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WORKING DRAWINGS
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Page 2
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Page 31
The Chief Executive Officer. Noosa Council. PO Box 141, Tewantin. Qld. 4565 October 1, 2021. Attention; Kerri Coyle. Development Assessment Manager. Re; Permit for Operational Works. MCU 16/0139 including Extension of Currency Period MCU 16/0139.01 Dear MS. Coyle, We make application for a Permit for Operational Works as per Point 11 of the above Development Approval; e Development Permit for Operational Works ( Access, stormwater, landscaping and car parking). Current working drawings are attached to this application. 1. Access and Stormwater; Please find attached Operational Works Drawing from Lindsay Consulting Pty. Ltd. Structural and Civil Engineers. These drawings have also been lodged as part of the application for Development Permit for Building Works. 2. Landscaping; Plan attached for your information. 3. Carparking; The carparking layout and traffic movements comply with Council requirements. Carpark heights are Unit 1 - 2.4m and Unit 2 — 2.7m which are both in excess of Council requirements. Attached for your information is; (a) Carparking turning circles for enclosed carpark. (b) Section showing internal height of carparking area Unit 1. (c) Section showing internal height of carparking area Unit 2. These drawings have also been lodged as part of the application for Development Permit for building works. Should you require further information or wish to discuss the above please do not hesitate to contact our builder, Ausmar Homes Pty. Ltd. attention Marc Wood, 0400 123 984 or [email protected] or the undersigned at [email protected]. Please note that Marc Wood would be the better contact as | am away until October17. Yours Sincerely, Kevin Anschau.
Page 32
DA Form 1 — Development application details Approved form (version 1.3 effective 28 September 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 1) 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) IS CHA Contact name (only applicable for companies) Postal address (P.O. Box or street address) SO ‘2, VEWAWT?, Suburb ABVTT IV State Cs Postcode Ss Country iS Contact number Yo €70 we MKC hleod O 2 Email address (non-mandatory) nsckatr. @C . Conn Mobile number (non-mandatory) as Cbeve 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 development application? (Yes - the written consent of the owner(s) is attached to this development application No — proceed to 3) , Reh ss ue Queensland Government
Page 33
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 (J Street address AND lot on plan (all /ots 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) / WERIN STLEET 7EWAVTTIN Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s) 4565 | / RKP 7607 NOOSAR - 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 Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable) L wess4 LJ GDA94 CL] Other: | LJ Coordinates of premises by easting and northing Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable) 154 C1 wess4 | (155 [1] GDaAg4 | C56 CJ Other: 3.3) Additional premises C1 Additional premises are relevant to this development application and the details of these premises have been attached in a schedule to this development application Not required [VM In or adjacent to a water body or watercourse or in or above an aquifer Name of water body, watercourse or aquifer: | LAKE DONELLA - (J 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: (J In a tidal area Name of local government for the tidal area (if applicable): Name of port authority for tidal area (if applicable): LJ On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 Name of airport: Page 2 DA Form 1 — Development application details Version 1.3— 28 September 2020
Page 34
LJ 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. LJ 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 [J Reconfiguring a lot © Operational work (] Building work b) What is the approval type? (tick only one box) [Development permit CL] Preliminary approval (1 Preliminary approval that includes a variation approval c) What is the level of assessment? MCode assessment LJ 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): DUPLEX 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. [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 (J Operational work C1 Building work b) What is the approval type? (tick only one box) [A Development permit (1 Preliminary approval (J 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): DPLEX 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. mM Relevant plans of the proposed development are attached to the development application 6.3) Additional aspects of development LJ Additional aspects of development are relevant to this development application and the details for these aspects hat would be required under Part 3 Section 1 of this form have been attached to this development application Not required Page 3 DA Form 1 — Development application details Version 1.3— 28 September 2020
Page 35
Section 2 — Further development details
7) Does the proposed development application involve any of the following?
Material change of use (1 Yes — complete division 1 if assessable against a local planning instrument
Reconfiguring a lot C1 Yes — complete division 2
Operational work Wes — complete division 3
Building work CJ 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?)
