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207-06-DAForm1 · OPW19/0068

Attached to the e-mail Operational Works Application OPW19/0068 - DA Form 1 - Plans - RAB19/0052 & Photos.

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DA
 A Form 1 – Deve
               elopmen
                     nt appliccation de
                                      etails
App
  proved form (version 1.1
                         1 effective 22
                                     2 JUNE 201
                                              18) made un
                                                        nder section
                                                                   n 282 of the Planning Ac
                                                                                          ct 2016.

Thiss form must be
                b used to make
                            m      a development application involving code assessment
                                                                            a        t or impact assessment
                                                                                                 a        t,
exceept when appplying for devvelopment in
                                         nvolving build
                                                      ding work.
For a developme
              ent applicatio
                           on involving building
                                        b        wo
                                                  ork only, use
                                                              e DA Form 2 – Building w
                                                                                     work details.
For a developme ent applicatio
                             on involving building
                                          b        wo           ed with any other type of assessab
                                                    ork associate                                   ble developm
                                                                                                               ment
(i.e. material ch
                hange of use e, operational work or reconfigurin
                                                    r          ng a lot), use
                                                                            e this form (D
                                                                                         DA Form 1) and
                                                                                                    a parts 4 to
                                                                                                               o 6 of
DA Form
     F    2 – Buiilding work details.
                             d
Unle
   ess stated otherwise, all parts
                             p     of this form
                                           f    must be
                                                     b completed
                                                               d in full and all
                                                                             a required supporting infformation mu
                                                                                                                 ust
acco
   ompany the development
                d            t application..
Onee or more addditional page
                            es may be atttached as a schedule
                                                      s       to this
                                                                 t    development applica
                                                                                        ation if there is insufficien
                                                                                                                    nt
spacce on the form to include all the necessary inform
                                                     mation.

 This form and any
                 a other forrm relevant to  o the development applic   cation must be
                                                                                   b used to m make a development
 application rela
                ating to strate
                              egic port land
                                           d and Brisba ane core portt land under the
                                                                                   t Transporrt Infrastructu ure Act 19944,
 and airport landd under the Airport
                              A       Assetts (Restructuuring and Dis sposal) Act 2008.
                                                                                  2      For the
                                                                                               e purpose of assessing a
 devvelopment application re elating to stra
                                           ategic port lannd and Brisbbane core poort land, any rreference to a planning
 sch
   heme is take en to mean a land use pla  an for the strrategic port la
                                                                       and, Brisbane port land u
                                                                                               use plan for Brisbane
                                                                                                             B         corre
 port land, or a land
                 l    use plan for airport land.
Note: All terms use
                  ed in this form have
                                  h     the meanin
                                                 ng given under the
                                                                t Planning Ac
                                                                            ct 2016, the Plan
                                                                                            nning Regulatio
                                                                                                          on 2017, or the Development
                                                                                                                          D
      Assessmentt Rules (DA Rule   es).


PA
 ART 1 – APPLICAN
         A      NT DETA
                      AILS
 1) Applicant
    A         details
 Applicant name
              e(s) (individual or company fulll name)             Building Approvals
                                                                           A         & Inspection C
                                                                                                  Consultancy
 Contact name (only
              (     applicable
                             e for companies))                    Suresh Chandra
                                                                         C
 Posstal address (P.O. Box or sttreet address)                    P.O.Box 362
                                                                          3
 Suburb                                                           Nundah
 Sta
   ate                                                            Queensla
                                                                         and
 Posstcode                                                        4012
 Country                                                          Australia
 Contact numbe
             er                                                   32654082
                                                                         2
 Em
  mail address (non-mandatoryy)                                   [email protected]
 Mo
  obile number (non-mandatorry)                                   04145265
                                                                         540
 Faxx number (noon-mandatory)                                     32654063
                                                                         3
 Applicant’s refe
                erence numb
                          ber(s) (if appliccable)                 207/06

 2) Owner’s
    O       consent
 2.1) Is written consent
                 c       of the owner requ
                                         uired for this developmen
                                                                 nt application
                                                                              n?
     Yes – the written consen
                            nt of the own
                                        ner(s) is attacched to this development
                                                                    d         t application
     No – proceeed to 3)
Full text of the other 11 pages

