Operational Works Application OPW24/0021 - DA Form 1 & Pics - 45 Lawnville Rd, Cooroy

   Development application
□ Approval
□ Development application




□ 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 (A, B or E)
$~




□ Yes - show cause or enforcement notice is attached
0 No




□ 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.qov.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.



□ 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.qov.au for further information about hazardous chemical notifications.




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                                                                                                    DA Form 1 - Development application details
                                                                                                              Version 1.4— 15 December 2023