METI] 0139 ObfporDL a face | 2
MCVIL/ D137 - Of ‘
(if applicable)
8.2) Does the proposed use involve the use of existing buildings on the premises?
Yes
[ZNo
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)
(J Subdivision (complete 10)) C1 Dividing land into parts by agreement (complete 11))
LJ Boundary realignment (complete 12)) L 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
0 S) bd on be staged
C1 Yes — provide additional details below
J No
How many stages will the works include?
What stage(s) will this development application
apply to?
Page 4
DA Form 1 — Development application details
Version 1.3— 28 September 2020
Page 36
11) Dividing land into parts by agreement — how many parts are being created and what is the intended use of the
foresee
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
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 [M Stormwater LJ Water infrastructure
ME rainage work CJ Earthworks LJ Sewage infrastructure
Landscaping LJ Signage C1 Clearing vegetation
other - please specify: CARPAREANG
14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
[Yes — specify number of new lots:
LINo
14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)
S2o,cr-s aferitlely— gece, Horuseliit laodsufe, poley po-l F Hr
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?
(1 Yes — a copy of the decision notice is attached to this development application
J The local government is taken to have agreed to the superseded planning scheme request — relevant documents
ittached
[io
Page 5
DA Form 1 — Development application details
Version 1.3— 28 September 2020
Page 37
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 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 Act 2016: (Clearing native vegetation LJ Contaminated land (unexploded ordnance) L Environmentally relevant activities (ERA) (only if the ERA has not been devolved to a local government) (J Fisheries — aquaculture (] Fisheries — declared fish habitat area (1 Fisheries — marine plants (Fisheries — waterway barrier works (J Hazardous chemical facilities (J Heritage places — Queensland heritage place (on or near a Queensland heritage place) (J Infrastructure-related referrals — designated premises (CJ Infrastructure-related referrals — state transport infrastructure C1 Infrastructure-related referrals — State transport corridor and future State transport corridor CJ Infrastructure-related referrals — State-controlled transport tunnels and future state-controlled transport tunnels (J Infrastructure-related referrals — near a state-controlled road intersection L Koala habitat in SEQ region — interfering with koala habitat in koala habitat areas outside koala priority areas CL] Koala habitat in SEQ region — key resource areas ] Ports - Brisbane core port land — near a State transport corridor or future State transport corridor C1] Ports — Brisbane core port land — environmentally relevant activity (ERA) L] Ports - Brisbane core port land — tidal works or work in a coastal management district C Ports - Brisbane core port land — hazardous chemical facility L Ports — Brisbane core port land — taking or interfering with water C1 Ports - Brisbane core port land — referable dams C1 Ports - Brisbane core port land — fisheries C Ports - Land within Port of Brisbane’s port limits (below high-water mark) L] SEQ development area (J SEQ regional landscape and rural production area or SEQ rural living area — tourist activity or sport and recreation activity LJ SEQ regional landscape and rural production area or SEQ rural living area — community activity (J SEQ regional landscape and rural production area or SEQ rural living area — indoor recreation LJ SEQ regional landscape and rural production area or SEQ rural living area — urban activity LJ SEQ regional landscape and rural production area or SEQ rural living area — combined use L] Tidal works or works in a coastal management district (J Reconfiguring a lot in a coastal management district or for a canal L] Erosion prone area in a coastal management district (J Urban design _] Water-related development — taking or interfering with water _] Water-related development — removing quarry material (from a watercourse or lake) (J Water-related development — referable dams CJ Water-related development -levees (category 3 levees only) (J Wetland protection area Matters requiring referral to the local government: (] Airport land CJ Environmentally relevant activities (ERA) (only if the ERA has been devolved to local government) Page 6 DA Form 1 — Development application details Version 1.3— 28 September 2020
Page 38
C1 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 LJ Infrastructure-related referrals — Oil and gas infrastructure Matters requiring referral to the Brisbane City Council: C1 Ports — Brisbane core port land Matters requiring referral to the Minister responsible for administering the Transport Infrastructure Act 1994: (J Ports - Brisbane core port land (where inconsistent with the Brisbane port LUP for transport reasons) L] Ports — Strategic port land Matters requiring referral to the relevant port operator, if applicant is not port operator: CJ 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: CL] Ports — Land within limits of another port (below high-water mark) Matters requiring referral to the Gold Coast Waterways Authority: L] Tidal works or work in a coastal management district (in Gold Coast waters) Matters requiring referral to the Queensland Fire and Emergency Service: (J 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 application? C1 Yes — referral response(s) received and listed below are attached to this development application No 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 [Y] | agree to receive an information request if determined necessary for this development application 1 | do not agree to accept an information request for this development application Note: By not agreeing to accept an information request |, the applicant, acknowledge: e _ 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. Page 7 DA Form 1 — Development application details Version 1.3— 28 September 2020
