DA form 1 - OPW21-0279

PART 7 — FURTHER DETAILS

  

20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)

ta
N
List of approval/development Reference number Date Assessment
application references manager

LC Approval

CJ Development application

DC Approval
C Development application

   

es — provide details below or include details in a schedule to this development application
lo

  

 

 

 

 

 

 

 

   

21) Has the portable long service leave A been paid? (only applicable to development applications involving building work or
operational work)

     

C1 Yes — a copy of the receipted QLeave form is attached to this development application
CJ No -1, 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
ive a development approval only if | provide evidence that the portable long service leave levy has been paid
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)
$

 

 

 

 

 

22) Is this development application in response to a show cause notice or required as a result of an enforcement
notice?

 
 

 

 

 

Les — show cause or enforcement notice is attached
No

 

PX) MU a arom (Xe li relVem cere (Oli cclantelal cs)
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?

CO Yes — the required attachment (form ESR/2015/1791) for an application for an environmental authority
= 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.gid.gov.au for further information.

Proposed ERA number: Proposed ERA threshold:
Proposed ERA name:

C Multiple ERAs are applicable to this development application and the details have been attached in a schedule to
this development application.

 

 

 

 

 

 
  

 

Hazardous chemical facilities
23.2) Is this development application for a hazardous chemical facility?

CI Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
pplication
No

Note: See www.business.qid.gov.au for further information about hazardous chemical notifications.

 

 

 

 

Page 8
DA Form 1 — Development application details
Version 1.3— 28 September 2020