Revised DA Form 1

section 22A of the Vegetation Management Act 1999?

C1 Yes — this development application includes written confirmation from the chief executive of the Vegetation
Management Act 1999 (s22A determination)
x] 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://www.qid.gov.au/environment/and/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?

CJ 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 conservation

23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work
within an assessable development area under Schedule 10, Part 10 of the Planning Regulation 2017?

L Yes

[4 No

Note: See guidance materials at www.des.qid.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?

(1 Yes - the relevant template is completed and attached to this development application and | acknowledge that a
relevant authorisation or licence under the Water Act 2000 may be required prior to commencing development

EI No

Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qid.gov.au for further information.

 

DA templates are available from https://planning.dsdmip.qid.gov.au/. If the development application involves:

¢ Taking or interfering with underground water through an artesian or subartesian bore: complete DA Form 1 Template 1
¢ Taking or interfering with water in a watercourse, lake or spring: complete DA Form1 Template 2

¢ Taking overland flow water: complete DA Form 1 Template 3.

Waterway barrier works
23.7) Does this application involve waterway barrier works?

  
 

A Yes — the relevant template is completed and attached to this development application
No

DA templates are available from https://planning.dsdmip.gid.gov.au/, For a development application involving waterway barrier works, complete
DA Form 1 Template 4.

 

 
 
  

 

23.8) Does this development application involve aquaculture, works within a declared fish habitat area or
removal, disturbance or destruction of marine plants?

L] Yes - an associated resource allocation authority is attached to this development application, if required under
the Fisheries Act 1994

RI No

Note: See guidance materials at www.daf.qid.gov.au for further information.

Quarry materials from a watercourse or lake

23.9) Does this development application involve the removal of quarry materials from a watercourse or lake

Vi ae(=Tem talon A el \clar. Ve a46) 60g

LJ Yes — | acknowledge that a quarry material allocation notice must be obtained prior to commencing development

 

  
  
 

 

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DA Form 1 — Development Application details
Version 1.1— 22 JUNE 2018