Page 39
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 No List of approval/development Reference number Date Assessment application references manager CJ Approval CJ Development application C1 Approval LJ Development application 21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or operational work) [J Yes — a copy of the receipted QLeave form is attached to this development application LJ 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 LJ 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) $7 b689-ss (- Fo SLT 3IS. 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 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? C1 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.qid.gov.au. An ERA requires an environmental authority to operate. See www.business.qid.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 faci 23.2) Is this development application for a hazardous chemical facility? C1 Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development ae No Note: See www.business.qld.gov.au for further information about hazardous chemical notifications. Page 8 DA Form 1 — Development application details Version 1.3— 28 September 2020
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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? (J Yes — this development application includes written confirmation from the chief executive of the Vegetation oe 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:/Avww.qid.gov.au/environmeni/Jand/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? (J 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 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 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? L] Yes — the development application involves premises in the koala habitat area in the koala priority area L Yes — the development application involves premises in the koala habitat area outside the koala priority area No Note: If 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.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? (J Yes - the relevant template is completed and attached to this development application and | acknowledge that a ae authorisation or licence under the Water Act 2000 may be required prior to commencing development N 0 Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.gid.gov.au for further information. DA templates are available from https:/planning.dsdmip.qid.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? C1 Yes — the relevant template is completed and attached to this development application N 10 DA templates are available from https:/planning.dsdmip.qid.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? (J Yes — an associated resource allocation authority is attached to this development application, if required under he Fisheries Act 1994 No Note: See guidance materials at www.daf.gid.gov.au for further information. Page 9 DA Form 1 — Development application details Version 1.3— 28 September 2020
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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? a — | acknowledge that a quarry material allocation notice must be obtained prior to commencing development No Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.gid.gov.au and www.business.qid.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? a — | 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.gld.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)? (C1 Yes — the ‘Notice Accepting a Failure Impact Assessment’ from the chief executive administering the Water ee Act is attached to this development application 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? LJ 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) (1 Acerttificate of title No Note: See guidance materials at www.des.g/d.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 No Note: See guidance materials at www.des.gid.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? (J Yes — this development application demonstrates how the proposal meets the code for a development a 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? LJ 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 a No Page 10 DA Form 1 — Development application details Version 1.3— 28 September 2020
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Walkable neighbourhoods assessment benchmarks under Schedule 12A of the Planning Requlation 23.16) 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? LJ Yes - Schedule 12A is applicable to the development application and the assessment benchmarks contained in Ps 12A have been considered No Note: See guidance materials at www.planning.dsdmip.gid.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 LC Yes Note: See the Planning Regulation 2017 for referral requirements If building work is associated with the proposed development, Parts 4to6 of DAForm2- ([] 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 [A 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 27) CJ Not applicable 25) Applicant declaration LY By making this development application, | declare that all information in this development application is true and rrect eee 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. Page 11 DA Form 1 — Development application details Version 1.3— 28 September 2020
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PART 9 —-FOR COMPLETION OF THE ASSESSMENT MANAGER - FOR OFFICE USE ONLY Date received: fs 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 QLeave notification and payment Note: For completion by assessment manager if applicable Description of the work QLeave project number Amount paid ($) Date paid (dd/mm/yy) | Date receipted form sighted by assessment manager Name of officer who sighted the form Page 12 DA Form 1 — Development application details Version 1.3— 28 September 2020