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
Forms Guide: Relevant plans.
3.1) Street address and lot on plan
    Street address AND lot on plan (all lots must be listed), or
    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
                          22                Nairana Rest                                               Noosa Heads
  a)
          Postcode        Lot No.           Plan Type and Number (e.g. RP, SP)                         Local Government Area(s)
          4567            123               RP 88934                                                   Noosa Council
          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. Only one set of coordinates is required for this part.
    Coordinates of premises by longitude and latitude
Longitude(s)                         Latitude(s)                      Datum                          Local Government Area(s) (if applicable)
                                                                           WGS84
                                                                           GDA94
                                                                           Other:
    Coordinates of premises by easting and northing
Easting(s)                  Northing(s)              Zone Ref.        Datum                          Local Government Area(s) (if applicable)
                                                         54                WGS84
                                                         55                GDA94
                                                         56                Other:
3.3) Additional premises
   Additional premises are relevant to this development application and their details have been attached in a
schedule to this application
   Not required


4) Identify any of the following that apply to the premises and provide any relevant details
    In or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer:
    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:
    In a tidal area
Name of local government for the tidal area (if applicable):
Name of port authority for tidal area (if applicable):
    On airport land under the Airport Assets (Restructuring and Disposal) Act 2008
Name of airport:



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Page 3

    Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification:
    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.
    Yes – All easement locations, types and dimensions are included in plans submitted with this development
          application
    No


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                   Operational work                       Building work
b) What is the approval type? (tick only one box)
    Development permit                          Preliminary approval                  Preliminary approval that includes
                                                                                      a variation approval
c) What is the level of assessment?
    Code assessment                             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):
Proposed Driveway to Carport

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.
    Relevant plans of the proposed development are attached to the development application
6.2) Provide details about the second development aspect
a) What is the type of development? (tick only one box)
    Material change of use                      Reconfiguring a lot                   Operational work                       Building work
b) What is the approval type? (tick only one box)
    Development permit                          Preliminary approval                 Preliminary approval that includes a variation
                                                                                  approval
c) What is the level of assessment?
    Code assessment                             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.
    Relevant plans of the proposed development are attached to the development application




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Page 4

 6.3) Additional aspects of development
    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
    Not required

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                           Yes – complete division 2
 Operational work                              Yes – complete division 3
 Building work                                 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 (m2)
                                                                                                                                        (if applicable)




 8.2) Does the proposed use involve the use of existing buildings on the premises?
     Yes
     No

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)
     Subdivision (complete 10))                                           Dividing land into parts by agreement (complete 11))
     Boundary realignment (complete 12))                                  Creating or changing an easement giving access to a lot
                                                                          from a construction 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?
     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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 11) Dividing land into parts by agreement – how many parts are being created and what is the intended use of the
 parts?
 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 each lot comprising the premises?
                                   Current lot                                                                Proposed lot
                                                       2
 Lot on plan description                     Area (m )                               Lot on plan description                 Area (m2)



 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?
     Road work                                                Stormwater                             Water infrastructure
     Drainage work                                            Earthworks                             Sewage infrastructure
     Landscaping                                              Signage                                Clearing vegetation
     Other – please specify:                Increase in driveway width.

 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)
 Appx maximum $2000.00

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?
     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




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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
   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




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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
Matters requiring referral to the Brisbane City Council:
  Brisbane core port land
Matters requiring referral to the Minister under the Transport Infrastructure Act 1994:
  Brisbane core port land (inconsistent with Brisbane port LUP for transport reasons)
  Strategic port land
Matters requiring referral to the relevant port operator:
  Land within Port of Brisbane’s port limits (below high-water mark)
Matters requiring referral to the Chief Executive of the relevant port authority:
  Land within limits of another port (below high-water mark)
Matters requiring referral to the Gold Coast Waterways Authority:
  Tidal works, or work in a coastal management district in Gold Coast waters
Matters requiring referral to the Queensland Fire and Emergency Service:
   Tidal works marina (more than six vessel berths)

18) Has any referral agency provided a referral response for this development application?
   Yes – referral response(s) received and listed below are attached to this development application
   No
Referral requirement                                 Referral agency                                   Date of referral response
Operational Works Approval for                       Noosa Council                                     18.03.2019
Driveway.


