ee ho cnc ohenae MERIDIAN SP139155
isnot exomined for registration bythe Ot \
{or bureey mformaition only, occotaonce with the of Lot 36 on SPI39155 |
Survey ond Mapping Infrastructure Act 2003 and Surveyors: MAPREF 9545-33433 |
poate pe eager tg fa.Fer 1957) — |
difference in boundary definition, which may: result from DOONAN : 1S2939 10
Somers of od plaid ei orscheenuent gatreion LocaLcovt_ NOOSA S.C.

 

 

 

 

Page 14

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Page 17

DETAILS OF MAIN BUILDING DETAILS OF MAIN COMPONENTS

 

Bay Width: 2x 3.000 m Roof Cladding: 0.42 Corro bmt - 0.48 Corro tct

Span: 6.000 m Wall Cladding: 0.42 Corro bmt - 0.48 Corro tet

Lengthi(total): 6.000 m ‘Columns: C15024 "C" Purlin, Fixed with heavy duty plates
and bolts

Eave Height: 2.400 m Rafters: C15024 "C" Purlin, Fixed with heavy duty plates
and bolts

Overall Height: 2.983 m

Roof Pitch: 11 deg Purlins: TH64120 purlin fixed with heavy duty framing teks
Left Lean-to: N/A Girt: TH64120 girt fixed with heavy duty framing teks
Right Lean-to: N/A Gutter: Quad

Front Garaport: 0.000m Downpipes: To ground level

Back Garaport: 0.000 m
Note: Garaport length is included in Length(total) shown above.

BUILDING LAYOUT (Quote #: 0912179357)

 

 

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Page 18

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