DA Form 1 · OPW26/0058

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?

CI Yes - the following is included with this development application:
1 Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required
if application involves prescribed tidal work)
OO Acertificate of title
BINo

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

0 Yes - details of the heritage place are provided in the table below

Eg No

Note: See guidance materials at www.desi.gid.gov.au for information requirements regarding development of Queensland heritage places,

For @ 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.gidgov.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 ro

C1 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)

E&I No

Walkable neighbourhoods assessment benchmarks under Schedule 12A of the Planning Requlation

23.15) Does this developme { volve reconfiguring a lot into 2 or more lots in certa

(except rural residential ) ere at least one road is created or extended?

CO Yes - Schedule 12A is applicable to the development application and the assessment benchmarks contained in
schedule 12A have been considered

BINo

Note: See guidance materials at www.planning, statedevelopment.aid.gov.au for further information.

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 By Yes

Note: See the Planning Regulation 2017 for referral requirements

If building work is associated with the proposed development, Parts 4 to 6 of DAForm2- [Yes

Building work details have been completed and attached to this development application Bef 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 By 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 BtyYes

information, see DA s Guide: vant plans.

The portable long service leave levy for QLeave has been paid, or will be paid before a 0 Yes
development permit is issued (see 21) BeNot applicable

 

   

2 Queensland
Government