Identify and describe any changes made to the proposed development application that was the subject of the
referral response and the development application the subject of this form, 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
   I agree to receive an information request if determined necessary for this development application
   I 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
 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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PART 7 – FURTHER DETAILS
20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)
    Yes – provide details below or include details in a schedule to this development application
    No
List of approval/development              Reference number                      Date                                 Assessment
application references                                                                                               manager
    Approval                                                                                                         Noosa Council
                                          RAB19/0052 ( Attached)                18.03.2019
    Development application
    Approval
    Development application

21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or
operational work)
   Yes – a copy of the receipted QLeave form is attached to this development application
   No – I, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. I acknowledge that the assessment manager may give
a development approval only if I provide evidence that the portable long service leave levy has been paid
   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
$

22) Is this development application in response to a show cause notice or required as a result of an enforcement
notice?
    Yes – show cause or enforcement notice is attached
    No

23) Further legislative requirements
Environmentally relevant activities
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?
   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
   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.qld.gov.au for further information.
Proposed ERA number:                                                           Proposed ERA threshold:
Proposed ERA name:
         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?
   Yes – Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
application
   No
Note: See www.business.qld.gov.au for further information about hazardous chemical notifications.
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


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section 22A of the Vegetation Management Act 1999?

  Yes – this development application includes written confirmation from the chief executive of the Vegetation
Management Act 1999 (s22A determination)
  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.qld.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?
   Yes – I acknowledge that an environmental offset must be provided for any prescribed activity assessed as
having a significant residual impact on a prescribed environmental matter
   No
Note: The environmental offset section of the Queensland Government’s website can be accessed at www.qld.gov.au for further information on
environmental offsets.

Koala conservation
23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work
within an assessable development area under Schedule 10, Part 10 of the Planning Regulation 2017?
    Yes
    No
Note: See guidance materials at www.des.qld.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?
    Yes – the relevant template is completed and attached to this development application and I acknowledge that a
relevant authorisation or licence under the Water Act 2000 may be required prior to commencing development
    No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qld.gov.au for further information.
DA templates are available from https://planning.dsdmip.qld.gov.au/. If the development application involves:
 Taking or interfering with underground water through an artesian or subartesian bore: complete DA Form 1 Template 1
 Taking or interfering with water in a watercourse, lake or spring: complete DA Form1 Template 2
 Taking overland flow water: complete DA Form 1 Template 3.
Waterway barrier works
23.7) Does this application involve waterway barrier works?
    Yes – the relevant template is completed and attached to this development application
    No
DA templates are available from https://planning.dsdmip.qld.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?
   Yes – an associated resource allocation authority is attached to this development application, if required under
the Fisheries Act 1994
   No
Note: See guidance materials at www.daf.qld.gov.au for further information.

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?
    Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development



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   No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qld.gov.au and www.business.qld.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?
   Yes – I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
   No
Note: Contact the Department of Environment and Science at www.des.qld.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)?
  Yes – the ‘Notice Accepting a Failure Impact Assessment’ from the chief executive administering the Water
Supply Act is attached to this development application
  No
Note: See guidance materials at www.dnrme.qld.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?
   Yes – the following is included with this development application:
        Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required
      if application involves prescribed tidal work)
          A certificate of title
   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?
   Yes – details of the heritage place are provided in the table below
   No
Note: See guidance materials at www.des.qld.gov.au for information requirements regarding development of Queensland heritage places.

Name of the heritage place:                                                     Place ID:
Brothels
23.14) Does this development application involve a material change of use for a brothel?
   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?
    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)
    No




PART 8 – CHECKLIST AND APPLICANT DECLARATION

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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
development application
Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report          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          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))                                                                                  Not applicable

25) Applicant declaration
   By making this development application, I declare that all information in this development application is true and
correct
   Where an email address is provided in Part 1 of this form, I 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:
 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
 required by other legislation (including the Right to Information Act 2009); or
 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.


PART 9 – FOR OFFICE USE ONLY

Date received:                                         Reference number(s):

Notification of engagement of alternative assessment manager
Prescribed assessment manager                                                    BAIC
Name of chosen assessment manager                                                Suresh Chandra
Date chosen assessment manager engaged                                           05/03/2019
Contact number of chosen assessment manager                                      0414526540
Relevant licence number(s) of chosen assessment                                  A81718
manager




                                                                                                                                          Page 11
                                                                                                        DA Form 1 – Development Application details
                                                                                                                      Version 1.1— 22 JUNE 2018

Page 12

QLeave notification and payment
Note: For completion by assessment manager if applicable
Description of the work                                    Proposed Driveway
QLeave project number                                      N/A
Amount paid ($)                                            N/A
Date paid                                                  N/A
Date receipted form sighted by assessment manager          N/A
Name of officer who sighted the form                       N/A




                                                                                                                 Page 12
                                                                               DA Form 1 – Development Application details
                                                                                             Version 1.1— 22 JUNE 2018

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