DA Form 1 and Email with Photo and drawing - 9 Pines Ave, Lake Cooroibah

        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.
         Ej 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:
   if   J^sClearing native vegetation
         □ Contaminated land (unexploded ordnance)
         | | Environmentally relevant activities (ERA) (only if the ERA has not been devolved to a local government)
         □ Fisheries - aquaculture
         □ Fisheries - declared fish habitat area
         □ Fisheries - marine plants
         □ Fisheries - waterway barrier works
         □ Hazardous chemical facilities
         □ Heritage places - Queensland heritage place (on or near a Queensland heritage place)
         □ Infrastructure-related referrals - designated premises
         □ Infrastructure-related referrals - state transport infrastructure
         □ Infrastructure-related referrals - State transport corridor and future State transport corridor
         □ Infrastructure-related referrals - State-controlled transport tunnels and future state-controlled transport tunnels
         □ Infrastructure-related referrals - near a state-controlled road intersection
         □ Koala habitat in SEQ region - interfering with koala habitat in koala habitat areas outside koala priority areas
         □ Koala habitat in SEQ region - key resource areas
         □ Ports - Brisbane core port land - near a State transport corridor or future State transport corridor
         EJ Ports - Brisbane core port land - environmentally relevant activity (ERA)
         □ Ports - Brisbane core port land - tidal works or work in a coastal management district
         □ Ports - Brisbane core port land - hazardous chemical facility
         □ Ports - Brisbane core port land - taking or interfering with water
         □ Ports - Brisbane core port land - referable dams
         □ Ports - Brisbane core port land - fisheries
         □ Ports - Land within Port of Brisbane’s port limits (below high-water mark)
         □ 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 regionallandscape 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 -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 has been devolved to local government)



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                                                                                                                DA Form 1 - Development application details
                                                                                                                          Version 1.3— 28 September 2020
Document Set ID: 22589826
Version: 1, Version Date: 20/09/2023