Operational Works Application - DA Form 1 - 31 Silkwood Dr Noosa

          Tidal work or development Within a coastal management district
          23.12) Does this development application involve tidal work or development in a coastal management district7
          □ 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. 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 Register7
          □ Yes - details of the heritage place are provided in the table below
          □ No
          Note: See guidance materials at www.desi. qld. 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.

          Name of the heritage place:                                                 Place ID:
          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 road7
          □ 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
          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, gid, 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      KI 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       0 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)                                                                                El Not applicable



                                                                                                                                        Queensland
                                                                                                                                        Government
Document Set ID: 24629284
                  24591533
Version: 2,
         1, Version Date: 27/03/2026
                          11/03/2026